Healthy weight advantage lost in one generation among immigrant elementary schoolchildren in multi-ethnic, disadvantaged, inner-city neighborhoods in Montreal, Canada.

Abstract:

BACKGROUND:We sought to determine if the rate of increase in body mass index (BMI) differs between first generation immigrant children (child and both parents born outside Canada); second generation immigrant children (child born in Canada with at least one parent born outside Canada); and native-born children (child and both parents born in Canada), and if the rate of increase varies across ethnic groups. METHODS:Data were available from the evaluation of a 5-year heart health promotion program targeted to elementary school children from 24 schools in multi-ethnic, disadvantaged, inner-city neighborhoods in Montreal, Canada. Participants were 6392 children aged 9-12 years born in and outside of Canada. Height and weight were measured annually according to a standardized protocol. BMI increases with age were examined using individual growth models stratified by immigrant status grouping (first generation immigrant, second generation immigrant, native-born). RESULTS:On average, BMI increased by 0.59, 0.73, and 0.82 kg/m2 with each year of age among first generation immigrant, second generation immigrant, and native-born children, respectively. These differences held across four family origin grouping (Europe, Asia, Central/South America, and Other). CONCLUSION:The protective effect of immigrant status on BMI increases with age dissipated in second generation immigrant children, whose rate of increase was similar to that of native-born children. Because immigrants constitute the fastest growing segment of the Canadian population, it is important to understand the causes of the higher BMI increases with successive generations.

journal_name

Ann Epidemiol

journal_title

Annals of epidemiology

authors

Maximova K,O'Loughlin J,Gray-Donald K

doi

10.1016/j.annepidem.2011.01.002

subject

Has Abstract

pub_date

2011-04-01 00:00:00

pages

238-44

issue

4

eissn

1047-2797

issn

1873-2585

pii

S1047-2797(11)00021-4

journal_volume

21

pub_type

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