{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,28]],"date-time":"2026-04-28T11:30:26Z","timestamp":1777375826816,"version":"3.51.4"},"reference-count":54,"publisher":"SAGE Publications","issue":"7","license":[{"start":{"date-parts":[[2021,3,1]],"date-time":"2021-03-01T00:00:00Z","timestamp":1614556800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"funder":[{"DOI":"10.13039\/100000026","name":"National Institute on Drug Abuse","doi-asserted-by":"publisher","award":["K01DA044313"],"award-info":[{"award-number":["K01DA044313"]}],"id":[{"id":"10.13039\/100000026","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Am J Health Promot"],"published-print":{"date-parts":[[2021,9]]},"abstract":"<jats:sec>\n                    <jats:title>Purpose:<\/jats:title>\n                    <jats:p>The \u20185-2-1-0\u2019 guidelines recommend that children: eat \u22655 servings of fruits\/vegetables (\u20185\u2019), have \u22642 hours of screen-time (\u20182\u2019), have \u22651 hour of activity (\u20181\u2019), and drink 0 sugar-sweetened beverages (\u20180\u2019) daily. The pediatric emergency department (PED) treats children at risk for obesity and tobacco smoke exposure (TSE). We examined body mass index (BMI), overweight, obesity, TSE, and \u20185-2-1-0\u2019 rates in children with TSE in the PED.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design:<\/jats:title>\n                    <jats:p>Cross-sectional study of PED children.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Setting:<\/jats:title>\n                    <jats:p>The PED of a children\u2019s hospital.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Sample:<\/jats:title>\n                    <jats:p>Children with TSE &gt;6 months-5 years old (N = 401).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Measures:<\/jats:title>\n                    <jats:p>Sociodemographics, \u20185-2-1-0\u2019 behaviors, BMI, and cotinine-confirmed TSE.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Analysis:<\/jats:title>\n                    <jats:p>Associations between \u20185-2-1-0\u2019 and sociodemographics were examined with logistic regression.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>Mean (SD) age = 2.4 (1.6) years; 53.1% were Black; 65.8% had low-income; and 93.4% had TSE. Of 2-5-year-olds, mean (SD) BMI percentile was 66.2 (30.1), 16.1% were overweight and 20.6% were obese. In total, 10.5% attained \u20185\u2019, 72.6% attained \u20182\u2019, 57.8% of 2-5-year-olds attained \u20181\u2019, and 9.8% attained \u20180\u2019. Compared to White children, \u201cother\u201d race children were more likely to meet \u20185\u2019 (aOR(95% CI):4.67(1.41, 5.45)); 2-5-years-olds (aOR(95%CI):0.60(0.38, 0.95)) and Black children (aOR(95%CI):0.36(0.21, 0.60)) were at decreased odds to meet \u20182\u2019 compared to younger or White children, respectively. Compared to younger children, 2-5-year-olds were at decreased odds to meet \u20180\u2019 (aOR(95%CI):0.08(0.02, 0.26)).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>Racially diverse, low-income children with TSE had low \u20185-2-1-0\u2019 attainment. Interventions are needed to improve lifestyle habits in this population.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/0890117121995772","type":"journal-article","created":{"date-parts":[[2021,3,1]],"date-time":"2021-03-01T04:13:06Z","timestamp":1614571986000},"page":"966-972","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":1,"title":["Examination of the \u20185-2-1-0\u2019 Recommendations in Racially Diverse Young Children Exposed to Tobacco Smoke"],"prefix":"10.1177","volume":"35","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-3893-885X","authenticated-orcid":false,"given":"E. 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