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Title Investigating the complexity of childhood obesity within multilevel environments in a Hispanic sample using structural equation modeling
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Discipline/Department Human Development and Family Studies
University/Publisher Texas Tech University
Abstract The trend of obesity among Hispanic children is impacted by multiple factors working jointly. The current study aimed to explore the associations among factors at different ecological levels with child’s anthropometric outcomes in a Hispanic sample. The sample consisted of 309 children (5-9 years) who were enrolled in the project Transformacion Para Salud (Transformation for Health), an 18-month community-based intervention project in West Texas. Baseline data were used for this study. Measured factors included: child daily sugar-sweetened beverage intake and fruit/vegetable intake, TV viewing time, parent’s nutrition knowledge, support for physical activity, family meal and fast food frequency, acculturation, and participation in food assistance program(s). The outcomes were child’s body mass index percentile, waist circumference, and body fat percentage. Effects of all these factors on anthropometric outcomes were tested by structural equation modeling. For all three anthropometric outcomes, the models fit the data adequately: CFI is 0.921-0.940 and RMSEA is 0.040-0.042. Child daily sugar-sweetened beverage was positively impacted by daily TV viewing and fast food frequency. Child fruit and vegetable intake was negatively related to fast food frequency and positively related to parent’s support physical activity and participation in food assistance programs. Parent’s nutrition knowledge had a negative effects on child weight status. Acculturation was positively associated with fast food frequency, parent’s nutrition knowledge, and physical activity support. The significant factors associated with overweight and obesity may provide a basis for future prevention and intervention strategies targeting Hispanic children.
Subjects/Keywords Obesity in children; Hispanics in the United States; Obesity; Nutrition
Contributors Feng, Du (Committee Chair); Fitzpatrick, Jacki (committee member); Reed, Debra (committee member)
Language en
Rights Unrestricted.
Country of Publication us
Record ID handle:2346/45311
Repository tdl
Date Indexed 2020-04-11

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Texas Tech University, Xiaohui Tang, May, 2012 LIST OF TABLES 1. Characteristics of Hispanic children ages 5-9 years from West Texas. ........................ 29 2. Characteristics for Participating Parent…

Texas Tech University, Xiaohui Tang, May,2012 CHAPTER I INTRODUCTION The prevalence of overweight and obesity has been increasing over the past three decades (BeLue, Francis, Rollins, & Colaco, 2009). Specifically, the rate of obesity among…

…SES), including low education level, unemployment, poverty (Gordon-Larsen, Harris, Ward, & Popkin, 2003; 1 Texas Tech University, Xiaohui Tang, May, 2012 Kaplan, Huguet, Newsom, & McFarland, 2004), low physical activity (Bowie…

…Bronfenbrenner, 1979, p. 21).” The ecological environment is not 2   Texas Tech University, Xiaohui Tang, May, 2012  limited to a single, immediate setting. Instead, it indicates broader and more differentiated systems. Bronfenbrenner defined four levels…

…criteria for utilization of food services. These decisions impact a family’s access to food, even though family 3   Texas Tech University, Xiaohui Tang, May, 2012  members and administrators have no contact with each other. The macrosystem refers to the…

…TV viewing time) of children can be categorized into microsystems. Parenting styles, parent’s dietary habits (e.g. family meal and fast food frequency) and physical activity 4   Texas Tech University, Xiaohui Tang, May, 2012…

…significantly 5 Texas Tech University, Xiaohui Tang, May, 2012 predict changes in BMI, but predicted the inverse associations (Field, Gillman, Rosner, Rockett, & Colditz, 2003; Whybrow, Harrison, Mayer, & James Stubbs, 2006). Daily TV Viewing…

…develop healthy eating habits in the future even when they do not eat with the family (Sen, 2006). Previous studies have concentrated on the 7 Texas Tech University, Xiaohui Tang, May, 2012 study the effects of family meal on adolescents…

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