Mexican American Parental Knowledge and Perceptions of Childhood Obesity: An Integrative Review

Confiac, Nathalie; Turk, Melanie T.; Zoucha, Rick; McFarland, Marilyn

doi:10.1177/1540415319873400

Cited by 5 publications

(13 citation statements)

References 33 publications

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“…Some cultural decisions, behaviors, individual experiences, perceptions, attitudes, or views identified in this review have also been found among Mexican families living in the United States 3,5–7,53 . This suggests that some cultural factors related to obesity persist even after acculturation.…”

Section: Discussionmentioning

confidence: 56%

“…The complex relation of behavioral, sociocultural, economic, and environmental factors has been described in the literature as risk factors for developing childhood or adolescent obesity 1–3 . In addition, evidence from ethnic minorities in high‐income countries has described that culture and culturally specific beliefs or practices may influence strategies, perceptions, and decisions (from children, caregivers, or other stakeholders) 4–7 . As a result, children's and adolescents' health status and behaviors are shaped differently, potentially contributing to obesity 4,5 .…”

Section: Introductionmentioning

confidence: 99%

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Cultural factors related to childhood and adolescent obesity in Mexico: A systematic review of qualitative studies

et al. 2022

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Culture and culturally specific beliefs or practices may influence perceptions and decisions, potentially contributing to childhood obesity. The objective of this study is to identify the cultural factors (expressed through decisions, behaviors, individual experiences, perceptions, attitudes, or views) related to childhood and adolescent obesity in Mexico. Ten databases and one search engine were searched from 1995 onwards for qualitative studies. The Sunrise Enabler Model, described within the Cultural Care Theory, guided this review. Sample, the phenomenon of interest, study design, and evaluation data were extracted, and the Critical Appraisals Skills Programme tool was used to assess the quality of the included studies. Twenty-four studies were included. Of these, 12 studies included children or adolescents, 12 included parents, eight included schoolteachers, four included school staff (other than teachers), four included food vendors, and one included policymakers. Cultural values, beliefs, lifeways (especially food and food costumes), kinship, and social factors (particularly immediate and extended family) strongly influenced childhood and adolescent obesity-related lifestyles in Mexico. Most cultural factors related to childhood obesity in Mexico identified in this review may be modifiable and amenable to practical interventions.

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Section: Discussionmentioning

confidence: 56%

Section: Introductionmentioning

confidence: 99%

Cultural factors related to childhood and adolescent obesity in Mexico: A systematic review of qualitative studies

et al. 2022

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“…Children and particularly children of Mexican descent may be at risk for metabolic complications and anthropometric parameters may not be as sensitive to the changes in visceral fat accumulation as circulating levels of adipokines and other metabolic parameters [9,62]. The inclusion of biomarkers may provide additional means to identify children with obesogenic family environments.…”

Section: Anthropometric and Blood Biomarkers In Childrenmentioning

confidence: 99%

“…Studies with large cohorts of Hispanic children indicate that pre and post pubertal children with overweight or obesity have significantly higher levels of TG and LDL-C and lower circulating HDL-C than normal weight peers [64,65]. This is relevant for children of Mexican descent who because of genetic predisposition have been found to be at a greater risk for early onset of adverse health complications [62]. It is a concerning observation as dyslipidemia leading to atherosclerosis may begin in childhood for children with obesity [24].…”

Section: Anthropometric and Blood Biomarkers In Childrenmentioning

confidence: 99%

Obesity Risk Assessment Tool for Low-Income Spanish Speaking Immigrant Parents with Young Children: Validity with BMI and Biomarkers of Obesity

et al. 2020

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Children of Hispanic origin bear a high risk of obesity. Child weight gain trajectories are influenced by the family environment, including parent feeding practices. Excessive body fat can result in unhealthful metabolic and lipid profiles and increased risk of metabolic diseases. The objective was to estimate criterion validity of an obesity risk assessment tool targeting Spanish-speaking families of Mexican origin using anthropometric measures and blood values of their young children. A cross-sectional study design with five data collection sessions was conducted over an eight-week period and involved 206 parent/child dyads recruited at Head Start and the Special Supplemental Nutrition Program for Women, Infants and Children in Northern California. Main outcome measures were criterion validity of Niños Sanos, a pediatric obesity risk assessment tool, using anthropometric measures and blood biomarkers. Niños Sanos scores were inversely related to child BMI-for-age percentiles (p = 0.02), waist-for-height ratios (p = 0.05) and inversely related to blood biomarkers for the metabolic index (p = 0.03) and lipid index (p = 0.05) and positively related to anti-inflammatory index (p = 0.047). Overall, children with higher Niños Sanos scores had more healthful lipid, metabolic and inflammatory profiles, as well as lower BMI-for-age percentiles and waist-to height ratios, providing evidence for the criterion validity of the tool. Niños Sanos can be used by child obesity researchers, by counselors and medical professionals during clinic visits as a screening tool and by educators as a tool to set goals for behavior change.

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“…Low participation rates in research may result from a myriad of factors including exclusion or lack of awareness of the study due to language barriers, distrust in the research process, structural/transportation barriers, stigma, and limited time (Shaia et al, 2020; Treweek et al, 2020). Differences in Hispanic cultural health and growth beliefs may further impact caregiver perceptions of obesity and beliefs about how to address obesity, which may lead to challenges making effective referrals for early FBBT intervention (Confiac et al, 2020). Moreover, barriers related to language, transportation, and insurance coverage are common and may contribute to higher rates of attrition and lower effectiveness of FBBT for low-income, Hispanic youth in comparison to non-Hispanic White youth (Altman & Wilfley, 2015; Janicke et al, 2014).…”

mentioning

confidence: 99%

Effectiveness of family based behavioral treatment in an ethnically diverse sample of young children.

Gillette¹,

Bates²,

Pona³

et al. 2022

Clinical Practice in Pediatric Psychology

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Reducing obesity prevalence requires effective, early intervention. Yet, there is a paucity of research on effective family based behavioral treatments (FBBTs) for preschool-aged children, and youth from diverse ethnic backgrounds are underrepresented. Methodological issues also complicate the measurement of change in adiposity in young children. This study evaluated the effectiveness of a brief FBBT targeting diverse, underserved families. The study examined child weight over time and explored differential effectiveness of the program based on child age and ethnicity. The study additionally examined differences in outcomes based on adiposity measurement strategy. Methods: One hundred fifty-seven children with overweight/obesity (ages 2-9) and their families participated in a 6week, no cost, group FBBT intervention at a large Midwestern children's hospital. Parents were the primary targets of treatment, although the entire family attended sessions. Child height and weight were measured at baseline, end of treatment (6 weeks), and 6-month follow-up. Results: Children evidenced significant reductions in weight when measured by Body Mass Index z-score (zBMI) and percent of the 95th percentile. Young children (ages 2-5) had significantly higher zBMI at baseline, and experienced more significant reductions in zBMI over time, compared to older children. There were no significant differences in weight change based on ethnicity. Conclusions: This brief FBBT group intervention demonstrated effectiveness among ethnically diverse youth and was especially effective for young children.

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Mexican American Parental Knowledge and Perceptions of Childhood Obesity: An Integrative Review

Cited by 5 publications

References 33 publications

Cultural factors related to childhood and adolescent obesity in Mexico: A systematic review of qualitative studies

Cultural factors related to childhood and adolescent obesity in Mexico: A systematic review of qualitative studies

Obesity Risk Assessment Tool for Low-Income Spanish Speaking Immigrant Parents with Young Children: Validity with BMI and Biomarkers of Obesity

Effectiveness of family based behavioral treatment in an ethnically diverse sample of young children.

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