7/27/2019 Childhood Obesity in Ethnic Minorities - Caleb McKusick

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Cdgejdmmj Mlnsgty gk Ntdkgc @gkmrgtgns

Coenl @cIusgci

D^@O ,

7/27/2019 Childhood Obesity in Ethnic Minorities - Caleb McKusick

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orn stgee qunstgmks olmut gts cousns, cmkcnrks olmut gts cmksnqunkcns, okj cueturoeey rnenvokt

smeutgmks knnjnj amr gts trnot`nkt okj prnvnktgmk.

Jnagkgkb Cdgejdmmj Mlnsgty

Cdgejdmmj mlnsgty gs kmt jnagknj gk tdn so`n `okknr os ojuet mlnsgty9 gk aoct, tdnrn gs km

ukgvnrsoeey occnptnj jnagkgtgmk ma cdgejdmmj mlnsgty.>Ojuet mlnsgty (mr mvnrwngbdt) jnagkgtgmks

orn losnj upmk rneotgmksdgps lntwnnk `mrlgjgty okj `mrtoegty ot vorgmus wngbdts. Zdnsn orn kmt

dnepaue wdnk jnoegkb wgtd cdgejrnk, lncousn `mrlgjgtgns okj `mrtoegty orn kmt oewoys oppornkt

norey gk egan. O cm``mk `ntdmj ma ceossgagcotgmk gk cdgejrnk gs tm gjnktgay tdmsn 7>td pnrcnktgen

ma lmjy `oss gkjnx (L@G) os mvnrwngbdt, okj tm cotnbmrgzn tdmsn 4>td okj 5 7>td pnrcnktgen os

ot rgsi amr lncm`gkb mvnrwngbdt. L@G gs o wngbdt-amr-dngbdt gkjnx tdot occurotney cmrrneotns wgtd

ojgpmsgty gk cdgejrnk okj gs nosy tm coecueotn.1L@G gs kmt oewoys ok occurotn `ntdmj ma

jgscnrkgkb mvnrwngbdt, lut gt gs bnknroeey ok occurotn prnjgctmr o`mkb rneotgvney snjnktory

pmpueotgmks.2

Rdgen mlnsgty dos lnnk o cmkcnrk amr snvnroe jncojns gk `oky Rnstnrkgznj cueturns,

bemloe pnrspnctgvn mk mlnsgty gs kmw pmssglen jun tm tdn stokjorjgznj ceossgagcotgmks ma kmr`oe

lmjy wngbdt losnj mk L@G, wdgcd dovn lnnk pulegsdnj ly tdn Rmrej Dnoetd Mrbokgzotgmk

(RDM).4Zdgs stokjorjgzotgmk dos cmktgkunj gktm tdn rnoe` ma cdgejdmmj mlnsgty. Ok

>Jnkgsn N. Rgeaeny okj Lrgok N. Sonenks, Npgjn`gmemby okj Cousns ma Mlnsgty gk Cdgejrnk, gkNotgkb Jgsmrjnrs

okj Mlnsgty6 O Cm`prndnksgvn Dokjlmmi, nj. Cdrgstmpdnr B. Aogrlurk okj Ineey J. Lrmwknee (Knw Wmri6 Zdn

Bugeamrj Xrnss,

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Gktnrkotgmkoe Mlnsgty Zosi Amrcn dos lnnk amr`nj okj dos subbnstnj prneg`gkory rnanrnkcn L@Gs

mk ok obn- okj snx-spncgagc losgs amr jnsgbkotgkb vorygkb envnes ma mvnrwngbdt okj mlnsgty o`mkb

cdgejrnk.7Km `ottnr wdot `ntdmj gs usnj tm ceossgay cdgejdmmj mlnsgty, tdnrn gs km jnlotn o`mkb

scdmeors tdot gt gs o brmwgkb prmlen` gk Rnstnrk cueturns okj wmrejwgjn. Zdn `mst up-tm-jotn

rnprnsnktotgvn joto gk tdn ^kgtnj Stotns dos sdmwk o twmamej gkcrnosn gk tdn ku`lnr ma cdgejrnk

obns 1-?2 ynors wgtd L@G 7>% sgkcn tdn `gj-?728s.?8Zdnrn gs portgcueor cmkcnrk olmut

cdgejdmmj mlnsgty o`mkb cdgejrnk gk `gkmrgty pmpueotgmks, wdgcd wgee mkey gktnksgay os tdnsn

pmpueotgmks gkcrnosn gk tdn ^kgtnj Stotns, lncousn `gkmrgtgns orn `mrn smcgoeey jgsojvoktobnj

okj dovn wmrsn dnoetd prmagens cm`pornj tm kmk-Dgspokgc wdgtns.

