Abstract
California’s rural agricultural communities face an increased burden of obesity and metabolic disease. The present objective is to define the social and environmental influences to child obesity and physical activity within Mexican-origin communities in California’s Central Valley. A range of data (anthropometric, socioeconomic, demographic, cultural and environmental) were collected on more than 650 children enrolled in Niños Sanos, Familia Sana. Physical activity data were gathered from a subsample of children 4–7 years of age (n = 148) via accelerometer. Cross sectional analyses explored the relationship between BMI and physical activity and the influence of numerous social and environmental variables. In this sample 45 % of children were determined to be overweight or obese. Boys had a higher daily average moderate-to-vigorous physical activity than girls (p = 0.008). Chi square analyses showed weight status was associated with activity level in girls (p = 0.03) but not boys. Multivariate regression revealed several social and environmental indicators influenced BMI and physical activity (p = 0.004). In this population of school-age children of Mexican-origin, girls may benefit more from targeted efforts to increase MVPA. Family and community support systems may also boost child participation in physical activities.
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References
National Center for Health Statistics. (2012). Health, United States, 2011: With special features on socioeconomic status and health. Hyattsville, MD: U.S. Department of Health and Human Services.
Ogden, C. L., Carroll, M. D., & Flegal, K. M. (2014). Prevalence of obesity in the United States. JAMA, 312(2), 189–190.
Troiano, R. P., Berrigan, D., Dodd, K. W., Masse, L. C., Tilert, T., & McDowell, M. (2008). Physical activity in the United States measured by accelerometer. Medicine and Science in Sports and Exercise, 40(1), 181–188.
Ebbeling, C. B., Pawlak, D. B., & Ludwig, D. S. (2002). Childhood obesity: Public-health crisis, common sense cure. Lancet, 360(9331), 473–482.
Koplan, J. P., Kraak, V. I., & Wisham, S. L. (2007). Progress in preventing childhood obesity: How do we measure up?. Washington, DC: National Academies Press, Institute of Medicine.
Goldfield, G. S., Harvey, A., Grattan, K., & Adamo, K. B. (2012). Physical activity promotion in the preschool years: A critical period to intervene. International Journal of Environmental Research and Public Health, 9(4), 1326–1342.
Caprio, S., Daniels, S. R., Drewnowski, A., et al. (2008). Influence of race, ethnicity, and culture on childhood obesity: Implications for prevention and treatment a consensus statement of shaping America’s health and the obesity society. Diabetes Care, 31(11), 2211–2221.
U.S. Department of Health and Human Services Office of Minority Health. Accessed May 5, 2015. Obesity and Hispanic Americans [cited 2015 May 5]. http://minorityhealth.hhs.gov/omh/browse.aspx?lvl=4&lvlid=70
de la Torre, A., Sadeghi, B., Green, R. D., Kaiser, L. L., Flores, Y. G., Jackson, C. F., et al. (2013). Ninos Sanos, Familia Sana: Mexican immigrant study protocol for a multifaceted CBPR intervention to combat childhood obesity in two rural California towns. BMC Public Health, 13(1), 1033.
U.S. Department of Health and Human Services. (1996). Physical activity and health: A report of the surgeon general. Atlanta, GA: U.S. Department of Health and Human Services, Centers for Disease Control and Prevention, National Center for Chronic Disease Prevention and Health Promotion.
Gortmaker, S. L., Must, A., Sobol, A. M., Peterson, K., Colditz, G. A., & Dietz, W. H. (1996). Television viewing as a cause of increasing obesity among children in the United States, 1986–1990. Archives of Pediatrics and Adolescent Medicine, 150(4), 356–362.
Dencker, M., Thorsson, O., Karlsson, M. K., Lindén, C., Eiberg, S., Wollmer, P., & Andersen, L. B. (2006). Daily physical activity related to body fat in children aged 8–11 years. The Journal of Pediatrics, 149(1), 38–42.
Eisenmann, J. C., Laurson, K. R., Wickel, E. E., Gentile, D., & Walsh, D. (2007). Utility of pedometer step recommendations for predicting overweight in children. International Journal of Obesity, 31(7), 1179–1182.
Ness, A. R., Leary, S. D., Mattocks, C., Blair, S. N., Reilly, J. J., Wells, J., et al. (2007). Objectively measured physical activity and fat mass in a large cohort of children. PLOS Medicine, 4(3), 476–484.
Stevens, J., Murray, D. M., Baggett, C. D., Elder, J. P., Lohman, T. G., Lytle, L. A., et al. (2007). Objectively assessed associations between physical activity and body composition in middle-school girls: The trial of activity for adolescent girls. American Journal of Epidemiology, 166(11), 1298–1305.
Centers for Disease Control and Prevention. Physical activity for everyone [cited 2015 April 20]. http://www.cdc.gov/physicalactivity/everyone/guidelines/index.html
National Coalition for Promoting Physical Activity (NCPPA). National physical activity plan (NPAP) [cited 2015 May 20]. http://www.ncppa.org/national-physical-activity-plan
Andersen, R. E., Crespo, C. J., Bartlett, S. J., Cheskin, L. J., & Pratt, M. (1998). Relationship of physical activity and television watching with body weight and level of fatness among children: Results from the Third National Health and Nutrition Examination Survey. JAMA, 279(12), 938–942.
