Pediatric Obesity最新文献

The impact of community-based childhood obesity prevention interventions in Australia by socio-economic position: An individual participant data meta-analysis. 社会经济地位对澳大利亚社区儿童肥胖预防干预的影响：个体参与者数据荟萃分析

IF 2.7 3区医学

Pediatric Obesity Pub Date : 2025-06-19 DOI: 10.1111/ijpo.70031

Jane Jacobs, Kathryn Backholer, Steven Allender, Vicki Brown, Liliana Orellana, Rachel Novotny, Luke Wolfenden, Marj Moodie, Melanie Nichols

{"title":"The impact of community-based childhood obesity prevention interventions in Australia by socio-economic position: An individual participant data meta-analysis.","authors":"Jane Jacobs, Kathryn Backholer, Steven Allender, Vicki Brown, Liliana Orellana, Rachel Novotny, Luke Wolfenden, Marj Moodie, Melanie Nichols","doi":"10.1111/ijpo.70031","DOIUrl":"10.1111/ijpo.70031","url":null,"abstract":"Introduction: Community-based interventions (CBIs) to prevent childhood obesity show promise in reducing body mass index z-scores (zBMI). Assessing whether this approach produces equitable outcomes across socio-economic sub-groups is typically limited by inadequate sample size. This study aimed to assess the effectiveness of CBIs on zBMI and weight-related behaviours by socio-economic position (SEP).Methods: Individual participant data meta-analysis using seven Australian childhood obesity prevention CBIs conducted between 2003 and 2022. Trials used consistent intervention approaches, objectively measured height and weight, and self- or parent-reported behaviours, and lasted 2-4 years. Area-level SEP was estimated using Australian Index of Relative Socio-economic Advantage and Disadvantage tertiles based on home or school postcodes. Multi-level linear and logistic models estimated the intervention effect on zBMI and behaviours across SEP levels.Results: While zBMI scores increased across all groups, the increase was significantly greater in control compared to intervention students (difference: -0.036 [95%CI -0.065, -0.007]), among the 25 346 observations analysed. The effect of CBIs was greater in low compared to high SEP students (intervention effect difference = -0.10 [95%CI -0.18, -0.02]).Discussion: Obesity prevention CBIs may have greater impacts among children from low SEP areas, potentially contributing to reducing health inequities. Further research is needed to understand barriers to improving weight-related behaviours across socio-economic groups.","PeriodicalId":217,"journal":{"name":"Pediatric Obesity","volume":" ","pages":"e70031"},"PeriodicalIF":2.7,"publicationDate":"2025-06-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144332216","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Development and application of a cost tool for a primary care-based intensive health behaviour and lifestyle treatment. 开发和应用以初级保健为基础的健康行为和生活方式强化治疗的费用工具。

IF 2.7 3区医学

Pediatric Obesity Pub Date : 2025-06-18 DOI: 10.1111/ijpo.70028

Cara F Ruggiero, Dustin D French, Justin D Smith, Meghan E Perkins, Janice Liebhart, Jeanne Lindros, Jeremiah Salmon, Vincent Biggs, Allison J Wu, Davene R Wright, Elsie M Taveras, Lauren Fiechtner

