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Laurence M Grummerstrawn - One of the best experts on this subject based on the ideXlab platform.
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trends in state specific prevalence of overweight and underweight in 2 through 4 year old children from low income families from 1989 through 2000
JAMA Pediatrics, 2004Co-Authors: Bettylou Sherry, Zuguo Mei, Kelley S Scanlon, Ali H Mokdad, Laurence M GrummerstrawnAbstract:OBJECTIVES: To document overweight and underweight state-specific prevalence and examine trends among 2- through 4-year-old children from low-income families. METHODS: State-specific and overall overweight and underweight prevalence for 1989, 1994, and 2000 and trend analyses during the study period are documented. Overweight was defined as a sex-specific body mass index (BMI) for age in the 95th percentile or higher and underweight as a sex-specific BMI for age in less than the fifth percentile on the 2000 Centers for Disease Control and Prevention (CDC) growth charts. These analyses are based on one randomly selected record per child per year for 30 states consistently participating in the CDC Pediatric Nutrition Surveillance System in 1989, 1994, and 2000. Prevalence in 1989 and 1994 is adjusted to state-specific age and race/ethnicity distribution of the population in 2000. Overweight and underweight prevalence were categorized as 5% or less, more than 5% to 10%, more than 10% to 15%, more than 15% to 20%, and more than 20%. RESULTS: The number of states that reported overweight prevalence of more than 10% increased from 11 in 1989 to 28 in 2000. Underweight decreased during the study period: 9 states in 1989 and 23 states in 2000 had a prevalence of 5% or less. No geographic predominance was apparent. Trend analyses showed significant increases in overweight in 30 states (P < .01) and decreases in underweight in 26 states (P < .05). CONCLUSIONS: Overweight is increasing and underweight is decreasing in our study population. We need to expand prevention and intervention efforts to reverse the rising trend of overweight in the United States.
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does breastfeeding protect against pediatric overweight analysis of longitudinal data from the centers for disease control and prevention pediatric Nutrition Surveillance system
Pediatrics, 2004Co-Authors: Laurence M Grummerstrawn, Zuguo MeiAbstract:Objective. To examine whether increasing duration of breastfeeding is associated with a lower risk of overweight in a low-income population of 4-year-olds in the United States. Methods. Visit data were linked to determine prospectively the duration of breastfeeding (up to 2 years of age) and weight status at 4 years of age. Overweight among 4-year-old children was defined as a body mass index (BMI)-for-age at or above the 95th percentile based on the 2000 Centers for Disease Control and Prevention growth charts. Logistic regression was performed, controlling for gender, race/ethnicity, and birth weight. In a subset of states, links to maternal pregnancy records also permitted regression analysis controlling for mother’s age, education, prepregnancy BMI, weight gain during pregnancy, and postpartum smoking. Data from the Pediatric Nutrition Surveillance System, which extracts breastfeeding, height, and weight data from child visits to public health programs, were analyzed. In 7 states, data were linked to Pregnancy Nutrition Surveillance System data. A total of 177 304 children up to 60 months of age were included in our final pediatric-only analysis, and 12 587 were included in the pregnancy-pediatric linked analysis. Results. The duration of breastfeeding showed a dose-response, protective relationship with the risk of overweight only among non-Hispanic whites; no significant association was found among non-Hispanic blacks or Hispanics. Among non-Hispanic whites, the adjusted odds ratio of overweight by breastfeeding for 6 to 12 months versus never breastfeeding was 0.70 (95% confidence interval: 0.50–0.99) and for >12 months versus never was 0.49 (95% confidence interval: 0.25–0.95). Breastfeeding for any duration was also protective against underweight (BMI-for-age below the 5th percentile). Conclusion. Prolonged breastfeeding is associated with a reduced risk of overweight among non-Hispanic white children. Breastfeeding longer than 6 months provides health benefits to children well beyond the period of breastfeeding.
