Risk factors for obesity at age 3 in Alaskan children, including the role of beverage consumption: results from Alaska PRAMS 2005-2006 and its three-year follow-up survey, CUBS, 2008-2009
Prenatal and early life risk factors are associated with childhood obesity. Alaska Native children have one of the highest prevalences of childhood obesity of all US racial/ethnic groups. Using the Pregnancy Risk Assessment Monitoring System (PRAMS) and the follow-up survey at 3 years of age (CUBS),...
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| description | Prenatal and early life risk factors are associated with childhood obesity. Alaska Native children have one of the highest prevalences of childhood obesity of all US racial/ethnic groups.
Using the Pregnancy Risk Assessment Monitoring System (PRAMS) and the follow-up survey at 3 years of age (CUBS), we evaluated health, behavioral, lifestyle and nutritional variables in relation to obesity (95th percentile for body mass index (BMI)) at 3 years of age. Multivariate logistic regression modeling was conducted using Stata 12.0 to evaluate independent risk factors for obesity in non-Native and Alaska Native children.
We found an obesity prevalence of 24.9% in all Alaskan and 42.2% in Alaska Native 3 year olds. Among Alaska Native children, obesity prevalence was highest in the Northern/Southwest part of the state (51.6%, 95%CI (42.6-60.5)). Independent predictive factors for obesity at age 3 years in Alaska non-Native children were low income ( |
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Using the Pregnancy Risk Assessment Monitoring System (PRAMS) and the follow-up survey at 3 years of age (CUBS), we evaluated health, behavioral, lifestyle and nutritional variables in relation to obesity (95th percentile for body mass index (BMI)) at 3 years of age. Multivariate logistic regression modeling was conducted using Stata 12.0 to evaluate independent risk factors for obesity in non-Native and Alaska Native children.
We found an obesity prevalence of 24.9% in all Alaskan and 42.2% in Alaska Native 3 year olds. Among Alaska Native children, obesity prevalence was highest in the Northern/Southwest part of the state (51.6%, 95%CI (42.6-60.5)). Independent predictive factors for obesity at age 3 years in Alaska non-Native children were low income (<$10,000 in the year before the child was born (OR 3.94, 95%CI 1.22--17.03) and maternal pre-pregnancy obesity (OR 2.01, 95%CI 1.01-4.01) and longer duration of breastfeeding was protective (OR 0.95, 95%CI 0.91-0.995). Among Alaska Native children, predictive factors were witnessing domestic violence/abuse as a 3 year-old (OR 2.28, 95%CI 1.17-7.60). Among obese Alaska Native children, there was an increased daily consumption of energy dense beverages in the Northern/Southwest region of the state, which may explain higher rates of obesity in this part of the state.
The high prevalence of obesity in Alaska Native children may be explained by differences in lifestyle patterns and food consumption in certain parts of the state, specifically the Northern/Southwest region, which have higher consumption of energy dense beverages.</description><identifier>ISSN: 1932-6203</identifier><identifier>EISSN: 1932-6203</identifier><identifier>DOI: 10.1371/journal.pone.0118711</identifier><identifier>PMID: 25793411</identifier><language>eng</language><publisher>United States: Public Library of Science</publisher><subject>Abuse ; Age ; Aggression ; Alaska - epidemiology ; Beverages ; Bias ; Birth order ; Body mass ; Body mass index ; Body size ; Body weight ; Breast feeding ; Breastfeeding & lactation ; Child health ; Child, Preschool ; Childhood ; Childhood obesity ; Children ; Children & youth ; Childrens health ; Consumption ; Demography ; Diet ; Domestic violence ; Energy ; Energy consumption ; Epidemiology ; Ethnic groups ; Female ; Follow-Up Studies ; Food consumption ; Health Surveys ; Humans ; Indians, North American - statistics & numerical data ; Indigenous peoples ; Infant ; Life Style ; Lifestyles ; Logistic Models ; Low income groups ; Maternal & child health ; Minority & ethnic groups ; Monitoring systems ; Multivariate Analysis ; Native North Americans ; Nutrition ; Obesity ; Obesity - epidemiology ; Pediatrics ; Predictions ; Pregnancy ; Public health ; Regions ; Risk analysis ; Risk Assessment ; Risk Factors ; School districts ; Surveys ; Violence ; Womens health</subject><ispartof>PloS one, 2015-03, Vol.10 (3), p.e0118711-e0118711</ispartof><rights>COPYRIGHT 2015 Public Library of Science</rights><rights>2015 Wojcicki et al. This is an open access article distributed under the terms of the Creative Commons Attribution License: http://creativecommons.org/licenses/by/4.0/ (the “License”), which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><rights>2015 Wojcicki et al 2015 Wojcicki et al</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c692t-ac040ac70a7d3651d18de5fab5e0cafb5df1f036afa0fc14f131142af382a9b3</citedby><cites>FETCH-LOGICAL-c692t-ac040ac70a7d3651d18de5fab5e0cafb5df1f036afa0fc14f131142af382a9b3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC4368660/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC4368660/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,723,776,780,860,881,2096,2915,23845,27321,27901,27902,33751,53766,53768,79343,79344</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/25793411$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><contributor>Meyre, David</contributor><creatorcontrib>Wojcicki, Janet M</creatorcontrib><creatorcontrib>Young, Margaret B</creatorcontrib><creatorcontrib>Perham-Hester, Katherine A</creatorcontrib><creatorcontrib>de Schweinitz, Peter</creatorcontrib><creatorcontrib>Gessner, Bradford D</creatorcontrib><title>Risk factors for obesity at age 3 in Alaskan children, including the role of beverage consumption: results from Alaska PRAMS 2005-2006 and its three-year follow-up survey, CUBS, 2008-2009</title><title>PloS one</title><addtitle>PLoS One</addtitle><description>Prenatal and early life risk factors are associated with childhood obesity. Alaska Native children have one of the highest prevalences of childhood obesity of all US racial/ethnic groups.
