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Childhood Obesity among Impoverished Mexican Americans: Longitudinal Growth Patterns and Cultural-Bioecological Predictors from Birth to Pre-Puberty.

Award Number: R01MD011599
ORGANIZATION: NATIONAL CENTER ON MINORITY HEALTH AND HEALTH DISPARITIES
OPDIV: NIH
AWARD CLASS: DISCRETIONARY
AWARD ACTIVITY TYPE: SCIENTIFIC/HEALTH RESEARCH (INCLUDES SURVEYS)

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Project Summary Although childhood obesity is a national health problem reaching epidemic proportions, Hispanic children are nearly twice as likely as non-Hispanic white children to be obese, and Mexican Americans have higher risk of obesity than other Hispanic subgroups. Weight-associated health problems are also increasing at alarming rates. If contemporary obesity prevalence rates persist, “the current generation of children will be the first generation in US history to be sicker and die earlier than their parents” (Robert Wood Johnson Foundation, 2012). Because the challenges of intervention are multiplied after a child has already reached obesity status, it is imperative to understand the processes of developing risk in the earliest years of life. The identification of risk and resiliency predictors of the development of obesity during critical formative years of childhood will provide specific targets amenable to preventive public health interventions. We propose to capitalize on longitudinal data collected by an NIMH and NICHD-funded study of very low income Mexican American mothers and infants (Las Madres Nuevas) that assesses a multitude of cultural and environmental risk and protective factors from the prenatal period through six years of age. We propose to leverage this existing longitudinal dataset, and collect physical health and markers of cardiometabolic risk at ages 7.5 and 9. In combination, we will: 1) Use advanced statistical procedures to chart trajectories of weight gain using objective measures of weight and growth measured at 13 time points from birth through age 9; 2) Identify critical periods from birth to age 9 at which children diverge from healthy weight gain trajectories; 3) Evaluate early life biological susceptibility as a moderator of the impact of environmental influences on child weight gain trajectories and obesity; 4) Evaluate the consequences of cultural, economic, maternal and child factors, and weight gain trajectories for emerging physical health and cardiometabolic risk. The proposed longitudinal study, with data drawn from biological measures, anthropometric measures, parent report, medical records, and observational sessions, is ideally situated to answer key questions related to weight disparities among low- income MA children, and delineate mechanistic pathways in the emergence of MA child obesity. Our scientific approach emphasizes the cultural embeddedness of obesity development, with the view that the reduction of child obesity disparities can best be accomplished by understanding sociocultural and economic forces that shape eating behavior and weight gain. This project holds great potential to address central questions about early life contributors to weight gain and obesity risk in a high risk ethnic group, and enhance opportunities for prevention of obesity and associated health problems.


Issue Date FY	Funding FY	Legal Entity Name	Legal Entity Address	Legal Entity City	Legal Entity State	Legal Entity Zip Code	Legal Entity COUNTY	Legal Entity COUNTRY	Assistance Listing	Award Code	Budget Year	Action Date	Action Type	Action Amount

Issue Date FY: 2023 ( Subtotal = $630,356 )
2023	2023	ARIZONA STATE UNIVERSITY	660 S MILL AVENUE STE 204	TEMPE	AZ	85281	MARICOPA	USA	Minority Health and Health Disparities Research	001	7	8/4/2023	NON-COMPETING CONTINUATION	$630,356
2023	2022	ARIZONA STATE UNIVERSITY	660 S MILL AVENUE STE 204	TEMPE	AZ	85281	MARICOPA	USA	Minority Health and Health Disparities Research	003	6	8/4/2023	COMPETING CONTINUATION	$193,641
2023	2022	ARIZONA STATE UNIVERSITY	660 S MILL AVE STE 312	TEMPE	AZ	85281	MARICOPA	USA	Minority Health and Health Disparities Research	000	6	10/9/2022	COMPETING CONTINUATION	$0
2023	2021	ARIZONA STATE UNIVERSITY	660 S MILL AVENUE STE 204	TEMPE	AZ	85281	MARICOPA	USA	Minority Health and Health Disparities Research	002	5	8/4/2023	NON-COMPETING CONTINUATION	-$193,641
														Subtotal = $630,356

