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Longitudinal associations of family functioning with body mass index in Mexican-origin adolescents living in the U.S.
Heredia, Natalia I; Wilkinson, Anna V; Forman, Michele R; Christie, Israel C; Wang, Jian; Daniel, Carrie R; Zhao, Hua; Bondy, Melissa L; Strong, Larkin L.
Afiliação
  • Heredia NI; The University of Texas MD Anderson Cancer Center, Houston, TX, United States of America. Electronic address: niheredia@mdanderson.org.
  • Wilkinson AV; University of Texas Health Science Center, Michael & Susan Dell Center for Healthy Living, Austin, TX, United States of America. Electronic address: Anna.v.wilkinson@uth.tmc.edu.
  • Forman MR; Department of Nutrition Science, College of Health and Human Science, Purdue University, West Lafayette, IN, United States of America. Electronic address: mforman@purdue.edu.
  • Christie IC; Center for Innovations in Quality, Effectiveness and Safety (IQuESt), Michael E. DeBakey VA Medical Center, Houston, TX, United States of America; Baylor College of Medicine, Houston, TX, United States of America. Electronic address: Israel.Christie@bcm.edu.
  • Wang J; The University of Texas MD Anderson Cancer Center, Houston, TX, United States of America. Electronic address: jianwang@mdanderson.org.
  • Daniel CR; The University of Texas MD Anderson Cancer Center, Houston, TX, United States of America. Electronic address: cdaniel@mdanderson.org.
  • Zhao H; The University of Texas MD Anderson Cancer Center, Houston, TX, United States of America. Electronic address: hzhao2@mdanderson.org.
  • Bondy ML; Baylor College of Medicine, Houston, TX, United States of America. Electronic address: mbondy@bcm.edu.
  • Strong LL; The University of Texas MD Anderson Cancer Center, Houston, TX, United States of America. Electronic address: LLstrong@mdanderson.org.
Prev Med ; 118: 309-316, 2019 01.
Article em En | MEDLINE | ID: mdl-30419254
Mexican-origin adolescents have a high prevalence of obesity. Research is needed to understand how family context may shape adolescent BMI. This study examined longitudinal associations of family functioning variables with the Centers for Disease Control and Prevention's modified BMI z-score (BMIaz) in 1175 Mexican-origin adolescents, and explored interactions with acculturation. Adolescents (50% female, aged 11-13 y in 2005-06) were identified from an ongoing cohort study of Mexican-origin adults in Houston, TX, and were assessed three times from 2005-06 to 2010-11. In multivariate linear mixed models stratified by gender, we assessed longitudinal associations of family cohesion and family conflict with adolescent BMIaz and explored interactions with language acculturation. We disaggregated the between- (mean) and within-person (individual deviation) components of family cohesion and family conflict to assess the effects on BMIaz. Approximately one-third of adolescents were obese at baseline, and BMIaz declined during the study. In girls, higher mean family cohesion and conflict were associated with steeper declines in BMIaz. Parental linguistic acculturation modified the relationship between within-person deviation in family cohesion and BMIaz in girls, such that high parental U.S. acculturation was associated with a stronger inverse association. There were no significant associations in boys. These findings highlight the potential importance of the family context to female adolescent BMI and the promise of addressing family context in obesity-related interventions.
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Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Índice de Massa Corporal / Americanos Mexicanos / Conflito Familiar / Aculturação / Obesidade Tipo de estudo: Observational_studies / Prognostic_studies / Risk_factors_studies Limite: Adolescent / Child / Female / Humans / Male País/Região como assunto: Mexico Idioma: En Revista: Prev Med Ano de publicação: 2019 Tipo de documento: Article País de publicação: Estados Unidos
Texto completo
Adicionar na Minha BVS
Imprimir
XML
PubMed Links
Buscar no Google

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Índice de Massa Corporal / Americanos Mexicanos / Conflito Familiar / Aculturação / Obesidade Tipo de estudo: Observational_studies / Prognostic_studies / Risk_factors_studies Limite: Adolescent / Child / Female / Humans / Male País/Região como assunto: Mexico Idioma: En Revista: Prev Med Ano de publicação: 2019 Tipo de documento: Article País de publicação: Estados Unidos