Using the Pregnancy Risk Assessment Monitoring System (PRAMS) and the follow-up survey at 3 years of age (CUBS), we evaluated health, behavioral, lifestyle and nutritional variables in relation to obesity (95th percentile for body mass index (BMI)) at 3 years of age. Multivariate logistic regression modeling was conducted using Stata 12.0 to evaluate independent risk factors for obesity in non-Native and Alaska Native children.
We found an obesity prevalence of 24.9% in all Alaskan and 42.2% in Alaska Native 3 year olds. Among Alaska Native children, obesity prevalence was highest in the Northern/Southwest part of the state (51.6%, 95%CI (42.6-60.5)). Independent predictive factors for obesity at age 3 years in Alaska non-Native children were low income (<$10,000 in the year before the child was born (OR 3.94, 95%CI 1.22--17.03) and maternal pre-pregnancy obesity (OR 2.01, 95%CI 1.01-4.01) and longer duration of breastfeeding was protective (OR 0.95, 95%CI 0.91-0.995). Among Alaska Native children, predictive factors were witnessing domestic violence/abuse as a 3 year-old (OR 2.28, 95%CI 1.17-7.60). Among obese Alaska Native children, there was an increased daily consumption of energy dense beverages in the Northern/Southwest region of the state, which may explain higher rates of obesity in this part of the state.
The high prevalence of obesity in Alaska Native children may be explained by differences in lifestyle patterns and food consumption in certain parts of the state, specifically the Northern/Southwest region, which have higher consumption of energy dense beverages.</description><subject>Abuse</subject><subject>Age</subject><subject>Aggression</subject><subject>Alaska - epidemiology</subject><subject>Beverages</subject><subject>Bias</subject><subject>Birth order</subject><subject>Body mass</subject><subject>Body mass index</subject><subject>Body size</subject><subject>Body weight</subject><subject>Breast feeding</subject><subject>Breastfeeding & lactation</subject><subject>Child health</subject><subject>Child, Preschool</subject><subject>Childhood</subject><subject>Childhood obesity</subject><subject>Children</subject><subject>Children & youth</subject><subject>Childrens health</subject><subject>Consumption</subject><subject>Demography</subject><subject>Diet</subject><subject>Domestic violence</subject><subject>Energy</subject><subject>Energy consumption</subject><subject>Epidemiology</subject><subject>Ethnic groups</subject><subject>Female</subject><subject>Follow-Up Studies</subject><subject>Food consumption</subject><subject>Health Surveys</subject><subject>Humans</subject><subject>Indians, North American - statistics & numerical data</subject><subject>Indigenous peoples</subject><subject>Infant</subject><subject>Life Style</subject><subject>Lifestyles</subject><subject>Logistic Models</subject><subject>Low income groups</subject><subject>Maternal & child health</subject><subject>Minority & ethnic groups</subject><subject>Monitoring systems</subject><subject>Multivariate Analysis</subject><subject>Native North Americans</subject><subject>Nutrition</subject><subject>Obesity</subject><subject>Obesity - epidemiology</subject><subject>Pediatrics</subject><subject>Predictions</subject><subject>Pregnancy</subject><subject>Public health</subject><subject>Regions</subject><subject>Risk analysis</subject><subject>Risk Assessment</subject><subject>Risk Factors</subject><subject>School districts</subject><subject>Surveys</subject><subject>Violence</subject><subject>Womens