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maternal obesity and breast feeding practices
The American Journal of Clinical Nutrition, 2003Co-Authors: Sandra Jewell, Laurence M GrummerstrawnAbstract:BACKGROUND Maternal obesity has been associated with poor lactation in animal models, but the results of related research in humans are inconclusive. OBJECTIVE We tested the hypothesis that women who are obese before pregnancy or who gain excessive weight during pregnancy are less likely to initiate and maintain breast-feeding than are their normal-weight counterparts. DESIGN We analyzed 124 151 mother-infant pairs from the Pediatric Nutrition Surveillance System and the Pregnancy Nutrition Surveillance System. Body mass index (BMI) before pregnancy and gestational weight gain were categorized according to guidelines from the Institute of Medicine. Multiple logistic regression was used to identify the association between maternal obesity and breast-feeding initiation (n = 51 329), and multiple linear regression was used to examine the effect of maternal obesity on breast-feeding duration among women who initiated breast-feeding (n = 13 234). RESULTS Regardless of gestational weight gain, obese women were less likely to initiate breast-feeding than were women with a normal BMI before pregnancy who also gained the recommended weight during pregnancy. Maternal BMI before pregnancy and gestational weight gain were each independently associated with duration of breast-feeding. Women who were obese before pregnancy breast-fed approximately 2 wk less than did their normal-weight counterparts, and women who either failed to reach or exceeded the recommended gestational weight gain breast-fed approximately 1 wk less than did those who gained the recommended gestational weight. CONCLUSIONS Both obesity before pregnancy and inadequate weight gain during pregnancy have a negative effect on breast-feeding practice. Women who are obese before pregnancy or who gain inadequate weight during pregnancy need extra support for breast-feeding.
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increasing prevalence of overweight among us low income preschool children the centers for disease control and prevention pediatric Nutrition Surveillance 1983 to 1995
Pediatrics, 1998Co-Authors: Zuguo Mei, Kelley S Scanlon, Laurence M Grummerstrawn, David S Freedman, Ray Yip, Frederick L TrowbridgeAbstract:Objective. To determine whether the prevalence of overweight in preschool children has in- creased among the US low-income population. Design. Analysis using weight-for-height percentiles of Surveillance data adjusted for age, sex, and race or ethnicity. Setting. Data from 18 states and the District of Columbia were examined. a Subjects. Low-income children <5 years of age who were included in the Centers for Disease Control and Prevention Pediatric Nutrition Surveillance System. Results. The prevalence of overweight increased from 18.6% in 1983 to 21.6% in 1995 based on the 85th percentile cutoff point for weight-for-height, and from 8.5% to 10.2% for the same period based on the 95th percentile cutoff point. Analyses by single age, sex, and race or ethnic group (non-Hispanic white, non-Hispanic black, and Hispanic) all showed increases in the preva- lence of overweight, although changes are greatest for older preschool children. Conclusion. Overweight is an increasing public health problem among preschool children in the US low-income population. Additional research is needed to explore the cause of the trend observed and to find effective strategies for overweight prevention beginning in the preschool years. Pediatrics 1998;101(1). URL: http://www.pediatrics. org/cgi/content/full/101/1/e12; overweight, obesity, preva- lence, preschool children, weight-for-height.
Zuguo Mei - One of the best experts on this subject based on the ideXlab platform.
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trends in state specific prevalence of overweight and underweight in 2 through 4 year old children from low income families from 1989 through 2000
JAMA Pediatrics, 2004Co-Authors: Bettylou Sherry, Zuguo Mei, Kelley S Scanlon, Ali H Mokdad, Laurence M GrummerstrawnAbstract:OBJECTIVES: To document overweight and underweight state-specific prevalence and examine trends among 2- through 4-year-old children from low-income families. METHODS: State-specific and overall overweight and underweight prevalence for 1989, 1994, and 2000 and trend analyses during the study period are documented. Overweight was defined as a sex-specific body mass index (BMI) for age in the 95th percentile or higher and underweight as a sex-specific BMI for age in less than the fifth percentile on the 2000 Centers for Disease Control and Prevention (CDC) growth charts. These analyses are based on one randomly selected record per child per year for 30 states consistently participating in the CDC Pediatric Nutrition Surveillance System in 1989, 1994, and 2000. Prevalence in 1989 and 1994 is adjusted to state-specific age and race/ethnicity distribution of the population in 2000. Overweight and underweight prevalence were categorized as 5% or less, more than 5% to 10%, more than 10% to 15%, more than 15% to 20%, and more than 20%. RESULTS: The number of states that reported overweight prevalence of more than 10% increased from 11 in 1989 to 28 in 2000. Underweight decreased during the study period: 9 states in 1989 and 23 states in 2000 had a prevalence of 5% or less. No geographic predominance was apparent. Trend analyses showed significant increases in overweight in 30 states (P < .01) and decreases in underweight in 26 states (P < .05). CONCLUSIONS: Overweight is increasing and underweight is decreasing in our study population. We need to expand prevention and intervention efforts to reverse the rising trend of overweight in the United States.
