儿童体重管理干预中食物不安全与体重指数变化的关系

IF 2.7 3区医学 Q1 PEDIATRICS

Pediatric Obesity Pub Date : 2023-09-07 DOI:10.1111/ijpo.13075

Alicia Persaud, E. Whitney Evans, Meghan Perkins, Meg Simione, Erika R. Cheng, Mandy Luo, Rachel Burgun, Elsie M. Taveras, Lauren Fiechtner

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引用次数: 1

摘要

背景儿童肥胖是一个重要的公共卫生问题。人们对肥胖的一个潜在决定因素是粮食不安全。目的探讨符合国家治疗建议的儿童体重管理干预（PWMI）中，食品安全状况与体重指数（BMI）变化的关系。方法该分析包括201名来自健康体重诊所（HWC）的参与者。使用线性混合模型，我们比较了食物不安全组和食物安全组之间的BMI和%BMIp95每年的变化，并对基线BMI、年龄和性别以及SNAP登记进行了调整。结果在完全调整的模型中，与粮食安全的家庭相比，粮食不安全家庭的儿童BMI每年增加0.50（0.26–0.74）kg/m2，BMIp95每年增加2.10（1.02–3.19）%。结论当比较食物不安全组和食物安全组的HWC的BMI效应时，与食物安全组相比，在HWC中经历食物不安全的人的BMI增加。这些发现表明，粮食不安全可能会降低符合国家建议的PWMI的有效性；然而，应该进行更多的研究来更好地理解这种关系。

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The association of food insecurity on body mass index change in a pediatric weight management intervention

Background

Childhood obesity is a critical public health concern. One potential determinant to obesity that is less understood is food insecurity.

Objective

To examine the association of food security status on body mass index (BMI) change in a Pediatric Weight Management Intervention (PWMI) consistent with national treatment recommendations.

Methods

This analysis included 201 participants from the Healthy Weight Clinic (HWC). Using linear mixed models, we compared BMI and %BMIp₉₅ change per year between the food insecure group and food secure group, adjusting for baseline BMI, age and sex, and SNAP enrolment.

Results

In fully adjusted models, children in households with food insecurity had a 0.50 (0.26–0.74) kg/m² BMI increase per year and a 2.10 (1.02–3.19) %BMIp₉₅ increase per year compared to households that were food secure.

Conclusions

When comparing the BMI effect of the HWC between the food insecure group and food secure group, those experiencing food insecurity in the HWC had an increase in BMI compared to those with food security. These findings suggest that food insecurity may reduce the effectiveness of PWMIs consistent with national recommendations; however, more studies should be conducted to better understand this relationship.

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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.