Journal
PEDIATRIC OBESITY
Volume 17, Issue 4, Pages -Publisher
WILEY
DOI: 10.1111/ijpo.12870
Keywords
cardiovascular disease; Hispanic; hypertension; intergenerational; obesity
Categories
Funding
- National Institute on Minority Health and Health Disparities [R01MD007724]
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The study found significant associations between parental obesity and high blood pressure with corresponding indicators in Hispanic families, highlighting the importance of family interventions.
Background Few studies have assessed intergenerational associations of obesity and cardiovascular disease risks from parents to their children among Hispanic Americans. Objectives To assess intergenerational cardiovascular associations among Hispanic families. Methods Using baseline data from an obesity-focused efficacy trial targeting Hispanic adolescents (n = 280) and their parents, we conducted a series of logistic regression analyses to investigate the effects of parental BMI and blood pressure on adolescents' BMI and blood pressure, respectively. Results After adjusting for significant socio-demographic variables and adolescents' lifestyle behaviours, adolescents were more than twice as likely to be in the severely obese versus overweight range when their parents had obesity (vs. non-obese; OR = 2.55, 95% CI = 1.20, 5.39) and more than twice as likely to be in the severely obese versus obese weight range (OR = 2.44, 95% CI = 1.22, 4.87) when their parents had obesity. When compared to those with normal blood pressure, adolescents who had parents with elevated blood pressure/hypertension were more than twice as likely to have elevated blood pressure (OR = 2.05, 95% CI = 1.04, 4.00) or be classified as hypertensive stage 1/2 (OR = 2.81, 95% CI = 1.31, 6.01). Conclusions Both severe obesity and elevated blood pressure are highly associated among Hispanic parent-child dyads. Findings underscore the potential benefits of intervening with the family system.
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