Generation and Acculturation Status Are Associated with Dietary Intake and Body Weight in Mexican American Adolescents,

Liu, Jihong; Chu, Yong H.; Frongillo, Edward A.; Probst, Janice C.

doi:10.3945/jn.111.145516

Cited by 78 publications

(92 citation statements)

References 38 publications

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“…The young age of the children (2-8 years) in our study may explain why no effect of acculturation on vegetable intake was observed. Similar to our findings, other research shows that parenting practices, such as positive role modelling, may partially mitigate negative influences of acculturation on access and availability of fruit and vegetables in Latino households with children (39) .…”

Section: Discussionsupporting

confidence: 91%

Correlates of food patterns in young Latino children at high risk of obesity

Kaiser

Aguilera

Horowitz³

et al. 2015

Public Health Nutr.

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Objective: The present paper examines the influence of age and gender on food patterns of Latino children. Design: Data are from baseline of a 5-year, quasi-experimental obesity prevention study: Niños Sanos, Familia Sana (NSFS; Healthy Children, Healthy Families). In 2012, the researchers interviewed Latino parents, using a thirty-item questionnaire to ask about their children's food consumption and feeding practices. Statistical tests included t tests and ANCOVA. Setting: Rural communities in California's Central Valley, USA. Subjects: Two hundred and seventeen parents (87-89 % born in Mexico) and their children (aged 2-8 years). Results: Fifty-one per cent of the children were overweight or obese (≥85th percentile of BMI for age and gender). Mean BMI Z-scores were not significantly different in boys (1·10 (SD 1·07)) and girls (0·92 (SD 1·04); P = 0·12). In bivariate analysis, children aged 2-4 years consumed fast and convenience foods less often (P = 0·04) and WIC (Supplemental Nutrition Program for Women, Infants, and Children)-allowable foods more often than children aged 5-8 years (P = 0·01). In ANCOVA, neither age nor gender was significantly related to food patterns. Mother's acculturation level was positively related to children's consumption of fast and convenience foods (P = 0·0002) and negatively related to consumption of WIC foods (P = 0·01). Providing role modelling and structure in scheduling meals and snacks had a positive effect on the vegetable pattern (P = 0·0007), whereas meal skipping was associated with more frequent fast and convenience food consumption (P = 0·04). Conclusions: Acculturation and child feeding practices jointly influence food patterns in Latino immigrant children and indicate a need for interventions that maintain diet quality as children transition to school. Keywords Acculturation Food patterns Children Gender LatinoAccording to the FAO, obesity (BMI ≥ 30 kg/m 2 ) occurs in 32·8 % of Mexican adults, an estimate exceeding that reported for many developed countries including the USA (31·8 %) (1) . When Mexican-Americans are compared with their counterparts in Mexico, a greater prevalence of obesity and overweight is observed in the USA (2)(3)(4) . As reported by a Mexican national study conducted in 2012, the prevalence of overweight and obesity among Mexican 5-11-year-olds averages 34·4 %, with 36·9 % of boys and 32·0 % of girls at or above the 85th percentile of BMI (5) .Comparable US national studies from 2009-2010 report an overweight and obesity prevalence of 39·0 % among Mexican-American children aged 6-11 years, with 38·5 % of boys and 39·5 % of girls at or above the 85th BMI percentile (6) . A gender gap for Mexican-American children is apparent by adolescence (12-19 years), when 46 % of Mexican-American boys have BMI ≥ 85th percentile compared with 40 % of girls. This finding is largely due to more boys (28·9 %) than girls (18·6 %) having BMI ≥ 95th percentile for their age and gender. A smaller gender difference is seen among Mexican adolescents, with 14·5...

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Section: Discussionsupporting

confidence: 91%

Correlates of food patterns in young Latino children at high risk of obesity

Kaiser

Aguilera

Horowitz³

et al. 2015

Public Health Nutr.

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“…13 Research has revealed the importance of generational status and acculturation of the adolescent and family on nutritional intake, quality of food choices, food preparation, obesity status, and food insecurity. [14][15][16][17] However, to our knowledge, no published study has captured adolescents' navigation through these unique cultural and developmental struggles in their own words.…”

Section: Discussionmentioning

confidence: 99%

“…Recommendations for providers include incorporating knowledge of adolescent development and culturally sensitive care into treatment recommendations. 17.4% of Mexican-American females. 1 The medical consequences of childhood and adolescent obesity are well documented, with increased morbidity and mortality rates and impaired quality of life.…”

