Race/ethnicity, life-course socioeconomic position, and body weight trajectories over 34 years: the Alameda County Study
- PMID: 16051936
- PMCID: PMC1449403
- DOI: 10.2105/AJPH.2004.046292
Race/ethnicity, life-course socioeconomic position, and body weight trajectories over 34 years: the Alameda County Study
Abstract
Objectives: We investigated whether race differences in weight gain over 34 years were because of socioeconomic position (SEP) and psychosocial and behavioral factors (physical activity, cigarette smoking, alcohol consumption, depression, marital status, number of children). We used a life-course approach to SEP with 4 measures of SEP (childhood SEP, education, occupation, income) and a cumulative measure of SEP.
Methods: We used mixed models and data collected from the Alameda County Study to examine the association between race and weight change slopes and baseline weight in men (n=1186) and women (n=1375) aged 17 to 40 years at baseline (in 1965).
Results: All subjects gained weight over time. African American women weighed 4.96 kg (P < .001) more at baseline and gained 0.10 kg/year (P = .043) more weight than White women. Black men weighed 2.41 kg (P = .006) more at baseline but did not gain more weight than White men. The association of race with weight gain in women was largely because of cumulative SEP score.
Conclusions: Interventions to prevent overweight and obesity should begin early in life and target the socioeconomically disadvantaged.
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References
-
- Kuczmarski RJ, Robert J, Flegal KM, Campbell SM, Johnson CL. Increasing prevalence of overweight among US adults: the national health and nutrition examination surveys, 1960 to 1991. JAMA. 1994;272: 205–211. - PubMed
-
- Flegal KM, Carroll MD, Kuczmarski RJ, Johnson CL. Overweight and obesity in the United States: prevalence and trends, 1960–1994. Int J Obes. 1998;22: 39–47. - PubMed
-
- Mokdad AH, Serdula MK, Dietz WH, Bowman BA, Marks JS, Koplan JP. The spread of the obesity epidemic in the United States, 1991–1998. JAMA. 1999; 282:1519–1522. - PubMed
-
- Flegal KM, Carroll MD, Kuczmarski RJ, Johnson CL. Overweight and obesity in the United States: prevalence and trends, 1960–1994. Int J Obes. 1998;22: 39–47. - PubMed
-
- Holmes MD, Stampfer MJ, Wolf AM, et al. Can behavioral risk factors explain the difference in body mass index between African-American and European-American women? Ethn Dis. 1998;8:331–339. - PubMed
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