Sensitive Timing for Risk of Overweight Among Infants of Low-Income Hispanic Immigrants

J Pediatr Health Care. 2018 Jan-Feb;32(1):76-82. doi: 10.1016/j.pedhc.2017.08.001. Epub 2017 Oct 19.

Abstract

Introduction: This study examined the association between early weight gain (0-6 months) and risk for overweight, as defined by the Institute of Medicine, at 1 year among infants of low-income Hispanic immigrant mothers.

Method: Weight-for-age data were extracted from electronic medical records of 335 infants with gestations of 37 weeks or longer and birthweights appropriate for gestational age and without medical problems likely to interfere with growth or feeding. Logistic regression models were constructed to examine the impact of early weight changes on weight status at 1 year.

Results: By 12 months, 36.7% of infants had crossed weight-for-age of 84.1% or greater on World Health Organization growth charts. In adjusted models, infants had 20.8 (95% confidence interval = [19.8, 44.0]) times the odds of reaching this benchmark at 1 year for each z score increase at 0 to 6 months.

Discussion: The study highlights a time-sensitive opportunity for interventions to reduce risk for overweight for this vulnerable population.

Keywords: Hispanic; Infant weight; immigrant.

MeSH terms

  • Breast Feeding / statistics & numerical data
  • Educational Status
  • Emigrants and Immigrants*
  • Feeding Behavior / ethnology*
  • Feeding Behavior / psychology
  • Female
  • Health Education
  • Health Knowledge, Attitudes, Practice
  • Health Promotion
  • Hispanic or Latino*
  • Humans
  • Infant
  • Infant Nutritional Physiological Phenomena / economics*
  • Infant, Newborn
  • Male
  • Mothers / psychology
  • Pediatric Obesity / economics*
  • Pediatric Obesity / epidemiology*
  • Pediatric Obesity / ethnology
  • Pediatric Obesity / prevention & control
  • Socioeconomic Factors
  • Time Factors
  • United States
  • Weight Gain