Do high-risk preschoolers or overweight mothers meet AAP-recommended behavioral goals for reducing obesity?
Acad Pediatr
; 13(3): 243-50, 2013.
Article
em En
| MEDLINE
| ID: mdl-23491583
ABSTRACT
BACKGROUND:
The American Academy of Pediatrics (AAP) has issued specific behavioral recommendations to prevent obesity. It is unclear how often high-risk preschoolers and overweight mothers meet recommended behavior goals and whether meeting these goals is negatively associated with overweight/obesity.OBJECTIVE:
To describe the proportion of preschoolers and mothers that meet AAP-recommended behavior goals and examine the associations of meeting goals with weight-status, and mothers meeting goals and children meeting corresponding goals.METHODS:
Secondary analysis of baseline data (before an intervention) from mother-preschooler dyads in a weight-control study. Mothers were overweight or obese. Preschoolers were 2-5 years old. Dietary and feeding practices were assessed by the use of questionnaires. Activity was measured directly using accelerometry. Outcomes included preschooler overweight and maternal obesity.RESULTS:
The respective proportions of children and mothers that met behavior goals were 17% and 13% for ≥5 fruits/vegetables/day, 46% and 33% for zero sugar-sweetened beverages/day, 41% and 13% for fast-food <1×/week, and 46% and 13% for screentime ≤2 hours/day. Moderate-to-vigorous physical activity did not exceed 60 minutes/day in any participant. A total of 49% ate family meals together 7×/week. For each additional goal met, the adjusted odds for preschooler overweight was 0.9 (95% confidence interval 0.8-1.1) and for maternal obesity, 0.8 (95% confidence interval 0.6-0.9). Preschoolers had significantly greater odds of meeting each goal when mothers met the corresponding goal.CONCLUSIONS:
Few high-risk preschoolers or overweight mothers meet AAP-recommended behavior goals. Meeting a greater number of behavior goals may be particularly important for maternal weight. Preschoolers have greater odds of meeting behavior goals when mothers meet behavior goals.
Texto completo:
1
Base de dados:
MEDLINE
Assunto principal:
Comportamentos Relacionados com a Saúde
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Sobrepeso
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Comportamento Alimentar
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Mães
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Atividade Motora
Tipo de estudo:
Etiology_studies
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Guideline
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Risk_factors_studies
Limite:
Adult
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Child, preschool
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Female
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Humans
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Male
Idioma:
En
Ano de publicação:
2013
Tipo de documento:
Article