{"title":"Development and application of a cost tool for a primary care-based intensive health behaviour and lifestyle treatment.","authors":"Cara F Ruggiero, Dustin D French, Justin D Smith, Meghan E Perkins, Janice Liebhart, Jeanne Lindros, Jeremiah Salmon, Vincent Biggs, Allison J Wu, Davene R Wright, Elsie M Taveras, Lauren Fiechtner","doi":"10.1111/ijpo.70028","DOIUrl":"https://doi.org/10.1111/ijpo.70028","url":null,"abstract":"Objective: This paper aims to describe the development and application of a cost tool to help predict return on investment and sustainability of the Healthy Weight Clinic Family Healthy Weight Program (FHWP) through insurance reimbursement.Methods: Case studies to apply the cost tool were conducted with 3 sites to assess the break-even point for clinic patient volume (i.e., financial neutral point: operational costs = revenue) during implementation. Financial neutral points were based on average reimbursement rates per health centre.Results: The annual fixed cost of the intervention ranged from $65 252 to $79 024. The average revenue ranged from $806-$1663 per patient through medical reimbursement, and the clinics needed to care for an average of 37-81 patients annually to break even.Conclusions: Use of an adaptable cost tool that captures reimbursement of clinical provider time and a minimum stream of clinical volume can equip decision-makers in planning financially to implement and sustain a clinically based FHWP.","PeriodicalId":217,"journal":{"name":"Pediatric Obesity","volume":" ","pages":"e70028"},"PeriodicalIF":2.7,"publicationDate":"2025-06-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144324028","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Leukocyte telomere length and birth characteristics associated with obesity in infancy in a predominantly Latinx cohort. 在一个以拉丁裔为主的队列中，白细胞端粒长度和出生特征与婴儿肥胖有关。

IF 2.7 3区医学

Pediatric Obesity Pub Date : 2025-06-17 DOI: 10.1111/ijpo.70034

Abigail Duque, Jue Lin, Laura Jeliffe-Pawlowski, Kim Coleman-Phox, Larry Rand, Janet M Wojcicki

{"title":"Leukocyte telomere length and birth characteristics associated with obesity in infancy in a predominantly Latinx cohort.","authors":"Abigail Duque, Jue Lin, Laura Jeliffe-Pawlowski, Kim Coleman-Phox, Larry Rand, Janet M Wojcicki","doi":"10.1111/ijpo.70034","DOIUrl":"https://doi.org/10.1111/ijpo.70034","url":null,"abstract":"Background: Previous studies suggest that in utero exposures may impact future weight gain trajectories in infancy. Leukocyte telomere length (LTL) collected at birth may be an additional variable to test in models for childhood obesity as adult studies suggest that LTL may be predictive of metabolic disease.Methods: Using a primarily Latinx mother-child longitudinal cohort design, we assessed the relationship between newborn LTL measured via quantitative PCR and obesity at 12 months (WFA ≥ 95th percentile). Secondary outcomes included weight-for-age (WFA) Z scores at 12 months and covariates included birth anthropometrics and maternal prenatal health. Logistic and linear regression models were used to assess independent predictors for infant obesity and WFA Z scores.Results: We followed 302 children until 12 months including 65.89% with Latinx ethnicity and 4.97% had obesity at 12 months. Independent predictors of obesity at 12 months included higher birthweight Z scores (OR 2.24, 1.16, 5.05) and WFA Z scores at 6 months (OR 1.56, 1.19, 2.05). Longer LTL at birth and higher Apgar scores at 5 min were protective (OR 0.04, 95%CI 0.002, 0.79 and OR 0.30, 95%CI 0.13-0.72, respectively). LTL at birth was negatively associated with WFA Z scores at 12 months of age in multivariable models (Coeff = -0.58, 95%CI -1.05, -0.12).Conclusions: LTL at birth may be a marker, in addition to birthweight, that can be used to assess an infant's risk for subsequent obesity. Future studies are needed to better assess and determine possible maternal exposures associated with shorter newborn LTL.","PeriodicalId":217,"journal":{"name":"Pediatric Obesity","volume":" ","pages":"e70034"},"PeriodicalIF":2.7,"publicationDate":"2025-06-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144309367","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Ultra-processed food intake and risk of obesity among schoolchildren aged 8-12 years living in Victoria, Australia. 澳大利亚维多利亚州8-12岁学龄儿童的超加工食品摄入量与肥胖风险

IF 2.7 3区医学

Pediatric Obesity Pub Date : 2025-06-17 DOI: 10.1111/ijpo.70030

Lachlan Clark, Kristy A Bolton, Kathellen E Lacy, Karen Lim, Priscila P Machado, Carley A Grimes

