Income, Race and its Association with Obesogenic Behaviors of U.S. Children and Adolescents, NHANES 2003–2006

Objectives To describe the associations of income and race with obesogenic behaviors and % body fat among a large sample of U.S. children and adolescents. Design Data were obtained from the 2003–2004 and 2005–2006 National Health and Nutritional Examination Survey. Multiple linear regression models...

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Veröffentlicht in:Journal of community health 2019-06, Vol.44 (3), p.507-518
Hauptverfasser: Hunt, Ethan T., Brazendale, Keith, Dunn, Caroline, Boutté, Alycia K., Liu, Jihong, Hardin, James, Beets, Michael W., Weaver, R. Glenn
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container_end_page 518
container_issue 3
container_start_page 507
container_title Journal of community health
container_volume 44
creator Hunt, Ethan T.
Brazendale, Keith
Dunn, Caroline
Boutté, Alycia K.
Liu, Jihong
Hardin, James
Beets, Michael W.
Weaver, R. Glenn
description Objectives To describe the associations of income and race with obesogenic behaviors and % body fat among a large sample of U.S. children and adolescents. Design Data were obtained from the 2003–2004 and 2005–2006 National Health and Nutritional Examination Survey. Multiple linear regression models and interactions were used to examine the associations of moderate-to-vigorous physical activity (MVPA), sedentary time, diet quality, and screen-time with income-to-poverty ratio and race. Separate stratified analyses explored associations among individual obesogenic behaviors within race and income groups. Results This study included children and adolescents (n = 3551, mean = 13.1 years, SD = 3.9 years) who were 37% Hispanic, 27% White, and 35% Black. Overall, Hispanic children/adolescents had significantly higher levels of adiposity (3.6, 95 CI = 0.9, 6.3) than white children and adolescents. Medium-income children and adolescents engaged in less MVPA (− 3.3 min, 95 CI = − 5.1, − 1.5), had poorer diet quality (− 1.1, 95 CI = − 1.9, − 0.2), and used screens less (− 33.9 min, 95 CI = − 45.4, − 22.4) than children and adolescents from low-income households. High-income children and adolescents also engaged in less MVPA (− 3.1 min, 95 CI = − 5.5, − 0.7) and used screens less (− 62.9 min, 95 CI = − 78.3, − 47.4) than children and adolescents from low-income households. However, there were significant race/ethnicity-by-income interactions for high-income Hispanic children and adolescents with diet quality (− 3.5 HEI-2010 score, 95 CI = − 6.6, − 0.4) and screen time (66.9 min, 95 CI = 24.7, 109.0). There was also a significant race/ethnicity-by-income interaction for the screen-time of Black children and adolescents from medium (33.8 min, 95% CI 0.2, 67.3) and high (75.8 min, 95% CI 34.7, 117.0) income households. Conclusions There appears to be a complex relationship that varies by race/ethnicity between income, obesogenic behaviors, and adiposity levels among children and adolescents. More work is needed to identify the behavioral mechanisms that are driving disparate rates of overweight and obesity among minority children and those from low-income households.
