Identification and Characterization of Families That Are Positively Deviant for Childhood Obesity in a Latino Population: A Case-Control Study

Journal of Obesity
Byron Alexander FosterArvind Singhal

Abstract

Childhood obesity is a complex public health challenge that requires innovative, sustainable solutions. Positive deviance, inspired by the science of complexity, is an approach that examines what allows certain individuals to succeed despite being predicted to fail. This study is aimed at identifying and defining positive deviants for early childhood obesity. This case-control study used medical record data to identify Latino children aged 2-5 and classify them using their longitudinal weight change. Parents of children with trajectories toward a healthy weight from an obese weight (cases) and parents of children with stable obese weight trajectories over time (controls) were recruited. Mixed-methods analyses were used including a semistructured interview and quantitative surveys evaluating diet, physical activity, sleep, feeding practices, and self-efficacy. Qualitative description was applied to the qualitative data; quantitative data were analyzed using descriptive statistics and logistic regression modeling. Of eligible Latino children identified from the overall data set (n=1,621), 257 (16%) had trajectories toward a healthy weight, and among these, 21 positively deviant cases completed the study with 23 matched controls. ...Continue Reading

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Citations

Dec 18, 2020·Obesity Reviews : an Official Journal of the International Association for the Study of Obesity·Sarah LangHelen Truby
Jul 10, 2020·SSM - Population Health·Rodney LynChristine Andrews
Jan 10, 2021·International Journal of Environmental Research and Public Health·Katherine R Arlinghaus, Melissa N Laska

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Methods Mentioned

BETA
chips

Software Mentioned

SPSS
Dedoose
NutritionQuest
Block Kids Food Screener BKFS

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