??

Zdn cousns ma cdgejdmmj mlnsgty orn os cm`penx os tdny orn ku`nrmus, lut tdnrn orn

snvnroe iny aoctmrs tdot nxpnrts obrnn upmk wdgcd cok jro`otgcoeey gkaeunkcn o pnrsmks wngbdt

tdrmubdmut cdgejdmmj, ojmenscnkcn, okj gktm ojuetdmmj. Zdnsn orn vorgmus cueturoe, smcgoe, okj

nkvgrmk`nktoe aoctmrs wdgcd uetg`otney oaanct lndovgmr. Gk Rnstnrkgznj cueturns, tdn mccurrnkcn

ma jncrnosnj pdysgcoe octgvgty oemkb wgtd jncrnosnj cmksu`ptgmk ma dnoetdy ammjs orn twm

lndovgmrs tdot stn` arm` cueturoe rmmts. Gk tdn ^kgtnj Stotns, trovne ly outm`mlgen gs nssnktgoeey

tdn mkey vgolen `mjn ma trokspmrtotgmk amr `mst pnmpen. Aurtdnr`mrn, ok gkcrnosnj jm`gkokcn ma

prmcnssnj, emw-cmst, dgbd-jnksgty ammjs dos gkaeunkcnj mlnsgty rotns.?

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cdgejrnk mr ojuets.?3Nxcnss coemrgns arm` o pmsgtgvn nknrby loeokcn wgee nvnktuoeey enoj tm

mlnsgty os tdn du`ok lmjy ottn`pts tm stmrn tdgs nxcnss nknrby.?:^etg`otney, oee ma tdnsn cousns,

wdnk prmpnrey ukjnrstmmj, cok ogj gk tdn amr`ueotgmk ma trnot`nkt prmbro`s tm knbotn tdn

g`pogr`nkts ma pnjgotrgc mlnsgty os `ucd os pmssglen.

Jntrg`nkts ma Cdgejdmmj Mlnsgty amr Ntdkgc/\ocgoe @gkmrgtgns

Lnamrn aurtdnr jgscussgkb cueturoe aoctmrs wdgcd cok gkaeunkcn cdgejdmmj mlnsgty gk

`gkmrgty brmups, gt gs g`pmrtokt tm aueey ukjnrstokj tdn jntrg`nkts tdot cdgejdmmj mlnsgty cok

peocn upmk o cdgejs egan gk tdn prnsnkt okj gk tdn auturn. Zdnrn orn snvnroe g`pmrtokt rnosmks tm

trnot okj prnvnkt pnjgotrgc mlnsgty. Agrst, cdgejrnk wdm orn mlnsn orn `mrn eginey tm lncm`n mlnsn

ojuets, wdnk cm`pornj tm enok cdgejrnk. Sncmkj, pnjgotrgc mlnsgty gs rneotnj tm `mrlgjgty okj

`mrtoegty `mrn tdok >8 ynors oatnr ojmenscnkcn. Zdgrj, cdgejdmmj mlnsgty gs jgrnctey gkvmevnj gk

prmjucgkb ojvnrsn pdysgcoe okj psycdmembgcoe cmksnqunkcns, sucd os corjgmvoscueor jgsnosn,

ostd`o, okj emw snea-cmkagjnkcn.?>Zdnsn g`pogr`nkts cmuej cousn mlnsn cdgejrnk tm `ogktogk o

aeownj pnrcnptgmk ma tdn`snevns okj tdn wmrej ormukj tdn`. Zdn rneotgmksdgp lntwnnk sm`n

pdysgcoe sgjn naancts ma mlnsgty sucd os dypnrtnksgmk, cmemk cokcnr, okj mstnmortdrgtgs dovn lnnk

amukj tm ln enss sgbkgagcokt gk `gkmrgty pmpueotgmks, lut tdnsn jgaanrnkcns `oy ln mkey tn`pmrory,

os tdnsn pmpueotgmks ukjnrbm currnkt npgjn`gmembgcoe sdgats.?1Rdgen tdnsn `mrlgjgtgns `oy ln

?3Rgeaeny okj Sonenks, Npgjn`gmemby okj Cousns, :3

7/27/2019 Childhood Obesity in Ethnic Minorities - Caleb McKusick

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enss sgbkgagcokt o`mkb `gkmrgtgns, corjgmvoscueor jgsnosn, cokcnr, okj jgolntns (portgcueorey typn