health</subject><issn>1932-6203</issn><issn>1932-6203</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2015</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>BENPR</sourceid><sourceid>BHHNA</sourceid><sourceid>DOA</sourceid><recordid>eNqNk99qFDEUxgdRrFbfQDQgiEJnTSazmR0vhLX4p1CptNXbcCY52U2bnazJTHWfzZcz005LV3ohA5lw8vu-nJzkZNkzRieMV-ztme9DC26y9i1OKGOzirF72SNW8yIXBeX3b813sscxnlE65TMhHmY7xbSqecnYo-zPsY3nxIDqfIjE-EB8g9F2GwIdgQUSTmxL5g7iObRELa3TAdu9FFSu17ZdkG6JJHiHxBvS4AWGQaV8G_vVurO-fUcCxt51yT341WhFvh3Pv56QIqWUp0EQaDWxiemWATHfIISUjHP-V96vSezDBW72yP73Dyd7g2g2iOon2QMDLuLT8b-bnX76eLr_JT88-nywPz_MlaiLLgdFSwqqolBpLqZMs5nGqYFmilSBaabaMEO5AAPUKFYaxhkrCzB8VkDd8N3sxZXt2vkox7JHyYQo60TSMhEHV4T2cCbXwa4gbKQHKy8DPiwkhM4qh7LGCjQoXVZQl0lbK6GFphyQcoWNTl7vx936ZoVaYdsFcFum2yutXcqFv5AlF-lyaTJ4PRoE_7PH2MmVjQqdgxZ9f5m3KGpelyKhL_9B7z7dSC0gHcC2xqd91WAq52XBZ9O6oFWiJndQ6dO4suk5oLEpviV4syVITIe_uwX0McqDk-P_Z49-bLOvbrFLBNcto3f98BbjNlhegSr4GAOamyIzKocWu66GHFpMji2WZM9vX9CN6Lqn-F_mTiBg</recordid><startdate>20150320</startdate><enddate>20150320</enddate><creator>Wojcicki, Janet M</creator><creator>Young, Margaret B</creator><creator>Perham-Hester, Katherine A</creator><creator>de Schweinitz, Peter</creator><creator>Gessner, Bradford D</creator><general>Public Library of Science</general><general>Public Library of Science (PLoS)</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>IOV</scope><scope>ISR</scope><scope>3V.</scope><scope>7QG</scope><scope>7QL</scope><scope>7QO</scope><scope>7RV</scope><scope>7SN</scope><scope>7SS</scope><scope>7T5</scope><scope>7TG</scope><scope>7TM</scope><scope>7U3</scope><scope>7U9</scope><scope>7X2</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8C1</scope><scope>8FD</scope><scope>8FE</scope><scope>8FG</scope><scope>8FH</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABJCF</scope><scope>ABUWG</scope><scope>AEUYN</scope><scope>AFKRA</scope><scope>ARAPS</scope><scope>ATCPS</scope><scope>AZQEC</scope><scope>BBNVY</scope><scope>BENPR</scope><scope>BGLVJ</scope><scope>BHHNA</scope><scope>BHPHI</scope><scope>C1K</scope><scope>CCPQU</scope><scope>D1I</scope><scope>DWQXO</scope><scope>FR3</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>H94</scope><scope>HCIFZ</scope><scope>K9.</scope><scope>KB.</scope><scope>KB0</scope><scope>KL.</scope><scope>L6V</scope><scope>LK8</scope><scope>M0K</scope><scope>M0S</scope><scope>M1P</scope><scope>M7N</scope><scope>M7P</scope><scope>M7S</scope><scope>NAPCQ</scope><scope>P5Z</scope><scope>P62</scope><scope>P64</scope><scope>PATMY</scope><scope>PDBOC</scope><scope>PIMPY</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>PTHSS</scope><scope>PYCSY</scope><scope>RC3</scope><scope>7X8</scope><scope>5PM</scope><scope>DOA</scope></search><sort><creationdate>20150320</creationdate><title>Risk factors for obesity at age 3 in Alaskan children, including the role of beverage consumption: results from Alaska PRAMS 2005-2006 and its three-year follow-up survey, CUBS, 2008-2009</title><author>Wojcicki, Janet M ; Young, Margaret B ; Perham-Hester, Katherine A ; de Schweinitz, Peter ; Gessner, Bradford D</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c692t-ac040ac70a7d3651d18de5fab5e0cafb5df1f036afa0fc14f131142af382a9b3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2015</creationdate><topic>Abuse</topic><topic>Age</topic><topic>Aggression</topic><topic>Alaska - 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Academic</collection><collection>PubMed Central (Full Participant titles)</collection><collection>DOAJ Directory of Open Access Journals</collection><jtitle>PloS one</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Wojcicki, Janet M</au><au>Young, Margaret B</au><au>Perham-Hester, Katherine A</au><au>de Schweinitz, Peter</au><au>Gessner, Bradford D</au><au>Meyre, David</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Risk factors for obesity at age 3 in Alaskan children, including the role of beverage consumption: results from Alaska PRAMS 2005-2006 and its three-year follow-up survey, CUBS, 2008-2009</atitle><jtitle>PloS one</jtitle><addtitle>PLoS One</addtitle><date>2015-03-20</date><risdate>2015</risdate><volume>10</volume><issue>3</issue><spage>e0118711</spage><epage>e0118711</epage><pages>e0118711-e0118711</pages><issn>1932-6203</issn><eissn>1932-6203</eissn><abstract>Prenatal and early life risk factors are associated with childhood obesity. Alaska Native children have one of the highest prevalences of childhood obesity of all US racial/ethnic groups.
