Prevalence of Obesity among Young Asian-American Children
Prevalence of Obesity among Young Asian-American Children
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DOI：
10.1089/chi.2011.0077
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发表时间：
2012-12-01
影响因子：
2.5
通讯作者：
Huang, Z. Jennifer
中科院分区：
文献类型：
--
作者：
Jain, Anjali;Mitchell, Stephanie;Huang, Z. Jennifer
背景资料：亚裔美国儿童被认为肥胖的风险较低，但此前的估计没有区分来自不同亚洲国家的儿童。我们估计的母亲的原籍国，代际地位，和家庭的社会经济因素，使用二次分析的早期儿童纵向研究出生队列（ECLS-B）波II（儿童类似于4岁）dataset.Methods：ECLS-B是一个具有全国代表性的研究，在2001年出生的儿童，过采样出生的亚洲母亲的肥胖症的患病率。亚洲种族类别包括中国人、日本人、菲律宾人、亚洲印度人、韩国人、越南人和其他亚洲/太平洋岛民。主要结果变量是体重状态;超重= BMI >= 85 th和肥胖= BMI >= 95 th百分位数的年龄和gender.Results：26%[95%置信区间（CI）23.6-29.1]的亚裔美国4岁奥尔兹超重或肥胖，13%（95% CI 10.2-15.2）肥胖。华裔美国儿童超重或肥胖的风险较低（23.5%，95% CI 18.4-29.5）与白人相比（36%，95% CI 34.3-37.7）;亚裔印度4岁奥尔兹的超重或肥胖率最低（15.6%，95% CI 8.0-28.2），最有可能体重不足（10%，95% CI 4.9-19.4）。在亚洲人中，越南裔美国儿童的超重或肥胖率最高（34.7%，95%CI 0.6-52.3）。结论：越南裔美国儿童肥胖和超重的风险较高，而中国和亚洲印度儿童的风险较低。在控制了亚洲种族、母亲教育和家庭贫困状况后，母亲在美国以外出生的亚裔儿童肥胖的可能性较小[比值比= 0.55（0.32-0.95），p = 0.03]。
Background: Asian-American children are considered to be at low risk of obesity, but previous estimates have not distinguished between children from different Asian countries. We estimate the prevalence of obesity among Asian-American children by mother's country of origin, generational status, and family socioeconomic factors using a secondary analysis of the Early Childhood Longitudinal Study-Birth Cohort (ECLS-B) wave II (children similar to 4 years old) dataset.Methods: The ECLS-B is a nationally representative study of children born in 2001 that oversampled births to Asian mothers. Asian ethnic categories included Chinese, Japanese, Filipino, Asian Indian, Korean, Vietnamese, and Other Asian/Pacific Islander. The primary outcome variable was weight status; overweight = BMI >= 85th and obese = BMI >= 95th percentile for age and gender.Results: Twenty-six percent [95% confidence interval (CI) 23.6-29.1] of Asian-American 4 year olds were overweight or obese, and 13% (95% CI 10.2-15.2) were obese. Chinese-American children were at lower risk of overweight or obesity (23.5%, 95% CI 18.4-29.5) compared to whites (36%, 95% CI 34.3-37.7); Asian-Indian 4 year olds had the lowest rates of overweight or obesity (15.6%, 95% CI 8.0-28.2) and were most likely to be underweight (10%, 95% CI 4.9-19.4). Among Asians, Vietnamese-American children had the highest rate of overweight or obesity (34.7%, 95% CI 0.6-52.3).Conclusions: Vietnamese-American children are at elevated risk of obesity and overweight, whereas Chinese and Asian-Indian children are at low risk. After controlling for Asian ethnicity, maternal education, and household poverty status, Asian-American children whose mothers were born outside the United States were less likely to be obese [odds ratio = 0.55 (0.32-0.95), p = 0.03].