Boston College, Chestnut Hill, MA, USA.
J Racial Ethn Health Disparities. 2022 Aug;9(4):1308-1314. doi: 10.1007/s40615-021-01071-y. Epub 2021 Jun 2.
Childhood overweight and obesity are a primary social and public health concern. Over the past 30 years, rates of childhood overweight and obesity in the United States of America (USA) have drastically increased, particularly among Black and Latino/a populations. However, they tend to be underrepresented in the childhood obesity literature. This study expands previous literature by identifying different BMI growth trajectories for Black, Latino/a, and White children from birth to age nine. This study found a high prevalence rate of overweight and obesity in a predominantly low-income minority group. Using growth-based trajectory modeling, this study also found different growth trajectories by racial/ethnic groups, with Latino/a children having the most concerning growth trajectories from birth to 9 years. These findings demonstrate that ethnic/racial disparities in childhood overweight and obesity start as early as birth, indicating the need to devote more attention from researchers and health policy-makers to address these disparities as early as possible.
儿童超重和肥胖是一个主要的社会和公共卫生问题。在过去的 30 年中,美国儿童超重和肥胖的比例急剧上升,尤其是在黑人和拉丁裔/西班牙裔人群中。然而,他们在儿童肥胖文献中的代表性不足。本研究通过确定从出生到 9 岁的黑种人、拉丁裔/西班牙裔和白种儿童的不同 BMI 生长轨迹,扩展了之前的文献。本研究发现,在一个以少数民族为主的低收入群体中,超重和肥胖的流行率很高。使用基于生长的轨迹建模,本研究还发现了不同种族/民族群体的不同生长轨迹,拉丁裔/西班牙裔儿童从出生到 9 岁的生长轨迹最令人担忧。这些发现表明,儿童超重和肥胖的种族/民族差异早在出生时就已经存在,这表明研究人员和卫生政策制定者需要尽早关注这些差异。