Childhood obesity risk factors by race and ethnicity.
Childhood obesity risk factors by race and ethnicity.
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DOI：
10.1002/oby.23500
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发表时间：
2022-08
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儿童肥胖是一个公共卫生问题，往往与年龄有关。虽然在儿童和母亲层面的几个风险因素已被确定在横断面研究中，很少有人知道他们的长期贡献的种族/民族差异的儿童肥胖。本研究探讨儿童和母亲层面的因素与成长轨迹的白色，黑人和拉丁美洲儿童。基于组的轨迹模型被用于确定白色、黑人和拉丁裔儿童从出生到9岁的BMI z评分轨迹。儿童和母亲水平的因素与被确定为肥胖风险的轨迹组的关联使用经调整的逻辑回归分析进行检查，按种族/民族分层。在白色儿童中，快餐消费（比值比[OR]，1.66; 95%置信区间[CI]，1.09-2.52）与遵循风险轨迹的更高几率相关。在黑人和拉丁裔儿童中，孕前BMI与以下风险轨迹相关（黑人OR，1.05; 95%CI，1.03-1.08;拉丁裔儿童OR，1.12; 95%CI，1.07-1.17）。研究结果表明，影响儿童肥胖可能性的风险因素存在种族/民族差异。需要进一步的研究来确定可改变的种族/民族特异性风险因素，以指导肥胖预防干预措施。
Childhood obesity is a public health concern that often worsens with age. While several risk factors at the child and maternal levels have been identified in cross-sectional studies, less is known about their long-term contribution to racial/ethnic disparities in childhood obesity. This study examines child and maternal-level factors associated with the growth trajectories of White, Black, and Latino children. Group based trajectory models were used to identify BMI z-score trajectories from birth to 9 years of age among White, Black, and Latino children. The associations of child and maternal-level factors with the trajectory group identified as at-risk for obesity were examined using adjusted logistic regression analysis, stratified by race/ethnicity. Among White children, fast food consumption (Odds Ratio [OR], 1.66; 95% Confidence Interval [CI], 1.09–2.52) was associated with higher odds of following an at-risk trajectory. Among Black and Latino children, pre-pregnancy BMI was associated with following at-risk trajectory (OR, 1.05; 95% CI, 1.03–1.08 for Black, and OR, 1.12; 95% CI, 1.07–1.17 for Latino children) . Findings showed racial/ethnic differences in the risk factors that influence the likelihood of obesity during childhood. Further research is needed to identify modifiable racial/ethnic specific risk factors to guide obesity prevention interventions.