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Journal of Pediatric Psychology Advance Access originally published online on May 22, 2008
Journal of Pediatric Psychology 2009 34(3):245-253; doi:10.1093/jpepsy/jsn047
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© The Author 2008. Published by Oxford University Press on behalf of the Society of Pediatric Psychology. All rights reserved. For permissions, please e-mail: journals.permissions@oxfordjournals.org

Correlates of Overweight and Obesity in American Indian Children*

Tami Jollie-Trottier, PhD, Jeffrey E. Holm, PhD and J. Douglas McDonald, PhD

University of North Dakota, Department of Psychology

All correspondence concerning this article should be addressed to Tami Jollie-Trottier, PhD, Neuropsychiatric Research Institute, 700 First Avenue S, Fargo, ND 58103, USA. E-mail: Tjollie-trottier{at}nrifargo.com


  Abstract

Objective To identify risk factors that may contribute to the development and/or maintenance of overweight and obesity in American Indian children. Methods The sample consisted of 291 tribally enrolled American Indian children. Body mass index (BMI) was measured by a tribal program and children completed self-report measures during health class. Hierarchical multiple regression analyses were conducted for 232 children and included three blocks of predictor variables (diet and physical activity, weight-related attitudes, and psychosocial variables). Results Thirty-three percent of children were obese and 20% were overweight. Diet and physical activity (7.6%) and weight-related attitudes (31.9%) made significant contributions, explaining 39.5% of the variance in BMI. Conclusions Greater BMI scores were related to healthier food choice intentions, more hours of television viewing, greater body dissatisfaction, higher negative attitudes toward body size, and more weight loss attempts.

Key words: American Indian; childhood; obesity; overweight.

Received July 19, 2007; revision received April 21, 2008; accepted April 23, 2008


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