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Published in: BMC Pediatrics 1/2019

Open Access 01-12-2019 | Obesity | Research article

Weight status and obesity-related dietary behaviours among culturally and linguistically diverse (CALD) children in Victoria, Australia

Authors: Breanna Scott, Kristy A. Bolton, Claudia Strugnell, Steven Allender, Jennifer Marks

Published in: BMC Pediatrics | Issue 1/2019

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Abstract

Background

In developed economies, obesity prevalence is high within children from some culturally and linguistically diverse (CALD) backgrounds. This study aims to identify whether CALD groups in Victoria, Australia, are at increased risk of childhood overweight and obesity, and obesity-related dietary behaviours; compared to their non-CALD counterparts.

Methods

Objective anthropometric and self-report dietary behavioural data were collected from 2407 Grade 4 and 6 primary school children (aged 9–12 years). Children were categorised into CALD and non-CALD cultural groups according to the Australian Standard Classification of Languages. Overweight/obesity was defined according to the World Health Organization growth reference standards. Obesity-related dietary behaviour categories included excess consumption of takeaway foods, energy-dense, nutrient-poor snacks and sugar sweetened beverages. T-tests and chi-square tests were performed to identify differences in weight status and dietary behaviours between CALD and non-CALD children. Logistic regression analyses examined the relationship between CALD background, weight status and dietary behaviours.

Results

Middle-Eastern children had a higher overweight/obesity prevalence (53.0%) than non-CALD children (36.7%; p < 0.001). A higher proportion of Middle-Eastern children had excess consumption of takeaway foods (54.9%), energy-dense, nutrient-poor snacks (36.6%) and sugar sweetened beverages (35.4%) compared to non-CALD children (40.4, 27.0 and 25.0%, respectively; p < 0.05). Southeast Asian and African children were 1.58 (95% CI = [1.06, 2.35]) and 1.61 (95% CI = [1.17, 2.21]) times more likely, respectively, to consume takeaway foods at least once per week than non-CALD children.

