Overweight and obesity among North American Indian infants, children, and youth.

Overweight and obesity among North American Indian infants, children, and youth.
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DOI:
10.1002/ajhb.22257
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发表时间:
2012-05
影响因子:
2.9
通讯作者:
Gallo, Mia V.
Gallo, Mia V.
中科院分区:
医学4区
文献类型:
--
作者:
Schell, Lawrence M.;Gallo, Mia V.

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北美印第安人儿童和青年超重和肥胖的频率超过了美国其他种族。这一观察是基于使用身体质量指数作为超重和肥胖的主要衡量标准的研究。在20世纪中叶,北美印第安人群体在亚成人的体型和形状上存在地区差异,只有少数西南部群体具有超重和肥胖率高的特点。在大多数人口中,超重和肥胖的高流行率是在20世纪的最后几十年发展起来的。儿童肥胖症可能在生命早期就开始了,因为许多研究报告称,在学龄前几年,出生体重和身高体重比都更高。促成因素包括较高的产妇体重,从当地捕获或饲养的食物向储存购买物品的营养过渡,与文化认同和国家主权受到威胁有关的心理社会压力,以及暴露在肥胖污染物中,所有这些都在一定程度上与贫困有关。肥胖是美国和加拿大美洲原住民健康状况不佳的一部分,也是糖尿病、心血管疾病和早期死亡率高得可怜的原因之一。需要在文化上适当的干预措施来减轻寿命中所有时间点的体重。
The frequency of overweight and obesity among North American Indian children and youth exceeds that of other ethnic groups in the United States. This observation is based on studies using body mass index as the primary measure of overweight and obesity. In the mid-20th century, there were regional differences among North American Indian groups in sub-adults’ size and shape and only a few Southwestern groups were characterized by high rates of overweight and obesity. In most populations, the high prevalence of overweight and obesity developed in the last decades of the 20th century. Childhood obesity may begin early in life as many studies report higher birth weights and greater weight-for-height in the preschool years. Contributing factors include higher maternal weights, a nutritional transition from locally caught or raised foods to store bought items, psychosocial stress associated with threats to cultural identity and national sovereignty, and exposure to obesogenic pollutants, all associated to some degree with poverty. Obesity is part of the profile of poor health among Native Americans in the US and Canada, and contributes to woefully high rates of diabetes, cardiovascular disease, and early mortality. Interventions that are culturally appropriate are needed to reduce weights at all points in the lifespan.
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