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Updated: Apr 15, 2026

Assessment of Child Anthropometry in a Large Epidemiologic Study
Published on: February 2, 2017
Racial Differences in Obesity-Related Risk Factors Between 2-Year-Old Children Born of Overweight Mothers
Bernard F Fuemmeler1, Marissa Stroo2, Chien-Ti Lee3
1Department of Community and Family Medicine, Duke University Medical Center, bernard.fuemmeler@duke.edu.
Insights
Black children face more early-childhood obesity risk factors than White children, including diet and screen time, even after accounting for maternal weight and socioeconomic status.
Area of Science:
- Pediatrics
- Public Health
- Sociology
Background:
- Childhood obesity is a growing public health concern.
- Socio-behavioral factors significantly influence obesity risk in early childhood.
- Racial disparities in childhood obesity prevalence are well-documented.
Purpose of the Study:
- To investigate racial differences in obesity-related socio-behavioral risk factors among young children.
- To compare risk factors between Black and White children born to obese mothers.
Main Methods:
- Surveyed 142 Black and 151 White 2-year-olds and their parents.
- Assessed physical activity and food environments, parental role modeling, eating behaviors, feeding practices, child physical activity, and dietary intake.
- Calculated body mass index (BMI) z-scores for children and BMI for parents.
Main Results:
- Black families reported more obesity risk factors than White families in bivariate analyses.
- Significant differences included greater soda availability, more television viewing, and poorer dietary intake in Black families.
- Multivariate analyses confirmed significant differences in television watching and dietary intake between racial groups, even after adjusting for maternal BMI and socioeconomic factors.
Conclusions:
- Black children and their families exhibit a higher number of obesity risk factors compared to White children.
- These disparities persist after controlling for maternal body mass index and socioeconomic status.
- Findings highlight the need for targeted interventions addressing socio-behavioral factors in at-risk populations.
Objective:
Investigate racial differences in a range of obesity-related socio-behavioral risk factors in children born of obese mothers.
Methods:
142 Black and 151 White 2-year-old children and their parents were surveyed on their physical activity environment, food environment, parental role modeling, eating behaviors, feeding practices, child physical activity, dietary intake, and eating behaviors; body mass index (BMI) for parents and children (BMI z-score) were calculated.
Results:
In bivariate analyses, Black families reported significantly more risk factors for early-childhood obesity than White families, including greater availability of soda, more television viewing, and poorer dietary intake. In multivariate analyses adjusting for maternal and socioeconomic factors, the differences between Black and White families on factors including television watching and dietary intake remained significant.
Conclusion:
These data show a greater number of risk factors for obesity among Black children and their families compared with White children even after adjustment for maternal BMI and socioeconomic status.
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