Section: Discussionmentioning

confidence: 99%

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A Qualitative Study of the Day-to-Day Lives of Obese Mexican-American Adolescent Females

et al. 2013

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WHAT'S KNOWN ON THIS SUBJECT: Obesity is a growing concern for Mexican-American adolescents, with both behavioral and cultural variables that are related to the increasing trend. WHAT THIS STUDY ADDS:These results highlight a patientcentered view of the emotional and physical burden of obesity in female Mexican-American adolescents, the families' personal struggles with weight-related conditions, and the challenge of balancing family needs with those specific to the adolescent. abstract OBJECTIVE: In an effort to develop more effective weight-loss interventions, this study examined the daily experiences and personal struggles of Mexican-American adolescent females with morbid obesity.METHODS: Twenty self-identified, morbidly obese Mexican-American adolescent females and their families were interviewed about their food choices, personal and family barriers to weight loss, sources of support, previous weight-loss experience, and weight-related beliefs. Qualitative responses were coded by using framework analysis. RESULTS:Four themes emerged from the adolescent and family responses: the impact of normal adolescent development, multiple sources of excess calories, the physical and emotional burden of excess weight for the adolescent, and the magnitude of the family' s personal struggle with weight management. Multiple subthemes were also identified. CONCLUSIONS:Responses by the adolescents and their families highlighted the intersection of adolescence and Mexican-American culture and the daily challenges of obesity. Recommendations for providers include incorporating knowledge of adolescent development and culturally sensitive care into treatment recommendations. Pediatrics

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“…Distinct consumption patterns were observed across racial/ethnic subpopulations; for example, non-Hispanic Asians obtained a greater percentage of fruit from citrus fruits compared to non-Hispanic white youth. Variations in the types of fruits consumed by race and Hispanic origin may be related to acculturalization, 24,25 accessibility, and social experiences. 23 We found that over half of all fruit consumed by youth aged 2-19 y is whole fruit (52.9%) and another third is consumed as 100% fruit juice (33.5%).…”

Section: Discussionmentioning

confidence: 99%

Fruit Consumption by Youth in the United States

2015

PEDIATRICS

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Objectives-To describe the contribution of whole fruit, including discrete types of fruit, to total fruit consumption and to investigate differences in consumption by socio-demographic characteristics.Methods-We analyzed data from 3129 youth aged 2-19 years, from the National Health and Nutrition Examination Survey, 2011Survey, -2012. Using the Food Patterns Equivalents Database (FPED) and the What We Eat in America 150 food groups (WWEIA 150), we calculated the contribution of whole fruit, 100% fruit juices, mixed fruit dishes, and 12 discrete fruit and fruit juices to total fruit consumption. We examined differences by age, sex, race and Hispanic origin, and poverty status.Results-Nearly 90% of total fruit intake came from whole fruits (53%) and 100% fruit juices (34%) among youth aged 2-19 y. Apples, apple juice, citrus juice and bananas were responsible for almost half of total fruit consumption. Apples accounted for 18.9% of fruit intake. Differences Conflict of Interest:The Authors have no conflicts of interest to disclose. Disclaimer:The findings and conclusions in this paper are those of the authors and do not necessarily represent the views of the National Center for Health Statistics, Centers for Disease Control and Prevention. Contributors' Statements:Kirsten Herrick: Dr. Herrick conceptualized and designed the study, drafted the initial manuscript, performed analyses and approved the final manuscript as submitted. Lauren Rossen: Dr. Rossen conceptualized and designed the study, performed analyses, reviewed and revised the manuscript, and approved the final manuscript as submitted. Samara Joy Nielsen: Dr. Nielsen conceptualized and designed the study, reviewed and revised the manuscript, and approved the final manuscript as submitted. Amy Branum: Dr. Branum conceptualized and designed the study, reviewed and revised the manuscript, and approved the final manuscript as submitted. Cynthia Ogden: Dr. Ogden conceptualized and designed the study, reviewed and revised the manuscript, and approved the final manuscript as submitted. All authors approved the final manuscript as submitted and agree to be accountable for all aspects of the work. by age were predominantly between youth aged 2-5 y and 6-11 y. For example, apples contributed a larger percentage of total fruit intake among youth 6-11 y (22.4%) than among youth 2-5 y (14.6%), but apple juice contributed a smaller percentage (8.8% v 16.8%), p<0.05. There were race/Hispanic origin differences in intake of citrus fruits, berries, melons, dried fruit, and citrus juices and other fruit juices. HHS Public AccessConclusion-These findings provide insight into what fruits U.S. youth are consuming and demographic factors that may influence consumption.

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Generation and Acculturation Status Are Associated with Dietary Intake and Body Weight in Mexican American Adolescents,

Cited by 78 publications

References 38 publications

Correlates of food patterns in young Latino children at high risk of obesity

Correlates of food patterns in young Latino children at high risk of obesity

A Qualitative Study of the Day-to-Day Lives of Obese Mexican-American Adolescent Females

Fruit Consumption by Youth in the United States

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