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does breastfeeding protect against pediatric overweight analysis of longitudinal data from the centers for disease control and prevention pediatric Nutrition Surveillance system
Pediatrics, 2004Co-Authors: Laurence M Grummerstrawn, Zuguo MeiAbstract:Objective. To examine whether increasing duration of breastfeeding is associated with a lower risk of overweight in a low-income population of 4-year-olds in the United States. Methods. Visit data were linked to determine prospectively the duration of breastfeeding (up to 2 years of age) and weight status at 4 years of age. Overweight among 4-year-old children was defined as a body mass index (BMI)-for-age at or above the 95th percentile based on the 2000 Centers for Disease Control and Prevention growth charts. Logistic regression was performed, controlling for gender, race/ethnicity, and birth weight. In a subset of states, links to maternal pregnancy records also permitted regression analysis controlling for mother’s age, education, prepregnancy BMI, weight gain during pregnancy, and postpartum smoking. Data from the Pediatric Nutrition Surveillance System, which extracts breastfeeding, height, and weight data from child visits to public health programs, were analyzed. In 7 states, data were linked to Pregnancy Nutrition Surveillance System data. A total of 177 304 children up to 60 months of age were included in our final pediatric-only analysis, and 12 587 were included in the pregnancy-pediatric linked analysis. Results. The duration of breastfeeding showed a dose-response, protective relationship with the risk of overweight only among non-Hispanic whites; no significant association was found among non-Hispanic blacks or Hispanics. Among non-Hispanic whites, the adjusted odds ratio of overweight by breastfeeding for 6 to 12 months versus never breastfeeding was 0.70 (95% confidence interval: 0.50–0.99) and for >12 months versus never was 0.49 (95% confidence interval: 0.25–0.95). Breastfeeding for any duration was also protective against underweight (BMI-for-age below the 5th percentile). Conclusion. Prolonged breastfeeding is associated with a reduced risk of overweight among non-Hispanic white children. Breastfeeding longer than 6 months provides health benefits to children well beyond the period of breastfeeding.
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increasing prevalence of overweight among us low income preschool children the centers for disease control and prevention pediatric Nutrition Surveillance 1983 to 1995
Pediatrics, 1998Co-Authors: Zuguo Mei, Kelley S Scanlon, Laurence M Grummerstrawn, David S Freedman, Ray Yip, Frederick L TrowbridgeAbstract:Objective. To determine whether the prevalence of overweight in preschool children has in- creased among the US low-income population. Design. Analysis using weight-for-height percentiles of Surveillance data adjusted for age, sex, and race or ethnicity. Setting. Data from 18 states and the District of Columbia were examined. a Subjects. Low-income children <5 years of age who were included in the Centers for Disease Control and Prevention Pediatric Nutrition Surveillance System. Results. The prevalence of overweight increased from 18.6% in 1983 to 21.6% in 1995 based on the 85th percentile cutoff point for weight-for-height, and from 8.5% to 10.2% for the same period based on the 95th percentile cutoff point. Analyses by single age, sex, and race or ethnic group (non-Hispanic white, non-Hispanic black, and Hispanic) all showed increases in the preva- lence of overweight, although changes are greatest for older preschool children. Conclusion. Overweight is an increasing public health problem among preschool children in the US low-income population. Additional research is needed to explore the cause of the trend observed and to find effective strategies for overweight prevention beginning in the preschool years. Pediatrics 1998;101(1). URL: http://www.pediatrics. org/cgi/content/full/101/1/e12; overweight, obesity, preva- lence, preschool children, weight-for-height.
