Objective: The present paper examines the influence of age and gender on food patterns of Latino children. Design: Data are from baseline of a 5-year, quasi-experimental obesity prevention study: Niños Sanos, Familia Sana (NSFS; Healthy Children, Healthy Families). In 2012, the researchers interviewed Latino parents, using a thirty-item questionnaire to ask about their children's food consumption and feeding practices. Statistical tests included t tests and ANCOVA. Setting: Rural communities in California's Central Valley, USA. Subjects: Two hundred and seventeen parents (87-89 % born in Mexico) and their children (aged 2-8 years). Results: Fifty-one per cent of the children were overweight or obese (≥85th percentile of BMI for age and gender). Mean BMI Z-scores were not significantly different in boys (1·10 (SD 1·07)) and girls (0·92 (SD 1·04); P = 0·12). In bivariate analysis, children aged 2-4 years consumed fast and convenience foods less often (P = 0·04) and WIC (Supplemental Nutrition Program for Women, Infants, and Children)-allowable foods more often than children aged 5-8 years (P = 0·01). In ANCOVA, neither age nor gender was significantly related to food patterns. Mother's acculturation level was positively related to children's consumption of fast and convenience foods (P = 0·0002) and negatively related to consumption of WIC foods (P = 0·01). Providing role modelling and structure in scheduling meals and snacks had a positive effect on the vegetable pattern (P = 0·0007), whereas meal skipping was associated with more frequent fast and convenience food consumption (P = 0·04). Conclusions: Acculturation and child feeding practices jointly influence food patterns in Latino immigrant children and indicate a need for interventions that maintain diet quality as children transition to school.
Keywords
Acculturation Food patterns Children Gender LatinoAccording to the FAO, obesity (BMI ≥ 30 kg/m 2 ) occurs in 32·8 % of Mexican adults, an estimate exceeding that reported for many developed countries including the USA (31·8 %) (1) . When Mexican-Americans are compared with their counterparts in Mexico, a greater prevalence of obesity and overweight is observed in the USA (2)(3)(4) . As reported by a Mexican national study conducted in 2012, the prevalence of overweight and obesity among Mexican 5-11-year-olds averages 34·4 %, with 36·9 % of boys and 32·0 % of girls at or above the 85th percentile of BMI (5) .Comparable US national studies from 2009-2010 report an overweight and obesity prevalence of 39·0 % among Mexican-American children aged 6-11 years, with 38·5 % of boys and 39·5 % of girls at or above the 85th BMI percentile (6) . A gender gap for Mexican-American children is apparent by adolescence (12-19 years), when 46 % of Mexican-American boys have BMI ≥ 85th percentile compared with 40 % of girls. This finding is largely due to more boys (28·9 %) than girls (18·6 %) having BMI ≥ 95th percentile for their age and gender. A smaller gender difference is seen among Mexican adolescents, with 14·5...