Gordon-Larsen, P., McMurray, R. G., & Popkin, B. M. (1999). Adolescent physical activity and inactivity vary by ethnicity: The National Longitudinal Study of Adolescent Health. Journal of Pediatrics, 135(3), 301–306.
Heath, G. W., Pratt, M., Warren, C. W., & Kann, L. (1994). Physical activity patterns in American high school students. Results from the 1990 Youth Risk Behavior Survey. Archives of Pediatrics and Adolescent Medicine, 148(11), 1131–1136.
Butte, N. F., Gregorich, S. E., Tschann, J. M., Penilla, C., Pasch, L. A., De Groat, C. L., et al. (2014). Longitudinal effects of parental, child and neighborhood factors on moderate-vigorous physical activity and sedentary time in Latino children. International Journal of Behavioral Nutrition and Physical Activity, 11(1), 108.
Butte, N. F., Puyau, M. R., Adolph, A. L., Vohra, F. A., & Zakeri, I. (2007). Physical activity in nonoverweight and overweight Hispanic children and adolescents. Medicine and Science in Sports and Exercise, 39(8), 1257–1266.
Dorsey, K. B., Herrin, J., & Krumholz, H. M. (2011). Patterns of moderate and vigorous physical activity in obese and overweight compared with non-overweight children. International Journal of Pediatric Obesity, 6(2–2), e547–e555.
Duncan, S. C., Duncan, T. E., Strycker, L. A., & Chaumeton, N. R. (2007). A cohort-sequential latent growth model of physical activity from ages 12 to 17 years. Annals of Behavioral Medicine, 33(1), 80–89.
Gordon-Larsen, P., McMurray, R. G., & Popkin, B. M. (2000). Determinants of adolescent physical activity and inactivity patterns. Pediatrics, 105(6), E83.
Iannotti, R. J., & Wang, J. (2013). Trends in physical activity, sedentary behavior, diet and BMI among U.S. adolescents, 2001–2009. Pediatrics, 132(4), 606–614.
McKenzie, T. L., Sallis, J. F., Nader, P. R., Broyles, S. L., & Nelson, J. A. (1992). Anglo- and Mexican-American preschoolers at home and at recess: Activity patterns and environmental influences. Journal of Developmental and Behavioral Pediatrics, 13(3), 173–180.
Pate, R. R., Stevens, J., Pratt, C., Sallis, J., Schmitz, K. H., Webber, L. S., et al. (2006). Objectively measured physical activity in 6th grade girls. Archives of Pediatrics and Adolescent Medicine, 160(12), 1262–1278.
Taverno, S. E., Rollins, B. Y., & Francis, L. A. (2010). Generation, language, body mass index, and activity patterns in Hispanic children. American Journal of Preventive Medicine, 38(2), 145–153.
Trost, S. G., McCoy, T. A., Vander Veur, S. S., Mallya, G., Duffy, M. L., & Foster, G. D. (2013). Physical activity patterns of inner-city elementary school children. Medicine and Science in Sports and Exercise, 45(3), 470–474.
Trost, S. G., Pate, R. R., Ward, D. S., Saunders, R., & Riner, W. (1999). Correlates of objectively measured physical activity in preadolescent youth. American Journal of Preventive Medicine, 17(2), 120–126.
Siegel, S. R., Malina, R. M., Reyes, M. E., Barahona, E. E., & Cumming, S. P. (2011). Correlates of physical activity and inactivity in urban Mexican youth. American Journal of Human Biology, 23(5), 686–692.
Appelhans, B. M., Fitzpatrick, S. L., Li, H., Cail, V., Waring, M. E., Schneider, K. L., et al. (2014). The home environment and childhood obesity in low-income households: Indirect effects via sleep duration and screen time. BMC Public Health, 14, 1160.
Booth, S. L., Sallis, J. F., Ritenbaugh, C., Hill, J. O., Birch, L. L., Frank, L. D., et al. (2001). Environmental and societal factors affect food choice and physical activity: Rationale, influences, and leverage points. Nutrition Reviews, 59(3 Pt 2), S21–S39.
Ohri-Vachaspati, P., DeLia, D., DeWeese, R. S., Crespo, N. C., Todd, M., & Yedidia, M. J. (2014). The relative contribution of layers of the Social Ecological Model to childhood obesity. Public Health Nutrition, 18(11), 2055–2066.
McLeroy, K. R., Bibeau, D., Steckler, A., & Glanz, K. (1988). An ecological perspective on health promotion programs. Health Education Quarterly, 15(4), 351–377.
Stokols, D. (1992). Establishing and maintaining healthy environments. Toward a social ecology of health promotion. American Psychologist, 47(1), 6–22.
Gordon-Larsen, P. (2014). Food availability/convenience and obesity. Advances in Nutrition, 14(5), 809–817.