doi_str_mv 10.1007/s10900-018-00613-6
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Glenn</creator><creatorcontrib>Hunt, Ethan T. ; Brazendale, Keith ; Dunn, Caroline ; Boutté, Alycia K. ; Liu, Jihong ; Hardin, James ; Beets, Michael W. ; Weaver, R. Glenn</creatorcontrib><description>Objectives To describe the associations of income and race with obesogenic behaviors and % body fat among a large sample of U.S. children and adolescents. Design Data were obtained from the 2003–2004 and 2005–2006 National Health and Nutritional Examination Survey. Multiple linear regression models and interactions were used to examine the associations of moderate-to-vigorous physical activity (MVPA), sedentary time, diet quality, and screen-time with income-to-poverty ratio and race. Separate stratified analyses explored associations among individual obesogenic behaviors within race and income groups. Results This study included children and adolescents (n = 3551, mean = 13.1 years, SD = 3.9 years) who were 37% Hispanic, 27% White, and 35% Black. Overall, Hispanic children/adolescents had significantly higher levels of adiposity (3.6, 95 CI = 0.9, 6.3) than white children and adolescents. Medium-income children and adolescents engaged in less MVPA (− 3.3 min, 95 CI = − 5.1, − 1.5), had poorer diet quality (− 1.1, 95 CI = − 1.9, − 0.2), and used screens less (− 33.9 min, 95 CI = − 45.4, − 22.4) than children and adolescents from low-income households. High-income children and adolescents also engaged in less MVPA (− 3.1 min, 95 CI = − 5.5, − 0.7) and used screens less (− 62.9 min, 95 CI = − 78.3, − 47.4) than children and adolescents from low-income households. However, there were significant race/ethnicity-by-income interactions for high-income Hispanic children and adolescents with diet quality (− 3.5 HEI-2010 score, 95 CI = − 6.6, − 0.4) and screen time (66.9 min, 95 CI = 24.7, 109.0). There was also a significant race/ethnicity-by-income interaction for the screen-time of Black children and adolescents from medium (33.8 min, 95% CI 0.2, 67.3) and high (75.8 min, 95% CI 34.7, 117.0) income households. Conclusions There appears to be a complex relationship that varies by race/ethnicity between income, obesogenic behaviors, and adiposity levels among children and adolescents. More work is needed to identify the behavioral mechanisms that are driving disparate rates of overweight and obesity among minority children and those from low-income households.</description><identifier>ISSN: 0094-5145</identifier><identifier>ISSN: 1573-3610</identifier><identifier>EISSN: 1573-3610</identifier><identifier>DOI: 10.1007/s10900-018-00613-6</identifier><identifier>PMID: 30659412</identifier><language>eng</language><publisher>New York: Springer Science + Business Media</publisher><subject><![CDATA[Adipose tissue ; Adolescent ; Adolescents ; Black or African American - statistics & numerical data ; Body fat ; Body weight ; Body Weights and Measures ; Child ; Children ; Community and Environmental Psychology ; Cross-Sectional Studies ; Diet ; Diet - ethnology ; Ethics ; Ethnicity ; Exercise ; Female ; Health Behavior - ethnology ; Health Promotion and Disease Prevention ; Hispanic Americans ; Hispanic or Latino - statistics & numerical data ; Households ; Humans ; Income ; Income - statistics & numerical data ; Low Income ; Low income groups ; Male ; Medicine ; Medicine & Public Health ; Minority & ethnic groups ; Minority Group Children ; Multiple Regression Analysis ; Nutrition Surveys ; Obesity ; ORIGINAL PAPER ; Overweight ; Physical activity ; Poverty ; Poverty - statistics & numerical data ; Race ; Racial Groups - statistics & numerical data ; Regression analysis ; Regression models ; Screen Time ; Screens ; Sedentary Behavior - ethnology ; Teenagers ; White People - statistics & numerical data ; Young Adult]]></subject><ispartof>Journal of community health, 2019-06, Vol.44 (3), p.507-518</ispartof><rights>Springer Science+Business Media, LLC, part of Springer Nature 2019</rights><rights>Journal of Community Health is a copyright of Springer, (2019). All Rights Reserved.