Ann & Robert H. Lurie Children's Hospital of Chicago, Chicago, IL 60611, USA.
Division of Community Health Sciences, University of Illinois Chicago School of Public Health, Chicago, IL 60607, USA.
Int J Environ Res Public Health. 2020 Aug 26;17(17):6187. doi: 10.3390/ijerph17176187.
The primary purpose of this study was to describe obesity, body composition, convenience food consumption, physical activity, and muscle strength among Asian American youth compared to other racial/ethnic groups. The secondary purpose was to examine whether obesity, body composition, convenience food consumption, physical activity, and muscle strength differed by acculturation levels among Asian American youth. A secondary analysis was conducted using data from 12,763 children aged 2 to 17 years that participated in the 2011-2018 US National Health and Nutrition Examination Survey (NHANES). In the NHANES interview, acculturation, dietary behavior, and physical activity questionnaires were administered. The acculturation level was indicated by the language spoken at home. In the NHANES examination, anthropometry, dual-energy X-ray absorptiometry (DXA), and muscle strength assessments were conducted. Compared to non-Hispanic White American boys, Asian American boys had similar levels of obesity, central obesity, and fat mass. Among the five racial/ethnic groups examined, lean body mass, muscle mass, convenience food consumption, and daily physical activity were the lowest in the Asian group. More acculturated Asian American boys, but not girls, were more likely to be obese (OR = 3.28 (1.63, 6.60)). More acculturated Asian American youth more frequently consumed convenience food (1.4 more meals/month (1.2, 1.6)). This study highlights the obesity problem among Asian American boys, which worsens with acculturation to America. The study results also suggest that although Asian American youth consume less convenience food overall than non-Hispanic White American youth, increasing acculturation may negatively influence food choices.
本研究的主要目的是描述与其他种族/族裔群体相比，美籍亚裔青少年的肥胖、身体成分、方便食品消费、身体活动和肌肉力量情况。次要目的是检验美籍亚裔青少年的肥胖、身体成分、方便食品消费、身体活动和肌肉力量是否因文化适应程度的不同而存在差异。使用 2011-2018 年美国国家健康和营养检查调查（NHANES）中 12763 名 2 至 17 岁儿童的数据进行了二次分析。在 NHANES 访谈中，进行了文化适应、饮食行为和身体活动问卷的调查。文化适应程度通过在家中所说的语言来表示。在 NHANES 检查中，进行了人体测量学、双能 X 射线吸收法（DXA）和肌肉力量评估。与非西班牙裔白种美国男孩相比，美籍亚裔男孩的肥胖、中心性肥胖和体脂肪量相似。在所检查的五个种族/族裔群体中，瘦体重、肌肉量、方便食品消费和每日身体活动量最低的是亚裔群体。更多融入美国文化的美籍亚裔男孩，但不是女孩，更有可能肥胖（OR=3.28（1.63，6.60））。更多融入美国文化的美籍亚裔青少年更频繁地食用方便食品（每月多吃 1.4 餐（1.2，1.6））。本研究强调了美籍亚裔男孩的肥胖问题，这种问题随着对美国文化的适应而恶化。研究结果还表明，尽管总体而言，美籍亚裔青少年比非西班牙裔白种美国青少年食用的方便食品较少，但更多地融入美国文化可能会对食物选择产生负面影响。
