Familial and individual predictors of obesity and insulin resistance in urban H ispanic children
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Summary: Background: High intake of sugar‐sweetened beverages (SSB) has been suggested to contribute to the pediatric obesity epidemic, however, how the home food environment influence children's intake of SSB among H ispanic families is still poorly understood. Objectives: To evaluate the relationships between the home food environment and H ispanic children's diet in relation to weight status and insulin resistance (IR). Methods: A food frequency questionnaire was administered to 187 H ispanic children (ages 10 to 14 years) and anthropometrics were measured. IR was estimated from fasting insulin and glucose levels using the homeostasis model assessment of insulin resistance (HOMA IR). Parents reported on family demographics and the home food environment. A structural equation modelling approach was applied to examine the hypothesized relationships among variables. Results: The prevalence of childhood overweight and obesity was 52.8% and it was positively associated with HOMA IR (β = 0.687, P < .0001). Children's SSB consumption was positively associated with children's body mass index z‐score (β = 0.151, P < 0.05) and subsequently to HOMA IR. Children's SSB consumption was predicted by home availability (β = 0.191) and parental intake of SSB (β = 0.419) (P < 0.05). The model fit indices [χ 2 = 45.821 (d.f. = 30, P > 0.01 and < 0.05), χ 2/d.f. = 1.53, root mean square error of approximation = 0.053 (90% confidence interval = 0.016, 0.082), comparative fit index = 0.904] suggested a satisfactory goodness‐of‐fit. Conclusions: The home food environment and parental diet seem to play an important role in the children's access to and intake of SSB, which in turn predicted children's weight status.
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The majority of studies on SSB consumption and insulin resistance risk among children and adolescents were cross-sectional, one was longitudinal, and no intervention studies were conducted.
“A modest number of studies reported a positive association between SSB consumption and insulin resistance risk among children and adolescents, with the majority conducted cross-sectionally [62–65], one conducted longitudinally [66] and no intervention studies conducted (Table 2).”
From The negative impact of sugar-sweetened beverages on children’s health: an update of the literature (2018) · cites this paper as [63]
Cross-sectional studies found a positive association between SSB consumption and insulin resistance in the whole or a subset of their study population.
“A number of cross-sectional studies found a positive association in the whole or a subset of their study population [62–65].”
From The negative impact of sugar-sweetened beverages on children’s health: an update of the literature (2018) · cites this paper as [63]
A modest number of studies reported a positive association between SSB consumption and insulin resistance risk among children and adolescents.
“A modest number of studies reported a positive association between SSB consumption and insulin resistance risk among children and adolescents, with the majority conducted cross-sectionally [62–65], one conducted longitudinally [66] and no intervention studies conducted (Table 2).”
From The negative impact of sugar-sweetened beverages on children’s health: an update of the literature (2018) · cites this paper as [63]
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Self-citation
- Authors
- Santiago‐Torres, M., Cui, Y., Adams, A. K., Allen, D. B., Carrel, A. L., Guo, J. Y., Delgado‐Rendon, A., LaRowe, T. L., & Schoeller, D. A.
- Affiliations
- Fred Hutch Cancer Center (US)
- University of Maryland, College Park (US)
- University of Wisconsin–Madison (US)
- Parsons Brinckerhoff (US)
- Department of Preventive Medicine University of Southern California Los Angeles CA USA
- Corresponding author
- Santiago‐Torres, M.
- Venue
- Pediatric Obesity
- Publisher
- Wiley
- Published
- 2015-03-02
- Volume
- 11
- Issue
- 1
- Pages
- 54-60
- ISSN
- 2047-6302 (ISSN-L)
- 2047-6310
- PMC
- PMC4558387
- OpenAlex
- W2156740049
- Cited by
- 26
- References
- 32
- Citations by year
- 2022: 1 · 2021: 1 · 2020: 2 · 2019: 5 · 2018: 5 · 2017: 6 · 2016: 2 · 2015: 4
- FWCI
- 6.06
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- Pediatric Obesity (publishedVersion)
- PubMed (publishedVersion)
- PubMed Central (acceptedVersion)
- Funders
- University of Wisconsin-Madison School of Medicine and Public Health (233-PRJ49PH)
- University of Wisconsin-Madison Institute for Clinical and Translational Research
- National Institutes of Health (9U54TR000021)
- National Institutes of Health/National Institute on Minority Health and Health Disparities (5 P60 MD 003428)
- Topics
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Obesity, Physical Activity, Diet
- Health Sciences › Nursing › Nutrition and Dietetics › Nutrition, Health and Food Behavior
- Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Diet, Metabolism, and Disease
- Keywords
- childhood obesity, insulin resistance, sugar-sweetened beverages, home food environment, Hispanic children, parental diet, household food availability, childhood overweight, body mass index, urban children
- MeSH terms
- Adolescent, Attitude to Health, Beverages, Body Weight, Child, Child, Preschool, Diet, Eating, Feeding Behavior, Female, Hispanic or Latino, Humans, Insulin Resistance, Male, Parents, Predictive Value of Tests, Surveys and Questionnaires, Urban Population, Body Mass Index, Pediatric Obesity
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