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c497t-50165d4f549403611bb379af58bf592b803857bba3c6ea3c55441ede49abca3e3</citedby><cites>FETCH-LOGICAL-c497t-50165d4f549403611bb379af58bf592b803857bba3c6ea3c55441ede49abca3e3</cites><orcidid>0000-0003-3388-5370</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.jstor.org/stable/pdf/48716702$$EPDF$$P50$$Gjstor$$H</linktopdf><linktohtml>$$Uhttps://www.jstor.org/stable/48716702$$EHTML$$P50$$Gjstor$$H</linktohtml><link.rule.ids>230,314,778,782,801,883,27907,27908,41471,42540,51302,58000,58233</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/30659412$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Hunt, Ethan T.</creatorcontrib><creatorcontrib>Brazendale, Keith</creatorcontrib><creatorcontrib>Dunn, Caroline</creatorcontrib><creatorcontrib>Boutté, Alycia K.</creatorcontrib><creatorcontrib>Liu, Jihong</creatorcontrib><creatorcontrib>Hardin, James</creatorcontrib><creatorcontrib>Beets, Michael W.</creatorcontrib><creatorcontrib>Weaver, R. Glenn</creatorcontrib><title>Income, Race and its Association with Obesogenic Behaviors of U.S. Children and Adolescents, NHANES 2003–2006</title><title>Journal of community health</title><addtitle>J Community Health</addtitle><addtitle>J Community Health</addtitle><description>Objectives To describe the associations of income and race with obesogenic behaviors and % body fat among a large sample of U.S. children and adolescents. Design Data were obtained from the 2003–2004 and 2005–2006 National Health and Nutritional Examination Survey. Multiple linear regression models and interactions were used to examine the associations of moderate-to-vigorous physical activity (MVPA), sedentary time, diet quality, and screen-time with income-to-poverty ratio and race. Separate stratified analyses explored associations among individual obesogenic behaviors within race and income groups. Results This study included children and adolescents (n = 3551, mean = 13.1 years, SD = 3.9 years) who were 37% Hispanic, 27% White, and 35% Black. Overall, Hispanic children/adolescents had significantly higher levels of adiposity (3.6, 95 CI = 0.9, 6.3) than white children and adolescents. Medium-income children and adolescents engaged in less MVPA (− 3.3 min, 95 CI = − 5.1, − 1.5), had poorer diet quality (− 1.1, 95 CI = − 1.9, − 0.2), and used screens less (− 33.9 min, 95 CI = − 45.4, − 22.4) than children and adolescents from low-income households. High-income children and adolescents also engaged in less MVPA (− 3.1 min, 95 CI = − 5.5, − 0.7) and used screens less (− 62.9 min, 95 CI = − 78.3, − 47.4) than children and adolescents from low-income households. However, there were significant race/ethnicity-by-income interactions for high-income Hispanic children and adolescents with diet quality (− 3.5 HEI-2010 score, 95 CI = − 6.6, − 0.4) and screen time (66.9 min, 95 CI = 24.7, 109.0). There was also a significant race/ethnicity-by-income interaction for the screen-time of Black children and adolescents from medium (33.8 min, 95% CI 0.2, 67.3) and high (75.8 min, 95% CI 34.7, 117.0) income households. Conclusions There appears to be a complex relationship that varies by race/ethnicity between income, obesogenic behaviors, and adiposity levels among children and adolescents. More work is needed to identify the behavioral mechanisms that are driving disparate rates of overweight and obesity among minority children and those from low-income households.</description><subject>Adipose tissue</subject><subject>Adolescent</subject><subject>Adolescents</subject><subject>Black or African American - statistics &amp; numerical data</subject><subject>Body fat</subject><subject>Body weight</subject><subject>Body Weights and Measures</subject><subject>Child</subject><subject>Children</subject><subject>Community and Environmental Psychology</subject><subject>Cross-Sectional Studies</subject><subject>Diet</subject><subject>Diet - ethnology</subject><subject>Ethics</subject><subject>Ethnicity</subject><subject>Exercise</subject><subject>Female</subject><subject>Health Behavior - ethnology</subject><subject>Health Promotion and Disease Prevention</subject><subject>Hispanic Americans</subject><subject>Hispanic or Latino - statistics &amp; numerical data</subject><subject>Households</subject><subject>Humans</subject><subject>Income</subject><subject>Income - statistics &amp; numerical data</subject><subject>Low Income</subject><subject>Low income groups</subject><subject>Male</subject><subject>Medicine</subject><subject>Medicine &amp; Public Health</subject><subject>Minority &amp; ethnic