Ethnic differences in the prevalence of overweight among young children in Hawaii

Baruffi, Gigliola; Hardy, Charles J.; Waslien, Carol I.; Uyehara, Sue; Krupitsky, Dmitry

doi:10.1016/j.jada.2004.08.027

Cited by 40 publications

(24 citation statements)

References 29 publications

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“…18 However, in that study, Native Hawaiian ethnicity was not associated with increased risk, and Asian ethnicity was protective (OR = 0.42), whereas in our study Native Hawaiian children also had increased risk, but Asians were similar to whites in risk. Possibly, these disparities in risk have increased with age, as children moved from preschool to early elementary school, and also over time.…”

Section: Discussioncontrasting

confidence: 88%

“…National data are not provided on obesity of Native Hawaiians, other Pacific Islanders, or Asians, nor has the state of Hawaii been selected for measurement in the National Health and Nutrition Examination Surveys (NHANES). 17 A previous study showed that the average BMI and the risk for overweight and obesity in Hawaii varied by ethnic group in the preschool-age population, using data from the Supplemental Feeding Program for Women, Infants and Children (WIC) 18 ; the prevalence of obesity among preschoolers was 9% and varied from 2% in Asian children to 17% in Samoan children. A study of children in Hawaii based on parent telephone report of weight, height, health, and socioeconomic factors showed a 31.8% prevalence of overweight and obesity among 10 to 13 year olds.…”

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confidence: 99%

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Prevalence of Childhood Obesity among Young Multiethnic Children from a Health Maintenance Organization in Hawaii

2013

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Background: Pacific Islander, Asian, and mixed-ethnicity children are not described in national nutrition and health surveys. Methods: Data on BMI values of 4608 5-to 8-year-old children available from Kaiser Permanente Hawaii electronic medical records in 2010 were analyzed for prevalence of overweight and obesity and for ethnic differences in BMI and risk for overweight and obesity, controlling for age, sex, neighborhood education level, and on a subset (n = 2169) that further controlled for maternal education and maternal age. Kaiser Permanente data allow for reporting of multiple ethnicities.Results: Data revealed that 33% of this child population was of mixed ethnic ancestry. Prevalence of overweight and obesity was 32.6% (12.9% overweight and 19.7% obese). However, Samoan children and children of Native Hawaiian, Filipino, and mixed ethnic ancestries had higher levels of overweight and obesity than whites or Asians. Higher neighborhood education level, higher maternal education level, and older maternal age were associated with decreased risk of overweight and obesity, except for children whose mothers were between 21 and 30 years old, who had a higher risk for obesity than those whose mothers were under 20 years of age (odds ratio = 1.34).Conclusions: Populations of mixed ethnicities in the Pacific region deserve further study related to healthy body size and acculturation to environment and lifestyle.

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confidence: 88%

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confidence: 99%

Prevalence of Childhood Obesity among Young Multiethnic Children from a Health Maintenance Organization in Hawaii

2013

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“…Among preschool U.S. boys, the prevalence was 37.0% in American Indians (highest), 15.8% in Asians (lowest), and 17.4% in whites (21). A study of 21,911 preschool children enrolled in the Hawaiian WIC program (low income participants in federal nutrition programs) in 1997-98 found large ethnic differences in obesity rates (22). Among the 8 ethnic groups (white, black, Asian, Filipino, Hawaiian, Hispanic, Samoan, and other), Samoan children had the highest prevalence (17.5% in 1-y olds and 27.0% in 2-to 4-y olds), whereas Asian 1-y olds (2.3%) and black 2-to 4-y olds (7.3%) had the lowest rates.…”

Section: Current Status Of Knowledgementioning

confidence: 99%

Disparities in Pediatric Obesity in the United States

Wang

2011

Advances in Nutrition

113

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This paper describes the disparities in the U.S. childhood obesity epidemic, mainly based on recent nationally representative data. The prevalence of overweight and obesity has increased since the late 1970s; the over time shifts (changes) in distributions of various body fatness measures indicate that U.S. children have become fatter and the obese groups gained more body fat, especially more central obesity, as indicated by waist circumference. However, considerable between-group and regional disparities exist in the prevalence, fatness measures, and over time trends. The disparities and trends are complex, which reflects the complexity and dynamics in obesity etiology. Clearly, some population groups are affected more seriously than others. Native American children have the highest prevalence of obesity, whereas Asians have the lowest rate among all ethnic groups. Preschool age children have a lower obesity prevalence than older children. Young people in some states and cities are twice more likely to be overweight or obese than those living in other regions. Low-socioeconomic status is associated with obesity only among some population groups, e.g. white children and adolescents. Vigorous, effective interventions are needed to promote healthy lifestyles among U.S. young people and to reduce disparities in obesity. Adv. Nutr. 2: 23-31, 2011.

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“…In 2010, nearly 43 million children younger than 5 y of age were overweight worldwide (8). The recent decades have witnessed a significant rise in obesity levels in children across the world with children of lower SEP and ethnic minorities being the worst affected in industrialized nations (5,(9)(10)(11)(12)(13). Some studies have reported a "leveling off " in the obesity epidemic, which might be country and region specific, but it is generally the more affluent that have benefited from this trend (14,15).…”

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Socioeconomic and early-life factors and risk of being overweight or obese in children of Swedish- and foreign-born parents

et al. 2013

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Ethnic differences in the prevalence of overweight among young children in Hawaii

Cited by 40 publications

References 29 publications

Prevalence of Childhood Obesity among Young Multiethnic Children from a Health Maintenance Organization in Hawaii

Prevalence of Childhood Obesity among Young Multiethnic Children from a Health Maintenance Organization in Hawaii

Disparities in Pediatric Obesity in the United States

Socioeconomic and early-life factors and risk of being overweight or obese in children of Swedish- and foreign-born parents

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