BACKGROUND: Up to 32% of US Head Start enrollees in inner-city settings have been reported to be obese. However, little is known about the prevalence of overweight and associated risk factors in Head Start enrollees in non-inner-city settings. OBJECTIVES: To determine the prevalence of childhood obesity from 1998 to 2001 and associated risk factors for overweight among Head Start enrollees in southeast Minnesota. METHODS: The study was designed as a cross-sectional study. Subjects were 788 children ages three to five years who were enrolled in Head Start of Olmsted and Freeborn Counties, Minnesota, between 1998 and 2001. Anthropometric data and other sociodemographic variables were collected. The Centers for Disease Control and Prevention (CDC) classification for body mass index (BMI) was used (ie, overweight is > 95th percentile BMI for age). Data were fit to a logistic regression model to identify risk factors associated with overweight. RESULTS: From 1998 to 2001, the overall prevalence of overweight and at risk for overweight was 12.9% and 12.2%, respectively. The prevalence of overweight from 1998 to 2001 remained steady, but the prevalence of at risk doubled from 8.2% in 1998 to 16.1% in 2001. On the basis of BMI at the time of enrollment in Head Start, Mexican origin (OR = 2.76; P = .002) and speaking English as a second language (ESL) at home (OR = 1.75; P = .026) were independent predictors for overweight. CONCLUSIONS: The Head Start setting in a nonurban area does not confer any more or less risk for overweight for enrollees, compared to those in urban settings. Children within a certain ethnic group (eg, Mexican) and those who speak English as a second language at home have a higher risk of being overweight. Specific early interventions for these children in a Head Start setting are warranted.
BACKGROUND: Up to 32% of US Head Start enrollees in inner-city settings have been reported to be obese. However, little is known about the prevalence of overweight and associated risk factors in Head Start enrollees in non-inner-city settings. OBJECTIVES: To determine the prevalence of childhood obesity from 1998 to 2001 and associated risk factors for overweight among Head Start enrollees in southeast Minnesota. METHODS: The study was designed as a cross-sectional study. Subjects were 788 children ages three to five years who were enrolled in Head Start of Olmsted and Freeborn Counties, Minnesota, between 1998 and 2001. Anthropometric data and other sociodemographic variables were collected. The Centers for Disease Control and Prevention (CDC) classification for body mass index (BMI) was used (ie, overweight is > 95th percentile BMI for age). Data were fit to a logistic regression model to identify risk factors associated with overweight. RESULTS: From 1998 to 2001, the overall prevalence of overweight and at risk for overweight was 12.9% and 12.2%, respectively. The prevalence of overweight from 1998 to 2001 remained steady, but the prevalence of at risk doubled from 8.2% in 1998 to 16.1% in 2001. On the basis of BMI at the time of enrollment in Head Start, Mexican origin (OR = 2.76; P = .002) and speaking English as a second language (ESL) at home (OR = 1.75; P = .026) were independent predictors for overweight. CONCLUSIONS: The Head Start setting in a nonurban area does not confer any more or less risk for overweight for enrollees, compared to those in urban settings. Children within a certain ethnic group (eg, Mexican) and those who speak English as a second language at home have a higher risk of being overweight. Specific early interventions for these children in a Head Start setting are warranted.
Authors: Julie C Lumeng; Niko Kaciroti; Julie Sturza; Allison M Krusky; Alison L Miller; Karen E Peterson; Robert Lipton; Thomas M Reischl Journal: Pediatrics Date: 2015-01-12 Impact factor: 7.124
Authors: Xiaozhong Wen; Matthew W Gillman; Sheryl L Rifas-Shiman; Bettylou Sherry; Ken Kleinman; Elsie M Taveras Journal: Pediatrics Date: 2012-04-23 Impact factor: 7.124
Authors: Holly E Brophy-Herb; Mildred Horodynski; Dawn Contreras; Jean Kerver; Niko Kaciroti; Mara Stein; Hannah Jong Lee; Brittany Motz; Sheilah Hebert; Erika Prine; Candace Gardiner; Laurie A Van Egeren; Julie C Lumeng Journal: BMC Public Health Date: 2017-02-10 Impact factor: 3.295
Authors: Alison L Miller; Mildred A Horodynski; Holly E Brophy Herb; Karen E Peterson; Dawn Contreras; Niko Kaciroti; Julie Staples-Watson; Julie C Lumeng Journal: BMC Public Health Date: 2012-11-30 Impact factor: 3.295