Obesity among Mescalero preschool children. Association with maternal obesity and birth weight
M. M. Gallaher, F. R. Hauck, M. Yang-Oshida and M. K. Serdula
Division of Nutrition, Centers for Disease Control, Atlanta, Ga. 30333.
The prevalence of obesity among native American children ranks with the
highest in the United States. However, little is known about associated
risk factors for obesity among these children. We conducted a medical
record review of 261 preschool children enrolled in the Mescalero Apache
tribe to determine the prevalence of obesity and associated risk factors.
The prevalence of obesity (weight for height greater than 95th percentile)
in this population was 19.5%. The prevalence of obesity (body mass index
greater than 95th percentile) in their mothers was 23%. Children with obese
mothers were more than twice as likely to be obese than children of
nonobese mothers. Children with a high birth weight were three times as
likely to be obese as children of low or normal birth weight. The high
prevalence of obesity may be due to both life-style and dietary patterns on
the reservation. Family-based interventions are needed to prevent obesity
and its long-term consequences in this population.
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