Obesity in the transition to adulthood: predictions across race/ethnicity, immigrant generation, and sex.

Obesity in the transition to adulthood: predictions across race/ethnicity, immigrant generation, and sex.
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DOI:
10.1001/archpediatrics.2009.182
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发表时间:
2009-11
影响因子:
--
通讯作者:
Lee, Dohoon
Lee, Dohoon
中科院分区:
其他
文献类型:
--
作者:
Harris, Kathleen Mullan;Perreira, Krista M.;Lee, Dohoon

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通过纵向数据,我们追踪了随着青少年(11-19岁)过渡到年轻成年人(20-28岁),身体质量指数(BMI)的种族,民族和移民差异如何随时间变化。我们使用生长曲线模型来估计从青春期到成年期的BMI变化模式。研究的所有参与者都是1994-95学年就读高中或初中的美国居民。我们使用了在Add Health第一波(1994-95)中采访的20,000多名青少年的全国代表性数据,随后是第二波(1996)和第三波(2001-02),当时样本处于成年早期。感兴趣的曝光包括种族,移民一代和性别。我们的主要指标是BMI。研究结果表明,在不同年龄的性别,种族,民族和移民一代的BMI水平和变化的显着差异。女性,第二代和第三代移民,西班牙裔和黑人经历更迅速地增加BMI作为青少年年龄进入青年成年。男性、第一代移民、白人和亚洲人的BMI增加相对较低。随着年龄的增长,体重指数和超重及肥胖比例的差异越来越大,因为青少年在20多岁时就离开家,开始独立生活。
With longitudinal data we traced how race, ethnic, and immigrant disparities in body mass index (BMI) change over time as adolescents (ages 11–19) transition to young adulthood (ages 20–28). We used growth curve modeling to estimate the pattern of change in BMI from adolescence through the transition to adulthood. All participants in the study were residents of the United States enrolled in high school or junior high school during the 1994–95 school year. We used nationally representative data on 20,000+ adolescents interviewed at Wave I (1994–95) of Add Health, followed in Wave II (1996) and Wave III (2001–02) when the sample was in early adulthood. Exposures of interest include race-ethnicity, immigrant generation, and sex. Our main outcome measure is BMI. Findings indicate significant differences in both the level and change in BMI across age by sex, race-ethnicity, and immigrant generation. Females, second and third generation immigrants, and Hispanics and blacks experience more rapidly increasing BMI as adolescents age into young adulthood. Increases in BMI are relatively lower for males, first generation immigrants, and whites and Asians. Disparities in BMI and percent overweight and obese widen with age as adolescents leave home and begin independent lives as young adults in their 20s.
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