Effects of parental origins and length of residency on adiposity measures and nutrition in urban middle school students: a cross-sectional study.

Ranita Kuryan, David Frankel, Barbie Cervoni, Audrey Koltun, Barbara Lowell, Lisa Altshuler, Michael Rosenbaum, Steven P Shelov, Dennis E Carey, Siham Accacha, Ilene Fennoy, Robert Rapaport, Warren Rosenfeld, Svetlana Ten, Phyllis W Speiser
Author Information
  1. Ranita Kuryan: Department of Pediatrics, Hofstra North Shore LIJ School of Medicine, Steven and Alexandra Cohen Children's Medical Center of New York, New Hyde Park, NY, USA.
  2. David Frankel: Department of Nutrition, Cornell University, Ithaca, NY, USA.
  3. Barbie Cervoni: Department of Pediatrics, Hofstra North Shore LIJ School of Medicine, Steven and Alexandra Cohen Children's Medical Center of New York, New Hyde Park, NY, USA.
  4. Audrey Koltun: Department of Pediatrics, Hofstra North Shore LIJ School of Medicine, Steven and Alexandra Cohen Children's Medical Center of New York, New Hyde Park, NY, USA.
  5. Barbara Lowell: Department of Pediatrics, Infant and Children's Hospital of Brooklyn at Maimonides, Brooklyn, NY, USA.
  6. Lisa Altshuler: Department of Pediatrics, Infant and Children's Hospital of Brooklyn at Maimonides, Brooklyn, NY, USA ; Current affiliation: New York University School of Medicine, 550 1st Ave, New York, NY 10016, USA.
  7. Michael Rosenbaum: Department of Pediatrics, Columbia University College of Physicians & Surgeons, New York Presbyterian Hospital, NY, NY, USA.
  8. Steven P Shelov: Department of Pediatrics, Infant and Children's Hospital of Brooklyn at Maimonides, Brooklyn, NY, USA ; Current affiliation: Winthrop University Hospital, 259 1st St, Mineola, NY 11501, USA.
  9. Dennis E Carey: Department of Pediatrics, Hofstra North Shore LIJ School of Medicine, Steven and Alexandra Cohen Children's Medical Center of New York, New Hyde Park, NY, USA.
  10. Siham Accacha: Department of Pediatrics, Winthrop University Hospital, Mineola, NY, USA.
  11. Ilene Fennoy: Department of Pediatrics, Columbia University College of Physicians & Surgeons, New York Presbyterian Hospital, NY, NY, USA.
  12. Robert Rapaport: Department of Pediatrics, Mount Sinai School of Medicine, NY, NY, USA.
  13. Warren Rosenfeld: Department of Pediatrics, Winthrop University Hospital, Mineola, NY, USA.
  14. Svetlana Ten: Department of Pediatrics, Infant and Children's Hospital of Brooklyn at Maimonides, Brooklyn, NY, USA.
  15. Phyllis W Speiser: Department of Pediatrics, Hofstra North Shore LIJ School of Medicine, Steven and Alexandra Cohen Children's Medical Center of New York, New Hyde Park, NY, USA ; Department of Pediatrics, NYU School of Medicine, NY, NY, USA.

Abstract

BACKGROUND: The prevalence of obesity in U.S. has been rising at an alarming rate, particularly among Hispanic, African, and Asian minority groups. This trend is due in part to excessive calorie consumption and sedentary lifestyle. We sought to investigate whether parental origins influence eating behaviors in healthy urban middle school students.
METHODS: A multiethnic/racial population of students (N = 182) enrolled in the ROAD (Reduce Obesity and Diabetes) Study, a school-based trial to assess clinical, behavioral, and biochemical risk factors for adiposity and its co-morbidities completed questionnaires regarding parental origins, length of US residency, and food behaviors and preferences. The primary behavioral questionnaire outcome variables were nutrition knowledge, attitude, intention and behavior, which were then related to anthropometric measures of waist circumference, BMI z-scores, and percent body fat. Two-way analysis of variance was used to evaluate the joint effects of number of parents born in the U.S. and ethnicity on food preference and knowledge score. The Tukey-Kramer method was used to compute pairwise comparisons to determine where differences lie. Analysis of covariance (ANCOVA) was used to analyze the joint effects of number of parents born in the US and student ethnicity, along with the interaction term, on each adiposity measure outcome. Pearson correlation coefficients were used to examine the relationships between maternal and paternal length of residency in the US with measures of adiposity, food preference and food knowledge.
RESULTS: African Americans had significantly higher BMI, waist circumference and body fat percentage compared to other racial and ethnic groups. Neither ethnicity/race nor parental origins had an impact on nutrition behavior. Mothers' length of US residency positively correlated with students' nutrition knowledge, but not food attitude, intention or behavior.
CONCLUSIONS: Adiposity measures in children differ according to ethnicity and race. In contrast, food behaviors in this middle school sample were not influenced by parental origins. Longer maternal US residency benefited offspring in terms of nutrition knowledge only. We suggest that interventions to prevent obesity begin in early childhood.

