Household and family factors related to weight status in first through third graders: a cross-sectional study in Eastern Massachusetts

BMC Pediatrics

Aviva Must⁵  Sarah E Anderson³  Elena N Naumova⁴  Raymond R Hyatt⁵  Jeanne P Goldberg¹  Miriam E Nelson¹  Christina D Economos¹  Sonya Irish Hauser² 

[1]Gerald J. and Dorothy R. Friedman School of Nutrition Science and Policy, Tufts University, 150 Harrison Avenue, Boston, MA 02111, USA

[2]The Sage Colleges, School of Health Sciences, 65 First St, Troy, NY 12180, USA

[3]Division of Epidemiology, College of Public Health, The Ohio State University, 1841 Neil Avenue, Columbus, Ohio 43210, USA

[4]School of Engineering, Tufts University, 200 College Ave, Medford, MA 02155, USA

[5]Department of Public Health and Community Medicine, Tufts University School of Medicine, 136 Harrison Avenue, Boston, MA 02111, USA

关键词: Household environment;    Family dinner;    Prevention;    Childhood obesity;   

Others  :  1138618
DOI  :  10.1186/1471-2431-14-167

 received in 2013-12-21, accepted in 2014-06-19,  发布年份 2014

【 摘 要 】

Background

Early environmental influences have been linked to child weight status, however further understanding of associations in diverse populations is needed.

Methods

A cross-sectional analysis of household and family factors associated with overweight was conducted on a culturally diverse, urban dwelling sample of 820 first through third graders (mean age 7.6 ± 1.0 years) residing in three eastern Massachusetts cities. Overweight was defined as BMI > 85th percentile, based on measured height and weight, and the CDC growth reference. Multivariate logistic regression was used to identify demographic, behavioral, and social environmental variables significantly related to weight status. Independent variables included race-ethnicity, age, sex, servings of sugar-sweetened beverages/week, hours of screen time/week, parent overweight, (calculated from self-reported weight/height), parent education, household food restriction rules regarding snacking and/or kitchen access, frequency of having dinner as a family (reported as “a lot” vs. “sometimes/rarely/never”) and child vitamin/mineral supplement use. Selected interactions were explored based on prior studies.

Results

Prevalence of overweight was 35.5% in girls and 40.8% in boys. In the final, adjusted model, compared to white children, the odds of overweight were higher in children of Hispanic race-ethnicity (odds ratio (OR) = 2.4, 95% CI = 1.4 - 4.1). In the same adjusted model, compared to children with no household food restriction rules, the odds of overweight were 2.6 (95% CI = 1.3-5.1) times higher and 3.5 (95% CI = 1.9-6.4) times higher for children having one rule or two rules, respectively. Parent report of frequent family dinner and child vitamin use were protective, with a halving of risk for overweight for each behavior (OR = 0.47, 95% CI = 0.31-0.71 and OR = 0.54, 95% CI = 0.37-0.78, respectively).

Conclusions

In the presence of other factors, frequent family dinner and vitamin use were associated with lower risk of overweight and household food restriction rules with higher risk. Although such relationships have previously been reported, this investigation is among the first to demonstrate these associations in a low-income, racially-diverse early elementary school population, and suggest potential targets of opportunity within the family context that could reduce child overweight risk in a subgroup of children at elevated risk of obesity.