{"title":"Ultra-processed food intake and risk of obesity among schoolchildren aged 8-12 years living in Victoria, Australia.","authors":"Lachlan Clark, Kristy A Bolton, Kathellen E Lacy, Karen Lim, Priscila P Machado, Carley A Grimes","doi":"10.1111/ijpo.70030","DOIUrl":"https://doi.org/10.1111/ijpo.70030","url":null,"abstract":"Introduction: Ultra-processed foods (UPF) are frequently consumed by children, possibly contributing to childhood obesity. It is unknown if UPF consumption among Australian children differentiates by sociodemographic factors.Objectives: To describe schoolchildren's intake of UPF across sexes, age, geographic location and socioeconomic status (SES). To analyse associations between UPF intake and indicators of obesity.Methods: UPF consumption of children aged 8-12 years in Victoria (Australia) was examined using 24-h dietary-recall data classified by the NOVA system. UPF intake was compared across sociodemographic groups. Regression analysis explored the association between UPF intake and BMI z-score, overweight/obesity and abdominal obesity.Results: UPF comprised 47.2% of total energy intake (range 23.7%-72.2%), with no significant differences across sex, age group (8-9 vs. 10-12 years), geographic location or SES. Including all children, there were no associations between UPF intake and obesity indicators. In age-stratified models, among children aged 10-12 years, a 10% increment in the proportion of UPF in the diet (% g/day) was significantly associated with a 0.07 (95% CI 0.01, 0.12) higher body mass index (BMI) z-score and a 19% (odds ratio 1.19, 95% CI 1.07, 1.33) increase in the odds of central obesity. No associations between UPF intake and indicators of obesity were found in the younger 8- to 9-year-old group.Conclusions: UPF contributed greatly to the dietary intake of primary schoolchildren. Among older children, higher intake of UPF was associated with higher BMI z-score and central adiposity. Further longitudinal research in Australian pediatric samples to understand UPF impact upon adiposity outcomes across different stages of childhood is needed.","PeriodicalId":217,"journal":{"name":"Pediatric Obesity","volume":" ","pages":"e70030"},"PeriodicalIF":2.7,"publicationDate":"2025-06-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144315623","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Racial and ethnic disparities in obesity trends among US children and adolescents aged 2-19, 2011-2023. 2011-2023年美国2-19岁儿童和青少年肥胖趋势的种族和民族差异

IF 2.7 3区医学

Pediatric Obesity Pub Date : 2025-06-12 DOI: 10.1111/ijpo.70032

Kathy Hu, Renee A Underwood, Yun Shen

引用次数: 0

Preferences and willingness to pay for early childhood healthy lifestyle initiative outcomes: A discrete choice experiment. 偏好和意愿支付早期儿童健康生活方式倡议结果：一个离散选择实验。

IF 2.7 3区医学

Pediatric Obesity Pub Date : 2025-06-12 DOI: 10.1111/ijpo.70033

Vicki Brown, Brittany J Johnson, Thomas Lung, Alison Hayes, Karen Matvienko-Sikar, Konsita Kuswara, Elisabeth Huynh

