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Demographic and sociocultural risk factors for adulthood weight gain in Hispanic/Latinos: results from the Hispanic Community Health Study / Study of Latinos (HCHS/SOL).

TitleDemographic and sociocultural risk factors for adulthood weight gain in Hispanic/Latinos: results from the Hispanic Community Health Study / Study of Latinos (HCHS/SOL).
Publication TypePublication
Year2021
AuthorsFernández-Rhodes L, Butera NM, Lodge EK, Franceschini N, Llabre MM, Arredondo EM, Gallo LC, Arguelles W, Penedo FJ, Daviglus ML, Isasi CR, Smokowski P, Gordon-Larsen P, Aiello AE, Perreira KM, Sotres-Alvarez D, North KE
JournalBMC Public Health
Volume21
Issue1
Pagination2064
Date Published2021 11 10
ISSN1471-2458
KeywordsAdult, Birth Cohort, Hispanic or Latino, Humans, Prevalence, Risk Factors, Self Report, United States, Weight Gain, Young Adult
Abstract

BACKGROUND: United States (US) Hispanic/Latinos experience a disproportionate burden of obesity, which may in part be related to demographic or sociocultural factors, including acculturation to an US diet or inactive lifestyle. Therefore, we sought to describe the association between adulthood weight histories and demographic and sociocultural factors in a large diverse community-based cohort of US Hispanic/Latinos.METHODS: We estimated the effect of several factors on weight gain across adulthood, using multivariable linear mixed models to leverage 38,759 self-reported current body weights and weight histories recalled for 21, 45 and 65 years of age, from 15,203 adults at least 21 years of age at the baseline visit of the Hispanic Community Health Study/Study of Latinos (2008-2011).RESULTS: The average rate of weight gain was nearly 10 kg per decade in early adulthood, but slowed to < 5 kg a decade among individuals 60+ years of age. Birth cohort, gender, nativity or age at immigration, Hispanic/Latino background, and study site each significantly modified the form of the predicted adulthood weight trajectory. Among immigrants, weight gain during the 5 years post-migration was on average 0.88 kg (95% CI: 0.04, 1.72) greater than the weight gain during the 5 years prior. The rate of weight gain appeared to slow after 15 years post-migration.CONCLUSIONS: Using self-reported and weight history data in a diverse sample of US Hispanic/Latinos, we revealed that both demographic and sociocultural factors were associated with the patterning of adulthood weight gain in this sample. Given the steep rate of weight gain in this population and the fact that many Hispanic/Latinos living in the US immigrated as adults, efforts to promote weight maintenance across the life course, including after immigration, should be a top priority for promoting Hispanic/Latino health and addressing US health disparities more broadly.

DOI10.1186/s12889-021-11848-9
Alternate JournalBMC Public Health
PubMed ID34758813
PubMed Central IDPMC8582171
Grant ListR01 HL143885 / HL / NHLBI NIH HHS / United States
P30 DK111022 / DK / NIDDK NIH HHS / United States
P30 DK020541 / DK / NIDDK NIH HHS / United States
T32 HD007168 / HD / NICHD NIH HHS / United States
P60 DK020541 / DK / NIDDK NIH HHS / United States
P2C HD050924 / HD / NICHD NIH HHS / United States
MS#: 
0227
Manuscript Lead/Corresponding Author Affiliation: 
Coordinating Center - Collaborative Studies Coordinating Center - UNC at Chapel Hill
ECI: 
Yes
Manuscript Status: 
Published