Early nutrition transition in Haiti: linking food purchasing and availability to overweight status in school-aged children

The primary aim was to examine the association of socio-economic factors and diet with overweight (including obesity) among school-aged children in Haiti. The secondary aim was to describe food availability and the physical activity built environment in participating schools. This cross-sectional st...

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Bibliographic Details
Published in:Public health nutrition 2016-12, Vol.19 (18), p.3378-3385
Main Authors: Morshed, Alexandra B, Becker, Haley V, Delnatus, Jacques Raymond, Wolff, Patricia B, Iannotti, Lora L
Format: Article
Language:English
Subjects:
Adolescent
Arachis hypogaea
Bicycles
Built environment
Caregivers
Child
Child, Preschool
Children & youth
Cross-Sectional Studies
Developing countries
Diet
Economic factors
Exercise
Female
Food
Food availability
Food Services
Fruits
GDP
Gross Domestic Product
Haiti
Humans
LDCs
Low income groups
Male
Nutrition research
Nutritional epidemiology
Nutritional Status
Obesity
Overweight
Overweight - epidemiology
Pediatric Obesity - epidemiology
Research Papers
Schools
Socioeconomic factors
Socioeconomics
Urban environments
Vegetables
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Summary:The primary aim was to examine the association of socio-economic factors and diet with overweight (including obesity) among school-aged children in Haiti. The secondary aim was to describe food availability and the physical activity built environment in participating schools. This cross-sectional study examined baseline data from the intervention Mamba study assessing the effectiveness of a fortified peanut butter paste in school-aged children. Logistic regression modelling was used to test hypothesized factors in association with overweight status. Six primary schools in Cap-Haitien, the second largest city in Haiti. Children (n 968) aged 3-13 years, in good health and enrolled in a participating school for the 2012/13 school year. Child age (adjusted OR (AOR); 95 % CI=0·25; 0·12, 0·56), child age squared (1·08; 1·03, 1·13), always purchasing food at school (3·52; 1·12, 11·08), mother's BMI (1·10; 1·04, 1·16) and household ownership of a bicycle (0·28; 0·11, 0·71) were significantly associated with overweight (likelihood ratio=36, P
ISSN:1368-9800
1475-2727
DOI:10.1017/S1368980016001671