Do High-Risk Preschoolers or Overweight Mothers Meet AAP-Recommended Behavioral Goals for Reducing Obesity?

作者：Turer Christy Boling^*; Stroo Marissa; Brouwer Rebecca J; Krause Katrina M; Lovelady Cheryl A; Bastian Lori A; Peterson Bercedis; Ostbye Truls

来源：Academic Pediatrics, 2013, 13(3): 243-250.

DOI：10.1016/j.acap.2013.01.003

• behavioral modification
• childhood obesity
• maternal child health
• obesity prevention

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. %26lt;br%26gt;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. %26lt;br%26gt;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. %26lt;br%26gt;RESULTS: The respective proportions of children and mothers that met behavior goals were: 17% and 13% for %26gt;= 5 fruits/vegetables/day, 46% and 33% for zero sugar-sweetened beverages/day, 41% and 13% for fast-food %26lt;1 x/week, and 46% and 13% for screentime %26lt;= 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 x/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. %26lt;br%26gt;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.

• 出版日期2013-6