{"title":"Preferences and willingness to pay for early childhood healthy lifestyle initiative outcomes: A discrete choice experiment.","authors":"Vicki Brown, Brittany J Johnson, Thomas Lung, Alison Hayes, Karen Matvienko-Sikar, Konsita Kuswara, Elisabeth Huynh","doi":"10.1111/ijpo.70033","DOIUrl":"https://doi.org/10.1111/ijpo.70033","url":null,"abstract":"Background: Understanding stakeholder preferences and values for early childhood initiatives to support healthy diets, physical activity and reduce sedentary behaviour is key for effective intervention design and resource allocation. This study aims to estimate the preferences for and value of outcomes from the perspectives of parents/caregivers of Australian children aged from birth to 5 years.Methods: Discrete choice experiment, 466 parent/caregivers recruited from online platform. Participants selected between two healthy lifestyle initiatives or a \"neither\" option. Initiatives were described by attributes including cost, participation and outcomes. Mixed multinomial logistic models were used to determine preferences and willingness-to-pay per annum framed as an increase in income taxes.Results: Effect on diet was the most important influence on parent/caregiver choice to participate (p < 0.01), followed by effect on physical activity (p < 0.01), wellbeing (p < 0.01) and healthy growth (p < 0.01). Parents/caregivers were less sensitive to cost for initiatives aimed at specific children (e.g., targeted initiatives for a priority population). Willingness-to-pay estimates ranged from AUD$176 for improved wellbeing to $219 for healthier diets.Conclusions: Results suggest that leveraging the potential for healthier diets, followed by healthier physical activity behaviours, as a key benefit of participation may be particularly attractive to parents/caregivers. In addition, some level of equity preference could be acceptable to parents/caregivers in the allocation of scarce resources.","PeriodicalId":217,"journal":{"name":"Pediatric Obesity","volume":" ","pages":"e70033"},"PeriodicalIF":2.7,"publicationDate":"2025-06-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144281832","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Does food reward predict changes in weight and body composition during multidisciplinary interventions in adolescents with obesity? Bayesian and frequentist meta-analyses. 在多学科干预中，食物奖励是否能预测肥胖青少年体重和身体成分的变化？贝叶斯和频率元分析。

IF 2.7 3区医学

Pediatric Obesity Pub Date : 2025-06-10 DOI: 10.1111/ijpo.70029

Halim Moore, Julie Siroux, Maud Miguet, Alicia Fillon, Julie Masurier, Graham Finlayson, Bruno Pereira, David Thivel

{"title":"Does food reward predict changes in weight and body composition during multidisciplinary interventions in adolescents with obesity? Bayesian and frequentist meta-analyses.","authors":"Halim Moore, Julie Siroux, Maud Miguet, Alicia Fillon, Julie Masurier, Graham Finlayson, Bruno Pereira, David Thivel","doi":"10.1111/ijpo.70029","DOIUrl":"https://doi.org/10.1111/ijpo.70029","url":null,"abstract":"Background: A predisposition to elevated food reward may hinder weight loss success during multidisciplinary interventions. However, this has not been consistently demonstrated in adults, nor at all in children.Objective: To test the associations between explicit and implicit food reward and preference at baseline and prospective changes in weight and body composition in adolescents with obesity.Methods: A meta-analysis of 6 clinical trials in adolescents with obesity was undertaken using frequentist and Bayesian linear mixed models. Participants from each study took part in similar 12-week multidisciplinary interventions. Liking and wanting for foods varying in fat content and sweet taste were assessed at enrolment, and both anthropometrics were tracked from enrolment to post-intervention.Results: In a grand sample of N = 132 adolescents with obesity, liking and wanting for high-fat foods did not significantly predict changes in weight or fat mass. However, implicit wanting for sweet foods predicted changes in standardised body and lean mass, such that a greater wanting for sweet foods was associated with greater loss of body (p = 0.039, η2p = 0.05) and lean mass (p < 0.001, η2p = 0.13) in both frequentist and Bayesian analyses.Conclusions: Baseline implicit wanting for sweet (high carbohydrate, low protein), but not energy-dense, foods may be more strongly related to prospective changes in lean mass than fat mass during weight loss in adolescents with obesity. Further research is needed to clarify whether low protein intake can account for this effect.","PeriodicalId":217,"journal":{"name":"Pediatric Obesity","volume":" ","pages":"e70029"},"PeriodicalIF":2.7,"publicationDate":"2025-06-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144257000","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Clinical burden of hyperphagia, obesity and health outcomes in paediatric individuals with Bardet-Biedl syndrome: A CRIBBS data analysis. 儿童Bardet-Biedl综合征患者的临床食多、肥胖负担和健康结局：CRIBBS数据分析

