ResearchCurrent ResearchNutrient Adequacy and Diet Quality in Non-Overweight and Overweight Hispanic Children of Low Socioeconomic Status: The Viva la Familia Study
Section snippets
Study Design and Subjects
A cross-sectional design was used to assess dietary intake in 993 of the 1,030 children from 319 Hispanic families enrolled in the Viva la Familia study (10). The dietary recalls of 37 children were known to be unreliable by self-report; that is, intake of the child was not typical due to illness or unusual schedule for that particular day. The study was conducted between November 2000 and August 2004 in Houston, TX. Dietary intakes were obtained at the US Department of Agriculture
Results
Demographic data of the Viva la Familia cohort are described in Table 1. Most (82%) children participating in the Viva study were second-generation Americans of Mexican and Central American descent. Most parents were from Mexico (71%); the remainder was from Central America (11%), South America (3%), and the United States (15%). Also, 73% of families included both overweight and non-overweight children. Table 2 describes the anthropometrics and eating patterns of the children. Of the overweight
Discussion
Diets in low-SES Hispanic children were adequate in most nutrients, but frequently exceeded guidelines for percent total fat, percent saturated fat, cholesterol, added sugar, and sodium intakes. Low intakes of fruits, vegetables, and fiber diminished the quality of the diet. With few exceptions (noted in the Results section), non-overweight and overweight children from these Hispanic families consumed diets that were qualitatively, but not quantitatively, similar. This finding may result from
Conclusions
The diets of these low-SES Hispanic children were adequate in most essential nutrients, but suboptimal for the promotion of long-term health. Diet quality did not satisfy US dietary guidelines for fat, cholesterol, saturated fatty acids, fiber, added sugar, and sodium. Although energy intake was higher in overweight children, food sources, diet quality and macro- and micronutrient composition were similar between non-overweight and overweight siblings. Relative to EAR or AI, mean nutrient
T. A. Wilson is a research dietitian, US Department of Agriculture/Agricultural Research Service Children's Nutrition Research Center, Department of Pediatrics, Baylor College of Medicine, Houston, TX
References (41)
- et al.
The economics of obesity: Dietary energy density and energy cost
Am J Clin Nutr
(2005) - et al.
Poverty and obesity: The role of energy density and energy costs
Am J Clin Nutr
(2004) - et al.
Acculturation and overweight-related behaviors among Hispanic immigrants to the US: The National Longitudinal Study of Adolescent Health
Soc Sci Med
(2003) - et al.
Viva la Familia Study: Genetic and environmental contributions to childhood obesity and its comorbidities in the Hispanic population
Am J Clin Nutr
(2006) - et al.
Are American children and adolescents of low socioeconomic status at increased risk of obesity?Changes in the association between overweight and family income between 1971 and 2002
Am J Clin Nutr
(2006) Body composition of a young, multiethnic, male population
Am J Clin Nutr
(1997)- et al.
Body composition of a young, multiethnic female population
Am J Clin Nutr
(1997) - et al.
Comparison of multiple-pass 24-hour recall estimates of energy intake with total energy expenditure determined by the doubly labeled water method in young children
J Am Diet Assoc
(1996) - et al.
Reproducibility and validity of dietary patterns assessed with a food-frequency questionnaire
Am J Clin Nutr
(1999) - et al.
Body size, body composition, and metabolic profile explain higher energy expenditure in overweight children
J Nutr
(2007)
Dairy foods, dietary calcium and obesity: A short review of the evidence
Nutr Metab Cardiovasc Dis
An evaluation of food group intakes by Mexican-American children
J Am Diet Assoc
Correlates of beverage intake in adolescent girls: The National Heart, Lung, and Blood Institute Growth and Health Study
J Pediatr
National trends in soft drink consumption among children and adolescents age 6 to 17 years: Prevalence, amounts, and sources, 1977/1978 to 1994/1998
J Am Diet Assoc
High body mass index for age among US children and adolescents, 2003-2006
JAMA
The search for human obesity genes
Science
Genetic and environmental influences on obesity
Obesity treatment in minorities
Diet and food insufficiency among Hispanic youths: Acculturation and socioeconomic factors in the third National Health and Nutrition Examination Survey
Am J Clin Nutr
Dietary Guidelines for Americans, 2005
Cited by (0)
T. A. Wilson is a research dietitian, US Department of Agriculture/Agricultural Research Service Children's Nutrition Research Center, Department of Pediatrics, Baylor College of Medicine, Houston, TX
A. L. Adolph is a biomedical engineer, US Department of Agriculture/Agricultural Research Service Children's Nutrition Research Center, Department of Pediatrics, Baylor College of Medicine, Houston, TX
N. F. Butte is a professor, US Department of Agriculture/Agricultural Research Service Children's Nutrition Research Center, Department of Pediatrics, Baylor College of Medicine, Houston, TX
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