Regional and sociodemographic differences in average BMI among US children in the ECHO program

Program collaborators for Environmental influences on Child Health Outcomes (ECHO)

doi:10.1002/oby.23235

Regional and sociodemographic differences in average BMI among US children in the ECHO program

Program collaborators for Environmental influences on Child Health Outcomes (ECHO)

Mailman School of Public Health

Producción científica › revisión exhaustiva

5 Citas (Scopus)

Resumen

Objective: The aim of this study was to describe the association of individual-level characteristics (sex, race/ethnicity, birth weight, maternal education) with child BMI within each US Census region and variation in child BMI by region. Methods: This study used pooled data from 25 prospective cohort studies. Region of residence (Northeast, Midwest, South, West) was based on residential zip codes. Age- and sex-specific BMI z scores were the outcome. Results: The final sample included 14,313 children with 85,428 BMI measurements, 49% female and 51% non-Hispanic White. Males had a lower average BMI z score compared with females in the Midwest (β = −0.12, 95% CI: −0.19 to −0.05) and West (β = −0.12, 95% CI: −0.20 to −0.04). Compared with non-Hispanic White children, BMI z score was generally higher among children who were Hispanic and Black but not across all regions. Compared with the Northeast, average BMI z score was significantly higher in the Midwest (β = 0.09, 95% CI: 0.05 to 0.14) and lower in the South (β = −0.12, 95% CI: −0.16 to −0.08) and West (β = −0.14, 95% CI: −0.19 to −0.09) after adjustment for age, sex, race/ethnicity, and birth weight. Conclusions: Region of residence was associated with child BMI z scores, even after adjustment for sociodemographic characteristics. Understanding regional influences can inform targeted efforts to mitigate BMI-related disparities among children.

Idioma original	English
Páginas (desde-hasta)	2089-2099
Número de páginas	11
Publicación	Obesity
Volumen	29
N.º	12
DOI	https://doi.org/10.1002/oby.23235
Estado	Published - dic. 2021

Financiación

Financiadores	Número del financiador
FAT	1UG1HD090904‐01
New York University School of Medicine, New York, New York
New York University, New York, New York
National Institutes of Health	U24OD023319, UG3/UH3 OD023318, 1UG3/1UH3 OD023271‐01, UG3/UH3 OD023275, UG3/UH3 023286, UG3/UH3 OD023289, 8UG1OD024956, U2COD023375, UG3/UH3 OD023244, UG3/UH3 OD023288, UG3/UH3 OD023279, UG3/UH3 OD023389, UH3OD023290, UG3/UH3 OD‐023253, UG3/UH3OD023285, 5UH3 OD023282‐04, U24OD023382, 1UG1HD090904-01, UG3/UH3OD023328, UG3/UH3OD023337, UG3 OD023365 04 (IH‐P
Northeastern University

ASJC Scopus Subject Areas

Medicine (miscellaneous)
Endocrinology, Diabetes and Metabolism
Endocrinology
Nutrition and Dietetics

ODS de las Naciones Unidas

Este resultado contribuye a los siguientes Objetivos de Desarrollo Sostenible

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@article{ea757c47ee204589a41dfdba7e7621fa,

title = "Regional and sociodemographic differences in average BMI among US children in the ECHO program",

abstract = "Objective: The aim of this study was to describe the association of individual-level characteristics (sex, race/ethnicity, birth weight, maternal education) with child BMI within each US Census region and variation in child BMI by region. Methods: This study used pooled data from 25 prospective cohort studies. Region of residence (Northeast, Midwest, South, West) was based on residential zip codes. Age- and sex-specific BMI z scores were the outcome. Results: The final sample included 14,313 children with 85,428 BMI measurements, 49% female and 51% non-Hispanic White. Males had a lower average BMI z score compared with females in the Midwest (β = −0.12, 95% CI: −0.19 to −0.05) and West (β = −0.12, 95% CI: −0.20 to −0.04). Compared with non-Hispanic White children, BMI z score was generally higher among children who were Hispanic and Black but not across all regions. Compared with the Northeast, average BMI z score was significantly higher in the Midwest (β = 0.09, 95% CI: 0.05 to 0.14) and lower in the South (β = −0.12, 95% CI: −0.16 to −0.08) and West (β = −0.14, 95% CI: −0.19 to −0.09) after adjustment for age, sex, race/ethnicity, and birth weight. Conclusions: Region of residence was associated with child BMI z scores, even after adjustment for sociodemographic characteristics. Understanding regional influences can inform targeted efforts to mitigate BMI-related disparities among children.",

author = "{Program collaborators for Environmental influences on Child Health Outcomes (ECHO)} and Bekelman, {Traci A.} and Dana Dabelea and Ganiban, {Jody M.} and Andrew Law and {McGovern Reilly}, Alexandra and Althoff, {Keri N.} and Noel Mueller and Camargo, {Carlos A.} and Duarte, {Cristiane S.} and Dunlop, {Anne L.} and Elliott, {Amy J.} and Assiamira Ferrara and Gold, {Diane R.} and Irva Hertz-Picciotto and Tina Hartert and Hipwell, {Alison E.} and Kathi Huddleston and Johnson, {Christine C.} and Karagas, {Margaret R.} and Karr, {Catherine J.} and Hershey, {Gurjit K.Khurana} and Leslie Leve and Somdat Mahabir and McEvoy, {Cindy T.} and Jenae Neiderhiser and Emily Oken and Andrew Rundle and Sheela Sathyanarayana and Christine Turley and Tylavsky, {Frances A.} and Watson, {Sara E.} and Rosalind Wright and Mingyu Zhang and Edward Zoratti and Smith, {P. B.} and Newby, {K. L.} and Benjamin, {D. K.} and Jacobson, {L. P.} and Parker, {C. B.} and Perera, {F. P.} and Herbstman, {J. B.} and Croen, {L. A.} and Blair, {C. B.} and L. Trasande and Alshawabkeh, {A. N.} and Stanford, {J. B.} and Clark, {E. B.} and C. Porucznik and J. Gern and L. Bacharier",

note = "Publisher Copyright: {\textcopyright} 2021 The Obesity Society",

year = "2021",

month = dec,

doi = "10.1002/oby.23235",

language = "English",

volume = "29",

pages = "2089--2099",

journal = "Obesity",

issn = "1930-7381",

publisher = "Wiley-Blackwell",

number = "12",

}

TY - JOUR

T1 - Regional and sociodemographic differences in average BMI among US children in the ECHO program

