Sex Differences in Cardiometabolic Risk Factors among Hispanic/Latino Youth - 25/08/16
, Christina M. Parrinello, PhD, MPH 1, Guadalupe X. Ayala, PhD, MPH 2, Alan M. Delamater, PhD 3, Krista M. Perreira, PhD 4, Martha L. Daviglus, MD, PhD 5, John P. Elder, PhD, MPH 6, Ashley N. Marchante, MS 7, Shrikant I. Bangdiwala, PhD 8, Linda Van Horn, PhD, RD 9, Mercedes R. Carnethon, PhD 9Abstract |
Objective |
To determine the prevalence of obesity and cardiometabolic risk in US Hispanic/Latino youth and examine whether there are disparities by sex in cardiometabolic risk factors.
Study design |
Study of Latino Youth is a population-based cross-sectional study of 1466 Hispanic/Latino youth (8-16 years old) who were recruited from 4 urban US communities (Bronx, NY, Chicago, IL, Miami, FL, and San Diego, CA) in 2012-2014. The majority of children were US-born (78%) and from low-income and immigrant families. Cardiometabolic risk factors were defined by the use of national age- and sex-specific guidelines.
Results |
The prevalence of obesity was 26.5%. The prevalence of class II-III obesity, diabetes, and dyslipidemia was high (9.7%, 16.5%, and 23.3%, respectively). The prevalence of cardiometabolic risk factors increased with severity of obesity in both boys and girls. Boys had a greater prevalence of diabetes and of elevated blood pressure than girls (20.9% vs 11.8% and 8.5% vs 3.3%). In multivariable analyses, younger boys were more likely to have obesity class II-III than girls (OR 3.59; 95% CI 1.44-8.97). Boys were more likely to have prediabetes than girls (OR 2.02; 95% CI 1.35-3.02), and the association was stronger at older ages.
Conclusions |
The prevalence of cardiometabolic risk factors was high in this sample of Hispanic youth. Boys had a more adverse cardiometabolic profile compared with girls that may put them at higher risk of diabetes and cardiovascular disease later in life. Reasons for this disparity and the long-term clinical implications remain to be elucidated.
Le texte complet de cet article est disponible en PDF.Keywords : cardiometabolic risk factors, CVD risk factors, Hispanic children, obesity, prediabetes
Abbreviations : BMI, CVD, HbA1c, HCHS, HDL-c, LDL-c, SOL
Plan
| Supported by the National Heart, Lung, and Blood Institute (NHLBI; R01HL102130). The children in the SOL are drawn from the study of adults, the Hispanic Community Health Study/Study of Latinos, which was supported by contracts from the NHLBI to the University of North Carolina (N01-HC65233), University of Miami (N01-HC65234), Albert Einstein College of Medicine (N01-HC65235), Northwestern University (N01-HC65236), and San Diego State University (N01-HC65237). The following contribute to this study through a transfer of funds to NHLBI: National Center on Minority Health and Health Disparities, the National Institute of Deafness and Other Communications Disorders, the National Institute of Dental and Craniofacial Research, the National Institute of Diabetes and Digestive and Kidney Diseases, the National Institute of Neurological Disorders and Stroke, and the Office of Dietary Supplements. The content is solely the responsibility of the authors and does not necessarily represent the official views of the funders. The authors declare no conflicts of interest. |
Vol 176
P. 121 - septembre 2016 Retour au numéro
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