South-to-South parental migration patterns and excess weight among children: Insights from a national cross-sectional study in Colombia

IF 2.7 3区医学 Q1 PEDIATRICS

Pediatric Obesity Pub Date : 2024-01-29 DOI:10.1111/ijpo.13099

Carlos Devia, Karen Flórez, Sergio A. Costa, Terry T.-K. Huang

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引用次数: 0

Abstract

Background

Evidence from Latin America suggests that children embedded in South-to-North migrant networks (i.e. relatives who live abroad, typically in the United States) are at increased risk of excess weight. It is unclear if the same findings apply to children embedded in Latin American intraregional migration or South-to-South migration networks.

Objective

To compare excess weight among Colombian children embedded in South-to-South migration networks (n = 334) to children with non-migrant parents (n = 4272) using Colombia's 2015 National Survey of the Nutritional Situation.

Methods

Prevalence ratios (PRs) for excess weight (BMI z-score ≥1) by parent migration history were estimated using weighted multivariable logistic regression adjusting for demographics, child behaviours, community and household indicators, including household food insecurity.

Results

Most migrant parents returned to Colombia from Venezuela (84%) and reported higher household food insecurity rates than non-migrant parents (59% versus 32%). Models excluding household food insecurity showed that excess weight among children with migrant parents was 51% lower (PR = 0.49; 95% CI 0.25, 0.98) than among children with non-migrant parents. After adjustment for household food insecurity, no statistically significant differences were found.

Conclusion

Colombian children with return migrant parents from Venezuela experienced less excess weight than children with non-migrant parents, but higher rates of food insecurity in migrant households might partially explain this difference. This study calls attention to two serious public health concerns for Colombian children—those who have excess weight and those who lack sufficient food, particularly among migrant returnees (a situation that may have worsened since the COVID-19 pandemic).

查看原文本刊更多论文

父母南移模式与儿童超重：哥伦比亚全国横断面研究的启示。

背景：来自拉丁美洲的证据表明，生活在南来北往移民网络中的儿童（即生活在国外，通常是美国的亲戚）体重超标的风险较高。目前尚不清楚这些研究结果是否也适用于拉丁美洲区域内移民或南南移徙网络中的儿童：利用哥伦比亚2015年全国营养状况调查（National Survey of the Nutritional Situation），比较南南移徙网络中的哥伦比亚儿童（n = 334）与父母均非移民的儿童（n = 4272）的超重情况：采用加权多变量逻辑回归估算了父母移民史导致超重（BMI z-score≥1）的流行率（PRs），并对人口统计学、儿童行为、社区和家庭指标（包括家庭粮食不安全）进行了调整：大多数移民父母从委内瑞拉返回哥伦比亚（84%），他们报告的家庭粮食不安全率高于非移民父母（59% 对 32%）。排除家庭粮食不安全因素的模型显示，父母为移民的儿童的超重率比父母为非移民的儿童低 51%（PR = 0.49；95% CI 0.25，0.98）。在对家庭粮食不安全因素进行调整后，没有发现统计学上的显著差异：结论：父母从委内瑞拉回国的哥伦比亚儿童的超重情况少于父母不是移民的儿童，但移民家庭的粮食不安全率较高可能是造成这种差异的部分原因。这项研究呼吁人们关注哥伦比亚儿童的两个严重的公共卫生问题--体重超标和缺乏足够食物，尤其是在移民回国者中（自 COVID-19 大流行以来，这种情况可能有所恶化）。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Pediatric Obesity PEDIATRICS-

CiteScore

7.30

自引率

5.30%

发文量

117

审稿时长

6-12 weeks

期刊介绍： Pediatric Obesity is a peer-reviewed, monthly journal devoted to research into obesity during childhood and adolescence. The topic is currently at the centre of intense interest in the scientific community, and is of increasing concern to health policy-makers and the public at large. Pediatric Obesity has established itself as the leading journal for high quality papers in this field, including, but not limited to, the following: Genetic, molecular, biochemical and physiological aspects of obesity – basic, applied and clinical studies relating to mechanisms of the development of obesity throughout the life course and the consequent effects of obesity on health outcomes Metabolic consequences of child and adolescent obesity Epidemiological and population-based studies of child and adolescent overweight and obesity Measurement and diagnostic issues in assessing child and adolescent adiposity, physical activity and nutrition Clinical management of children and adolescents with obesity including studies of treatment and prevention Co-morbidities linked to child and adolescent obesity – mechanisms, assessment, and treatment Life-cycle factors eg familial, intrauterine and developmental aspects of child and adolescent obesity Nutrition security and the "double burden" of obesity and malnutrition Health promotion strategies around the issues of obesity, nutrition and physical activity in children and adolescents Community and public health measures to prevent overweight and obesity in children and adolescents.