AU - Program collaborators for Environmental influences on Child Health Outcomes (ECHO)

AU - Bekelman, Traci A.

AU - Dabelea, Dana

AU - Ganiban, Jody M.

AU - Law, Andrew

AU - McGovern Reilly, Alexandra

AU - Althoff, Keri N.

AU - Mueller, Noel

AU - Camargo, Carlos A.

AU - Duarte, Cristiane S.

AU - Dunlop, Anne L.

AU - Elliott, Amy J.

AU - Ferrara, Assiamira

AU - Gold, Diane R.

AU - Hertz-Picciotto, Irva

AU - Hartert, Tina

AU - Hipwell, Alison E.

AU - Huddleston, Kathi

AU - Johnson, Christine C.

AU - Karagas, Margaret R.

AU - Karr, Catherine J.

AU - Hershey, Gurjit K.Khurana

AU - Leve, Leslie

AU - Mahabir, Somdat

AU - McEvoy, Cindy T.

AU - Neiderhiser, Jenae

AU - Oken, Emily

AU - Rundle, Andrew

AU - Sathyanarayana, Sheela

AU - Turley, Christine

AU - Tylavsky, Frances A.

AU - Watson, Sara E.

AU - Wright, Rosalind

AU - Zhang, Mingyu

AU - Zoratti, Edward

AU - Smith, P. B.

AU - Newby, K. L.

AU - Benjamin, D. K.

AU - Jacobson, L. P.

AU - Parker, C. B.

AU - Perera, F. P.

AU - Herbstman, J. B.

AU - Croen, L. A.

AU - Blair, C. B.

AU - Trasande, L.

AU - Alshawabkeh, A. N.

AU - Stanford, J. B.

AU - Clark, E. B.

AU - Porucznik, C.

AU - Gern, J.

AU - Bacharier, L.

PY - 2021/12

Y1 - 2021/12

N2 - Objective: The aim of this study was to describe the association of individual-level characteristics (sex, race/ethnicity, birth weight, maternal education) with child BMI within each US Census region and variation in child BMI by region. Methods: This study used pooled data from 25 prospective cohort studies. Region of residence (Northeast, Midwest, South, West) was based on residential zip codes. Age- and sex-specific BMI z scores were the outcome. Results: The final sample included 14,313 children with 85,428 BMI measurements, 49% female and 51% non-Hispanic White. Males had a lower average BMI z score compared with females in the Midwest (β = −0.12, 95% CI: −0.19 to −0.05) and West (β = −0.12, 95% CI: −0.20 to −0.04). Compared with non-Hispanic White children, BMI z score was generally higher among children who were Hispanic and Black but not across all regions. Compared with the Northeast, average BMI z score was significantly higher in the Midwest (β = 0.09, 95% CI: 0.05 to 0.14) and lower in the South (β = −0.12, 95% CI: −0.16 to −0.08) and West (β = −0.14, 95% CI: −0.19 to −0.09) after adjustment for age, sex, race/ethnicity, and birth weight. Conclusions: Region of residence was associated with child BMI z scores, even after adjustment for sociodemographic characteristics. Understanding regional influences can inform targeted efforts to mitigate BMI-related disparities among children.

AB - Objective: The aim of this study was to describe the association of individual-level characteristics (sex, race/ethnicity, birth weight, maternal education) with child BMI within each US Census region and variation in child BMI by region. Methods: This study used pooled data from 25 prospective cohort studies. Region of residence (Northeast, Midwest, South, West) was based on residential zip codes. Age- and sex-specific BMI z scores were the outcome. Results: The final sample included 14,313 children with 85,428 BMI measurements, 49% female and 51% non-Hispanic White. Males had a lower average BMI z score compared with females in the Midwest (β = −0.12, 95% CI: −0.19 to −0.05) and West (β = −0.12, 95% CI: −0.20 to −0.04). Compared with non-Hispanic White children, BMI z score was generally higher among children who were Hispanic and Black but not across all regions. Compared with the Northeast, average BMI z score was significantly higher in the Midwest (β = 0.09, 95% CI: 0.05 to 0.14) and lower in the South (β = −0.12, 95% CI: −0.16 to −0.08) and West (β = −0.14, 95% CI: −0.19 to −0.09) after adjustment for age, sex, race/ethnicity, and birth weight. Conclusions: Region of residence was associated with child BMI z scores, even after adjustment for sociodemographic characteristics. Understanding regional influences can inform targeted efforts to mitigate BMI-related disparities among children.

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UR - http://www.scopus.com/inward/citedby.url?scp=85114031841&partnerID=8YFLogxK

U2 - 10.1002/oby.23235

DO - 10.1002/oby.23235

M3 - Article

C2 - 34467678

AN - SCOPUS:85114031841

SN - 1930-7381

VL - 29

SP - 2089

EP - 2099

JO - Obesity

JF - Obesity

IS - 12

ER -

Regional and sociodemographic differences in average BMI among US children in the ECHO program

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ASJC Scopus Subject Areas

ODS de las Naciones Unidas

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