ArticleJournal of nutrition education and behavior2019
Predictors of Overweight and Obesity in American Indian Families With Young Children.
Article in Journal of nutrition education and behavior, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 1 of them a synthesis that pooled it.
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Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
10 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Childhood Obesity Evidence Base Project: A Systematic Review and Meta-Analysis of a New Taxonomy of Intervention Components to Improve Weight Status in Children 2-5 Years of Age, 2005-2019.Childhood obesity (Print) · 2020Pooled it
- Relationship between food insecurity and a gestational diabetes risk reduction intervention: outcomes among American Indian and Alaska Native adolescent and young adult females.Translational behavioral medicine · 2023Trial
- Food Insecurity among American Indian and Alaska Native People: A Scoping Review to Inform Future Research and Policy Needs.Advances in nutrition (Bethesda, Md.) · 2022Article
- Determinants and Predictors of Body Fat in Indian Children and Adolescents.Indian journal of pediatrics · 2022Article
- Risk Factors in Adolescence for the Development of Elevated Blood Pressure and Hypertension in American Indian and Alaskan Native Adults.Journal of immigrant and minority health · 2021Article
- A Scoping Review of the Use of Indigenous Food Sovereignty Principles for Intervention and Future Directions.Current developments in nutrition · 2021Article
- Use of Text Messaging and Facebook Groups to Support the Healthy Children, Strong Families 2 Healthy Lifestyle Intervention for American Indian Families.Current developments in nutrition · 2021Article
- Stopping Gestational Diabetes in American Indian and Alaska Native Girls: Nutrition as a Key Component to Gestational Diabetes Risk Reduction.Current developments in nutrition · 2021Article
- Perspective: Childhood Obesity Requires New Strategies for Prevention.Advances in nutrition (Bethesda, Md.) · 2020Article
- The Healthy Children, Strong Families 2 (HCSF2) Randomized Controlled Trial Improved Healthy Behaviors in American Indian Families with Young Children.Current developments in nutrition · 2019Article
Corrections and comments
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Authors and funding
7 authors.
Funding
Abstract
objectiveTo describe sociodemographic factors and health behaviors among American Indian (AI) families with young children and determine predictors of adult and child weight status among these factors.
designDescriptive, cross-sectional baseline data.
settingOne urban area and 4 rural AI reservations nationwide.
participantsA total of 450 AI families with children aged 2-5 years participating in the Healthy Children, Strong Families 2 intervention.
interventionBaseline data from a healthy lifestyles intervention.
main outcome measuresChild body mass index (BMI) z-score and adult BMI, and multiple healthy lifestyle outcomes. ANALYSIS: Descriptive statistics and stepwise regression.
resultsAdult and child combined overweight and obesity rates were high: 82% and 40%, respectively. Food insecurity was high (61%). Multiple lifestyle behaviors, including fruit and vegetable and sugar-sweetened beverage consumption, adult physical activity, and child screen time, did not meet national recommendations. Adult sleep was adequate but children had low overnight sleep duration of 10 h/d. Significant predictors of child obesity included more adults in the household (P = .003; β = 0.153), an adult AI caregiver (P = .02; β = 0.116), high adult BMI (P = .001; β = 0.176), gestational diabetes, high child birth weight (P < .001; β = 0.247), and the family activity and nutrition score (P = .04; β = 0.130). CONCLUSIONS AND IMPLICATIONS: We found multiple child-, adult-, and household-level factors influence early childhood obesity in AI children, highlighting the need for interventions to mitigate the modifiable factors identified in this study, including early life influences, home environments, and health behaviors.
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