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Structural equation modeling of the associations between the home environment and obesity-related cardiovascular fitness and insulin resistance among Hispanic children.
Appetite 2016; 101:23-30A

Abstract

Hispanic children are disproportionally affected by obesity-related risk of metabolic disease. We used the structural equation modeling to examine the associations between specific diet and physical activity (PA) behaviors at home and Hispanic children's metabolic health. A total of 187 Hispanic children and their parents from an urban community in Wisconsin participated in the study. Exposure variables included, children's daily intake of sugar-sweetened beverages (SSB) and PA; home availability of SSB and PA areas/equipment; and parents' intake of SSB and PA, assessed through self-administered questionnaires. Outcome variables for children's metabolic health included, measured anthropometrics; cardiovascular fitness assessed using the Progressive Aerobic Cardiovascular Endurance Run (PACER); and insulin resistance determined with the homeostasis model assessment of insulin resistance (HOMAIR). We found that children's daily intake of SSB was positively associated with BMI z-score, which in turn, was positively associated with HOMAIR (P < 0.05). Specific diet behaviors at home associated with children's intake of SSB, included home availability of SSB, which mediated the association between parents' and children's intake of SSB (P < 0.05). Children's PA was positively associated with PACER z-score, which in turn, was inversely associated with HOMAIR (P < 0.05). Specific PA behaviors at home associated with children's PA, included home availability of PA areas/equipment, which mediated the association between parents' and children's PA (P < 0.05). The structural equation model indices suggested a satisfactory model fit (Chi-square, X(2) = 53.1, comparative fix index = 0.92, root-mean-squared error associated = 0.04). The findings confirm the need for interventions at the family level that promotes healthier home environments by targeting poor diet and low levels of PA in all family members.

Authors+Show Affiliations

Fred Hutchinson Cancer Research Center, Division of Public Health Sciences, Seattle, WA 98109, USA. Electronic address: msantiag@fredhutch.org.University of Maryland, School of Architecture, Planning and Preservation, College Park, MD 20742, USA.University of Wisconsin, Department of Family Medicine, Madison, WI 53706, USA.University of Wisconsin, Department of Pediatrics, Madison, WI 53706, USA.University of Wisconsin, Department of Pediatrics, Madison, WI 53706, USA.Parsons Brinckerhoff, Portland, OR 98026, USA.University of Wisconsin, Department of Preventive Cardiology, Madison, WI 53792, USA.University of Wisconsin, Department of Nutritional Sciences, Madison, WI 53706, USA.

Pub Type(s)

Journal Article
Research Support, N.I.H., Extramural
Research Support, Non-U.S. Gov't

Language

eng

PubMed ID

26850309

Citation

Santiago-Torres, Margarita, et al. "Structural Equation Modeling of the Associations Between the Home Environment and Obesity-related Cardiovascular Fitness and Insulin Resistance Among Hispanic Children." Appetite, vol. 101, 2016, pp. 23-30.
Santiago-Torres M, Cui Y, Adams AK, et al. Structural equation modeling of the associations between the home environment and obesity-related cardiovascular fitness and insulin resistance among Hispanic children. Appetite. 2016;101:23-30.
Santiago-Torres, M., Cui, Y., Adams, A. K., Allen, D. B., Carrel, A. L., Guo, J. Y., ... Schoeller, D. A. (2016). Structural equation modeling of the associations between the home environment and obesity-related cardiovascular fitness and insulin resistance among Hispanic children. Appetite, 101, pp. 23-30. doi:10.1016/j.appet.2016.02.003.
Santiago-Torres M, et al. Structural Equation Modeling of the Associations Between the Home Environment and Obesity-related Cardiovascular Fitness and Insulin Resistance Among Hispanic Children. Appetite. 2016 Jun 1;101:23-30. PubMed PMID: 26850309.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Structural equation modeling of the associations between the home environment and obesity-related cardiovascular fitness and insulin resistance among Hispanic children. AU - Santiago-Torres,Margarita, AU - Cui,Yuchen, AU - Adams,Alexandra K, AU - Allen,David B, AU - Carrel,Aaron L, AU - Guo,Jessica Y, AU - LaRowe,Tara L, AU - Schoeller,Dale A, Y1 - 2016/02/03/ PY - 2015/08/10/received PY - 2015/11/20/revised PY - 2016/02/01/accepted PY - 2016/2/7/entrez PY - 2016/2/7/pubmed PY - 2017/1/27/medline KW - Cardiovascular fitness KW - Hispanic children KW - Home environment KW - Insulin resistance KW - Structural equation modeling SP - 23 EP - 30 JF - Appetite JO - Appetite VL - 101 N2 - Hispanic children are disproportionally affected by obesity-related risk of metabolic disease. We used the structural equation modeling to examine the associations between specific diet and physical activity (PA) behaviors at home and Hispanic children's metabolic health. A total of 187 Hispanic children and their parents from an urban community in Wisconsin participated in the study. Exposure variables included, children's daily intake of sugar-sweetened beverages (SSB) and PA; home availability of SSB and PA areas/equipment; and parents' intake of SSB and PA, assessed through self-administered questionnaires. Outcome variables for children's metabolic health included, measured anthropometrics; cardiovascular fitness assessed using the Progressive Aerobic Cardiovascular Endurance Run (PACER); and insulin resistance determined with the homeostasis model assessment of insulin resistance (HOMAIR). We found that children's daily intake of SSB was positively associated with BMI z-score, which in turn, was positively associated with HOMAIR (P < 0.05). Specific diet behaviors at home associated with children's intake of SSB, included home availability of SSB, which mediated the association between parents' and children's intake of SSB (P < 0.05). Children's PA was positively associated with PACER z-score, which in turn, was inversely associated with HOMAIR (P < 0.05). Specific PA behaviors at home associated with children's PA, included home availability of PA areas/equipment, which mediated the association between parents' and children's PA (P < 0.05). The structural equation model indices suggested a satisfactory model fit (Chi-square, X(2) = 53.1, comparative fix index = 0.92, root-mean-squared error associated = 0.04). The findings confirm the need for interventions at the family level that promotes healthier home environments by targeting poor diet and low levels of PA in all family members. SN - 1095-8304 UR - https://www.unboundmedicine.com/medline/citation/26850309/Structural_equation_modeling_of_the_associations_between_the_home_environment_and_obesity_related_cardiovascular_fitness_and_insulin_resistance_among_Hispanic_children_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S0195-6663(16)30038-1 DB - PRIME DP - Unbound Medicine ER -