IF 2.7 3区医学

Pediatric Obesity Pub Date : 2025-06-02 DOI: 10.1111/ijpo.70026

Jeremy Pomeroy, Uzoma Okorie, Jesse G Richardson, Ariane Faucher, Raluca Ionescu-Ittu, Francis Vekeman, Caroline Huber, Robert M Haws

{"title":"Clinical burden of hyperphagia, obesity and health outcomes in paediatric individuals with Bardet-Biedl syndrome: A CRIBBS data analysis.","authors":"Jeremy Pomeroy, Uzoma Okorie, Jesse G Richardson, Ariane Faucher, Raluca Ionescu-Ittu, Francis Vekeman, Caroline Huber, Robert M Haws","doi":"10.1111/ijpo.70026","DOIUrl":"https://doi.org/10.1111/ijpo.70026","url":null,"abstract":"Background: To date, research on the natural history of hyperphagia, weight gain and health outcomes in individuals with Bardet-Biedl syndrome (BBS) has been limited. Understanding these characteristics is important for disease burden management.Objectives: The international Clinical Registry Investigating BBS (CRIBBS) is a registry of individuals with BBS to investigate the severity of hyperphagia, the natural history of weight gain and the frequency of obesity-associated health outcomes in paediatric individuals with BBS.Methods: Paediatric participants (<18 years of age) enrolled in CRIBBS were evaluated to assess weight and weight loss interventions, hyperphagia and the frequency of cardiac, endocrine/diabetic and renal health outcomes.Results: Of 331 children, 81.0% had obesity at baseline and 22.7% reported use of weight loss diet or medication at baseline or later. Among participants with ≥2 weight measurements ≥2 years apart (n = 186), 17.2% had a higher weight classification from the first to the last assessment. Increasing hyperphagia severity was associated with increasing obesity. The prevalence of cardiac, diabetic, endocrine and renal health outcomes increased with obesity class.Conclusion: Hyperphagia and obesity are highly prevalent in children with BBS. Many children with BBS also experience adverse health outcomes. Timely diagnosis and targeted treatment of hyperphagia and obesity are needed.","PeriodicalId":217,"journal":{"name":"Pediatric Obesity","volume":" ","pages":"e70026"},"PeriodicalIF":2.7,"publicationDate":"2025-06-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144207221","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

A school-based intervention for obesity prevention and management: Effectiveness and determinants of its success. The Feel4Diabetes study. 以学校为基础的肥胖预防和管理干预：有效性及其成功的决定因素。感受糖尿病研究。

IF 2.7 3区医学

Pediatric Obesity Pub Date : 2025-05-26 DOI: 10.1111/ijpo.70025

Matzourana Argyropoulou, Costas A Anastasiou, Maria Papamichael, Greet Cardon, Stavros Liatis, Jaana Lindstrom, Luis A Moreno, Violeta Iotova, Yuliya Bazdarska, Tsvetalina Tankova, Imre Rurik, Peter Toprzsa, Katja Wikström, Konstantinos Makrilakis, Yannis Manios

