Markel Rico-González
The Effect of Primary School-Based Physical Education Programs: A Systematic Review of Randomized Controlled Trials
Journal of physical activity & health
early environmental influences linked child weight status however understanding associations diverse populations needed crosssectional analysis household family factors associated overweight conducted culturally diverse urban dwelling sample 820 first third graders mean age 76 10 years residing three eastern massachusetts cities overweight defined bmi 85th percentile based measured height weight cdc growth reference multivariate logistic regression used identify demographic behavioral social environmental variables significantly related weight status independent variables included raceethnicity age sex servings sugarsweetened beveragesweek hours screen timeweek parent overweight calculated selfreported weightheight parent education household food restriction rules regarding snacking andor kitchen access frequency dinner family reported lot vs sometimesrarelynever child vitaminmineral supplement use selected interactions explored based prior studies prevalence overweight 355 girls 408 boys final adjusted model compared white children odds overweight higher children hispanic raceethnicity odds ratio 24 95 ci 14 41 adjusted model compared children household food restriction rules odds overweight 26 95 ci 1351 times higher 35 95 ci 1964 times higher children one rule two rules respectively parent report frequent family dinner child vitamin use protective halving risk overweight behavior 047 95 ci 031071 054 95 ci 037078 respectively presence factors frequent family dinner vitamin use associated lower risk overweight household food restriction rules higher risk although relationships previously reported investigation among first demonstrate associations lowincome raciallydiverse early elementary school population suggest potential targets opportunity within family context could reduce child overweight risk subgroup children elevated risk obesity