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Ethnic disparities in general and abdominal adiposity at school age: a multiethnic population-based cohort study in the Netherlands.
Ann Nutr Metab. 2014; 64(3-4):208-17.AN

Abstract

BACKGROUND/AIMS

Ethnic differences in obesity prevalence have been reported. We examined ethnic differences in general and abdominal fat distribution in school-age children and the influence of parental prepregnancy, pregnancy, and childhood factors on these differences.

METHODS

We performed a multiethnic population-based prospective cohort study among 5,244 children with information about prepregnancy factors, pregnancy, and childhood factors. At the age of 6 years, the BMI, total fat mass, android/gynoid fat mass ratio, and preperitoneal fat mass were assessed via dual-energy X-ray absorptiometry and abdominal ultrasound.

RESULTS

The overweight and obesity prevalences among Dutch children were 10.0 and 2.1%, respectively. Higher prevalences were observed among Cape Verdean (21.0 and 10.3%), Dutch Antillean (18.4 and 13.8%), Moroccan (20.6 and 7.7%), Surinamese-Creole (13.4 and 7.7%), Surinamese-Hindustani (12.3 and 6.2%), and Turkish (23.8 and 12.0%) children. In the models adjusted for age and sex only, Moroccan, Surinamese-Hindustani, and Turkish children had a higher total fat mass than Dutch children, whereas Surinamese-Creole children had a lower total fat mass. Compared to Dutch children, the android/gynoid fat mass ratio was higher in Moroccan, Surinamese-Hindustani, and Turkish children, whereas the preperitoneal fat mass was higher among Dutch Antillean, Moroccan, Surinamese-Hindustani, and Turkish children (all p < 0.05). Prepregnancy factors explained up to 73% of these differences. In addition to prepregnancy factors, pregnancy factors explained up to 34% of the differences. Childhood factors did not significantly explain these associations.

CONCLUSIONS

All ethnic minority groups had higher risks of overweight and obesity than Dutch children. Moroccan, Surinamese-Hindustani, and Turkish children also had an adverse body fat profile. Prepregnancy and pregnancy might be critical periods for preventive strategies focused on the reduction of ethnic disparities in childhood adiposity.

Authors+Show Affiliations

Generation R Study Group, Erasmus University Medical Center, Rotterdam, The Netherlands.No affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article
Research Support, Non-U.S. Gov't

Language

eng

PubMed ID

25300262

Citation

Gishti, Olta, et al. "Ethnic Disparities in General and Abdominal Adiposity at School Age: a Multiethnic Population-based Cohort Study in the Netherlands." Annals of Nutrition & Metabolism, vol. 64, no. 3-4, 2014, pp. 208-17.
Gishti O, Kruithof CJ, Felix JF, et al. Ethnic disparities in general and abdominal adiposity at school age: a multiethnic population-based cohort study in the Netherlands. Ann Nutr Metab. 2014;64(3-4):208-17.
Gishti, O., Kruithof, C. J., Felix, J. F., Raat, H., Hofman, A., Duijts, L., Gaillard, R., & Jaddoe, V. W. (2014). Ethnic disparities in general and abdominal adiposity at school age: a multiethnic population-based cohort study in the Netherlands. Annals of Nutrition & Metabolism, 64(3-4), 208-17. https://doi.org/10.1159/000365022
Gishti O, et al. Ethnic Disparities in General and Abdominal Adiposity at School Age: a Multiethnic Population-based Cohort Study in the Netherlands. Ann Nutr Metab. 2014;64(3-4):208-17. PubMed PMID: 25300262.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Ethnic disparities in general and abdominal adiposity at school age: a multiethnic population-based cohort study in the Netherlands. AU - Gishti,Olta, AU - Kruithof,Claudia J, AU - Felix,Janine F, AU - Raat,Hein, AU - Hofman,Albert, AU - Duijts,Liesbeth, AU - Gaillard,Romy, AU - Jaddoe,Vincent W V, Y1 - 2014/10/02/ PY - 2014/10/11/entrez PY - 2014/10/11/pubmed PY - 2015/6/25/medline SP - 208 EP - 17 JF - Annals of nutrition & metabolism JO - Ann Nutr Metab VL - 64 IS - 3-4 N2 - BACKGROUND/AIMS: Ethnic differences in obesity prevalence have been reported. We examined ethnic differences in general and abdominal fat distribution in school-age children and the influence of parental prepregnancy, pregnancy, and childhood factors on these differences. METHODS: We performed a multiethnic population-based prospective cohort study among 5,244 children with information about prepregnancy factors, pregnancy, and childhood factors. At the age of 6 years, the BMI, total fat mass, android/gynoid fat mass ratio, and preperitoneal fat mass were assessed via dual-energy X-ray absorptiometry and abdominal ultrasound. RESULTS: The overweight and obesity prevalences among Dutch children were 10.0 and 2.1%, respectively. Higher prevalences were observed among Cape Verdean (21.0 and 10.3%), Dutch Antillean (18.4 and 13.8%), Moroccan (20.6 and 7.7%), Surinamese-Creole (13.4 and 7.7%), Surinamese-Hindustani (12.3 and 6.2%), and Turkish (23.8 and 12.0%) children. In the models adjusted for age and sex only, Moroccan, Surinamese-Hindustani, and Turkish children had a higher total fat mass than Dutch children, whereas Surinamese-Creole children had a lower total fat mass. Compared to Dutch children, the android/gynoid fat mass ratio was higher in Moroccan, Surinamese-Hindustani, and Turkish children, whereas the preperitoneal fat mass was higher among Dutch Antillean, Moroccan, Surinamese-Hindustani, and Turkish children (all p < 0.05). Prepregnancy factors explained up to 73% of these differences. In addition to prepregnancy factors, pregnancy factors explained up to 34% of the differences. Childhood factors did not significantly explain these associations. CONCLUSIONS: All ethnic minority groups had higher risks of overweight and obesity than Dutch children. Moroccan, Surinamese-Hindustani, and Turkish children also had an adverse body fat profile. Prepregnancy and pregnancy might be critical periods for preventive strategies focused on the reduction of ethnic disparities in childhood adiposity. SN - 1421-9697 UR - https://www.unboundmedicine.com/medline/citation/25300262/Ethnic_disparities_in_general_and_abdominal_adiposity_at_school_age:_a_multiethnic_population_based_cohort_study_in_the_Netherlands_ L2 - https://www.karger.com?DOI=10.1159/000365022 DB - PRIME DP - Unbound Medicine ER -