{"title":"A school-based intervention for obesity prevention and management: Effectiveness and determinants of its success. The Feel4Diabetes study.","authors":"Matzourana Argyropoulou, Costas A Anastasiou, Maria Papamichael, Greet Cardon, Stavros Liatis, Jaana Lindstrom, Luis A Moreno, Violeta Iotova, Yuliya Bazdarska, Tsvetalina Tankova, Imre Rurik, Peter Toprzsa, Katja Wikström, Konstantinos Makrilakis, Yannis Manios","doi":"10.1111/ijpo.70025","DOIUrl":"https://doi.org/10.1111/ijpo.70025","url":null,"abstract":"Background: Curbing the rise in overweight and obesity in childhood is of top priority in the public health agenda.Objective: To examine the effectiveness of a 2-year school-based intervention on children's body mass index (BMI) z-score, considering children's baseline weight status, as well as to identify socio-demographic factors that could predict a positive weight outcome.Methods: Data were collected from 9255 children 5-12 years, from six European countries, participating in the Feel4Diabetes study. The intervention group received a lifestyle intervention, aiming to promote a healthy and active lifestyle. Children's anthropometrics were measured at baseline and 2-year follow-up.Results: Children with overweight, but not with obesity, at baseline randomized in the intervention group had a higher reduction in BMI z-scores compared to the control group. In logistic regression models, older age, female sex, overweight or obesity increased the likelihood of any decrease in BMI z-score in the intervention group. Mother's obesity and a lower family income were associated with a decreased probability of a positive weight outcome from the intervention.Conclusions: The Feel4Diabetes school-based intervention demonstrated that it could effectively improve the BMI z-score among children with overweight, but not with obesity. Family's characteristics (mother's weight and family income) may affect the effectiveness of such interventions and should be considered in relevant public health efforts.","PeriodicalId":217,"journal":{"name":"Pediatric Obesity","volume":" ","pages":"e70025"},"PeriodicalIF":2.7,"publicationDate":"2025-05-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144148807","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Differences across four major US urban areas in metabolic syndrome in the Hispanic Community Children's Health Study/Study of Latino Youth (SOL Youth). 西班牙裔社区儿童健康研究/拉丁裔青年研究（SOL Youth）中代谢综合征在美国四个主要城市地区的差异

IF 2.7 3区医学

Pediatric Obesity Pub Date : 2025-05-19 DOI: 10.1111/ijpo.70027

Lauren Iacono, Paola Filigrana, Monica Batalha, Krista M Perreira, Linda C Gallo, Bharat Thyagarajan, Martha L Daviglus, Amber Pirzada, Alan M Delamater, Frank J Penedo, Kelly R Evenson, Carmen R Isasi

{"title":"Differences across four major US urban areas in metabolic syndrome in the Hispanic Community Children's Health Study/Study of Latino Youth (SOL Youth).","authors":"Lauren Iacono, Paola Filigrana, Monica Batalha, Krista M Perreira, Linda C Gallo, Bharat Thyagarajan, Martha L Daviglus, Amber Pirzada, Alan M Delamater, Frank J Penedo, Kelly R Evenson, Carmen R Isasi","doi":"10.1111/ijpo.70027","DOIUrl":"https://doi.org/10.1111/ijpo.70027","url":null,"abstract":"Background: Although Hispanic/Latino youth experience a high burden of cardiometabolic risk factors, few studies address regional differences.Objective: We assessed differences between urban areas in metabolic syndrome and cardiometabolic markers among US Hispanic/Latino youth and examined underlying factors explaining these differences.Methods: Cross-sectional study of youth (n = 1466, aged 8-16 years) in four US urban areas (Chicago, Bronx, Miami and San Diego) of the Hispanic Community Children's Health Study/Study of Latinos. Metabolic syndrome was ascertained following the International Diabetes Federation criteria. Socio-demographics, perceived environmental characteristics and diet quality were collected through questionnaires. Physical activity was measured using accelerometry. Survey regression models assessed the association between urban areas and metabolic syndrome.Results: There were differences across urban areas in socio-demographic, behavioural and perceived environmental characteristics. Relative to youth in the four urban areas, youth in Chicago (odds ratios [OR]: 2.39, 95% confidence interval [CI]: 1.29, 4.42), but not Bronx and San Diego, had higher odds of metabolic syndrome, while youth in Miami had lower odds of this syndrome (OR: 0.32, 95% CI: 0.12, 0.85).Conclusion: We found differences across US urban areas in metabolic syndrome in Hispanic/Latino youth. Although behavioural and environmental characteristics partially explained these differences, future research is needed to understand persistent differences.","PeriodicalId":217,"journal":{"name":"Pediatric Obesity","volume":" ","pages":"e70027"},"PeriodicalIF":2.7,"publicationDate":"2025-05-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144091997","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0