groups</subject><subject>Minority Group Children</subject><subject>Multiple Regression Analysis</subject><subject>Nutrition Surveys</subject><subject>Obesity</subject><subject>ORIGINAL PAPER</subject><subject>Overweight</subject><subject>Physical activity</subject><subject>Poverty</subject><subject>Poverty - statistics &amp; numerical data</subject><subject>Race</subject><subject>Racial Groups - statistics &amp; numerical data</subject><subject>Regression analysis</subject><subject>Regression models</subject><subject>Screen Time</subject><subject>Screens</subject><subject>Sedentary Behavior - ethnology</subject><subject>Teenagers</subject><subject>White People - statistics &amp; numerical data</subject><subject>Young Adult</subject><issn>0094-5145</issn><issn>1573-3610</issn><issn>1573-3610</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2019</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>8G5</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><sourceid>GNUQQ</sourceid><sourceid>GUQSH</sourceid><sourceid>M2O</sourceid><recordid>eNp9kc1uEzEUhS0EoqHwAkggS2xYdMK9458Zr1CICq1UtRKla8sz40kcTexiT4rY8Q68IU-Cm5SUsmDju7jfOb5Hh5CXCFMEqN4lBAVQANYFgERWyEdkgqJiBZMIj8kEQPFCIBcH5FlKKwBAqORTcsBACsWxnJBw6tuwtkf0s2ktNb6jbkx0llJonRld8PSbG5f0orEpLKx3Lf1gl-bGhZho6OnV9HJK50s3dNH6rXzWhcGm1voxHdHzk9n58SUtAdivHz_zkM_Jk94Myb64m4fk6uPxl_lJcXbx6XQ-OytarqqxEIBSdLwXXHHIabBpWKVML-qmF6psamC1qJrGsFba_AjBOdrOcmWa1jDLDsn7ne_1plnb7vaeaAZ9Hd3axO86GKcfbrxb6kW40Yhclliq7PD2ziGGrxubRr12OdcwGG_DJukSK8XqslY8o2_-QVdhE33OlylZ5wR8a1juqDaGlKLt99cg6NtC9a5QnQvV20K1zKLXf-fYS_40mAG2A1Je-YWN93__1_bVTrVKY4h7V15XKCso2W-eoLNc</recordid><startdate>20190601</startdate><enddate>20190601</enddate><creator>Hunt, Ethan T.</creator><creator>Brazendale, Keith</creator><creator>Dunn, Caroline</creator><creator>Boutté, Alycia K.</creator><creator>Liu, Jihong</creator><creator>Hardin, James</creator><creator>Beets, Michael W.</creator><creator>Weaver, R. 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Glenn</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c497t-50165d4f549403611bb379af58bf592b803857bba3c6ea3c55441ede49abca3e3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2019</creationdate><topic>Adipose tissue</topic><topic>Adolescent</topic><topic>Adolescents</topic><topic>Black or African American - statistics &amp; numerical data</topic><topic>Body fat</topic><topic>Body weight</topic><topic>Body Weights and Measures</topic><topic>Child</topic><topic>Children</topic><topic>Community and Environmental Psychology</topic><topic>Cross-Sectional Studies</topic><topic>Diet</topic><topic>Diet - ethnology</topic><topic>Ethics</topic><topic>Ethnicity</topic><topic>Exercise</topic><topic>Female</topic><topic>Health Behavior - ethnology</topic><topic>Health Promotion and Disease Prevention</topic><topic>Hispanic Americans</topic><topic>Hispanic or Latino - statistics &amp; numerical data</topic><topic>Households</topic><topic>Humans</topic><topic>Income</topic><topic>Income - statistics &amp; numerical data</topic><topic>Low Income</topic><topic>Low income groups</topic><topic>Male</topic><topic>Medicine</topic><topic>Medicine &amp; Public Health</topic><topic>Minority &amp; ethnic groups</topic><topic>Minority Group Children</topic><topic>Multiple Regression Analysis</topic><topic>Nutrition Surveys</topic><topic>Obesity</topic><topic>ORIGINAL PAPER</topic><topic>Overweight</topic><topic>Physical activity</topic><topic>Poverty</topic><topic>Poverty - statistics &amp; numerical data</topic><topic>Race</topic><topic>Racial Groups - statistics &amp; numerical data</topic><topic>Regression analysis</topic><topic>Regression models</topic><topic>Screen Time</topic><topic>Screens</topic><topic>Sedentary Behavior - ethnology</topic><topic>Teenagers</topic><topic>White People - statistics &amp; numerical data</topic><topic>Young Adult</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Hunt, Ethan T.</creatorcontrib><creatorcontrib>Brazendale, Keith</creatorcontrib><creatorcontrib>Dunn, Caroline</creatorcontrib><creatorcontrib>Boutté, Alycia K.</creatorcontrib><creatorcontrib>Liu, Jihong</creatorcontrib><creatorcontrib>Hardin, James</creatorcontrib><creatorcontrib>Beets, Michael W.</creatorcontrib><creatorcontrib>Weaver, R. 