【 授权许可】

   
2014 Hauser et al.; licensee BioMed Central Ltd.

【 参考文献 】

• [1]Whitaker R, Wright J, Pepe M, Seidel K, Dietz W: Predicting obesity in young adulthood from childhood and parental obesity. New Engl J Med 1997, 337:869-873.
• [2]Skinner JD, Bounds W, Carruth BR, Morris M, Ziegler P: Predictors of children's body mass index: a longitudinal study of diet and growth in children aged 2–8 y. Int J Obes Relat Metab Disord 2004, 28:476-482.
• [3]Davison KK, Birch LL: Obesigenic families: parents' physical activity and dietary patterns predict girls' risk of overweight. Int J Eat Disord 2002, 26:1186-1193.
• [4]Robinson TN, Kiernan M, Matheson DM, Haydel KF: Is parental control over children’s eating associated with childhood obesity? Results from a population-based sample of third graders. Obes Res 2001, 9:306-312.
• [5]Hughes SO, Power TG, Fisher JO, Mueller S, Nicklas TA: Revisiting a neglected construct: parenting styles in a child feeding context. Appetite 2005, 44(1):83-92.
• [6]Johnson R, Welk G, Saint-Maurice PF, Ihmels M: Parenting styles and home obesogenic environments. Int J Environ Res Public Health 2012, 9(4):1411-1426.
• [7]Birch LL, Fisher J: Mothers' Child-feeding Practices Influence Daughters' Eating and Weight. Am Soc Clin Nutr 2000, 71:1054-1061.
• [8]Lee Y, Mitchell DC, Smiciklas-Wright H, Birch LL: Diet quality, nutrient intake, weight status, and feeding environments of girls meeting or exceeding recommendations for total dietary fat of the American Academy of Pediatrics. Pediatrics 2001, 107:E95.
• [9]Faith M, Berkowitz R, Stallings V, Kerns J, Storey M, Stunkard A: Parental feeding attitudes and styles and child body mass index: prospective analysis of a gene-environment interaction. Pediatrics 2004, 114:e429-e436.
• [10]Pinard CA, Yaroch AL, Hart MH, Serrano EL, McFerren MM, Estabrook PA: Measures of the home environment related to childhood obesity: a systematic review. Public Health Nutr 2011, 15(1):97-109.
• [11]Wiecha JL, Sobol AM, Peterson KE, Gortmaker SL: Household television access: Associations with screen time, reading, and homework among youth. Ambul Pediatr 2001, 1:244-251.
• [12]Gillman M, Rifas-Shiman S, Frazier A, Rockett H, Camargo C, Field A, Berkey C, Colditz G: Family dinner and diet quality among older children and adolescents. Arch Fam Med 2000, 9:235-240.
• [13]Neumark-Sztainer D, Hannan PJ, Story M, Croll J, Perry C: Family meal patterns: associations with sociodemographic characteristics and improved dietary intake among adolescents. J Am Diet Assoc 2003, 103:317-322.
• [14]Videon T, Manning CK, Influences on eating patterns: The importance of family meals. J Adolesc Health 2003, 32:365-373.
• [15]Taveras E, Rifas-Shiman SL, Berkey CS, Rockett HRH, Field AE, Frazier AL, Colditz GA, Gillman MW: Family dinner and adolescent overweight. Obesity 2005, 13:900-906.
• [16]Sen B: Frequency of family meals and adolescent body weight status: Evidence from the National Longitudinal Survey of Youth, 1997. Obesity 2006, 14:2266-2276.
• [17]Fitzpatrick E, Edmunds LS, Dennison BA: Positive effects of family dinner are undone by television viewing. J Am Diet Assoc 2007, 107:666-671.
• [18]Boutelle K, Birnbaum AS, Lytle LA, Murray DM, Story M: Associations between percieved family meal environment and parent intake of fruit, vegetables, and fat. J Nutr Educ Behav 2003, 35:24-29.
• [19]Nielsen S, Siega-Riz AM, Popkin BM: Trends in food locations and sources among adolescents and young adults. Prev Med 2002, 35:107-113.
• [20]Rockett H: Family dinner: More than just a meal. J Am Diet Assoc 2007, 107:1498-1501.
• [21]Rollins BY, BeLue RZ, Francis LA: The beneficial effect of family meals on obesity differs by race, gender, and household education: The National Survey of Children's Health, 2003–2004. J Am Diet Assoc 2010, 110:1335-1339.
• [22]Birch LL, Fisher JA: Appetite and eating behavior in children. Pediatr Nutr 1995, 42:931-953.
