Overweight in young Latino children.
BACKGROUND
Acculturation status is associated with overweight and obesity among Latino adults, but the relationship between maternal acculturation and overweight in Latino children is inconsistent and has not been adequately studied.


METHODS
We analyzed 3-year follow-up data from 185 Latina mothers and children who were recruited at San Francisco General Hospital. Outcome measure was the child's body mass index at age 3 years, adjusted for age and sex and categorized as healthy (<85%) or overweight (> or =85%). Independent variables were maternal acculturation status, child health status, and child nutritional factors.


RESULTS
At age 3 years, 43% of children were overweight. In multivariate logistic regression analyses, childhood overweight was associated with maternal acculturation status (adjusted odds ratio [OR] 1.99, 95% confidence interval [95% CI] 1.07-3.69) and maternal obesity (OR 3.71, 95% CI 1.40-9.84). Childhood overweight was also more likely among children who were reported to eat well or very well (OR 3.33, 95% CI 1.46-7.58) and children whose weight was perceived as too high (OR 11.88, 95% CI 2.37-59.60), as compared to children who were reported to eat poorly/not well and children whose weight was perceived as normal, respectively.


CONCLUSIONS
Interventions to reduce the high rates of overweight among young Latino children should address the importance of maternal acculturation and obesity as well as maternal perceptions of children's weight and eating habits.
Department of Epidemiology and Biostatistics, University of California, San Francisco, CA 94110, USA. efuentes@sfghpeds.ucsf.edu
Elena
E
Fuentes-Afflick
Nancy A
NA
Hessol
D000328:Adult; D015992:Body Mass Index; D002675:Child, Preschool; D005260:Female; D006630:Hispanic or Latino / Q000706:statistics & numerical data*; D006801:Humans; D008297:Male; D009035:Mothers; D050177:Overweight / Q000453:epidemiology*; D014481:United States / Q000453:epidemiology