Population Study Article | Published:

Clinical and social factors associated with excess weight in Hispanic and non-Hispanic White children

Pediatric Researchvolume 85pages256261 (2019) | Download Citation

Subjects

Abstract

Background

Hispanic children are disproportionately affected by obesity, with this disparity starting at a young age, and there is a paucity of data comparing factors associated with excess weight in the first year of life in Hispanic vs. non-Hispanic populations.

Methods

Excess weight was defined as weight-for-length ≥95th percentile. The associations of potential risk factors were compared by ethnicity stratification.

Results

Of the 1009 children, 302 (30.0%) were Hispanic and 707 (70.0%) were non-Hispanic White. The rate of excess weight was 30.1% and 13.6% among Hispanic and non-Hispanic White children, respectively. Factors associated with excess weight for non-Hispanic White children were higher than recommended weight gain during pregnancy (odds ratio (OR) 1.8 (1.2–3.1)), higher paternal body mass index (BMI) (OR 1.1 (1.02–1.15)), higher birth weight (OR 1.001 (1.001–1.002)), and lower breast milk feedings at 6 months (OR 0.98 (0.96–0.98)). Factors associated with excess weight for Hispanic children were lower maternal education (OR 2.37 (1.1–4.5)) and lower breast milk feedings at 6 months (OR 0.98 (0.96–0.99)).

Conclusion

There are differential risk factors associated with excess weight at 12 months between Hispanic and non-Hispanic White children. Identification of differential factors in different ethnicities may allow for more targeted anticipatory guidance reduce obesity in at-risk populations.

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Acknowledgments

Thank you to the Richard H. Schwartz Pediatric Resident Research and Education for support of this work.

Author information

Author notes

  1. These authors contributed equally: Sahel Hazrati, Farah Khan

Affiliations

  1. Inova Translational Medicine Institute, Falls Church, VA, USA

    • Sahel Hazrati
    • , Kathi Huddleston
    • , Faith De La Cruz
    • , John F. Deeken
    • , Alma Fuller
    • , Wendy S. W. Wong
    • , John E. Niederhuber
    •  & Suchitra K. Hourigan
  2. Inova Children’s Hospital, Falls Church, VA, USA

    • Farah Khan

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Competing interests

The authors declare no competing interests.

Corresponding author

Correspondence to Sahel Hazrati.

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DOI

https://doi.org/10.1038/s41390-018-0264-9