Using the Pregnancy Risk Assessment Monitoring System (PRAMS) and the follow-up survey at 3 years of age (CUBS), we evaluated health, behavioral, lifestyle and nutritional variables in relation to obesity (95th percentile for body mass index (BMI)) at 3 years of age. Multivariate logistic regression modeling was conducted using Stata 12.0 to evaluate independent risk factors for obesity in non-Native and Alaska Native children.
We found an obesity prevalence of 24.9% in all Alaskan and 42.2% in Alaska Native 3 year olds. Among Alaska Native children, obesity prevalence was highest in the Northern/Southwest part of the state (51.6%, 95%CI (42.6-60.5)). Independent predictive factors for obesity at age 3 years in Alaska non-Native children were low income (<$10,000 in the year before the child was born (OR 3.94, 95%CI 1.22--17.03) and maternal pre-pregnancy obesity (OR 2.01, 95%CI 1.01-4.01) and longer duration of breastfeeding was protective (OR 0.95, 95%CI 0.91-0.995). Among Alaska Native children, predictive factors were witnessing domestic violence/abuse as a 3 year-old (OR 2.28, 95%CI 1.17-7.60). Among obese Alaska Native children, there was an increased daily consumption of energy dense beverages in the Northern/Southwest region of the state, which may explain higher rates of obesity in this part of the state.
The high prevalence of obesity in Alaska Native children may be explained by differences in lifestyle patterns and food consumption in certain parts of the state, specifically the Northern/Southwest region, which have higher consumption of energy dense beverages.</abstract><cop>United States</cop><pub>Public Library of Science</pub><pmid>25793411</pmid><doi>10.1371/journal.pone.0118711</doi><oa>free_for_read</oa></addata></record> |
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| identifier | ISSN: 1932-6203 |
| ispartof | PloS one, 2015-03, Vol.10 (3), p.e0118711-e0118711 |
| issn | 1932-6203 1932-6203 |
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| source | Public Library of Science (PLoS) Journals Open Access; MEDLINE; DOAJ Directory of Open Access Journals; EZB-FREE-00999 freely available EZB journals; PubMed Central; Free Full-Text Journals in Chemistry; Sociological Abstracts |
| subjects | Abuse Age Aggression Alaska - epidemiology Beverages Bias Birth order Body mass Body mass index Body size Body weight Breast feeding Breastfeeding & lactation Child health Child, Preschool Childhood Childhood obesity Children Children & youth Childrens health Consumption Demography Diet Domestic violence Energy Energy consumption Epidemiology Ethnic groups Female Follow-Up Studies Food consumption Health Surveys Humans Indians, North American - statistics & numerical data Indigenous peoples Infant Life Style Lifestyles Logistic Models Low income groups Maternal & child health Minority & ethnic groups Monitoring systems Multivariate Analysis Native North Americans Nutrition Obesity Obesity - epidemiology Pediatrics Predictions Pregnancy Public health Regions Risk analysis Risk Assessment Risk Factors School districts Surveys Violence Womens health |
| title | Risk factors for obesity at age 3 in Alaskan children, including the role of beverage consumption: results from Alaska PRAMS 2005-2006 and its three-year follow-up survey, CUBS, 2008-2009 |
| url | https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2025-01-31T22%3A49%3A49IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-gale_plos_&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Risk%20factors%20for%20obesity%20at%20age%203%20in%20Alaskan%20children,%20including%20the%20role%20of%20beverage%20consumption:%20results%20from%20Alaska%20PRAMS%202005-2006%20and%20its%20three-year%20follow-up%20survey,%20CUBS,%202008-2009&rft.jtitle=PloS%20one&rft.au=Wojcicki,%20Janet%20M&rft.date=2015-03-20&rft.volume=10&rft.issue=3&rft.spage=e0118711&rft.epage=e0118711&rft.pages=e0118711-e0118711&rft.issn=1932-6203&rft.eissn=1932-6203&rft_id=info:doi/10.1371/journal.pone.0118711&rft_dat=%3Cgale_plos_%3EA423859207%3C/gale_plos_%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=1664931104&rft_id=info:pmid/25793411&rft_galeid=A423859207&rft_doaj_id=oai_doaj_org_article_9e7adacd47a941049c6d6d03ae03cebd&rfr_iscdi=true |