Overweight and Obesity Among Title Goes Latino Youths Here Fact Sheet | May 2014 W hile childhood obesity rates among all demographic groups are considerably higher than they were a generation ago, children from certain racial and ethnic communities have been disproportionately affected. Sharply higher rates of overweight and obesity have occurred over the last few decades among Latino, African American, and American Indian children and adolescents.1 Today, the newest data indicate that, while leveling off in some sectors of the American populace, obesity rates among these ethnic groups remain significantly high. Facts At A Glance nn Latino children and adolescents are more likely to be overweight and obese than their White peers. nn Limited availability of healthy foods and safe recreational facilities This fact sheet is based on the most current research highlighting the prevalence, consequences, and causes of overweight and obesity among Latino youths.2 Additional fact sheets and resources on childhood obesity can be found at www.leadershipforhealthycommunities.org. contribute to unhealthy environments for Latino children and families. nn Factors such as acculturation and unhealthy food and beverage marketing play a role in higher rates of overweight and obesity among Latino youths. nn Latino children have a greater risk of developing diabetes compared to their White peers. www.leadershipforhealthycommunities.org twitter.com/LHCommunities facebook.com/LHCommunities Leadership Healthy Communities a national program Leadership forfor Healthy Communities is aisnational program of the Robert Wood Johnson Foundation. of the Robert Wood Johnson Foundation. 2 Overweight and Obesity Among Latino Youths Prevalence of Overweight and Obesity Among Latino Youths Latino youths suffer disproportionately from overweight and obesity. nn Currently, 22.4 percent of Hispanic youths ages 2 to 19 are obese, compared with 16.9 percent of all youths those ages.3 Hispanic youths’ obesity prevalence rate went up by 1.2 percentage points since 2009-10.4 nn Hispanic youths ages 2 to 19 are more likely to be overweight or obese than their non-Hispanic White and non-Hispanic Black peers. The prevalence of overweight and obesity is 38.9 percent among Hispanic youths, 35.2 percent among non-Hispanic Black youths, and 28.5 percent among non-Hispanic White youths.5 nn More Hispanic children ages 6 to 11 and 12 to 19 are obese than their peers. Among Hispanics, 26.1 percent of children ages 6 to 11, and 22.6 percent of 12 to 19 year olds are obese. By comparison among non-Hispanic White children, 13.1 percent of children ages 6 to 11, and 19.6 percent of 12 to 19 year olds are obese.6 nn Among Hispanic children ages 2-19, boys have a higher prevalence of obesity or overweight than girls (40.7 percent versus 37.0 percent). The largest difference is among Hispanic youths ages 6-11. Within this age group, 48.7 percent of Hispanic boys are overweight or obese compared to 43.6 percent of Hispanic girls. Similarly, 28.6 percent of Hispanic boys ages 6 to 11 are obese compared to 23.4 percent of Hispanic girls.7 Consequences of Childhood Obesity Overweight and obese children are more likely to suffer from serious, lifelong illnesses than their healthy-weight peers. The higher prevalence of overweight and obesity among Latino children places them at a greater risk of developing chronic diseases. nn Childhood obesity is associated with an increased risk of type 2 diabetes, high blood pressure and other cardiovascular disease risk factors, asthma, sleep apnea, and social discrimination.8 nn Overweight children are at least twice as likely to become overweight adults compared to their normalweight peers, according to a literature review of the persistence of excess weight from childhood to adulthood.9 nn Hispanic children are more likely than other children to develop diabetes. Among children born in 2000, non-Hispanic White boys have a 26.7 percent risk of being diagnosed with diabetes during their lifetimes, while Hispanic boys have a 45.4 percent lifetime risk. Non-Hispanic