Rosane Milet Passos Teixeira, Jussiely Cunha Oliveira, Marcos Alécio Bispo de Andrade, Fernanda Gomes de Magalhães Soares Pinheiro, Rita de Cássia Almeida Vieira, Eduesley Santana-Santos
Are patient volume and care level in teaching hospitals variables affecting clinical outcomes in adult intensive care units?
Einstein (Sao Paulo, Brazil)
obesity prevalence remains high among children pacific islander pi origin filipino fi american indianalaska native aian origins united states school nutrition policies may help prevent reduce childhood obesity influences specifically among pi fi aian children remain understudied evaluated association california ca state school nutrition policies competitive food beverages federal policy school meals healthy hungerfree kids act 2010 hhfka 2010 overweightobesity among pi fi aian students used interrupted time series design fitnessgram data 2002 2016 pi 78841 fi 328667 aian 97129 white 3309982 students fifth seventh grades attended ca public schools multilevel logistic regression models estimated associations ca school nutrition policies effect beginning academic year 2004 2005 hhfka 2010 academic year 2012 2013 overweightobesity prevalence 85 percentile age sexspecific body mass index bmi distribution models constructed separately grade sex combination adjusted school district school studentlevel characteristics percentage students eligible free reduced price meals neighborhood income education levels age across study period crude prevalence overweightobesity higher among pi 395 525 fi 329 367 aian 377 456 children compared white 268 302 students results generally showed favorable association ca nutrition policies overweightobesity prevalence trends although magnitudes associations strengths evidence varied among racialethnic subgroups ca policies went effect 2002 2004 overweightobesity prevalence increased white pi aian students grades sex groups well fi girls seventh grade ca policies took place 2005 2012 overweightobesity rates decreased almost subgroups experienced increasing trends policies largest decrease seen among pi girls fifth grade log odds ratio 0149 95 ci 0108 0189 p 0001 0010 0005 0025 0178 ca nutrition policies hhfka 2010 effect 2013 2016 declines overweightobesity prevalence seen among white girls fi boys fifth grade despite evidence favorable association school nutrition policies overweightobesity prevalence trends disparities pi aian students white peers remained large policies took place policies went effect public schools ca without clear comparison group cannot conclude changes prevalence trends solely attributable policies current study found evidence favorable associations state federal school nutrition policies overweightobesity prevalence trends however prevalence overweightobesity continued high among pi aian students fi boys remain wide racialethnic disparities racialethnic minority subgroups white peers additional strategies needed reduce childhood obesity related disparities among understudied racialethnic populations