Department of Health Policy and Management, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina, USA.
Duke Center for Childhood Obesity Research, Durham, North Carolina, USA.
Obesity (Silver Spring). 2023 Aug;31(8):2103-2109. doi: 10.1002/oby.23791. Epub 2023 Jul 2.
The goal of this study was to assess the association of Latino caregiver-child nativity status (US- and foreign-born) with child obesity using a nationally representative sample.
Using data from the National Health and Nutrition Examination Survey (NHANES 1999-2018), this study used generalized linear models to identify associations between caregiver-child nativity status (as a proxy for acculturation) and children's BMI.
Compared with foreign-born caregiver-child dyads, US-born caregiver-child dyads had 2.35 times the risk of class 2 obesity (95% CI: 1.59-3.47) and 3.60 times the risk of class 3 obesity (95% CI: 1.86-6.96). Foreign-born caregiver and US-born child dyads had 2.01 times the risk of class 2 obesity (95% CI: 1.42-2.84) and 2.47 times the risk of class 3 obesity (95% CI: 1.38-4.44; p < 0.05 for class 2 and class 3).
Compared with foreign-born Latino caregiver-child dyads, dyads with US-born caregivers and children and dyads with foreign-born caregivers and US-born children had significantly increased risk across the severe classes of obesity. Examining the influence and relationship of varying acculturation levels in an immigrant household will help guide more effective clinical and policy guidelines surrounding obesity and weight management in both pediatric and adult US Latino populations.
本研究旨在使用具有全国代表性的样本评估拉丁裔照顾者-儿童的出生地身份（美国出生和外国出生）与儿童肥胖之间的关联。
本研究使用来自国家健康和营养检查调查（NHANES，1999-2018 年）的数据，使用广义线性模型来确定照顾者-儿童出生地身份（作为文化适应的代理）与儿童 BMI 之间的关联。
与外国出生的照顾者-儿童对相比，美国出生的照顾者-儿童对肥胖 2 级的风险高 2.35 倍（95%CI：1.59-3.47），肥胖 3 级的风险高 3.60 倍（95%CI：1.86-6.96）。外国出生的照顾者和美国出生的儿童对肥胖 2 级的风险高 2.01 倍（95%CI：1.42-2.84），肥胖 3 级的风险高 2.47 倍（95%CI：1.38-4.44；肥胖 2 级和肥胖 3 级的 p 值均<0.05）。
与外国出生的拉丁裔照顾者-儿童对相比，美国出生的照顾者和儿童对以及外国出生的照顾者和美国出生的儿童对的严重肥胖类别风险显著增加。检查不同文化适应水平在移民家庭中的影响和关系，将有助于指导针对美国拉丁裔儿童和成人肥胖症和体重管理的更有效的临床和政策指南。