White girls born in 2000 have a 31.2 percent risk of being diagnosed with diabetes during their lifetimes, while Hispanic girls have a 52.5 percent lifetime risk.10 3 Overweight and Obesity Among Latino Youths Determinants of Overweight and Obesity A complex interplay of social, economic, and environmental factors contribute to higher overweight and obesity rates among Latino children. The Food Environment The Built Environment Latino communities often lack access to healthy affordable foods. Environmental factors involving transportation, infrastructure, and safety limit Latino children’s options for physical activity. nn Hispanic neighborhoods have approximately onethird as many chain supermarkets as non-Hispanic neighborhoods.11 Easy access to chain supermarkets is associated with lower adolescent body mass index (BMI) and obesity rates.12 nn Latino students have less healthy school meal options than their White peers. In 2010, 48 percent of White middle school students had access to a salad bar at lunch time, compared with 37 percent of Latino students.13 Media Influence The influence of unhealthy food and beverage marketing on Latino households poses a significant challenge to healthy eating. nn In 2008, advertisers spent more than $600 million on food, beverage, and restaurant advertising in Hispanic media.14 nn In 2010, advertisements for fast-food restaurants made up approximately 30 percent of the food advertisements viewed by Hispanic youth on Spanish-language television.15 nn The sugary beverage industry is increasing their marketing to Hispanic youth. In 2010, Hispanic children saw 49 percent more advertisements and Hispanic teens saw 99 percent more advertisements for sugary drinks than they did on Spanish-language TV in 2008.16 nn Hispanic neighborhoods are often less likely to have parks and other spaces for physical activity. According to a study of communities in Maryland, North Carolina, and New York, 81.4 percent of Hispanic neighborhoods did not have access to a recreational facility compared with 38.4 percent of White neighborhoods.17 nn Hispanic children are more likely than White children to live in unsafe neighborhoods. Twentythree percent of Hispanic parents reported their neighborhoods were unsafe, compared with eight percent of White parents.18 nn Hispanic youths do not get enough daily physical activity. An evaluation of data from the 2003 National Survey of Children’s Health found that both immigrant Hispanic children and Hispanic children born in the United States spend less time being physically active and participating in sports than non-Hispanic White children.19 4 Overweight and Obesity Among Latino Youths Acculturation Adaptation to the American way of life is associated with less physical activity, poor eating habits, and excess weight among Latino children and adults. nn A literature review showed that acculturation among Latino adults in the United States increased their consumption of fast food, sugar-sweetened beverages, and added fat.20 nn A study of Mexican–American adults in southeastern Harris County, Texas, showed a direct correlation between obesity risk and years in the United States.21 nn Acculturation to the United States is significantly associated with fewer days of moderate-to-highintensity physical activity and more frequent consumption of fast food, according to a study of Hispanic sixth- and seventh-graders in Southern California.22 Summary Because of the many barriers to healthy eating and active living, Latino children and adolescents are more likely to suffer from overweight and obesity than their White peers. Consequently, they are at a higher risk of developing serious, chronic illnesses. Comprehensive solutions, which include increasing access to affordable healthy foods in communities and schools, limiting the marketing of unhealthy foods and beverages, addressing neighborhood safety, and improving the built environment, are necessary to prevent childhood obesity and safeguard the health of Latino children and adolescents. Endnotes 1 Most data on the prevalence of childhood obesity among racial and ethnic populations are for African Americans and Latinos. 