• [23]Birch LL, Fisher JO: Development of eating behaviors among children and adolescents. Pediatrics 1998, 101:539-550.
• [24]Costanzo P, Woody EZ: Domain specific parenting styles and their impact on the child's development of a particular deviance: the example of obesity proneness. J Soc Clin Psychol 1985, 3:425-445.
• [25]Johnson SL, Birch LL: Parents' and Children's Adiposity and Eating Style. Pediatrics 1994, 94:653-661.
• [26]Birch L, Fisher J, Davison K: Learning to overeat: maternal use of restrictive feeding promotes girls' eating in absence of hunger. Am J Clin Nutr 2003, 78:215-220.
• [27]Fisher J, Birch LL: Restricting access to palatable foods affects children's behavioral responses, food selection, and intake. Am J Clin Nutr 1999, 69:1264-1272.
• [28]Clark H, Bissell GP, Peters BJ: How do parents' child-feeding behaviours influence child weight? Implications for child obesity policy. J Public Health 2007, 29:132-141.
• [29]Fisher J, Birch LL: Restricting access to foods and children's eating. Appetite 1999, 32:405-419.
• [30]May A, Donahue M, Scanlon K, Sherry B, Dalenuis K, Faulkner P, Birch L: Child-feeding strategies are associated with maternal concern about children becoming overweight, but not children's weight status. J Am Diet Assoc 2007, 107:1167-1174.
• [31]Matheson D, Robinson T, Varady A, Killen J: Do Mexican-American mothers' food-related parenting practices influence their children's weight and dietary intake? J Am Diet Assoc 2006, 106:1861-1865.
• [32]Hurley KM, Cross MB, Hughes SO: A systematic review of responsive feeding and child obesity in high-income countries. J Nutr 2011, 141(3):495-501.
• [33]Ogden C, Carroll MD, Flegal KM: High body mass index among US children and adolescents, 2003–2006. J Am Med Assoc 2008, 299:2401-2405.
• [34]Sherry B, McDivitt J, Birch LL, Cook F, Sanders S, Prish J, Francis LA, Scanlon KS: Attitudes, practices, and concerns about child feeding and weight status among socioeconomically diverse Caucasian, Hispanic, and African American mothers. J Am Diet Assoc 2004, 104:214-221.
• [35]Reinaerts E, de Nooijer J, Candel M, de Vries N: Explaining school children's fruit and vegetable consumption: The contributions of availability, accessibilty, exposure, parental consumption, and habit in addition to psychosocial factors. Appetite 2007, 48:248-258.
• [36]Dennison BA, Erb TA, Jenkins RL: Television viewing and television in bedroom associated with overweight risk among low-income preschool children. Pediatrics 2002, 109:1028-1035.
• [37]Dubois L, Farmer A, Girard M, Peterson K: Social factors and television use during meals and snacks is associated with higher BMI among pre-school children. Public Health Nutr 2008, 11:1267-1279.
• [38]Malik V, Schultze M, Hu F: Intake of sugar sweetened beverages and weight gain: a systematic review. Am J Clin Nutr 2006, 84:274-288.
• [39]Must A, Barish E, Bandini L: Modifiable risk factors in relation to changes in BMI and fatness: What have we learned from prospective studies of school-aged children? Int J Obes 2008, 33:705-715.
• [40]Economos CD, Hyatt RR, Goldberg JP, Must A, Naumova EN, Collins JJ, Nelson ME: A community intervention reduces BMI z-scores in children" Shape up Somerville first year results. Obesity 2007, 15:1325-1336.
• [41]Economos CD, Hyatt RR, Must A, Goldberg JP, Kuder J, Naumova EN, Collins JJ, Nelson ME: Shape Up Somerville two-year results: A community-based environmental change intervention sustains weight reduction in children. Prev Med 2013, 57(4):322-327.
• [42]CDC: CDC Table for Calculated Body Mass Index Values for Selected Heights and Weights for Ages 2 to 20. http://www.cdc.gov/nccdphp/dnpa/bmi/00binaries/bmi-tables.pdf webcite
• [43]Gordon-Larson P, Adair LS, Popkin BM: The relationship of ethnicity, socioeconomic factors, and overweight in US adolescents. Obes Res 2003, 11:121-129.
• [44]Francis L, Birch LL: Maternal weight status modulates the effects of restriction on daughters' eating and weight. Int J Obes 2005, 29:942-949.
