Journal
JOURNAL OF HEALTH AND SOCIAL BEHAVIOR
Volume 52, Issue 3, Pages 333-348Publisher
SAGE PUBLICATIONS INC
DOI: 10.1177/0022146511405335
Keywords
birthweight; childhood health; epidemiologic paradox; Mexican American; overweight; race/ethnicity
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Funding
- NICHD NIH HHS [R24 HD058486, R01HD36916, R01 HD036916] Funding Source: Medline
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Mexican American children have a weight distribution that categorizes them as relatively healthy at birth but relatively unhealthy by age 3. This early life course transition in health based on weight raises the question of whether Mexican American children outgrow the epidemiologic paradox of favorable birth outcomes despite social disadvantage or whether their birthweight distribution places them on trajectory for overweight in childhood. We address this question using newly available 9-year follow-up data from the Fragile Families and Child Wellbeing birth cohort study linked to pre-natal medical records. We systematically investigate the roles of birthweight, pre-natal factors, and childhood factors in explaining racial/ethnic differences in childhood overweight. Our main finding is that Mexican American children do outgrow the paradox: Their rates of childhood overweight are higher than expected given their birthweight distribution. Observed pre-natal and childhood factors do not explain the elevated rates of overweight among Mexican American children.
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