Infant Nutrition and Other Early Life Risk Factors for Childhood Obesity According to Disability Status

One in five preschool-aged children in the United States is obese, and children with disabilities are significantly impacted. This study aimed to determine the association between age at solid food initiation and obesity prevalence in preschool-aged children while considering disability status, ethn...

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Main Authors: Melissa K. Blake, Ruixuan Ma, Erika Viana Cardenas, Parisa Varanloo, Yaray Agosto, Carolina Velasquez, Katheryn A. Espina, Joanne Palenzuela, Sarah E. Messiah, Ruby A. Natale
Format: Article
Language:English
Published: MDPI AG 2023-10-01
Series:Nutrients
Subjects:
Online Access:https://www.mdpi.com/2072-6643/15/20/4394
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author Melissa K. Blake
Ruixuan Ma
Erika Viana Cardenas
Parisa Varanloo
Yaray Agosto
Carolina Velasquez
Katheryn A. Espina
Joanne Palenzuela
Sarah E. Messiah
Ruby A. Natale
author_facet Melissa K. Blake
Ruixuan Ma
Erika Viana Cardenas
Parisa Varanloo
Yaray Agosto
Carolina Velasquez
Katheryn A. Espina
Joanne Palenzuela
Sarah E. Messiah
Ruby A. Natale
author_sort Melissa K. Blake
collection DOAJ
description One in five preschool-aged children in the United States is obese, and children with disabilities are significantly impacted. This study aimed to determine the association between age at solid food initiation and obesity prevalence in preschool-aged children while considering disability status, ethnicity, gestational age, and birth weight. Analysis was conducted on a sample of 145 children aged 2 to 5 years who were enrolled in ten childcare centers. Parents completed a survey assessing disability status, race and ethnicity, birth weight, gestational age, and age of solid food initiation. Height and weight were collected concurrently. Multivariable logistic regression models generated the odds of developing obesity based on age at solid food initiation, disability status, ethnicity, gestational age, and birth weight. There was no significant difference in the odds of being obese based on age at solid food introduction. Children with disabilities (OR = 0.17, 95% CI 0.04–0.6, <i>p</i> = 0.01) and children born preterm (OR = 0.28, 95% CI 0.08–0.79, <i>p</i> = 0.03) had significantly lower odds of being obese. Hispanic children (OR = 4.93, 95% CI 1.91–15.32, <i>p</i> = 0.002) and children with higher birth weights (OR = 1.47, 95% CI 1.17–1.92, <i>p</i> = 0.002) were more likely to be obese. With pediatric obesity rates continuing to rise, these findings can inform future intervention efforts.
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spelling doaj.art-631b2c7f89c74d178aeb28a369b268cc2023-11-19T17:38:11ZengMDPI AGNutrients2072-66432023-10-011520439410.3390/nu15204394Infant Nutrition and Other Early Life Risk Factors for Childhood Obesity According to Disability StatusMelissa K. Blake0Ruixuan Ma1Erika Viana Cardenas2Parisa Varanloo3Yaray Agosto4Carolina Velasquez5Katheryn A. Espina6Joanne Palenzuela7Sarah E. Messiah8Ruby A. Natale9Department of Pediatrics, University of Miami School of Medicine, Mailman Center for Child Development, 1601 NW 12th Ave, Miami, FL 33136, USADivision of Biostatistics, Department of Public Health Science, University of Miami School of Medicine, 1120 N.W. 14th Street, Miami, FL 33136, USADepartment of Pediatrics, University of Miami School of Medicine, Mailman Center for Child Development, 1601 NW 12th Ave, Miami, FL 33136, USADepartment of Pediatrics, University of Miami School of Medicine, Mailman Center for Child Development, 1601 NW 12th Ave, Miami, FL 33136, USADepartment of Pediatrics, University of Miami School of Medicine, Mailman Center for Child Development, 1601 NW 12th Ave, Miami, FL 33136, USADepartment of Pediatrics, University of Miami School of Medicine, Mailman Center for Child Development, 1601 NW 12th Ave, Miami, FL 33136, USADepartment of Pediatrics, University of Miami School of Medicine, Mailman Center for Child Development, 1601 NW 12th Ave, Miami, FL 33136, USADepartment of Pediatrics, University of Miami School of Medicine, Mailman Center for Child Development, 1601 NW 12th Ave, Miami, FL 33136, USAUniversity of Texas Health Science Center at Houston School of Public Health, 2777 North Stemmons Freeway, Suite 8400, Dallas, TX 75207, USADepartment of Pediatrics, University of Miami School of Medicine, Mailman Center for Child Development, 1601 NW 12th Ave, Miami, FL 33136, USAOne in five preschool-aged children in the United States is obese, and children with disabilities are significantly impacted. This study aimed to determine the association between age at solid food initiation and obesity prevalence in preschool-aged children while considering disability status, ethnicity, gestational age, and birth weight. Analysis was conducted on a sample of 145 children aged 2 to 5 years who were enrolled in ten childcare centers. Parents completed a survey assessing disability status, race and ethnicity, birth weight, gestational age, and age of solid food initiation. Height and weight were collected concurrently. Multivariable logistic regression models generated the odds of developing obesity based on age at solid food initiation, disability status, ethnicity, gestational age, and birth weight. There was no significant difference in the odds of being obese based on age at solid food introduction. Children with disabilities (OR = 0.17, 95% CI 0.04–0.6, <i>p</i> = 0.01) and children born preterm (OR = 0.28, 95% CI 0.08–0.79, <i>p</i> = 0.03) had significantly lower odds of being obese. Hispanic children (OR = 4.93, 95% CI 1.91–15.32, <i>p</i> = 0.002) and children with higher birth weights (OR = 1.47, 95% CI 1.17–1.92, <i>p</i> = 0.002) were more likely to be obese. With pediatric obesity rates continuing to rise, these findings can inform future intervention efforts.https://www.mdpi.com/2072-6643/15/20/4394pediatric obesitydisabilitypreschool ageinfant nutritionbirth weightpremature birth
spellingShingle Melissa K. Blake
Ruixuan Ma
Erika Viana Cardenas
Parisa Varanloo
Yaray Agosto
Carolina Velasquez
Katheryn A. Espina
Joanne Palenzuela
Sarah E. Messiah
Ruby A. Natale
Infant Nutrition and Other Early Life Risk Factors for Childhood Obesity According to Disability Status
Nutrients
pediatric obesity
disability
preschool age
infant nutrition
birth weight
premature birth
title Infant Nutrition and Other Early Life Risk Factors for Childhood Obesity According to Disability Status
title_full Infant Nutrition and Other Early Life Risk Factors for Childhood Obesity According to Disability Status
title_fullStr Infant Nutrition and Other Early Life Risk Factors for Childhood Obesity According to Disability Status
title_full_unstemmed Infant Nutrition and Other Early Life Risk Factors for Childhood Obesity According to Disability Status
title_short Infant Nutrition and Other Early Life Risk Factors for Childhood Obesity According to Disability Status
title_sort infant nutrition and other early life risk factors for childhood obesity according to disability status
topic pediatric obesity
disability
preschool age
infant nutrition
birth weight
premature birth
url https://www.mdpi.com/2072-6643/15/20/4394
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