OBJECTIVE: To examine parental reports of feeding and activity behaviors in a cohort of parents of 2-month-olds and how they differ by race/ethnicity. METHODS:Parents participating in Greenlight, a cluster, randomized trial of obesity prevention at 4 health centers, were queried at enrollment about feeding and activity behaviors thought to increase obesity risk. Unadjusted associations between race/ethnicity and the outcomes of interest were performed by using Pearson χ(2) and Kruskal-Wallis tests. Adjusted analyses were performed by using proportional odds logistic regressions. RESULTS:Eight hundred sixty-three parents (50% Hispanic, 27% black, 18% white; 86% Medicaid) were enrolled. Exclusive formula feeding was more than twice as common (45%) as exclusive breastfeeding (19%); 12% had already introduced solid food; 43% put infants to bed with bottles; 23% propped bottles; 20% always fed when the infant cried; 38% always tried to get children to finish milk; 90% were exposed to television (mean, 346 minutes/day); 50% reported active television watching (mean, 25 minutes/day); and 66% did not meet "tummy time" recommendations. Compared with white parents, black parents were more likely to put children to bed with a bottle (adjusted odds ratio [aOR] = 1.97, P < .004; bottle propping, aOR = 3.1, P < .001), and report more television watching (aOR = 1.6, P = .034). Hispanic parents were more likely than white parents to encourage children to finish feeding (aOR = 1.9, P = .007), bottle propping (aOR = 2.5, P = .009), and report less tummy time (aOR = 0.6, P = .037). CONCLUSIONS: Behaviors thought to relate to later obesity were highly prevalent in this large, diverse sample and varied by race/ethnicity, suggesting the importance of early and culturally-adapted interventions.
RCT Entities:
OBJECTIVE: To examine parental reports of feeding and activity behaviors in a cohort of parents of 2-month-olds and how they differ by race/ethnicity. METHODS: Parents participating in Greenlight, a cluster, randomized trial of obesity prevention at 4 health centers, were queried at enrollment about feeding and activity behaviors thought to increase obesity risk. Unadjusted associations between race/ethnicity and the outcomes of interest were performed by using Pearson χ(2) and Kruskal-Wallis tests. Adjusted analyses were performed by using proportional odds logistic regressions. RESULTS: Eight hundred sixty-three parents (50% Hispanic, 27% black, 18% white; 86% Medicaid) were enrolled. Exclusive formula feeding was more than twice as common (45%) as exclusive breastfeeding (19%); 12% had already introduced solid food; 43% put infants to bed with bottles; 23% propped bottles; 20% always fed when the infant cried; 38% always tried to get children to finish milk; 90% were exposed to television (mean, 346 minutes/day); 50% reported active television watching (mean, 25 minutes/day); and 66% did not meet "tummy time" recommendations. Compared with white parents, black parents were more likely to put children to bed with a bottle (adjusted odds ratio [aOR] = 1.97, P < .004; bottle propping, aOR = 3.1, P < .001), and report more television watching (aOR = 1.6, P = .034). Hispanic parents were more likely than white parents to encourage children to finish feeding (aOR = 1.9, P = .007), bottle propping (aOR = 2.5, P = .009), and report less tummy time (aOR = 0.6, P = .037). CONCLUSIONS: Behaviors thought to relate to later obesity were highly prevalent in this large, diverse sample and varied by race/ethnicity, suggesting the importance of early and culturally-adapted interventions.
Entities:
Keywords:
breastfeeding; feeding; infants; obesity; parenting; physical activity; television
Authors: Paul A Harris; Robert Taylor; Robert Thielke; Jonathon Payne; Nathaniel Gonzalez; Jose G Conde Journal: J Biomed Inform Date: 2008-09-30 Impact factor: 6.317
Authors: Elsie M Taveras; Matthew W Gillman; Ken Kleinman; Janet W Rich-Edwards; Sheryl L Rifas-Shiman Journal: Pediatrics Date: 2010-03-01 Impact factor: 7.124
Authors: Philippa J Clarke; Patrick M O'Malley; Lloyd D Johnston; John E Schulenberg; Paula Lantz Journal: Am J Public Health Date: 2009-08-20 Impact factor: 9.308
Authors: Amanda L Thompson; Michelle A Mendez; Judith B Borja; Linda S Adair; Catherine R Zimmer; Margaret E Bentley Journal: Appetite Date: 2009-07-01 Impact factor: 3.868
Authors: Elsie M Taveras; Sheryl L Rifas-Shiman; Mandy B Belfort; Ken P Kleinman; Emily Oken; Matthew W Gillman Journal: Pediatrics Date: 2009-04 Impact factor: 7.124
Authors: Charles T Wood; Asheley C Skinner; H Shonna Yin; Russell L Rothman; Lee M Sanders; Alan M Delamater; Eliana M Perrin Journal: Pediatrics Date: 2016-06-07 Impact factor: 7.124
Authors: I Pawellek; V Grote; M Theurich; R Closa-Monasterolo; A Stolarczyk; E Verduci; A Xhonneux; B Koletzko Journal: Eur J Clin Nutr Date: 2016-11-09 Impact factor: 4.016
Authors: Charles T Wood; Krista M Perreira; Eliana M Perrin; H Shonna Yin; Russell L Rothman; Lee M Sanders; Alan M Delamater; Margaret E Bentley; Andrea B Bronaugh; Amanda L Thompson Journal: Appetite Date: 2016-02-11 Impact factor: 3.868
Authors: Eleanor Bathory; Suzy Tomopoulos; Russell Rothman; Lee Sanders; Eliana M Perrin; Alan Mendelsohn; Benard Dreyer; Maria Cerra; H Shonna Yin Journal: Acad Pediatr Date: 2016-03-12 Impact factor: 3.107
Authors: Asheley Cockrell Skinner; Sophie N Ravanbakht; Joseph A Skelton; Eliana M Perrin; Sarah C Armstrong Journal: Pediatrics Date: 2018-03 Impact factor: 7.124