< jgolntns) orn `ofmr cousns ma aotoegty gk oee ^.S. ntdkgc brmups.?2

^pmk aurtdnr nxo`gkotgmk, tdn smcgoe cmksnqunkcns ma cdgejdmmj mlnsgty cok ln snvnrn gk

Rnstnrk cueturns, portgcueorey amr bgres okj ymukb wm`nk. Cdgejrnk lnbgk tm jgscrg`gkotn obogkst

tdngr mvnrwngbdt ceoss`otns os norey os igkjnrbortnk, okj mlnsn ojmenscnkt bgres dovn emwnr

cmeenbn occnptokcn rotns cm`pornj tm kmkmvnrwngbdt bgres wgtd sg`geor ocojn`gc locibrmukjs.

Zdnsn bgres `mrn arnqunktey rn`ogk uk`orrgnj, cm`pentn anwnr ynors ma dgbdnr njucotgmk, okj

dovn dgbdnr pmvnrty rotns tdok tdngr pnnrs ma kmr`oe wngbdts.?4An`oens oesm tnkj tm dovn o

jgstmrtnj pnrcnptgmk ma tdngr mwk lmjy sgzn, okj matnk mvnrnstg`otn gt mk lmjy g`obn scoens.

?7

Rdgen tdnsn smcgoe okj psycdmembgcoe cmkcnrks ma cdgejdmmj mlnsgty orn `mrn prmkmukcnj gk

wm`nk, tdny naanct `nk sg`georey, tdmubd typgcoeey tm o enssnr jnbrnn. Ojjgtgmkoeey, mvnrwngbdt

okj mlnsn scdmme-obnj cdgejrnk orn `mrn eginey tm ln vgctg`s okj pnrpntrotmrs ma obbrnssgmk okj

lueeygkb cm`pornj tm tdngr kmk-mlnsn pnnrs.

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cmuktry wmrejwgjn. Gk aoct, tdn mkey rn`ogkgkb rnbgmk wgtdmut sgbkgagcokt rncnkt gkcrnosn gk tdn

rgsi ma pnjgotrgc mlnsgty gs sul-Sodorok Oargco.

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ymutds cm`pornj tm kmk-Dgspokgc wdgtns, nxcnpt amr Osgok O`nrgcoks. Jnspgtn tdgs aoct, tdn rotn

ma mvnrwngbdt o`mkb g``gbrokt Osgok/Xocgagc Gseokjnrs dos lnnk amukj tm gkcrnosn wgtd tdn

ku`lnr ma ynors egvnj gk tdn ^.S.

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Gktnrnstgkbey, mlnsgty rgsi gkcrnosns amr Dgspokgc/Eotgkm O`nrgcoks wgtd lmtd tg`n okj

ku`lnr ma bnknrotgmks gk tdn ^kgtnj Stotns. ^.S.-lmrk cdgejrnk ma g``gbrokt pornkts snn` tm ln

ot tdn brnotnst rgsi ma pnjgotrgc mvnrwngbdt mr mlnsgty.38\nbrnttoley, `oky jntnr`gkokts ma o

cdgejs wngbdt stotus tdot dovn lnnk mlsnrvnj orn prmloley `orinrs ma mtdnr ukjnreygkb cousns,

prmvmigkb `mrn rnsnorcd qunstgmks tdok okswnrs. Amr nxo`pen, tdn rneotgmksdgp lntwnnk SNS okj

cdgejdmmj mlnsgty prmvgjns egtten gkamr`otgmk olmut dmw emwnr SNS enojs tm o pmsgtgvn nknrby

loeokcn.3?

Xrmlen`s Aocgkb Mvnrwngbdt \ocgoe/Ntdkgc @gkmrgtgns

Zdn brnotnst prmlen` amr rocgoe/ntdkgc `gkmrgtgns aocgkb tdn cdgejdmmj mlnsgty npgjn`gc gs

kmt o eoci ma rnsnorcdtdn dnoetd jgsporgtgns okj vorgokcns ma occnss tm corn okj trnot`nkt amr

`gkmrgtgns dos lnnk wnee jmcu`nktnj. Jnspgtn tdgs aoct, tdnrn dovn lnnk anw cueturoeey rnenvokt

gktnrvnktgmks nstolegsdnj tm cm`lot oky ma tdnsn dnoetd cmkcnrks.3.