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Glenn</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Income, Race and its Association with Obesogenic Behaviors of U.S. Children and Adolescents, NHANES 2003–2006</atitle><jtitle>Journal of community health</jtitle><stitle>J Community Health</stitle><addtitle>J Community Health</addtitle><date>2019-06-01</date><risdate>2019</risdate><volume>44</volume><issue>3</issue><spage>507</spage><epage>518</epage><pages>507-518</pages><issn>0094-5145</issn><issn>1573-3610</issn><eissn>1573-3610</eissn><abstract>Objectives To describe the associations of income and race with obesogenic behaviors and % body fat among a large sample of U.S. children and adolescents. Design Data were obtained from the 2003–2004 and 2005–2006 National Health and Nutritional Examination Survey. Multiple linear regression models and interactions were used to examine the associations of moderate-to-vigorous physical activity (MVPA), sedentary time, diet quality, and screen-time with income-to-poverty ratio and race. Separate stratified analyses explored associations among individual obesogenic behaviors within race and income groups. Results This study included children and adolescents (n = 3551, mean = 13.1 years, SD = 3.9 years) who were 37% Hispanic, 27% White, and 35% Black. Overall, Hispanic children/adolescents had significantly higher levels of adiposity (3.6, 95 CI = 0.9, 6.3) than white children and adolescents. Medium-income children and adolescents engaged in less MVPA (− 3.3 min, 95 CI = − 5.1, − 1.5), had poorer diet quality (− 1.1, 95 CI = − 1.9, − 0.2), and used screens less (− 33.9 min, 95 CI = − 45.4, − 22.4) than children and adolescents from low-income households. High-income children and adolescents also engaged in less MVPA (− 3.1 min, 95 CI = − 5.5, − 0.7) and used screens less (− 62.9 min, 95 CI = − 78.3, − 47.4) than children and adolescents from low-income households. However, there were significant race/ethnicity-by-income interactions for high-income Hispanic children and adolescents with diet quality (− 3.5 HEI-2010 score, 95 CI = − 6.6, − 0.4) and screen time (66.9 min, 95 CI = 24.7, 109.0). There was also a significant race/ethnicity-by-income interaction for the screen-time of Black children and adolescents from medium (33.8 min, 95% CI 0.2, 67.3) and high (75.8 min, 95% CI 34.7, 117.0) income households. Conclusions There appears to be a complex relationship that varies by race/ethnicity between income, obesogenic behaviors, and adiposity levels among children and adolescents. More work is needed to identify the behavioral mechanisms that are driving disparate rates of overweight and obesity among minority children and those from low-income households.</abstract><cop>New York</cop><pub>Springer Science + Business Media</pub><pmid>30659412</pmid><doi>10.1007/s10900-018-00613-6</doi><tpages>12</tpages><orcidid>https://orcid.org/0000-0003-3388-5370</orcidid><oa>free_for_read</oa></addata></record>
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identifier ISSN: 0094-5145
ispartof Journal of community health, 2019-06, Vol.44 (3), p.507-518
issn 0094-5145
1573-3610
1573-3610
language eng
recordid cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_11462129
source MEDLINE; Jstor Complete Legacy; Education Source; Springer Nature - Complete Springer Journals
subjects Adipose tissue
Adolescent
Adolescents
Black or African American - statistics & numerical data
Body fat
Body weight
Body Weights and Measures
Child
Children
Community and Environmental Psychology
Cross-Sectional Studies
Diet
Diet - ethnology
Ethics
Ethnicity
Exercise
Female
Health Behavior - ethnology
Health Promotion and Disease Prevention
Hispanic Americans
Hispanic or Latino - statistics & numerical data
Households
Humans
Income
Income - statistics & numerical data
Low Income
Low income groups
Male
Medicine
Medicine & Public Health
Minority & ethnic groups
Minority Group Children
Multiple Regression Analysis
Nutrition Surveys
Obesity
ORIGINAL PAPER
Overweight
Physical activity
Poverty
Poverty - statistics & numerical data
Race
Racial Groups - statistics & numerical data
Regression analysis
Regression models
Screen Time
Screens
Sedentary Behavior - ethnology
Teenagers
White People - statistics & numerical data
Young Adult
title Income, Race and its Association with Obesogenic Behaviors of U.S. Children and Adolescents, NHANES 2003–2006
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