Schaefer, S. E., Gomez-Camacho, R., Sadeghi, B., Kaiser, L., German, J. B., & de la Torre, A. (2015). Assessing child obesity and physical activity in a hard to reach population in California’s Central Valley. Preventing Chronic Disease, 12, 140577.
Lohan, T. G., & Martorell, R. (1998). Anthropometric standardization reference manual. Champaign, IL: Human Kinetics Publishers.
Kuczmarski, R. J., Ogden, C. L., Guo, S. S., et al. (2002). 2000 CDC growth charts for the United States: Methods and development. Vital and Health Statistics, 11(246), 1–190.
Cuellar, I., Arnold, B., & Maldonado, R. (1995). Acculturation rating scale for Mexican Americans-II: A revision of the original ARSMA scale. Hispanic Journal of Behavioral Sciences, 17, 275–304.
Virtanen, P. (2010). Polar active—Activity monitor for children and adolescents. Polar R&D Physiological Research.
Ogden, C. L., Carroll, M. D., Kit, B. K., & Flegal, K. M. (2012). Prevalence of obesity and trends in body mass index among US children and adolescents, 1999–2010. JAMA, 307(5), 483–490.
Allen, M. L., Elliott, M. N., Morales, L. S., Diamant, A. L., Hambarsoomian, K., & Schuster, M. A. (2007). Adolescent participation in preventive health behaviors, physical activity, and nutrition: Differences across immigrant generations for Asians and Latinos compared with Whites. American Journal of Public Health, 97(2), 337–343.
Carvajal, S. C., Hanson, C. E., Romero, A. J., & Coyle, K. K. (2002). Behavioural risk factors and protective factors in adolescents: A comparison of Latinos and non-Latino whites. Ethnic Health, 7(3), 181–193.
Liu, J., Probst, J. C., Harun, N., Bennett, K. J., & Torres, M. E. (2009). Acculturation, physical activity and obesity among Hispanic adolescents. Ethnic Health, 14(5), 509–525.
Olvera, N., Smith, D. W., Lee, C., Liu, J., Kim, J. H., & Kellam, S. F. (2011). Comparing high and low acculturated mothers and physical activity in Hispanic children. Journal of Physical Activity, 8(Suppl 2), S206–S213.
Springer, A. E., Lewis, K., Kelder, S. H., Fernandez, M. E., Barroso, C. S., & Hoelscher, D. M. (2010). Physical activity participation by parental language use in 4th, 8th, and 11th grade students in Texas, USA. Journal of Immigrant and Minority Health, 12(5), 769–780.
Unger, J. B., Reynolds, K., Shakib, S., Spruijt-Metz, D., Sun, P., & Johnson, C. A. (2004). Acculturation, physical activity, and fast-food consumption among Asian-American and Hispanic adolescents. Journal of Community Health, 29(6), 467–481.
Pate, R. R., Almeida, M. J., McIver, K. L., Pfeiffer, K. A., & Dowda, M. (2006). Validation and calibration of an accelerometer in preschool children. Obesity, 14(11), 2000–2006.
Guinhouya, B. C., Samouda, H., & Beaufort, C. (2013). Level of physical activity among children and adolescents in Europe: A review of physical activity assessed objectively by accelerometry. Public Health, 127, 301–311.
Pate, R. R., O’Neill, J. R., & Mitchell, J. (2010). Measurement of physical activity in preschool children. Medicine and Science in Sports and Exercise, 42(3), 508–512.
Schaefer, S. E., Van Loan, M., & German, J. B. (2014). A feasibility study of wearable activity monitors for pre-adolescent school-age children. Preventing Chronic Disease, 11, E85.
Reilly, J. J., Coyle, J., Kelly, L., Burke, G., Grant, S., & Paton, J. Y. (2003). An objective method for measurement of sedentary behavior in 3- to 4-year olds. Obesity Research, 11(10), 1155–1158.
Sirard, J. R., Trost, S. G., Pfeiffer, K. A., Dowda, M., & Pate, R. R. (2005). Calibration and evaluation of an objective measure of physical activity in preschool children. Journal of Physical Activity and Health, 2(3), 345.
McNamara, E., Hudson, Z., & Taylor, S. J. (2010). Measuring activity levels of young people: The validity of pedometers. British Medical Bulletin, 95, 121–137.
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Niños Sanos, Familia Sana (Healthy Children, Healthy Families) is funded by the National Institute of Food and Agriculture of the United States Department of Agriculture, Grant No. 2011-68001-30167. The authors would like to thank the following individuals and agencies: Maria Rangel, NSFS Site Coordinator, Judith Martinez, NSFS Nutrition Educator, Ivan Garcia, NSFS Administrative Assistant, the advisory council and promotores in Firebaugh and San Joaquin, the Firebaugh Las Deltas Unified School District and the Golden Plains Unified School District.
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Schaefer, S.E., Gomez-Camacho, R., Martinez, L. et al. Social and Environmental Determinants of Child Physical Activity in a Rural Mexican-Origin Community. J Community Health 41, 409–416 (2016). https://doi.org/10.1007/s10900-015-0111-4
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DOI: https://doi.org/10.1007/s10900-015-0111-4