Projecting the impact of hypothetical early life interventions on adiposity in children living in low-income households

被引:17
作者
Nianogo, Roch A. [1 ,2 ]
Wang, May C. [2 ,3 ]
Wang, Aolin [1 ,2 ]
Nobari, Tabashir Z. [2 ,3 ,5 ]
Crespi, Catherine M. [4 ]
Whaley, Shannon E. [5 ]
Arah, Onyebuchi A. [1 ,2 ,6 ]
机构
[1] Univ Calif Los Angeles, Dept Epidemiol, Fielding Sch Publ Hlth, 650 Charles E Young Dr South, Los Angeles, CA 90095 USA
[2] Univ Calif Los Angeles, Calif Ctr Populat Res, Los Angeles, CA USA
[3] Univ Calif Los Angeles, Sch Publ Hlth, Dept Community Hlth Sci, Los Angeles, CA 90024 USA
[4] Univ Calif Los Angeles, Sch Publ Hlth, Dept Biostat, Los Angeles, CA 90024 USA
[5] Publ Hlth Fdn Enterprises, Special Supplemental Nutr Program Women Infants &, Res & Evaluat Unit, Irwindale, CA USA
[6] Univ Calif Los Angeles, Ctr Hlth Policy Res, Los Angeles, CA USA
来源
PEDIATRIC OBESITY | 2017年 / 12卷 / 05期
基金
美国国家卫生研究院;
关键词
adiposity; breastfeeding; causal inference; childhood obesity; BODY-MASS INDEX; BLOOD-PRESSURE; RISK-FACTORS; OBESITY; AGE; CHILDHOOD; ASSOCIATION; ADOLESCENTS; OVERWEIGHT; PREVALENCE;
D O I
10.1111/ijpo.12157
中图分类号
R72 [儿科学];
学科分类号
100202 ;
摘要
Background: It is difficult to evaluate the effectiveness of interventions aimed at reducing early childhood obesity using randomized trials. Objective: To illustrate how observational data can be analysed using causal inference methods to estimate the potential impact of behavioural 'interventions' on early childhood adiposity. Methods: We used longitudinal data from 1054 children 1-5 years old enrolled in the Special Supplemental Nutrition Program for Women, Infants and Children and followed (WIC) from 2008 to 2010 for a mean duration of 23 months. The data came from a random sample of WIC families living in Los Angeles County in 2008. We used the parametric g-formula to estimate the impact of various hypothetical behavioural interventions. Results: Adjusted mean weight-for-height Z score at the end of follow-up was 0.73 (95% CI 0.65, 0.81) under no intervention and 0.63 (95% CI 0.38, 0.87) for all interventions given jointly. Exclusive breastfeeding for 6 months or longer was the most effective intervention [population mean difference = -0.11 (95% CI -0.22, 0.01)]. Other interventions had little or no effect. Conclusions: Compared with interventions promoting healthy eating and physical activity behaviours, breastfeeding was more effective in reducing obesity risk in children aged 1-5 years. When carefully applied, causal inference methods may offer viable alternatives to randomized trials in etiologic and evaluation research.
引用
收藏
页码:398 / 405
页数:8
相关论文
共 30 条
[1]  
[Anonymous], 2001, Global Strategy for Infant and Young Child Feeding, P1
[2]  
Birch LL, 1998, PEDIATRICS, V101, P539
[3]   Presence of leptin in colostrum and/or breast milk from lactating mothers:: A potential role in the regulation of neonatal food intake. [J].
Casabiell, X ;
Piñeiro, V ;
Tomé, MA ;
Peinó, R ;
Diéguez, C ;
Casanueva, FF .
JOURNAL OF CLINICAL ENDOCRINOLOGY & METABOLISM, 1997, 82 (12) :4270-4273
[4]  
Casazza K, 2013, NEW ENGL J MED, V368, P2236, DOI [10.1056/NEJMsa1208051, 10.1056/NEJMc1303009]
[5]   Influences of the neighbourhood food environment on adiposity of low-income preschool-aged children in Los Angeles County: a longitudinal study [J].
Chaparro, M. Pia ;
Whaley, Shannon E. ;
Crespi, Catherine M. ;
Koleilat, Maria ;
Nobari, Tabashir Z. ;
Seto, Edmund ;
Wang, May C. .
JOURNAL OF EPIDEMIOLOGY AND COMMUNITY HEALTH, 2014, 68 (11) :1027-1033
[6]   Validity of child anthropometric measurements in the Special Supplemental Nutrition Program for Women, Infants, and Children [J].
Crespi, Catherine M. ;
Alfonso, Vivian H. ;
Whaley, Shannon E. ;
Wang, May C. .
PEDIATRIC RESEARCH, 2012, 71 (03) :286-292
[7]   Hypothetical Midlife Interventions in Women and Risk of Type 2 Diabetes [J].
Danaei, Goodarz ;
Pan, An ;
Hu, Frank B. ;
Hernan, Miguel A. .
EPIDEMIOLOGY, 2013, 24 (01) :122-128
[8]   The prevention of overweight and obesity in children and adolescents: a review of interventions and programmes [J].
Doak, CM ;
Visscher, TLS ;
Renders, CM ;
Seidell, JC .
OBESITY REVIEWS, 2006, 7 (01) :111-136
[9]   Maternal age, education level and migration: Socioeconomic determinants for smoking during pregnancy in a field study from Turkey [J].
Ergin, Isil ;
Hassoy, Hur ;
Tanik, Feride A. ;
Aslan, Gokce .
BMC PUBLIC HEALTH, 2010, 10
[10]   The relation of overweight to cardiovascular risk factors among children and adolescents: The Bogalusa heart study [J].
Freedman, DS ;
Dietz, WH ;
Srinivasan, SR ;
Berenson, GS .
PEDIATRICS, 1999, 103 (06) :1175-1182