Weight‐Related Behaviors When Children Are in School Versus on Summer Breaks: Does Income Matter?

Journal of School Health - Tập 85 Số 7 - Trang 458-466 - 2015
Y. Claire Wang1, Seanna Vine2, Amber Hsiao3, Andrew Rundle4, Jeff Goldsmith5
1Department of Health Policy and Management Columbia University Mailman School of Public Health 722 W 168th Street, rm 481 New York NY 10032
2Department of Epidemiology; Columbia University Mailman School of Public Health; 722 W 168th Street, 7th Fl New York NY 10032
3Department of Health Policy and Management, Columbia University Mailman School of Public Health, 722 W 168th Street, 4th Fl, New York, NY 10032.
4Department of Epidemiology Columbia University Mailman School of Public Health 722 West 168th Street, rm 730 New York NY 10032
5Department of Biostatistics; Columbia University Mailman School of Public Health; 722 West 168th Street, rm 630 New York NY 10032

Tóm tắt

ABSTRACTBACKGROUNDIncome disparities in US youth in academic achievement appear to widen during the summer because of discontinued learning among children from lower‐income households. Little is known about whether behavioral risk factors for childhood obesity, such as diet and physical activity, also demonstrate a widening difference by income when children are out of school.METHODSData from US children in grades 1‐12 in the National Health and Nutrition Examination Survey 2003‐2008 (N = 6796) were used to estimate screen time, moderate‐to‐vigorous physical activity (MVPA), and consumption of calories, vegetables, and added sugar. Linear regression was used to compare among children of households ≤185% and >185% poverty, as well as during the school year versus on school breaks.RESULTSChildren surveyed during summer breaks consumed fewer vegetables (−0.2 cups/day) and more added sugar (+2.1 teaspoons/day), were more active (+4.6 MVPA minutes/day) and watched more television (+18 minutes/day). However, the nonsignificant interaction between school breaks and income indicated that lower‐income students were not “less healthy” than higher‐income students during the summer breaks.CONCLUSIONObesity‐related risk factors were more prevalent during the summer and among lower‐income youths, but the income disparity in these behaviors was not exacerbated when schools are not in session.

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Tài liệu tham khảo

Ogden CL, 2012, Prevalence of obesity in the United States, 2009–2010, NCHS Data Brief, 82, 1

10.1542/peds.2007-2834

10.1186/1475-2891-10-103

10.1038/ijo.2008.203

10.1038/sj.ijo.0803064

Garn SM, 1981, Differential fatness gain of low income boys and girls, Am J Clin Nutr, 34, 1465, 10.1093/ajcn/34.8.1465

10.1093/pch/16.1.19

10.1016/j.amepre.2012.01.018

US Department of Health and Human Services.2012HHS Poverty Guidelines. In Office of The Assistant Secretary for Planning and Evaluation ed. Available at:http://aspe.hhs.gov/poverty/12poverty.shtml. Updated February 9 2012. Accessed November 11 2014.

10.3102/01623737023002171

Tough P. What it takes to make a student. New York Times. Available at:http://www.nytimes.com/2006/11/26/magazine/26tough.html?pagewanted=all&_r=1&. November 26 2006. Accessed November 11 2014.

10.1002/yd.210

10.1002/yd.211

10.1177/1367493506066481

10.2105/AJPH.2005.080754

10.1038/oby.2012.89

National Center for Health Statistics. Personal email communication with NCHS staff to verify categorization of summer break versus in‐school. edn; December 6 2013.

US Department of Agriculture. National School Lunch Program. Available athttp://www.fns.usda.gov/sites/default/files/NSLPFactSheet.pdf.2013. Accessed August 18 2014.

US Department of Agriculture. MyPyramid Equivalent Database 2.0 for USDA Survey Foods 2003–2004: Documentation and User Guide. In Service AR ed. Available athttp://www.ars.usda.gov/SP2UserFiles/Place/12355000/pdf/mped/mped2_doc.pdf.2008. Accessed November 11 2014.

Centers for Disease Control and Prevention National Center for Education Statistics. National Health and Nutrition Examination Survey Laboratory Procedures Manual. Available athttp://www.cdc.gov/nchs/nhanes/nhanes2003‐2004/manuals03_04.htm. Updated May 9 2014. Accessed November 11 2014.

Centers for Disease Control and Prevention National Center for Health Statistics. NHANES 2003–2004 Public Data General Release File Documentation. Available athttp://www.cdc.gov/nchs/data/nhanes/nhanes_03_04/general_data_release_doc_03‐04.pdf.2005. Accessed November 11 2014.

10.1249/mss.0b013e31815a51b3

10.1249/MSS.0b013e31823fb254

US Department of Agriculture and U.S. Department of Health and Human Services, 2010, Dietary Guidelines for Americans, 2010

US Department of Health and Human Services, 2008, Physical Activity Guidelines for Americans

10.1542/peds.2005-2374

10.1542/peds.107.2.423

Centers for Disease Control and Prevention. Second National Report on Biochemical Indicators of Diet and Nutrition in the U.S. Population. In: National Center for Environmental Health Division of Laboratory Science eds. Available athttp://www.cdc.gov/nutritionreport/.2012. Accessed November 11 2014.

10.1001/archpedi.161.6.561

10.1111/josh.12054

10.1177/0009922810393499

10.3945/an.111.000430

10.1186/1479-5868-10-64

10.1007/s10995-012-1000-4

Team Up For Youth. The Perils of Poverty: The Health Crisis Facing Our Low‐Income Girls… and the Power of Sports to Help. Available at:http://www.ussoccerfoundation.org/uploads/Health_of_Low_Income_Girls_Coaching_Corps.pdf. Accessed November 11 2014.

10.1001/archpediatrics.2010.196

10.1111/j.2047-6310.2012.00120.x

10.1186/1471-2431-10-16

10.1097/PHH.0b013e31828a8bce

National Center for Education Statistics. Average number of hours in the school day and average number of days in the school year for public schools by state: 2007–08. Available at:http://nces.ed.gov/surveys/sass/tables/sass0708_035_s1s.asp. 2008. Accessed November 11 2014.

10.1111/j.1746-1561.2011.00640.x

10.1542/peds.2008-0533

10.1007/s00181-006-0093-2

Hansen B. School year length and student performance: quasi‐experimental evidence. Social Science Research Network. Available at:10.2139/ssrn.2269846. 2011. Accessed November 11 2014.

10.1162/edfp.2008.3.3.316

Lee J‐W Barro RJ. Schooling quality in a cross section of countries. National Bureau of Economic Research Working Paper Series.1997; No. 6198.http://www.nber.org/papers/w6198. Accessed November 11 2014.

10.5888/pcd10.120270