Family restaurant choices are associated with child and adult overweight status in Mexican-American families.
ABSTRACT Increasing evidence links restaurant food with overweight, but little is known about the relative roles of different types of restaurants, or the effects among Latinos. Using baseline data from an intervention trial, this study tested whether the type of restaurant a family reports visiting most often is associated with the body mass index (BMI; calculated as kg/m(2)) of children and adults. Children, ages 4 to 7, and one primary caregiver for each child (94% mothers), were recruited through public elementary schools in southern San Diego County, CA, with at least 70% Latino enrollment. Weight and height measurements and survey information assessing family restaurant patronage were collected from 223 pairs of children and adults. Logistic regression results showed that children were most likely to be at risk of overweight (BMI >or=85th percentile) in families who ate most often at fast-food chains (odds ratio: 2.2; 95% confidence interval: 1.2 to 4.3). Parent overweight (BMI >or=25) was associated with eating at American restaurants, primarily buffets (odds ratio: 2.8; 95% confidence interval: 1.3 to 6.2). Both child and parent BMI were lowest in families selecting Mexican restaurants. Eating at fast-food chains and other Anglo-oriented restaurants may contribute to higher obesity rates linked to acculturation among Mexican Americans.
- SourceAvailable from: Elizabeth Reifsnider01/2012; , ISBN: 978-953-51-0374-5
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ABSTRACT: As part of the larger formative assessment for the Kids Eating Smart and Moving More study, a randomized trial to address obesity prevention and management in primary care, we conducted 2 focus groups, 1 with Latino men (n = 12) and 1 with Latino women (n = 10) in central North Carolina to understand their views on overweight children and their experience with their health care providers regarding this health concern. Themes emerged for both groups as follows. Latino male and female caregivers preferred to receive health information from their health care providers as a primary source of information and discussed challenges they faced with nutrition and exercise for themselves and their children. Caregivers also described supportive and unsupportive approaches from health care providers. Findings from this study provided a foundation to fine-tune the intervention designed for Latino caregivers and their children for the main study. Spanish Se llevaron a cabo dos grupos de enfoque en la zona central de Carolina del Norte. Estos grupos de enfoque fueron parte de la evaluación formal de un estudio aleatorio llamado Kids Eating Smart and Moving More. Este estudio está dirigido hacia la prevención de la obesidad y al manejo de ésta durante la atención primaria. Uno de los grupos de enfoque incluyó a 12 hombres Latinos y el otro grupo incluyó a 10 mujeres Latinas. El objetivo era entender sus puntos de vista acerca de los niños con sobrepeso y acerca de sus experiencias con los proveedores de servicios de salud. Los temas que salieron de ambos grupos se describen a continuación. Tanto las mujeres como los hombres Latinos que cuidan y son responsables de sus niños prefieren recibir información de salud directamente de los proveedores de servicios de salud. Las mujeres y los hombres Latinos describieron los desafios a los que se enfrentan con respecto a nutrición y a ejercicio para sí mismos y para los niños. Las personas responsables de los niños también describieron métodos tanto de apoyo como contraproducentes de parte de los proveedores de servicios de salud. Los hallazgos de este estudio proveen una base para refinar las intervenciones del estudio principal dirigidas hacia los Latinos que proveen cuidados a sus niños.Hispanic Health Care International 02/2009; 7(1):11-20.
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ABSTRACT: OBJECTIVE: To assess a county population's exposure to different types of food sources reported to affect both diet quality and obesity rates. DESIGN: Food permit records obtained from the local health department served to establish the full census of food stores and restaurants. Employing prior categorization schemes which classified the relative healthfulness of food sources based on establishment type (i.e. supermarkets v. convenience stores, or full-service v. fast-food restaurants), food establishments were assigned to the healthy, unhealthy or undetermined groups. SETTING: King County, WA, USA. SUBJECTS: Full census of food sources. RESULTS: According to all categorization schemes, most food establishments in King County fell into the unhealthy and undetermined groups. Use of the food permit data showed that large stores, which included supermarkets as healthy food establishments, contained a sizeable number of bakery/delis, fish/meat, ethnic and standard quick-service restaurants and coffee shops, all food sources that, when housed in a separate venue or owned by a different business establishment, were classified as either unhealthy or of undetermined value to health. CONCLUSIONS: To fully assess the potential health effects of exposure to the extant food environment, future research would need to establish the health value of foods in many such common establishments as individually owned grocery stores and ethnic food stores and restaurants. Within-venue exposure to foods should also be investigated.Public Health Nutrition 04/2013; · 2.25 Impact Factor