Tracie C Collins - One of the best experts on this subject based on the ideXlab platform.
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smoking behaviors among urban and rural pregnant women enrolled in the kansas wic program
Journal of Community Health, 2015Co-Authors: Lisette T Jacobson, Frank Dong, Taneisha S Scheuermann, Michelle L Redmond, Tracie C CollinsAbstract:Smoking during pregnancy is associated with poor birth outcomes. The Special Supplemental Nutrition Program for Women, Infants, and Children (WIC) is a public Nutritional assistance program for low-income pregnant women and their children up to age five. This study examined differences in smoking behavior among women enrolled in the Kansas WIC program. A secondary analysis was conducted using the Pregnancy Nutrition Surveillance System dataset of enrolled women between 2005 and 2011. Geographic residency status was obtained through application of the Census tract-based rural–urban commuting area codes. Chi square tests of association were used to assess differences. Multi-variable binary logistic regression was used to assess maternal characteristics and smoking 3 months prior to pregnancy. Total sample size averaged 21,650 women for years 2005 through 2011. Low-income, rural pregnant women smoked at significantly higher rates before, during, and after pregnancy. High smoking rates have remained unchanged since 2008. The following characteristics were associated with reduced odds of smoking 3 months prior to pregnancy: being 17 years old or younger, Hispanic, a high school graduate, urban location, normal body mass index, no live births prior to current pregnancy, and using multi-vitamins. Results from this study indicate that the WIC population in rural areas may have different needs regarding smoking cessation programming than the urban WIC population. Findings help inform WIC program administrators and assist in enhancing current smoking cessation services to the Kansas WIC population.
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characteristics associated with breastfeeding behaviors among urban versus rural women enrolled in the kansas wic program
Maternal and Child Health Journal, 2015Co-Authors: Lisette T Jacobson, Michelle L Redmond, Philip Twumasiankrah, Elizabeth Ablah, Robert B Hines, Judy A Johnston, Tracie C CollinsAbstract:The Special Supplemental Nutrition Program for Women, Infants and Children (WIC) is a public Nutritional assistance program for low-income women and their children up to age five. This study provides insight into maternal characteristics associated with breastfeeding among urban versus rural women. A secondary analysis was conducted using the Pregnancy Nutrition Surveillance System dataset of women enrolled in the Kansas WIC program in 2011. Geographic residency status was obtained through application of the Census tract-based rural–urban commuting area codes. Descriptive variables included maternal demographics, health, and lifestyle behaviors. A multivariable binary logistic regression was used to obtain adjusted odds ratios with 95 % confidence intervals. The outcome variable was initiation of breastfeeding. A P value of ≤0.05 was considered statistically significant. The total sample size was 17,067 women. Statistically significant differences regarding socio-demographics, program participation, and health behaviors for urban and rural WIC participants were observed. About 74 % of all WIC mothers initiated breastfeeding. Urban women who were Hispanic, aged 18–19, high school graduates, household income >$10,000/year, and started early prenatal care were more likely to breastfeed. Urban and rural women who were non-Hispanic black with some high school education were less likely to breastfeed. Increased breastfeeding initiation rates are the result of a collaborative effort between WIC and community organizations. Availability of prenatal services to rural women is critical in the success of breastfeeding promotion. Findings help inform WIC program administrators and assist in enhancing breastfeeding services to the Kansas WIC population.
Andrea J Sharma - One of the best experts on this subject based on the ideXlab platform.
