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Body mass index and dietary intake among Head Start children and caregivers.
J Am Diet Assoc. 2011 Sep; 111(9):1314-21.JA

Abstract

BACKGROUND

The US Head Start program serves low-income preschoolers and their caregivers and provides an opportunity for assessment and intervention on obesity. We sought to determine the prevalence of obesity among children and their caregivers and to identify variables that are associated with child body mass index (BMI) z scores and caregiver BMI.

DESIGN/SETTING

Cross-sectional data on diet and BMI from 770 caregiver-child dyads recruited from 57 Head Start centers in Alabama and Texas.

METHODS

Height and weight of each caregiver and child were measured using standardized protocols. Dietary intakes of caregiver-child dyads were collected using three 24-hour dietary recalls and Block food frequency questionnaires. Data were collected between September 2004 and November 2005. The larger Food Pyramid categories were divided into 17 food consumption groups and tested for their association with child BMI z scores. Analysis of variance was used to test if food groups were significantly associated with child BMI z score.

RESULTS

The prevalence of obesity among children was 18.4%, 24.3%, and 37.3% among black, Hispanic, and white children, respectively (P<0.0001), whereas it was 58.3%, 41.4%, and 41.6% among black, Hispanic, and white caregivers, respectively (P<0.0001). Child BMI z scores and caregiver BMIs were correlated (r=0.16, P<0.0001). In multivariable models, children were 1.90 (95% confidence interval 1.31-2.74) times more likely to have BMI ≥95th percentile if their caregiver was obese. Five variables (fruits, unsweetened beverages, low-fat dairy, race, and caregiver's BMI) were significantly associated with child BMI z scores. Fruits were inversely related, whereas unsweetened beverages, low-fat dairy, and caregiver's BMI were positively associated with child BMI z score (P<0.03). Compared to whites, black and Hispanic children had lower BMI z scores (P<0.05).

CONCLUSIONS

The high prevalence of obesity in this population together with the observed inverse association between fruit consumption and BMI, if replicated in other studies, suggests that interventions that promote fruit consumption could have beneficial effects on child BMI.

Authors+Show Affiliations

University of Arkansas for Medical Sciences, Little Rock, Arkansas, USA.No affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article
Multicenter Study
Research Support, N.I.H., Extramural

Language

eng

PubMed ID

21872694

Citation

Acharya, Krishna, et al. "Body Mass Index and Dietary Intake Among Head Start Children and Caregivers." Journal of the American Dietetic Association, vol. 111, no. 9, 2011, pp. 1314-21.
Acharya K, Feese M, Franklin F, et al. Body mass index and dietary intake among Head Start children and caregivers. J Am Diet Assoc. 2011;111(9):1314-21.
Acharya, K., Feese, M., Franklin, F., & Kabagambe, E. K. (2011). Body mass index and dietary intake among Head Start children and caregivers. Journal of the American Dietetic Association, 111(9), 1314-21. https://doi.org/10.1016/j.jada.2011.06.013
Acharya K, et al. Body Mass Index and Dietary Intake Among Head Start Children and Caregivers. J Am Diet Assoc. 2011;111(9):1314-21. PubMed PMID: 21872694.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Body mass index and dietary intake among Head Start children and caregivers. AU - Acharya,Krishna, AU - Feese,Michelle, AU - Franklin,Frank, AU - Kabagambe,Edmond K, PY - 2009/06/10/received PY - 2011/02/09/accepted PY - 2011/8/30/entrez PY - 2011/8/30/pubmed PY - 2011/10/12/medline SP - 1314 EP - 21 JF - Journal of the American Dietetic Association JO - J Am Diet Assoc VL - 111 IS - 9 N2 - BACKGROUND: The US Head Start program serves low-income preschoolers and their caregivers and provides an opportunity for assessment and intervention on obesity. We sought to determine the prevalence of obesity among children and their caregivers and to identify variables that are associated with child body mass index (BMI) z scores and caregiver BMI. DESIGN/SETTING: Cross-sectional data on diet and BMI from 770 caregiver-child dyads recruited from 57 Head Start centers in Alabama and Texas. METHODS: Height and weight of each caregiver and child were measured using standardized protocols. Dietary intakes of caregiver-child dyads were collected using three 24-hour dietary recalls and Block food frequency questionnaires. Data were collected between September 2004 and November 2005. The larger Food Pyramid categories were divided into 17 food consumption groups and tested for their association with child BMI z scores. Analysis of variance was used to test if food groups were significantly associated with child BMI z score. RESULTS: The prevalence of obesity among children was 18.4%, 24.3%, and 37.3% among black, Hispanic, and white children, respectively (P<0.0001), whereas it was 58.3%, 41.4%, and 41.6% among black, Hispanic, and white caregivers, respectively (P<0.0001). Child BMI z scores and caregiver BMIs were correlated (r=0.16, P<0.0001). In multivariable models, children were 1.90 (95% confidence interval 1.31-2.74) times more likely to have BMI ≥95th percentile if their caregiver was obese. Five variables (fruits, unsweetened beverages, low-fat dairy, race, and caregiver's BMI) were significantly associated with child BMI z scores. Fruits were inversely related, whereas unsweetened beverages, low-fat dairy, and caregiver's BMI were positively associated with child BMI z score (P<0.03). Compared to whites, black and Hispanic children had lower BMI z scores (P<0.05). CONCLUSIONS: The high prevalence of obesity in this population together with the observed inverse association between fruit consumption and BMI, if replicated in other studies, suggests that interventions that promote fruit consumption could have beneficial effects on child BMI. SN - 1878-3570 UR - https://www.unboundmedicine.com/medline/citation/21872694/Body_mass_index_and_dietary_intake_among_Head_Start_children_and_caregivers_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S0002-8223(11)00709-7 DB - PRIME DP - Unbound Medicine ER -