Grandparent Coresidence and Risk of Early Child Overweight and Obesity in Low-Income,Hispanic Families in New York City |
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| Affiliation: | 1. Division of General Pediatrics, Department of Pediatrics, Donald and Barbara Zucker School of Medicine at Hofstra/Northwell (MW Katzow), Hempstead, NY;2. The Feinstein Institutes for Medical Research, Northwell Health (MW Katzow), Manhasset, NY;3. Division of General Pediatrics, Department of Pediatrics, New York University Grossman School of Medicine (MJ Messito and RS Gross), New York, NY;4. Division of Developmental-Behavioral Pediatrics, Department of Pediatrics, New York University Grossman School of Medicine (AL Mendelsohn), New York, NY;5. Department of Applied Statistics, Social Science, and Humanities, New York University Steinhardt School of Culture, Education, and Human Development (MA Scott), New York, NY;1. Department of Medical Education, Bernard J Fogel Endowed Chair in Medical Education, University of Miami Miller School of Medicine (L Chandran), Miami, Fla;2. Renaissance School of Medicine at Stony Brook University (W-H Lu), Stony Brook, NY;3. Department of Pediatrics, Icahn School of Medicine at Mount Sinai (L Mogilner), New York, NY;4. Department of Family Medicine & Public Health, UC San Diego School of Medicine (DT Rana), La Jolla, Calif;5. Department of Pediatrics, University of Texas Health, San Antonio, Joe R. and Teresa Long School of Medicine (J Petershack), San Antonio, Tex;6. Department of Pediatrics, Baylor College of Medicine (TL Turner), Houston, Tex;1. Department of Orthopedics, West Virginia University (TL Shackleford, JJ Ray, and DR Grant), Morgantown, WVa;2. School of Medicine, West Virginia University (DM Bronikowski), Morgantown, WVa;3. Department of Pediatrics, West Virginia University (JD Lancaster), Morgantown, WVa;1. Children''s Mercy Kansas City (JJ Dilts, AE Esparham, ME Boorigie, M Connelly, and J Bickel), Kansas City, Mo;2. University of Missouri-Kansas City School of Medicine (JJ Dilts, AE Esparham, M Connelly, and J Bickel), Kansas City, Mo;1. Department of Health Law, Policy, and Management, Boston University School of Public Health (RC Sheldrick), Boston, Mass;2. Department of Counseling, Clinical, and School Psychology, University of California (ML Barnett), Santa Barbara, Calif;1. Division of General and Community Pediatrics, Children''s National Hospital, Washington, DC;2. Children''s National Hospital, George Washington University, Washington, DC;3. Child Health Advocacy Institute, Children''s National Hospital, Silver Spring, MD;4. Department of Pediatrics, The Barbara Bush Children''s Hospital at Maine Medical Center, Portland, Maine;5. Division of General and Community Pediatrics, Pediatric Residency Program, and Child Health Advocacy Institute, Children''s National Hospital, Washington, DC |
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| Abstract: | ObjectiveChildren in low-income Hispanic families are at high risk of obesity and are more likely to live with grandparents than their non-Hispanic white counterparts. We aimed to determine if grandparent coresidence (prenatal through age 2 years) was associated with: 1) obesogenic feeding practices; and 2) child weight outcomes from birth to three years.MethodsWe analyzed data from 267 low-income, Hispanic mother-infant pairs in the control group of an obesity prevention trial in New York City. Linear and logistic regression tested differences in obesogenic feeding practices and weight outcomes at 2 and 3 years, dependent upon grandparent coresidence. Multilevel modeling tested associations between grandparent coresidence and WFAz over time.ResultsPersistent grandparent coresidence (vs none) was associated with putting cereal in the bottle (adjusted odds ratio [aOR] 3.46; 95% confidence interval [CI] 1.43, 8.40). Persistent grandparent coresidence (vs none) was associated with higher mean WFAz (2 years: B 0.83; 95% CI 0.41, 1.25; 3 years: B 0.79; 95% CI 0.32, 1.25) and higher odds of child overweight/obesity risk (2 years: aOR 4.38; 95% CI 1.64, 11.69; 3 years: aOR 3.15; 95% CI 1.19, 8.36). In multilevel models, more occasions of grandparent coresidence were associated with higher WFAz.ConclusionsGrandparent coresidence may be associated with higher risk of child overweight/obesity in low-income, Hispanic families. Further research is needed to elucidate mechanisms of these associations and to inform obesity prevention strategies in the context of multigenerational families. |
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