2 The Robert Wood Johnson Foundation (RWJF) and Leadership for Healthy Communities (LHC) generally use the word “Latino” to describe people in the United States who are of Central or South American descent. However, when citing research that uses terminology such as “Hispanic” or “Mexican American,” RWJF and LHC defer to the authors’ wording. 3 Ogden CL, Carroll MD, Kit BK, et al. “Prevalence of Childhood and Adult Obesity in the United States, 2011-2012.” Journal of the American Medical Association, 311(8): 806-814, 2014. 4 Ogden CL, Carroll, MD, Kit BK, et al. “Prevalence of Obesity and Trends in Body Mass Index Among US Children and Adolescents, 1999-2010.” Journal of the American Medical Association, 307(5): 483-490, 2012. 8 Basics About Childhood Obesity. Centers for Disease Control and Prevention. www.cdc.gov/obesity/childhood/basics.html. (Accessed November 2012). (No authors given.) 9 Singh AS, Mulder C, Twisk JWR, et al. “Tracking of Childhood Overweight into Adulthood: A Systematic Review of the Literature.” Obesity Reviews, 9(5): 474-488, 2008. 10 Narayan KMV, Boyle JP, Thompson TJ, et al. “Lifetime Risk for Diabetes Mellitus in the United States.” Journal of the American Medical Association, 290(14): 1884-1890, 2003. 11 Powell LM, Slater S, Mirtcheva D, et al. “Food Store Availability and Neighborhood Characteristics in the United States.” Preventive Medicine, 44(3): 189-195, 2007. 12 Powell LM, Auld MC, Chaloupka FJ, et al. “Associations Between Access to Food Stores and Adolescent Body Mass Index.” American Journal of Preventive Medicine, 33(4S): S301-S307, 2007. 5 Ogden CL, et al 2014, 806-814. 6 Ogden CL, et al 2014, 806-814. 7 Ogden CL, Carroll MD, Kit BK, et al. “Prevalence of Childhood and Adult Obesity in the United States, 2011-2012.” Journal of the American Medical Association, 311(8): 806-814, 2014. 13 Johnston L, O’Malley P. Terry-McElrath Y, et al. School Policies and Practices to Improve Health and Prevent Obesity: National Secondary School Survey Results: School Years 2006–07 through 2009–10. Volume 2. Ann Arbor, MI: Bridging the Gap Program, Survey Research Center, Institute for Social Research, 2012. 5 Overweight and Obesity Among Latino Youths 14 “Hispanic Fact Pack 2009 Edition: Annual Guide to Hispanic Marketing and Media.” Advertising Age, 2009. http://gaia.adage.com/ images/random/datacenter/2009/hispfactpack09.pdf. (Accessed November 2013). (No authors given.) 19 Singh GK, Yu SM, Siashpush M, et al. “High Levels of Physical Inactivity and Sedentary Behaviors Among US Immigrant Children and Adolescents.” Archives of Pediatric & Adolescent Medicine, 162(8): 756763, 2008. 15 Fleming-Milici F, Harris JL, Sarda V, et al. “Amount of Hispanic Youth Exposure to Food and Beverage Advertising on Spanish- and EnglishLanguage Television.” JAMA Pediatrics, 167(8): 723-730, 2013. 20 Ayala GX, Baquero B, Klinger S. “A Systematic Review of the Relationship Between Acculturation and Diet among Latinos in the United States: Implications for Future Research.” Journal of the American Dietetic Association, 108(8): 1330–1344, 2008. 16 Harris J, Schwartz M, and Brownell K. Sugary Drink FACTS: Evaluating Sugary Drink Nutrition and Marketing to Youth. New Haven, CT: Yale Rudd Center for Food Policy & Obesity; 2011. 17 Moore LV, Diez Roux AV, Evenson KR, et al. “Availability of Recreational Resources in Minority and Low Socioeconomic Status Areas.” American Journal of Preventive Medicine, 34(1): 16-22, 2008. 18 Singh GK, Siahpush M, and Kogan MD. “Neighborhood Socioeconomic Conditions, Built Environments, and Childhood Obesity.” Health Affairs, 29(3): 503-512, 2010. 21 Barcenas CH, Wilkinson AV, Strom SS, et al. “Birthplace, Years of Residence in the United States, and Obesity Among Mexican-American Adults.” Obesity, 15(4): 1043-1052, 2007. 22 Unger JB, Reynolds K, Shakib S, et al. “Acculturation, Physical Activity, and Fast-Food Consumption Among Asian-American and Hispanic Adolescents.” Journal of Community Health, 29(6): 467-481, 2004.