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trends in obesity among participants aged 2 4 years in the special supplemental Nutrition program for women infants and children united states 2000 2014
Morbidity and Mortality Weekly Report, 2016Co-Authors: Liping Pan, David S Freedman, Andrea J Sharma, Karen Castellanosbrown, Sohyun Park, Ray B Smith, Heidi M BlanckAbstract:Childhood obesity is associated with negative health consequences in childhood (1) that continue into adulthood (2), putting adults at risk for type 2 diabetes, cardiovascular disease, and certain cancers (1). Obesity disproportionately affects children from low-income families (3). Through a collaboration with the United States Department of Agriculture (USDA), CDC has begun to use data from the Special Supplemental Nutrition Program for Women, Infants, and Children (WIC) Participants and Program Characteristics (WIC PC) to replace the Pediatric Nutrition Surveillance System (PedNSS) (4,5) for obesity Surveillance among young children from low-income families. CDC examined trends in obesity prevalence during 2000-2014 among WIC participants aged 2-4 years using WIC PC data. Overall obesity prevalence increased from 14.0% in 2000 to 15.5% in 2004 and 15.9% in 2010, and then decreased to 14.5% in 2014. During 2010-2014, the prevalence of obesity decreased significantly overall, among non-Hispanic whites, non-Hispanic blacks, Hispanics, American Indian/Alaska Natives and Asians/Pacific Islanders, and among 34 (61%) of the 56 WIC state agencies in states, the District of Columbia, and U.S. territories. Despite these declines, the obesity prevalence among children aged 2-4 years in WIC remains high compared with the national prevalence of 8.9% among children aged 2-5 years in 2011-2014. Continued initiatives to work with parents and other stakeholders to promote healthy pregnancies, breastfeeding, quality Nutrition, and physical activity for young children in multiple settings are needed to ensure healthy child development.
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impact of the 5as brief counseling on smoking cessation among pregnant clients of special supplemental Nutrition program for women infants and children wic clinics in ohio
Preventive Medicine, 2015Co-Authors: Oluwatosin Olaiya, Andrea J Sharma, Van T Tong, Deborah L Dee, Celia Quinn, Israel T Agaku, Elizabeth J Conrey, Nicole M Kuiper, Glen A SattenAbstract:Abstract Objectives We assessed whether smoking cessation improved among pregnant smokers who attended Women, Infants and Children (WIC) Supplemental Nutrition Program clinics trained to implement a brief smoking cessation counseling intervention, the 5As: ask, advise, assess, assist, arrange. Methods In Ohio, staff in 38 WIC clinics were trained to deliver the 5As from 2006 through 2010. Using 2005–2011 Pregnancy Nutrition Surveillance System data, we performed conditional logistic regression, stratified on clinic, to estimate the relationship between women's exposure to the 5As and the odds of self-reported quitting during pregnancy. Reporting bias for quitting was assessed by examining whether differences in infants' birth weight by quit status differed by clinic training status. Results Of 71,526 pregnant smokers at WIC enrollment, 23% quit. Odds of quitting were higher among women who attended a clinic after versus before clinic staff was trained (adjusted odds ratio, 1.16; 95% confidence interval, 1.04–1.29). The adjusted mean infant birth weight was, on average, 96 g higher among women who reported quitting ( P Conclusions Training all Ohio WIC clinics to deliver the 5As may promote quitting among pregnant smokers, and thus is an important strategy to improve maternal and child health outcomes.
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gestational weight gain in obese mothers and associations with fetal growth
The American Journal of Clinical Nutrition, 2010Co-Authors: Stefanie N Hinkle, Andrea J Sharma, Patricia M DietzAbstract:Background: In 2009, the Institute of Medicine recommended gestational weight gains (GWGs) of 5–9 kg for all obese women. Recommendations by severity of obesity were not specified because of a lack of available data. Objective: Our objective was to examine associations between GWG and fetal growth in obese women and assess interactions with obesity severity. Design: We used 2004–2006 Pregnancy Nutrition Surveillance System data from 122,327 obese mothers [prepregnant body mass index (BMI; in kg/m 2 ) 30]. We used logistic regression to estimate measures of fetal growth including small-for-gestational-age, which was defined as birth weight (BW) ,2 SDs below the sex and race-ethnicity-specific mean BW (SGA 2SD ), and macrosomia (BW 4500 g). We tested for interactions between obesity severity (class I: BMI of 30–34.9; class II: BMI of 35.0–39.9; class III: BMI 40) and GWG. Results: Obesity severity modified associations between GWG and fetal growth. Compared with weight gains of 5–9 kg, weight loss in class I women significantly increased the odds of SGA 2SD , whereas a GWG from 0.1 to 4.9 kg was not associated with SGA 2SD and did not decrease the odds of macrosomia. In class II and III women, compared with weight gains of 5–9 kg, a GWG from 24.9 to +4.9 kg was not associated with SGA 2SD but did decrease the odds of macrosomia. Conclusions: Our study suggests a GWG below the Institute of Medicine guidelines may be associated with more favorable BW for all obese women, and GWG may need to be further defined by obesity severity. Am J Clin Nutr 2010;92:644–51.
