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Race, Ethnicity, and Geography as Determinants of Excessive Weight and Low Physical Activity in Pediatric Population:
Yauhen Statsenko1,2, Darya Smetanina1,2, Gillian Lylian Simiyu1,2
1Imaging Platform, ASPIRE Precision Medicine Institute in Abu Dhabi, United Arab Emirates University, Al Ain P.O. Box 15551, United Arab Emirates.
Insights
This study addresses the lack of data on childhood obesity and sedentary behavior across diverse racial, ethnic, and geographic groups. Findings will inform public health strategies for effective weight management in children.
Area of Science:
- Pediatric Health
- Epidemiology
- Public Health
Background:
- Obesity and sedentary lifestyles pose significant risks to children's health.
- Limited data exists on how race, ethnicity, and geography influence these risks in pediatric populations.
- This gap hinders the development of effective, targeted weight management strategies.
Purpose of the Study:
- To investigate race, ethnicity, and geography as determinants of excessive weight and low physical activity in children.
- To systematically review and analyze existing literature on pediatric physical activity, sedentary time, and Body Mass Index (BMI).
Main Methods:
- Systematic literature review of studies on physical activity (light, moderate, vigorous), sedentary time, and BMI dynamics in children.
- Data stratified by six major geographic regions and six racial/ethnic groups.
- Random-effects meta-analysis, ridge regression for BMI changes, Kruskal-Wallis H test for activity/inactivity duration, and correlation analysis between BMI and physical activity/inactivity.
Main Results:
- Pooled mean calculations for physical activity, sedentary time, and BMI across diverse subgroups.
- Analysis of age-related BMI changes and comparisons of physical activity and sedentary time durations.
- Identification of correlations between BMI and physical activity/inactivity levels within specific demographic groups.
Conclusions:
- The study provides crucial data on the epidemiology of childhood obesity and sedentary behavior.
- Findings will aid public health surveillance, priority setting, and policy development for pediatric weight management.
- Understanding these determinants is essential for creating effective, evidence-based public health interventions.
Abstract:
The rationale for the current study is the sparsity of data on the combined effect of the environmental and individual risks of obesity and sedentary lifestyle in children of different races/ethnicities from different regions. An effective weight management strategy is hard to design due to insufficient evidence. This work was initiated to study race, ethnicity, and geography as determinants of excessive weight and low physical activity in the pediatric population. To achieve this aim, we systematically review publications on daily length of physical activity of light, moderate, and vigorous intensity, as well as sedentary time and BMI and its dynamics in children of different races/ethnicities and geographies. The extracted data are stratified into six major geographic regions and six races/ethnicities. Then, a random-effects meta-analysis is used to calculate the pooled mean of each outcome measure. A ridge regression is constructed to explore age-related change in BMI. A Kruskal-Wallis H test is applied to compare the pooled duration of physical activity and sedentary time in the subgroups. Finally, we calculate paired correlation coefficients between BMI and physical activity/inactivity for each group. The findings can be further used in public health surveillance to clarify the epidemiology of obesity, to guide priority setting and planning, and to develop and evaluate public health policy and strategy.
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