Hispanic Children at Greater Risk for Obesity

6/3/2009 10:52:46 AM
ARTICLE TOOLS

Santa Cruz County, Calif.—The prevalence of overweight people in the U.S. population is among the highest in Mexican-American children and adolescents. In a study of 1,030 Hispanic children between the ages of 4 and 19, researchers from the Baylor College of Medicine found less than optimal diets in both overweight and non-overweight participants.

According to the National Health and Nutrition Examination Surveys (NHANES), in 2005-2006 the prevalence of overweight among children (2-19 years) from all ethnic/racial groups was 15.5 percent For Mexican-American males and females (2-19 years) the prevalence was 23.2 percent and 18.5 percent, respectively. Although the U.S. environment encourages a sedentary lifestyle and excess food intake, the Hispanic population is burdened with additional risk factors for childhood obesity including parental obesity, low socioeconomic status (SES), recent immigration, acculturation to U.S. diet and lifestyle, and limited health insurance coverage.

The VIVA LA FAMILIA Study was designed to identify genetic and environmental factors contributing to childhood obesity in the Hispanic population. It provided the novel opportunity to assess the diet of a large cohort of Hispanic children from low-SES families at high risk for obesity (1,030 children from 319 families in Houston, Texas). On average, 91 percent of parents were overweight or obese and parental income and education levels were low. Food insecurity was reported by 49 percent of households.

Writing in the article, Nancy F. Butte, Ph.D., Professor, USDA/ARS Children's Nutrition Research Center, Department of Pediatrics, Baylor College of Medicine, states, “The diets of these low-SES Hispanic children were adequate in most essential nutrients, but suboptimal for the promotion of long-term health. Diet quality did not satisfy U.S. dietary guidelines for fat, cholesterol, saturated fatty acids, fiber, added sugar, and sodium. Although energy intake was higher in overweight children, food sources, diet quality, and macro- and micronutrient composition were similar between non-overweight and overweight siblings...Knowledge of the dietary intake of children from low-SES Hispanic families at high risk for obesity will provide a basis on which to build nutritional interventions and policy that are appropriately tailored to population sub-groups.”

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Carol Caldara 10/15/2009 06:12

Public health experts and advocates complain that budget analysts look almost exclusively at what happens in a doctor’s office. While screenings are important, they say, they are not the primary way we stay well. A recent study by Trust for America’s Health focused on community initiatives and found that an investment of $10 per person per year in proven programs to increase physical activity, improve nutrition, and prevent or stop smoking could potentially save nearly $18 billion annually in 10 to 20 years.
CATCH (Coordinated Approach to Child Health), evidence based has been shown to promote healthy behaviors, increased physical activity levels, improved nutrition knowledge and healthier eating behaviors and CATCH actually reduced rise in obesity levels in the El Paso – CATCH study. CATCH is designed as an elementary school and after school program and now includes components for preschool physical activity and nutrition learning also. CATCH includes nutrition and tobacco education and uniquely designed all inclusive non-elimination physical activities.

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CATCH began as a research study called Child and Adolescent Trial for Cardiovascular Health funded by the Heart Lung and Blood Institute in 1991 as the largest school based health promotion study ever conducted in the US with over 5000 children in 96 schools in four states. The study employed more vigorous physical education and health programs in improving students' dietary and activity related behaviors.

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