• [45]Nicklas T, Yang SL, Baranowski T, Zakeri I, Berenson G: Eating patterns and obesity in children: The Bogalusa Heart Study. Am J Prev Med 2003, 25:9-16.
• [46]Byrd-Williams C, Kelly LA, Davis JN, Spruijt-Metz D, Goran MI: Influence of gender, BMI, and Hispanic ethnicity on physical activity in children. Int J Pediatr Obes 2007, 2:159-166.
• [47]Dietz WH, Gortmaker SL: Preventing obesity in children and adolescents. Annu Rev Public Health 2001, 22:337-353.
• [48]Birch LL, Davison KK: Family environmental factors influencing the developing behavioral controls of food intake and childhood overweight. Pediatr Clin North Am 2001, 48:893-907.
• [49]Feldman S, Eisenberg ME, Neumark-Sztainer D, Story M: Associations between watching TV during family meals and dietary intake among adolescents. J Nutr Educ Behav 2007, 39:257-263.
• [50]Spruijt-Metz D, Li C, Cohen E, Birch LL, Goran MI: Longitudinal influence of mother's child-feeding practices on adiposity in children. J Pediatr 2006, 148:314-320.
• [51]Bourcier E, Bowen DJ, Meischke H, Moinpour C: Evaluation of strategies used by family food preparers to influence healthy eating. Appetite 2003, 41:265-272.
• [52]Klesges R, Stein RJ, Eck LH, Isbell TR, Klesges LM: Parental influence on food selection in young children and its relationships to childhood obesity. Am J Clin Nutr 1991, 53:859-864.
• [53]White E, Patterson RE, Kristal AR, Thornquist M, King I, Shattuck AL, Evans I, Satia-Abouta J, Littman AJ, Potter JD: VITamins and lifestyle cohort study: study design and characteristics of supplement users. Am J Epi 2004, 159:83-93.
• [54]DeLambo K, Ieyers CE, Drotar D, Quittner AL: Association of observed family relationship quality and problem solving skills with treatment adherence in older children and adolescents with cystic fibrosis. J Pediatr Psychol 2004, 29:343-353.
• [55]Lewin A, Heidgerken AD, Gaffken GR, Williams LB, Storch EA, Gelfand KM, Silverstein JH: The relation between family factors and metabolic control: The role of diabetes adherence. J Pediatr Psychol 2006, 31:174-183.
• [56]Du Rocher ST, Youngstrom EA, Calabrese JR, Findling RL: The role of family functioning in bipolar disorder in families. J Abnorm Child Psychol 2008, 36:849-863.
• [57]Anderson S, Whitaker RC: Household routines and obesity in US preschool-age children. Pediatrics 2010, 125:420-428.
• [58]Moens E, Braet C, Bosmans G, Rosseel Y: Unfavorable family characteristics and their associations with childhood obesity: A cross-sectional study. Eur Eat Dis Rev 2009, 17:315-323.
• [59]Joyce JL, Zimmer-Gembeck : Parent feeding restriction and child weight. The mediating role of disinhibited eating and the moderating role of parent context. Appetite 2009, 52:726-734.
• [60]Skinner E, Johnson S, Snyder T: Six dimensions of parenting: A motivation model. Parenting Sci Practice 2005, 5(2):175-235.
• [61]Larson N, Neumark-Sztainer D, Hannan PJ, Story M: Family meals during adolescence are associated with higher diet quality and healthful meal patterns during young adulthood. J Amer Diet Assoc 2007, 107:1502-1510.
• [62]Strauss RS, Knight J: Influence of the home environment on the development of obesity in children. Pediatrics 1999, 103:e85.
• [63]Garret P, Ng’andu N, Ferron J: Poverty experiences of young children and the quality of their home environment. Child Dev 1994, 65:331-345.
• [64]Fiese BH, Hammons A, Grigsby-Toussaint D: Family mealtimes: A contextual approach to understanding childhood obesity. Econ Hum Biol 2012, 10:365-374.
• [65]Cardel M, Willig AL, Dulin-Keita A, Casazza K, Beasley TM, Fernandez JR: Parental feeding practices and socioeconomic status are associated with child adiposity in a multi-ethnic sample of children. Appetite 2012, 58(1):347-353.
• [66]Pinard CA, Yaroch AL, Hart MH, Serrano EL, McFerren MM, Estabrooks PA: The validity and reliability of the Comprehensive Home Environment Survey (CHES). Health Promot Pract 2014, 15(1):109-117.