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Updated: Jul 24, 2026

Assessment of Child Anthropometry in a Large Epidemiologic Study
Published on: February 2, 2017
Biobehavioral factors are associated with obesity in Puerto Rican children
M Tanasescu1, A M Ferris, D A Himmelgreen
1Department of Nutritional Sciences, University of Connecticut, Storrs, CT 06269, USA.
Insights
Fruit juice, TV time, and maternal BMI predict childhood obesity in Puerto Rican children. Lower dairy intake was protective. Obese children also had higher blood pressure and more infections.
Area of Science:
- Pediatric Nutrition
- Childhood Obesity Research
- Community Health Studies
Background:
- Childhood obesity is a growing public health concern with complex contributing factors.
- Understanding specific risk factors within diverse communities is crucial for targeted interventions.
- Puerto Rican children in urban settings may face unique environmental and lifestyle influences.
Purpose of the Study:
- To identify key predictors of obesity in Puerto Rican children residing in Hartford, CT.
- To examine the association between dietary habits, screen time, and obesity status.
- To explore potential health consequences linked to childhood obesity in this population.
Main Methods:
- A case-control study design involving 53 prepubertal children (7-10 years old).
- Classification of children into obese (BMI ≥ 85th percentile) and control groups.
- Multivariate logistic regression analysis to determine obesity predictors, including dietary intake and TV viewing.
Main Results:
- Increased fruit juice consumption (OR 4.02), daily TV hours (OR 1.86), and maternal BMI (OR 1.39) were significant predictors of obesity.
- Lower dairy product intake (OR 0.41) showed a protective association.
- TV viewing correlated with reduced physical activity in girls and increased snacking in boys. Obese children had higher blood pressure and experienced more ear infections and diarrhea.
Conclusions:
- Childhood obesity in this Puerto Rican community is multifactorial, influenced by diet, sedentary behavior, and parental factors.
- Specific dietary patterns, such as high fruit juice and low dairy intake, play a role.
- Sedentary behaviors like excessive TV viewing are linked to obesity and associated health issues, highlighting the need for comprehensive prevention strategies.
Abstract:
The purpose of this case-control study was to identify predictors of obesity among Puerto Rican children from Hartford, CT. The study included 53 prepubertal children, 31 girls and 22 boys, between 7 and 10 y of age. Children were classified as obese [n = 29, body mass index (BMI) >/= 85th percentile] or controls (n = 24, BMI < 85th percentile). Multivariate logistic regression analyses indicated that frequency of fruit juice consumption [odds ratio (OR), 95% confidence interval (CI); 4.02, 1.48-10.95], hours of daily TV viewing (1.86, 1.02-3.42), maternal BMI (1.39, 1.10-1.77) and lower dairy product intake (0.41, 0.19-0.93) were associated with obesity. Television viewing was correlated (P < 0.05) with lower physical activity in girls, and with higher snacking frequency and sweets consumption in boys. Obese children were more likely than controls to have higher systolic and diastolic blood pressures and to have experienced more ear infections and diarrhea during the previous year. Results provide evidence of the multifactorial nature of childhood obesity in this community.
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