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Research ArticleOriginal Research

Overweight and Obese Prevalence Rates in African American and Hispanic Children: An Analysis of Data from the 2003–2004 National Survey of Children's Health

May Nawal Lutfiyya, Rosemary Garcia, Christine M. Dankwa, Teriya Young and Martin S. Lipsky
The Journal of the American Board of Family Medicine May 2008, 21 (3) 191-199; DOI: https://doi.org/10.3122/jabfm.2008.03.070207
May Nawal Lutfiyya
PhD
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Rosemary Garcia
MD
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Christine M. Dankwa
MPH
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Teriya Young
MD
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Martin S. Lipsky
MD, MS
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Article Figures & Data

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    Table 1.

    Variables, Original Survey Questions, and Recoded Factors Used in Analysis of 2003–2004 Data from National Survey of Children's Health

    VariableNational Survey of Children's Health QuestionRecoded for Descriptive Analysis
    Household income as percent of FPLTwo variables were used to determine a household's poverty status: the number of people residing in a household and the household's income during the prior year.≤150% FPL
    >150% FPL
    Child's nonschool computer useOn an average school day, about how many hours does [the child] use a computer for purposes other than schoolwork?<1 hr
    between 1 and 2 hr
    ≥3 hours
    Child's television useOn an average school day, about how many hours does [the child] usually watch television, watch videos, or play video games?<1 hr
    between 1 and 2 hr
    ≥3 hours
    Child's physical activityDuring the past week, on how many days did [the child] exercise or participate in physical activity for at least 20 minutes that made [him/her] sweat and breathe hard, such as basketball, soccer, running, swimming laps, fast bicycling, fast dancing, or similar aerobic activities?Yes (≥5 days coded as Yes for getting minimum amounts of moderate physical activity)
    No (<5 days coded as No for not getting minimum amounts of moderate physical activity)
    Sports team participantDuring the past 12 months, was [the child] on a sports team or did [he/she] take sports lessons after school or on weekends?Yes
    No
    Have health planDoes [the child] have any kind of health care coverage, including health insurance, prepaid plans such as HMOs, or government plans such as Medicaid?Yes
    No
    Received all preventive care during the past 12 moDuring the past 12 months/Since [the child's] birth, did [he/she] visit [his/her] personal doctor or nurse for preventive care?Yes
    No
    (Preventive care visits include things like a well-child check-up, a routine physical exam, immunizations, or health screening tests.)
    Have PCPDo you have one or more people you think of as [the child's] personal doctor or nurse?Yes
    No
    RaceIs [the child] white, African-American, American Indian, Alaskan native, Asian, or native Hawaiian or other Pacific Islander?white
    Not white
    SexIs [the child] male or female?Male
    Female
    Father/mother meeting at least recommended levels of moderate physical activity?During the past week, on how many days did you exercise or participate in physical activity for at least 20 minutes that made you sweat and breathe hard, such as basketball, soccer, running, swimming laps, fast bicycling, fast dancing, or similar aerobic activities?Yes (≥5 days coded as Yes for getting minimum amounts of moderate physical activity)
    No (<5 days coded as No for not getting minimum amounts of moderate physical activity)
    • FPL, Federal poverty level; HMO, health maintenance organization.

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    Table 2.

    Body Mass Index Classification for Age and Gender by Race and Ethnicity (from 2003 to 2004 National Survey of Children's Health Data)

    Child's BMI ClassificationRace and Ethnicity (%)
    Caucasian (n = 30,713,665)*African American (n = 7,109,284)*Hispanic (n = 5,578,882)*
    Underweight6.86.16.4
    Healthy weight61.044.749.6
    Overweight and obese32.249.244.0
    • * Weighted samples (unweighted n's: Caucasian = 49,854, African American = 6,696, Hispanic = 6,426)

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    Table 3.

    Description of Overweight and/or Obese School-Aged Children by Race/Ethnicity and the Study's Independent Variables (from 2003 to 2004 National Survey of Children's Health Data)

    CovariatesCaucasian (n = 9,889,800)African American (n = 3,497,768)Hispanic (n = 2,454,708)
    Child's household income <150% FPL31.662.270.0
    Child did not receive preventive care during the past 12 mo30.723.130.4
    Child not meeting at least recommended levels of moderate PA32.432.436.9
    Father not meeting at least recommended levels of moderate PA31.029.739.3
    Mother not meeting at least recommended levels of moderate PA40.645.549.2
    Child not a sports team participant53.543.443.8
    Child viewing ≥3 hr of daily television19.936.425.1
    Child nonschool computer use ≥3 hours daily8.411.89.9
    • All data presented as percents. This represents a weighted analysis. Underweighted children by BMI measure were not included in the analysis.

