| Prenatal, perinatal, early life, and sociodemographic factors underlying racial differences in the likelihood of high body mass index in early childhood. | |
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MedLine Citation:
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PMID: 22994179 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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OBJECTIVES: We investigated early childhood disparities in high body mass index (BMI) between Black and White US children. METHODS: We compared differences in Black and White children's prevalence of sociodemographic, prenatal, perinatal, and early life risk and protective factors; fit logistic regression models predicting high BMI (≥ 95th percentile) at age 4 to 5 years to 2 nationally representative samples followed from birth; and performed separate and pooled-survey estimations of these models. RESULTS: After adjustment for sample design-related variables, models predicting high BMI in the 2 samples were statistically indistinguishable. In the pooled-survey models, Black children's odds of high BMI were 59% higher than White children's (odds ratio [OR] = 1.59; 95% confidence interval [CI]= 1.32, 1.92). Sociodemographic predictors reduced the racial disparity to 46% (OR = 1.46; 95% CI = 1.17, 1.81). Prenatal, perinatal, and early life predictors reduced the disparity to nonsignificance (OR = 1.18; 95% CI = 0.93, 1.49). Maternal prepregnancy obesity and short-duration or no breastfeeding were among predictors for which racial differences in children's exposures most disadvantaged Black children. CONCLUSIONS: Racial disparities in early childhood high BMI were largely explained by potentially modifiable risk and protective factors. |
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Authors:
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Margaret M Weden; Peter Brownell; Michael S Rendall |
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Publication Detail:
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Type: Journal Article; Research Support, N.I.H., Extramural Date: 2012-09-20 |
Journal Detail:
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Title: American journal of public health Volume: 102 ISSN: 1541-0048 ISO Abbreviation: Am J Public Health Publication Date: 2012 Nov |
Date Detail:
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Created Date: 2012-10-11 Completed Date: 2013-01-04 Revised Date: 2013-04-18 |
Medline Journal Info:
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Nlm Unique ID: 1254074 Medline TA: Am J Public Health Country: United States |
Other Details:
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Languages: eng Pagination: 2057-67 Citation Subset: AIM; IM |
Affiliation:
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RAND Corporation, Santa Monica, CA, USA. mweden@rand.org |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Adolescent African Continental Ancestry Group / statistics & numerical data* Age Factors Body Mass Index Chi-Square Distribution Child Child, Preschool European Continental Ancestry Group / statistics & numerical data* Female Health Status Disparities* Humans Infant Infant, Newborn Logistic Models Longitudinal Studies Models, Statistical Obesity / epidemiology*, etiology Odds Ratio Pregnancy Prenatal Exposure Delayed Effects / epidemiology Prevalence Risk Factors Socioeconomic Factors United States / epidemiology Young Adult |
| Grant Support | |
ID/Acronym/Agency:
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R01 HD061967/HD/NICHD NIH HHS; R01 HD061967/HD/NICHD NIH HHS; R24 HD041041/HD/NICHD NIH HHS |
| Comments/Corrections | |
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