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Assessment of Child Anthropometry in a Large Epidemiologic Study
Published on: February 2, 2017
Childhood obesity risk factors by race and ethnicity
María Pineros-Leano1,2, Natalie Grafft1,2, Liliana Aguayo2,3
1School of Social Work, Boston College, Chestnut Hill, Massachusetts, USA.
Insights
Childhood obesity risk factors differ by race. Fast-food consumption impacts White children, while prepregnancy BMI affects Black and Latino children
Area of Science:
- Public Health
- Pediatrics
- Epidemiology
Background:
- Childhood obesity is a growing public health issue with long-term implications.
- Existing research on risk factors for childhood obesity has not fully addressed long-term contributions to racial/ethnic disparities.
- Understanding these disparities is crucial for effective intervention.
Purpose of the Study:
- To examine child- and maternal-level factors associated with childhood obesity growth trajectories.
- To investigate how these factors differ among White, Black, and Latino children from birth to 9 years of age.
Main Methods:
- Utilized group-based trajectory models to identify Body Mass Index (BMI) z score trajectories from birth to 9 years.
- Employed adjusted logistic regression analysis, stratified by race/ethnicity, to assess associations between risk factors and obesity trajectories.
Main Results:
- For White children, fast-food consumption was linked to a higher likelihood of an obesity-risk trajectory (OR=1.66).
- For Black children, prepregnancy BMI was associated with an obesity-risk trajectory (OR=1.05).
- For Latino children, prepregnancy BMI also predicted an obesity-risk trajectory (OR=1.12).
Conclusions:
- Significant racial/ethnic differences exist in the risk factors influencing childhood obesity.
- Further research is needed to identify specific, modifiable risk factors for targeted obesity prevention interventions.
Objective:
Childhood obesity is a public health concern that often worsens with age. Although several risk factors at the child and maternal levels have been identified in cross-sectional studies, less is known about their long-term contribution to racial/ethnic disparities in childhood obesity. This study examines child- and maternal-level factors associated with the growth trajectories of White, Black, and Latino children.
Methods:
Group-based trajectory models were used to identify BMI z score trajectories from birth to 9 years of age among White, Black, and Latino children. The associations of child- and maternal-level factors with the trajectory group identified as at risk for obesity were examined using adjusted logistic regression analysis, stratified by race/ethnicity.
Results:
Among White children, fast-food consumption (odds ratio [OR] = 1.66; 95% CI: 1.09-2.52) was associated with higher odds of following an at-risk trajectory. Among Black and Latino children, prepregnancy BMI was associated with following an at-risk trajectory (OR = 1.05; 95% CI: 1.03-1.08 for Black children, and OR = 1.12; 95% CI: 1.07-1.17 for Latino children).
Conclusions:
These findings showed racial/ethnic differences in the risk factors that influence the likelihood of obesity during childhood. Further research is needed to identify modifiable racial/ethnic specific risk factors to guide obesity-prevention interventions.
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