We found a match
Your institution may have access to this item. Find your institution then sign in to continue.
- Title
NHANES Does Not Predict Prevalence or Pattern of Obesity in a Poor, Urban, Minority Population.
- Authors
Campbell-Voytal, Kimberly D.; Gutai, James P.; Janisse, James; Wang, Yun; Klein, James
- Abstract
Detroit, as a city of almost 1 million, is racially and ethnically diverse (82% Black, 6% Latino, 11% White). Thirty-five percent of all Detroit children live in poverty and 62% live in single parent homes. Forty-eight percent of Detroit residents are estimated to be functionally illiterate. The purpose of this study was to assess diabetes risk among urban, ethnically diverse, middie school children who are economically disadvantaged. We report BMI determinations on 1709 children, 48% female, 52% male, 68% Latino, 22% Black, and 10% White. In this cohort, 51% had BMI%ile > 85 and 30%ile had BMI%ile > 95. BMI percentiles were compared to a matched sample drawn from the 2003-2004 National Health and Nutrition Examination Survey (NHANES). To compare the BMI percentiles, a 2 X 2 X 3 Analysis of Variance was performed where the predictors were region, gender, and ethnicity. Due to the strong negative skew we also reflected the BMI percentiles and performed a General Linear Model using a Poisson error structure. The results were similar to the ANOVA and are not presented. The overall Region X Gender X Ethnicity interaction was significant F(2,3235)= 3.54, p=0.03. In Detroit, boys had significantly higher BMI %iles than boys nationally F(1, 1670)=9.77, p<=.01. Among girls in Detroit, Latino (F(1,792)=11.81, p<0.01) and White females (F(1,293)=16.30, p<.01) had significantly higher BMI %iles than girls nationally. The BMI %iles of Black middle school girls in Detroit were not significantly different from the national sample. Overall, the pattern of childhood obesity in Detroit is significantly different from what would be predicted by national surveys. For example, white middle school girls, nationally, are at lowest risk but in Detroit, they are at the highest risk. Much more attention must be focused on poor, urban, groups to better define the problem and develop interventions that are suitable. If we choose not to, we will become overwhelmed with the tragedy and cost of diabetes.
- Subjects
DETROIT (Mich.); MICHIGAN; OBESITY; CITY dwellers; MINORITY students; HEALTH of school children; DIABETES risk factors; HEALTH &; Nutrition Examination Survey
- Publication
Diabetes, 2007, Vol 56, pA472
- ISSN
0012-1797
- Publication type
Article