Unhealthy Weight Loss Strategies is Associated with Obesity Among Adolescents with Disabilities in the United States

Abstract

s / Annals of Epidemiology 24 (2014) 682e702 696 P58. Unhealthy Weight Loss Strategies is Associated with Obesity Among Adolescents with Disabilities in the United States Mia A. Papas PhD, Jillian C. Trabulsi RD, PhD. University of Delaware Purpose: Childhood obesity is a major public health concern. Due to physical and environmental barriers, children with disabilities may have a difficult time controlling their weight leading to a higher prevalence of obesity. This investigation examines associations between unhealthy weight control behaviors and obesity among US adolescents with disabilities. Methods: Data for adolescents were obtained from the 2011 Youth Risk Behavior Survey (YRBS) for four states. Obesity was defined as an age and gender adjusted body mass index (BMI) at or above the 95th percentile. Unhealthy weight loss behaviors included fasting within the past 24 hours, taking diet pills, powders, or liquids, or vomiting/taking laxatives. Logistic regression models were fit to assess the effects of unhealthy weight control behaviors on obesity. Results: Twenty-two percent (1986/9775) of all survey participants reported an emotional or physical disability. Adolescents with disabilities were more likely to be obese (odds ratio (OR)1⁄41.65; 95% confidence interval (CI): 1.28, 2.14) and participate in at least one unhealthy weight loss behavior compared to adolescents without disabilities (OR1⁄43.8; 95% CI: 2.5, 5.7). Engaging in unhealthy weight loss behaviors was more prevalent in obese adolescents compared to non-obese adolescents with disabilities (OR1⁄42.1; 95% CI: 1.4, 3.2). Conclusions: Adolescents with a broad range of disabilities aremore likely to be obese and engage in unhealthy weight loss behaviors that those without disabilities. Provision of successful weight loss strategies that address barriers for healthy dieting and physical activity for this population is critical to developing effective obesity prevention programs. P59. Zinc Deficiency and Associated Factors in Colombian Children; Results from the 2010 National Nutrition Survey; A Cross Sectional Study Robinson Ramirez-Valez PhD, Jose F. Meneses-Echavez MPH, Javier Martinez-Torres MSc. Universidad Santo Tomas Purpose: Zinc (Zn) is an essential micronutrient for cell growth, protein synthesis and cell differentiation. This deficiency affects the growth, development, energy metabolism and immune response in Colombian children’s. The objective in study was to examine factors associated with Zn deficiency in a representative sample of Colombian children. Patients and Methods: A cross-sectional descriptive study was conducted of data from the 2010 National Nutrition Survey of Colombia (ENSIN 2010), in 4.279 children aged between 12-59 months of age. Plasma levels of Zn were determined by atomic absorption spectrophotometry, and associated factors (sex, age, ethnicity, SISBEN score, and geographic region) were collected by structured questionnaire. Associations were established through a multivariable regression model. Results: We found a range of Zn of 78.5 I1⁄4g/dl, (95% CI 76.7 to 80.4 I1⁄4g/dl). 43.3% (95% CI 42.2%-44.3%) of children had lower Zn levels to 65 I1⁄4g/dl. Children belonging to an ethnic groups (indigenous) or residing in rural areas; showed Zn deficiency (56.3% and 47.8%) respectively. Regression models show that to be indigenous (OR 1.76, 95% CI 1.29 to 2.41), and to reside in rural areas (OR 1.39, 95% CI 1.16 to 1.67) were associated with Zn deficiency. Conclusions: The study population shows a high prevalence of Zn deficiency, so it is recommended that comprehensive interventions which are involved nutritional and educational component. P60. Prenatal and Postnatal Fruit and Vegetable Intake Among U.S. Women: Associations with WIC Participation and Poverty Status Tiffany Lynn Stallings PhD, Julie A. Gazmararian PhD, MPH, Michael Goodman MD, MPH, David Kleinbaum PhD. Emory University, Rollins School of Public Health Purpose: Government funded food subsidies, specifically the Special Supplemental Program for Women, Infants, and Children (WIC), support nutritional needs for pregnant and postpartumwomenwho are recommended to consume additional fruits and vegetables (FV vegetable: 3.19 vs. 2.76, p1⁄40.006). Conclusions: Pregnant and postpartum women at 185% PIR should be informed about their financial eligibility for WIC benefits. Future studies should consider the 2009 F&V voucher additions to WIC food packages.