References

  1. Nutrition. 2007 Sep;23(9):696-708 [PMID: 17679049]
  2. J Nutr. 2011 Oct;141(10):1898-906 [PMID: 21880951]
  3. N Engl J Med. 1992 Nov 5;327(19):1350-5 [PMID: 1406836]
  4. Endocrinol Metab Clin North Am. 1999 Dec;28(4):709-29, viii [PMID: 10609116]
  5. J Pediatr Health Care. 2009 Jul-Aug;23(4):242-58 [PMID: 19559992]
  6. N Engl J Med. 1997 Sep 25;337(13):869-73 [PMID: 9302300]
  7. Am J Clin Nutr. 2004 Jan;79(1):6-16 [PMID: 14684391]
  8. Am J Prev Med. 2004 Nov;27(4):323-6 [PMID: 15488363]
  9. J Am Diet Assoc. 1999 Jan;99(1):54-7 [PMID: 9917732]
  10. J Pediatr. 2004 Oct;145(4):439-44 [PMID: 15480363]
  11. Nutr J. 2012 Oct 15;11:85 [PMID: 23067040]
  12. Soc Sci Med. 2003 Dec;57(11):2023-34 [PMID: 14512234]
  13. J Clin Endocrinol Metab. 2005 Mar;90(3):1871-87 [PMID: 15598688]
  14. Arch Pediatr Adolesc Med. 2003 Aug;157(8):821-7 [PMID: 12912790]
  15. N Engl J Med. 2012 Aug 23;367(8):735-45 [PMID: 22913683]
  16. Circulation. 2012 Oct 2;126(14):1770-9 [PMID: 23027812]
  17. Int J Pediatr Obes. 2011 Feb;6(1):12-20 [PMID: 20233157]
  18. Cochrane Database Syst Rev. 2009 Jan 21;(1):CD001872 [PMID: 19160202]
  19. Obesity (Silver Spring). 2010 Feb;18 Suppl 1:S62-8 [PMID: 20107463]
  20. Obesity (Silver Spring). 2013 Oct;21(10):2081-90 [PMID: 23596082]
  21. Int J Obes Relat Metab Disord. 2001 Feb;25(2):147-57 [PMID: 11410813]
  22. Obes Rev. 2013 Dec;14(12):975-88 [PMID: 23848939]
  23. J Am Diet Assoc. 2011 Oct;111(10):1563-1569.e2 [PMID: 21963024]
  24. Pediatrics. 2011 Apr;127(4):619-27 [PMID: 21444600]

Word Cloud

Created with Highcharts 10.0.0foodparentaloriginsUSresidencynutritionknowledgeadipositylengthmeasuresusedbehaviorsmiddleschoolbehaviorethnicityobesityUSAfricangroupsurbanstudentsbehavioraloutcomeattitudeintentionwaistcircumferenceBMIbodyfatjointeffectsnumberparentsbornpreferencematernalBACKGROUND:prevalencerisingalarmingrateparticularlyamongHispanicAsianminoritytrendduepartexcessivecalorieconsumptionsedentarylifestylesoughtinvestigatewhetherinfluenceeatinghealthyMETHODS:multiethnic/racialpopulationN = 182enrolledROADReduceObesityDiabetesStudyschool-basedtrialassessclinicalbiochemicalriskfactorsco-morbiditiescompletedquestionnairesregardingpreferencesprimaryquestionnairevariablesrelatedanthropometricz-scorespercentTwo-wayanalysisvarianceevaluatescoreTukey-KramermethodcomputepairwisecomparisonsdeterminedifferenceslieAnalysiscovarianceANCOVAanalyzestudentalonginteractiontermmeasurePearsoncorrelationcoefficientsexaminerelationshipspaternalRESULTS:AmericanssignificantlyhigherpercentagecomparedracialethnicNeitherethnicity/raceimpactMothers'positivelycorrelatedstudents'CONCLUSIONS:AdipositychildrendifferaccordingracecontrastsampleinfluencedLongerbenefitedoffspringtermssuggestinterventionspreventbeginearlychildhoodEffectsstudents:cross-sectionalstudy

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