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Familial and individual predictors of obesity and insulin resistance in urban Hispanic children.

ABSTRACT: High intake of sugar-sweetened beverages (SSB) has been suggested to contribute to the pediatric obesity epidemic, however, how the home food environment influence children's intake of SSB among Hispanic families is still poorly understood.To evaluate the relationships between the home food environment and Hispanic children's diet in relation to weight status and insulin resistance (IR).A food frequency questionnaire was administered to 187 Hispanic children (ages 10 to 14 years) and anthropometrics were measured. IR was estimated from fasting insulin and glucose levels using the homeostasis model assessment of insulin resistance (HOMAIR ). Parents reported on family demographics and the home food environment. A structural equation modelling approach was applied to examine the hypothesized relationships among variables.The prevalence of childhood overweight and obesity was 52.8% and it was positively associated with HOMAIR (??=?0.687, P??0.01 and

SUBMITTER: Santiago-Torres M

PROVIDER: S-EPMC4558387 | biostudies-literature | 2016 Feb

REPOSITORIES: biostudies-literature

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Familial and individual predictors of obesity and insulin resistance in urban Hispanic children.

Santiago-Torres M M Cui Y Y Adams A K AK Allen D B DB Carrel A L AL Guo J Y JY Delgado-Rendon A A LaRowe T L TL Schoeller D A DA

Pediatric obesity 20150302 1

<h4>Background</h4>High intake of sugar-sweetened beverages (SSB) has been suggested to contribute to the pediatric obesity epidemic, however, how the home food environment influence children's intake of SSB among Hispanic families is still poorly understood.<h4>Objectives</h4>To evaluate the relationships between the home food environment and Hispanic children's diet in relation to weight status and insulin resistance (IR).<h4>Methods</h4>A food frequency questionnaire was administered to 187 H ...[more]

PMID: 25728238

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Project description:IntroductionThe objective of this study was to identify predictors of severe obesity in a low-income, predominantly Hispanic/Latino sample of children in Texas.MethodsThis cross-sectional analysis examined baseline data on 517 children from the secondary prevention component of the Texas Childhood Obesity Research Demonstration (TX CORD) study; data were collected from September 2012 through February 2014. Self-administered surveys were used to collect data from parents of children who were aged 2 to 12 years, had a body mass index (BMI) in the 85th percentile or higher, and resided in Austin, Texas, or Houston, Texas. Multivariable logistic regression models adjusted for sociodemographic covariates were used to examine associations of children's early-life and maternal factors (large-for-gestational-age, exclusive breastfeeding for ≥4 months, maternal severe obesity [BMI ≥35.0 kg/m2]) and children's behavioral factors (fruit and vegetable consumption, physical activity, screen time) with severe obesity (BMI ≥120% of 95th percentile), by age group (2-5 y, 6-8 y, and 9-12 y).ResultsAcross all ages, 184 (35.6%) children had severe obesity. Among children aged 9 to 12 years, large-for-gestational-age at birth (odds ratio [OR] = 2.31; 95% confidence interval [CI], 1.13-4.73) was significantly associated with severe obesity. Maternal severe obesity was significantly associated with severe obesity among children aged 2 to 5 years (OR = 2.67; 95% CI, 1.10-6.47) and 9 to 12 years (OR = 4.12; 95% CI, 1.84-9.23). No significant association was observed between behavioral factors and severe obesity in any age group.ConclusionIn this low-income, predominantly Hispanic/Latino sample of children, large-for-gestational-age and maternal severe obesity were risk factors for severe obesity among children in certain age groups. Promoting healthy lifestyle practices during preconception and prenatal periods could be an important intervention strategy for addressing childhood obesity.

Dataset Information

Familial and individual predictors of obesity and insulin resistance in urban Hispanic children.

Publications

Familial and individual predictors of obesity and insulin resistance in urban Hispanic children.

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