Issue Date FY: 2022 ( Subtotal = $646,740 )
2022	2022	ARIZONA STATE UNIVERSITY	660 S MILL AVE STE 312	TEMPE	AZ	85281	MARICOPA	USA	Minority Health and Health Disparities Research	001	6	9/19/2022	COMPETING CONTINUATION	$646,740
2022	2021	ARIZONA STATE UNIVERSITY	660 S MILL AVE STE 312	TEMPE	AZ	85281	MARICOPA	USA	Minority Health and Health Disparities Research	000	5	9/19/2022	NON-COMPETING CONTINUATION	$0
														Subtotal = $646,740

Issue Date FY: 2021 ( Subtotal = $378,586 )
2021	2021	ARIZONA STATE UNIVERSITY	660 S MILL AVE STE 312	TEMPE	AZ	85281	MARICOPA	USA	Minority Health and Health Disparities Research	001	5	3/15/2021	NON-COMPETING CONTINUATION	$37,859
2021	2021	ARIZONA STATE UNIVERSITY	660 S MILL AVE STE 312	TEMPE	AZ	85281	MARICOPA	USA	Minority Health and Health Disparities Research	000	5	3/4/2021	NON-COMPETING CONTINUATION	$340,727
														Subtotal = $378,586

Issue Date FY: 2020 ( Subtotal = $386,452 )
2020	2020	ARIZONA STATE UNIVERSITY	660 S MILL AVE STE 312	TEMPE	AZ	85281	MARICOPA	USA	Minority Health and Health Disparities Research	000	4	3/13/2020	NON-COMPETING CONTINUATION	$386,452
														Subtotal = $386,452

Issue Date FY: 2019 ( Subtotal = $386,900 )
2019	2019	ARIZONA STATE UNIVERSITY	660 S MILL AVE STE 312	TEMPE	AZ	85281	MARICOPA	USA	Minority Health and Health Disparities Research	000	3	3/22/2019	NON-COMPETING CONTINUATION	$386,900
														Subtotal = $386,900

Issue Date FY: 2018 ( Subtotal = $385,441 )
2018	2018	ARIZONA STATE UNIVERSITY	660 S MILL AVE STE 312	TEMPE	AZ	85281	MARICOPA	USA	Minority Health and Health Disparities Research	001	2	6/18/2018	NON-COMPETING CONTINUATION	$38,545
2018	2018	ARIZONA STATE UNIVERSITY	660 S MILL AVE STE 312	TEMPE	AZ	85281	MARICOPA	USA	Minority Health and Health Disparities Research	000	2	3/16/2018	NON-COMPETING CONTINUATION	$346,896
														Subtotal = $385,441

Issue Date FY: 2017 ( Subtotal = $379,952 )
2017	2017	ARIZONA STATE UNIVERSITY	660 S MILL AVE STE 312	TEMPE	AZ	85281	MARICOPA	USA	Minority Health and Health Disparities Research	000	1	8/7/2017	NEW	$379,952
														Subtotal = $379,952

Grand Total All Awards = $3,194,427

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Childhood Obesity among Impoverished Mexican Americans: Longitudinal Growth Patterns and Cultural-Bioecological Predictors from Birth to Pre-Puberty.

Award Number: R01MD011599

ORGANIZATION: NATIONAL CENTER ON MINORITY HEALTH AND HEALTH DISPARITIES

OPDIV: NIH

AWARD CLASS: DISCRETIONARY

AWARD ACTIVITY TYPE: SCIENTIFIC/HEALTH RESEARCH (INCLUDES SURVEYS)

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