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Dmwnvnr, cuns gk jnsgbkgkb tdnsn auturn cueturoe trnot`nkt prmbro`s cok ln toink arm`

succnssaue cm`pmknkts ma trnot`nkt gk prmbro`s jnsgbknj amr tdn O`nrgcok pulegc. Zdn agrst

ospnct ma o succnssaue trnot`nkt prmbro` gs o prmpnr jgnt, gk wdgcd nknrby nxpnkjgturn nxcnnjs

nknrby gktoin. Zdgs cok okj sdmuej ln suppen`nktnj wgtd gkcrnosnj pdysgcoe octgvgty, wdgcd

occnenrotns okj g`prmvns `ogktnkokcn ma wngbdt emss. Zdn agkoe okj `mst jgaagcuet ospnct ma

succnssaue trnot`nkt gs prmpnr lndovgmr cdokbn. Zdgs gkvmevns jgscmvnrgkb tdn `mst naanctgvn woy

tm ocqugrn okj sustogk g`prmvnj notgkb okj octgvgty dolgts jurgkb jnvnemp`nkt.31Rdnk jnoegkb

3:Lrnwgs, Mlnsgty, 21-22.

3>Arokim okj Njworjs Bnmrbn, Mvnrwngbdt, Notgkb Lndovgmrs, okj Lmjy G`obn, ???.

31Bmejagnej okj Npstngk, @okobn`nkt ma Mlnsgty gk Cdgejrnk,>2>.

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spncgagcoeey wgtd `gkmrgty pmpueotgmks, gktnrvnktgmks tdot utgegzn gktnrbnknrotgmkoe tgns (n.b.

brokj`mtdnr/`mtdnr/joubdtnr/brokjjoubdtnr rneotgmksdgp) `oy ln `mrn naanctgvn tdok trojgtgmkoe

`ntdmjs ma gkdglgtgmk okj `okobn`nkt. Zdn cdurcd, nxtnkjnj ao`gey, okj gkjgrnct cmuksnegkb

strotnbgns tdot amcus mk stmrytneegkb mr amei lnegnas cmuej peoy o `mrn prm`gknkt rmen amr wngbdt

emss gk `gkmrgtgns tdok amr wdgtns.32Zdnrn gs ok gksuaagcgnkcy ma wngbdt `okobn`nkt prmbro`s

o`mkb tdnsn brmups, jnspgtn tdn gkaeunkcn tdnsn gkstgtutgmks cmuej pmtnktgoeey dovn upmk

`gkmrgtgns ly prnsnktgkb o pnrspnctgvn mk egan tdot nkcmurobns tdn pursugt ma o dnoetdy wngbdt.

Cmkceusgmk

Gk cmkceusgmk, tdn prnvoenkcn ma cdgejdmmj mlnsgty gk `gkmrgty pmpueotgmks gk tdn ^kgtnj

Stotns bnknroeey nxcnnjs tdot ma tdn wdgtn pmpueotgmk, okj pnjgotrgc mvnrwngbdt gs lncm`gkb o

bemloe npgjn`gc. Zdn jntrg`nkts ma mvnrwngbdt okj mlnsgty gk cdgejrnk orn snrgmus, lut cok ln

rn`njgnj. Dmwnvnr, tdn currnkt cueturoe ceg`otn gs kmt cmkjucgvn tm prm`mtgkb dnoetdy eganstyens

o`mkb `gkmrgty pmpueotgmks tdrmubd nkvgrmk`nktoe cmkjgtgmks okj pmsgtgvn rngkamrcn`nkt mk

lmtd `gcrm okj `ocrm envnes. Zdnrn gs o jnspnrotn knnj amr cueturoeey rnenvokt okj rnsuets

mrgnktnj cegkgcoe okj pulegc dnoetd gkgtgotgvns tm dnep prmvgjn o smeutgmk tm tdgs brmwgkb tdrnot tm

tdn wnee-lngkb ma `gkmrgtgns okj cueturns ormukj tdn bemln.

32Amrnyt, Rngbdt Emss Xrmbro`s, >41.

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?:

Rmris Cgtnj

Lrnwgs, Oenxokjro O. Mlnsgty6 Cueturoe okj Lgmcueturoe Xnrspnctgvns. Knw Lrukswgci6 \utbnrs

^kgvnrsgty Xrnss,

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?>

Iu`okygio, Sdgrgig I. Mlnsgty gk @gkmrgty Xmpueotgmks. GkNotgkb Jgsmrjnrs okj Mlnsgty6 O

Cm`prndnksgvn Dokjlmmi, njgtnj ly Cdrgstmpdnr B. Aogrlurk okj Ineey J. Lrmwknee,

:37-:::. Knw Wmri6 Zdn Bugeamrj Xrnss,