Journal of Immigrant and Minority Health

, Volume 17, Issue 2, pp 375–382

Child Feeding Practices and Overweight Status Among Mexican Immigrant Families

  • Luz Elvia Vera-Becerra
  • Martha L. Lopez
  • Lucia L. Kaiser
Original Paper


The purpose was to compare maternal perceptions, feeding practices, and overweight status of children in immigrant households in California (US) with a cohort in Guanajuato, Mexico (MX). In 2006, staff interviewed mothers and weighed and measured their children, 1–6 years (US: n = 95 and MX: n = 200). Prevalence of overweight [body mass index z-score (BMIZ) >1.0 and <1.65] and obesity (BMIZ > 1.65) was 21.1 and 28.4 % in the US respectively, compared to 11.5 and 12.9 % in MX (p < 0.001). No differences were observed in maternal ability to identify correctly the child’s weight status or ever being told the child was overweight. US children ate away from home more often (p < 0.0001), had fewer family meals (p < 0.0001), and played outdoors less often than MX children (p < 0.0002). Further analyses should examine how differences in eating and activity patterns explain the disparity in childhood obesity across the countries.


Children Mexican Immigrant Overweight Feeding practices 


  1. 1.
    Ogden CL, Carroll MD, Kit BK, et al. Prevalence of obesity and trends in body mass index among US children and adolescents, 1999–2010. JAMA. 2012;307(5):483–90.CrossRefPubMedGoogle Scholar
  2. 2.
    Centro de Investigaciones en Nutrición y Salud, Instituto Nacional de Salud Pública Encuesta Nacional de Salud y Nutrición (ENSANUT 2012).Google Scholar
  3. 3.
    Harrison K, Bost K, McBride B, et al. Toward a developmental conceptualization of contributors to overweight and obesity in childhood: the Six-Cs model. Child Dev Perspect. 2011;5(1):50–8.CrossRefGoogle Scholar
  4. 4.
    Elder JP, Ayala GX, Parra-Medina D, et al. Health communication in the Latino community: issues and approaches. Annu Rev Public Health. 2009;30:227–51.CrossRefPubMedGoogle Scholar
  5. 5.
    Melgar-Quinonez HR, Kaiser LL. Relationship of child-feeding practices to overweight in low-income Mexican–American preschool-aged children. J Am Diet Assoc. 2004;104:1110–9.CrossRefPubMedGoogle Scholar
  6. 6.
    Jones-Smith JC, Fernald LC, Neufeld LM. Birth size and accelerated growth during infancy are associated with increased odds of childhood overweight in Mexican children. J Am Diet Assoc. 2007;107:2061–9.CrossRefPubMedGoogle Scholar
  7. 7.
    Ward CL. Parental perceptions of childhood overweight in the Mexican American population: an integrative review. J Sch Nurs. 2008;24:407–16.CrossRefPubMedGoogle Scholar
  8. 8.
    Killion L, Hughes SO, Wendt JC, et al. Minority mothers’ perceptions of children’s body size. Int J Pediatr Obes. 2006;1:96–102.CrossRefPubMedGoogle Scholar
  9. 9.
    Rhee KE, De Lago CW, Arscott-Mills T, et al. Factors associated with parental readiness to make changes for overweight children. Pediatrics. 2005;116:e94–101.CrossRefPubMedGoogle Scholar
  10. 10.
    Tyler DO. Overweight and perceived health in Mexican American children: a pilot study in a central texas community. J Sch Nurs. 2004;20:285–92.CrossRefPubMedGoogle Scholar
  11. 11.
    Hennessy E, Hughes SO, Goldberg JP, et al. Parent behavior and child weight status among a diverse group of underserved rural families. Appetite. 2010;54(2):369–77.CrossRefPubMedGoogle Scholar
  12. 12.
    Tovar A, Hennessy E, Pirie A, et al. Feeding styles and child weight status among recent immigrant mother-child dyads. Int J Behav Nutr Phys Act. 2012;9(1):62.CrossRefPubMedCentralPubMedGoogle Scholar
  13. 13.
    Hughes SO, Power TG, Orlet Fisher J, Mueller S, Nicklas TA. Revisiting a neglected construct: parenting styles in a child-feeding context. Appetite. 2005;44(1):83–92.CrossRefPubMedGoogle Scholar
  14. 14.
    Hoerr SL, Hughes SO, Fisher JO, Nicklas TA, Liu Y, Shewchuk RM. Associations among parental feeding styles and children’s food intake in families with limited incomes. Int J Behav Nutr Phys Act. 2009;6:55.CrossRefPubMedCentralPubMedGoogle Scholar
  15. 15.
    Kaiser LL, Melgar-Quinonez HR, Lamp CL, Johns MC, Harwood JO. Acculturation of Mexican–American mothers influences child feeding strategies. J Am Diet Assoc. 2001;101(5):542–7.CrossRefPubMedGoogle Scholar
  16. 16.
    Ariza AJ, Chen EH, Binns HJ, et al. Risk factors for overweight in five- to six-year-old Hispanic-American children: a pilot study. J Urban Health. 2004;81:150–61.CrossRefPubMedCentralPubMedGoogle Scholar
  17. 17.
    Ayala GX, Baquero B, Arredondo EM, et al. Association between family variables and Mexican American children’s dietary behaviors. J Nutr Educ Behav. 2007;39:62–9.CrossRefPubMedGoogle Scholar
  18. 18.
    Duerksen SC, Elder JP, Arredondo EM, et al. Family restaurant choices are associated with child and adult overweight status in Mexican-American families. J Am Diet Assoc. 2007;107:849–53.CrossRefPubMedGoogle Scholar