David S Freedman - One of the best experts on this subject based on the ideXlab platform.
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trends in obesity among participants aged 2 4 years in the special supplemental Nutrition program for women infants and children united states 2000 2014
Morbidity and Mortality Weekly Report, 2016Co-Authors: Liping Pan, David S Freedman, Andrea J Sharma, Karen Castellanosbrown, Sohyun Park, Ray B Smith, Heidi M BlanckAbstract:Childhood obesity is associated with negative health consequences in childhood (1) that continue into adulthood (2), putting adults at risk for type 2 diabetes, cardiovascular disease, and certain cancers (1). Obesity disproportionately affects children from low-income families (3). Through a collaboration with the United States Department of Agriculture (USDA), CDC has begun to use data from the Special Supplemental Nutrition Program for Women, Infants, and Children (WIC) Participants and Program Characteristics (WIC PC) to replace the Pediatric Nutrition Surveillance System (PedNSS) (4,5) for obesity Surveillance among young children from low-income families. CDC examined trends in obesity prevalence during 2000-2014 among WIC participants aged 2-4 years using WIC PC data. Overall obesity prevalence increased from 14.0% in 2000 to 15.5% in 2004 and 15.9% in 2010, and then decreased to 14.5% in 2014. During 2010-2014, the prevalence of obesity decreased significantly overall, among non-Hispanic whites, non-Hispanic blacks, Hispanics, American Indian/Alaska Natives and Asians/Pacific Islanders, and among 34 (61%) of the 56 WIC state agencies in states, the District of Columbia, and U.S. territories. Despite these declines, the obesity prevalence among children aged 2-4 years in WIC remains high compared with the national prevalence of 8.9% among children aged 2-5 years in 2011-2014. Continued initiatives to work with parents and other stakeholders to promote healthy pregnancies, breastfeeding, quality Nutrition, and physical activity for young children in multiple settings are needed to ensure healthy child development.
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increasing prevalence of overweight among us low income preschool children the centers for disease control and prevention pediatric Nutrition Surveillance 1983 to 1995
Pediatrics, 1998Co-Authors: Zuguo Mei, Kelley S Scanlon, Laurence M Grummerstrawn, David S Freedman, Ray Yip, Frederick L TrowbridgeAbstract:Objective. To determine whether the prevalence of overweight in preschool children has in- creased among the US low-income population. Design. Analysis using weight-for-height percentiles of Surveillance data adjusted for age, sex, and race or ethnicity. Setting. Data from 18 states and the District of Columbia were examined. a Subjects. Low-income children <5 years of age who were included in the Centers for Disease Control and Prevention Pediatric Nutrition Surveillance System. Results. The prevalence of overweight increased from 18.6% in 1983 to 21.6% in 1995 based on the 85th percentile cutoff point for weight-for-height, and from 8.5% to 10.2% for the same period based on the 95th percentile cutoff point. Analyses by single age, sex, and race or ethnic group (non-Hispanic white, non-Hispanic black, and Hispanic) all showed increases in the preva- lence of overweight, although changes are greatest for older preschool children. Conclusion. Overweight is an increasing public health problem among preschool children in the US low-income population. Additional research is needed to explore the cause of the trend observed and to find effective strategies for overweight prevention beginning in the preschool years. Pediatrics 1998;101(1). URL: http://www.pediatrics. org/cgi/content/full/101/1/e12; overweight, obesity, preva- lence, preschool children, weight-for-height.
