Dietary and Weight-Related Behaviors and Body Mass Index among Hispanic, Hmong, Somali, and White Adolescents

Dietary and Weight-Related Behaviors and Body Mass Index among Hispanic, Hmong, Somali, and White Adolescents
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DOI:
10.1016/j.jand.2013.11.019
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发表时间:
2014-03-01
影响因子:
4.8
通讯作者:
Neumark-Sztainer, Dianne
Neumark-Sztainer, Dianne
中科院分区:
医学2区
文献类型:
--
作者:
Arcan, Chrisa;Larson, Nicole;Neumark-Sztainer, Dianne

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背景 美国人口的种族和种族日益多样化,这在很大程度上是由于移民模式造成的。然而,我们对一些少数民族群体,特别是西班牙裔、苗族和索马里青少年的饮食摄入和体重相关问题和行为知之甚少。目的我们的目的是描述西班牙裔、苗族和索马里青少年的饮食摄入和体重相关问题和行为,并将其与白人青少年进行比较。设计我们对 2010 年青少年饮食和活动的数据进行了横断面分析,这是一项基于人群的研究,在 2010 年进行。明尼阿波利斯/圣保罗都会区。 参与者/环境 当前分析包括 1,672 名青少年(西班牙裔:n=562 [33.6%];苗族:n=477 [28.5%];索马里:n=113 [6.8%];白人:n=520 [31.1%];平均年龄=15.0 岁)。青少年在 2009-2010 学年期间完成了课堂调查并测量了身高/体重。统计分析使用社会经济地位、年龄和学校作为随机效应进行调整的多变量回归模型来检查男孩和女孩每个结果变量的种族/民族差异。结果与白人相比,西班牙裔、苗族和索马里青少年的行为存在许多差异。西班牙裔和索马里青年更频繁地食用水果和快餐。苗族青少年饮用含糖饮料的频率较低,而索马里男孩则比白人更频繁地饮用能量饮料和运动饮料。与白人男孩相比,西班牙裔和苗族男孩的超重/肥胖率更高。苗族和索马里青少年中从事不健康体重控制行为的比例较高。与白人相比,所有苗族青少年的身体满意度都较低。 结论 各民族青少年在饮食摄入、体重以及与体重相关的问题和行为方面存在不同的关注领域。例如,针对目标人群中的特定优先行为修改干预策略,包括来自这些种族和文化群体的青少年的未来营养和身体活动干预措施可以受益。
Background The population of the United States is becoming increasingly ethnically and racially diverse, much of it due to immigration patterns. However, little is known about dietary intake and weight-related concerns and behaviors of youth from some ethnic-minority groups, especially Hispanic, Hmong, and Somali adolescents.Objective Our aim was to describe dietary intake and weight-related concerns and behaviors among Hispanic, Hmong, and Somali adolescents and compare them with white adolescents.Design We performed a cross-sectional analysis of data from Eating and Activity in Teens 2010, a population-based study in the Minneapolis/St Paul metropolitan area.Participants/setting Current analysis includes 1,672 adolescents (Hispanic: n=562 [33.6%]; Hmong: n=477 [28.5%]; Somali: n=113 [6.8%]; white: n=520 [31.1%]; mean age=15.0 years). Adolescents completed classroom surveys and had their height/weight measured during the 2009-2010 academic year.Statistical analysis Multivariable regression models, adjusted for socioeconomic status, age, and school as a random effect were used to examine racial/ethnic differences for each outcome variable for boys and girls.Results There were numerous differences in the behaviors of Hispanic, Hmong, and Somali adolescents as compared with whites. Hispanic and Somali youth consumed fruit and fast food more frequently. Hmong adolescents consumed sugar-sweetened beverages less frequently, and Somali boys consumed energy and sport drinks more frequently than whites. Compared with white boys, overweight/obesity was higher among Hispanic and Hmong. A higher percentage of Hmong and Somali adolescents engaged in unhealthy weight control behaviors. Body satisfaction was lower for all Hmong adolescents compared with whites.Conclusions There were varying areas of concern in dietary intake, weight, and weight-related concerns and behaviors among adolescents in all ethnic groups. Future nutrition and physical activity interventions' that include adolescents from these ethnic and cultural groups can benefit from, for example, modifying intervention strategies to the specific priority behaviors within the target population.