  19. 19.
    Matheson DM, Robinson TN, Varady A, et al. Do Mexican-American mothers’ food-related parenting practices influence their children’s weight and dietary intake? J Am Diet Assoc. 2006;106:1861–5.CrossRefPubMedGoogle Scholar
  20. 20.
    Rosas LG, Harley K, Fernald LC, et al. Dietary associations of household food insecurity among children of Mexican descent: results of a binational study. J Am Diet Assoc. 2009;109:2001–9.CrossRefPubMedGoogle Scholar
  21. 21.
    Ayala GX, Baquero B, Klinger S. A systematic review of the relationship between acculturation and diet among Latinos in the United States: implications for future research. J Am Diet Assoc. 2008;108:1330–44.CrossRefPubMedCentralPubMedGoogle Scholar
  22. 22.
    Ghaddar S, Brown CJ, Pagan JA, et al. Acculturation and healthy lifestyle habits among Hispanics in United States-Mexico border communities. Rev Panam Salud Publica. 2010;28:190–7.CrossRefPubMedGoogle Scholar
  23. 23.
    Perez-Escamilla R, Putnik P. The role of acculturation in nutrition, lifestyle, and incidence of type 2 diabetes among Latinos. J Nutr. 2007;137:860–70.PubMedGoogle Scholar
  24. 24.
    Kaiser L. What can binational studies reveal about acculturation, food insecurity, and diet? J Am Diet Assoc. 2009;109:1997–2000.CrossRefPubMedGoogle Scholar
  25. 25.
    Perez-Escamilla R. Dietary quality among Latinos: is acculturation making us sick? J Am Diet Assoc. 2009;109:988–91.CrossRefPubMedCentralPubMedGoogle Scholar
  26. 26.
    Carrera PM, Gao X, Tucker KL. A study of dietary patterns in the Mexican-American population and their association with obesity. J Am Diet Assoc. 2007;107:1735–42.CrossRefPubMedGoogle Scholar
  27. 27.
    Rosas LG, Guendelman S, Harley K, et al. Factors associated with overweight and obesity among children of Mexican descent: results of a binational study. J Immigr Minor Health. 2011;13:169–80.CrossRefPubMedCentralPubMedGoogle Scholar
  28. 28.
    Kaiser LL, Melgar-Quinonez H, Townsend MS, et al. Food insecurity and food supplies in Latino households with young children. J Nutr Educ Behav. 2003;35:148–53.CrossRefPubMedGoogle Scholar
  29. 29.
    Melgar-Quiñonez HL, Zubieta AC, Valdez E, Whitelaw B, Kaiser L. Validación de un instrumento para monitorear seguridad alimenticia en la Sierra de Manántlan Jalisco Salud Pública de México 2005; 47: 413–422.Google Scholar
  30. 30.
    Kaiser LL, Melgar-Quinonez HR, Lamp CL, et al. Acculturation of Mexican-American mothers influences child feeding strategies. J Am Diet Assoc. 2001;101:542–7.CrossRefPubMedGoogle Scholar
  31. 31.
    Centers for Disease Control National Health and Nutrition Examination (NHANES) Survey: anthropometry procedures manual. Available at: Accessed October 30, 2012, 2007.
  32. 32.
    Kuczmarski RJ, Ogden CL, Guo SS. 2000 CDC growth charts for the United States: Methods and development. Vital Health Statistics: National Center for Health Statistics; 2002.Google Scholar
  33. 33.
    Krebs NF, Himes JH, Jacobson D, et al. Assessment of child and adolescent overweight and obesity. Pediatrics. 2007;120(Suppl 4):S193–228.CrossRefPubMedGoogle Scholar
  34. 34.
    Guendelman S, Fernald LC, Neufeld LM, et al. Maternal perceptions of early childhood ideal body weight differ among Mexican-origin mothers residing in Mexico compared to California. J Am Diet Assoc. 2010;110:222–9.CrossRefPubMedGoogle Scholar
  35. 35.
    Dewey KG. Is breastfeeding protective against child obesity? J Hum Lact. 2003;19:9–18.CrossRefPubMedGoogle Scholar
  36. 36.
    Harley K, Stamm NL, Eskenazzi B. The effect of time in US on the duration of brestfeeding in women of Mexican descent. Matern Child Health J. 2007;11(2):119–25.CrossRefPubMedCentralPubMedGoogle Scholar
  37. 37.
    Gonzalez-Cossio T, Rivera-Dommarco J, Moreno-Macias H, et al. Poor compliance with appropriate feeding practices in children under 2 y in Mexico. J Nutr. 2006;136:2928–33.PubMedGoogle Scholar
  38. 38.
    Menella JA, Turnbull B, Ziegler PJ, Martinez H. Infant feeding practices and early flavor experiences in Mexican infants: an intra-cultural study. J Am Dietary Assoc. 2005;105:908–15.CrossRefGoogle Scholar
  39. 39.
    O’Malley B, Brown AC, Tale M, Hertzler AA, Rojas MH. Infant feeding practices of migrant farm laborers in northern Colorado. J Am Dietary Assoc. 1991;91:1084–8.Google Scholar
  40. 40.
    American Academy of Pediatrics. Breastfeeding and the use of human milk. Pediatrics. 2012;129(3):e827–41.CrossRefGoogle Scholar

Copyright information

© Springer Science+Business Media New York 2013

Authors and Affiliations

  • Luz Elvia Vera-Becerra
    • 1
  • Martha L. Lopez
    • 2
  • Lucia L. Kaiser
    • 3
  1. 1.Department of Medicine and NutritionUniversity of GuanajuatoLeónMexico
  2. 2.Lopez ConsultingEmeritus-University of CaliforniaBellinghamUSA
  3. 3.Department of NutritionUniversity of California, DavisDavisUSA

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