      FPL, Federal poverty level; PA, physical activity.

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    Table 4.

    Multivariate Logistic Regression Results Characteristics of Overweight and/or Obese School-Aged Children Compared with Healthy Weight Children* (from 2003 to 2004 National Survey of Children's Health Data)

    Independent Variables and FactorsAll US ChildrenAfrican-American ChildrenHispanic ChildrenWhite Children
    Race and ethnicity (white)
        African-American1.568 (1.562–1.574)
        Hispanic1.298 (1.293–1.303)
    Sex (female)
        Male1.579 (1.575–1.583)1.279 (1.269–1.288)1.603 (1.591–1.615)1.635 (1.630–1.640)
    Household income (>150% FPL)
        ≤150% FPL1.540 (1.535–1.545)1.219 (1.210–1.229)2.002 (1.987–2.016)1.537 (1.531–1.543)
    Preventive care during past 12 mo (Yes)
        No1.540 (1.535–1.545)1.219 (1.210–1.229)2.002 (1.987–2.016)1.537 (1.531–1.543)
    Father meeting at least recommended levels of moderate PA
        Not meeting recommended levels of moderate PA0.902 (0.899–0.904)0.881 (0.873–0.888)0.662 (0.657–0.668)0.948 (0.945–0.951)
    Mother meeting at least recommended levels of moderate PA
        Not meeting recommended levels of moderate PA1.146 (1.143–1.149)0.995 (0.987–1.003)1.133 (1.124–1.142)1.182 (1.178–1.186)
    Child meeting at least recommended levels of moderate PA
        Not meeting recommended levels of moderate PA1.416 (1.412–1.420)1.605 (1.592–1.618)1.251 (1.241–1.261)1.413 (1.409–1.418)
    Sports Team Participant (Yes)
        No1.343 (1.339–1.347)1.266 (1.256–1.275)1.508 (1.496–1.519)1.341 (1.336- 1.345)
    Child's nonschool computer use (<1 hr)
         Between 1 and 2 hr0.942 (0.940–0.945)1.065 (1.057–1.073)0.873 (0.866–0.880)0.925 (0.922–0.928)
        ≥3 hr1.091 (1.086–1.096)0.977 (0.966–0.989)1.523 (1.502–1.543)1.081 (1.075–1.088)
    Child's television use (<1 hr)
         Between 1 and 2 hr1.312 (1.308–1.316)1.249 (1.237–1.261)0.985 (0.975–0.994)1.370 (1.365–1.375)
        ≥3 hr1.685 (1.678–1.692)1.565 (1.548–1.582)1.272 (1.257–1.287)1.814 (1.805–1.823)
    • All values presented as odds ratio (95% CI). This represents a weighted analysis. Underweighted children by BMI measure were not included in the analysis, nor were children of races/ethnicities other than Caucasian, African American, or Hispanic.

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The Journal of the American Board of Family Medicine: 21 (3)
The Journal of the American Board of Family Medicine
Vol. 21, Issue 3
May-June 2008
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Overweight and Obese Prevalence Rates in African American and Hispanic Children: An Analysis of Data from the 2003–2004 National Survey of Children's Health
May Nawal Lutfiyya, Rosemary Garcia, Christine M. Dankwa, Teriya Young, Martin S. Lipsky
The Journal of the American Board of Family Medicine May 2008, 21 (3) 191-199; DOI: 10.3122/jabfm.2008.03.070207

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Overweight and Obese Prevalence Rates in African American and Hispanic Children: An Analysis of Data from the 2003–2004 National Survey of Children's Health
May Nawal Lutfiyya, Rosemary Garcia, Christine M. Dankwa, Teriya Young, Martin S. Lipsky
The Journal of the American Board of Family Medicine May 2008, 21 (3) 191-199; DOI: 10.3122/jabfm.2008.03.070207
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