Conclusions

Disparities in overweight/obesity prevalence and obesity-related dietary behaviours among children in Victoria suggest the need for cultural-specific, tailored prevention and intervention strategies.
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Literature
1.
go back to reference Ng M, Fleming T, Robinson M, Thomson B, Graetz N, Margono C, et al. Global, regional, and national prevalence of overweight and obesity in children and adults during 1980-2013: a systematic analysis for the global burden of disease study 2013. Lancet. 2014;384:766–81.PubMedPubMedCentralCrossRef Ng M, Fleming T, Robinson M, Thomson B, Graetz N, Margono C, et al. Global, regional, and national prevalence of overweight and obesity in children and adults during 1980-2013: a systematic analysis for the global burden of disease study 2013. Lancet. 2014;384:766–81.PubMedPubMedCentralCrossRef
2.
go back to reference Sanders RH, Han A, Baker JS, Cobley S. Childhood obesity and its physical and psychological co-morbidities: a systematic review of Australian children and adolescents. Eur J Pediatr. 2015;6:715.CrossRef Sanders RH, Han A, Baker JS, Cobley S. Childhood obesity and its physical and psychological co-morbidities: a systematic review of Australian children and adolescents. Eur J Pediatr. 2015;6:715.CrossRef
5.
go back to reference Barriuso L, Miqueleiz E, Albaladejo R, Villanueva R, Santos JM, Regidor E. Socioeconomic position and childhood-adolescent weight status in rich countries: a systematic review, 1990–2013. BMC Pediatr. 2015;15:129.PubMedPubMedCentralCrossRef Barriuso L, Miqueleiz E, Albaladejo R, Villanueva R, Santos JM, Regidor E. Socioeconomic position and childhood-adolescent weight status in rich countries: a systematic review, 1990–2013. BMC Pediatr. 2015;15:129.PubMedPubMedCentralCrossRef
6.
go back to reference Chung A, Backholer K, Wong E, Palermo C, Keating C, Peeters A. Trends in child and adolescent obesity prevalence in economically advanced countries according to socioeconomic position: a systematic review. Obes Rev. 2016;17:276.PubMedCrossRef Chung A, Backholer K, Wong E, Palermo C, Keating C, Peeters A. Trends in child and adolescent obesity prevalence in economically advanced countries according to socioeconomic position: a systematic review. Obes Rev. 2016;17:276.PubMedCrossRef
7.
go back to reference O'Dea JA. Gender, ethnicity, culture and social class influences on childhood obesity among Australian schoolchildren: implications for treatment, prevention and community education. Health Soc Care Comm. 2008;16:282–90.CrossRef O'Dea JA. Gender, ethnicity, culture and social class influences on childhood obesity among Australian schoolchildren: implications for treatment, prevention and community education. Health Soc Care Comm. 2008;16:282–90.CrossRef
9.
go back to reference O'Dea JA, Dibley MJ. Prevalence of obesity, overweight and thinness in Australian children and adolescents by socioeconomic status and ethnic/cultural group in 2006 and 2012. Int J Public Health. 2014;59:819–28.PubMedCrossRef O'Dea JA, Dibley MJ. Prevalence of obesity, overweight and thinness in Australian children and adolescents by socioeconomic status and ethnic/cultural group in 2006 and 2012. Int J Public Health. 2014;59:819–28.PubMedCrossRef
10.
go back to reference Achat HM, Stubbs JM. Socio-economic and ethnic differences in the prevalence of overweight and obesity among school children. J Paediatr Child H. 2014;50:E77–84.CrossRef Achat HM, Stubbs JM. Socio-economic and ethnic differences in the prevalence of overweight and obesity among school children. J Paediatr Child H. 2014;50:E77–84.CrossRef
11.
go back to reference Waters E, Ashbolt R, Gibbs L, Booth M, Magarey A, Gold L, et al. Double disadvantage: the influence of ethnicity over socioeconomic position on childhood overweight and obesity: findings from an inner urban population of primary school children. Int J Pediatr Obes. 2008;3:196–204.PubMedCrossRef Waters E, Ashbolt R, Gibbs L, Booth M, Magarey A, Gold L, et al. Double disadvantage: the influence of ethnicity over socioeconomic position on childhood overweight and obesity: findings from an inner urban population of primary school children. Int J Pediatr Obes. 2008;3:196–204.PubMedCrossRef
12.
go back to reference Zilanawala A, Davis-Kean P, Nazroo J, Sacker A, Simonton S, Kelly Y. Race/ethnic disparities in early childhood BMI, obesity and overweight in the United Kingdom and United States. Int J Obes. 2015;39:520–9.CrossRef Zilanawala A, Davis-Kean P, Nazroo J, Sacker A, Simonton S, Kelly Y. Race/ethnic disparities in early childhood BMI, obesity and overweight in the United Kingdom and United States. Int J Obes. 2015;39:520–9.CrossRef
13.
go back to reference El-Sayed AM, Scarborough P, Galea S. Ethnic inequalities in obesity among children and adults in the UK: a systematic review of the literature. Obes Rev. 2011;12:E516–34.PubMedCrossRef El-Sayed AM, Scarborough P, Galea S. Ethnic inequalities in obesity among children and adults in the UK: a systematic review of the literature. Obes Rev. 2011;12:E516–34.PubMedCrossRef
14.
go back to reference Hardy LL, King L, Hector D, Baur LA. Socio-cultural differences in Australian primary school children's weight and weight-related behaviours. J Paediatr Child H. 2013;49:641–8.CrossRef Hardy LL, King L, Hector D, Baur LA. Socio-cultural differences in Australian primary school children's weight and weight-related behaviours. J Paediatr Child H. 2013;49:641–8.CrossRef
15.
go back to reference Labree W, van de Mheen D, Rutten F, Rodenburg G, Koopmans G, Foets M. Differences in overweight and obesity among children from migrant and native origin: the role of physical activity, dietary intake, and sleep duration. PLoS One. 2015;10:1–12.CrossRef Labree W, van de Mheen D, Rutten F, Rodenburg G, Koopmans G, Foets M. Differences in overweight and obesity among children from migrant and native origin: the role of physical activity, dietary intake, and sleep duration. PLoS One. 2015;10:1–12.CrossRef
16.
go back to reference Brug J, van Stralen MM, Te Velde SJ, Chinapaw MJ, De Bourdeaudhuij I, Lien N, et al. Differences in weight status and energy-balance related behaviors among schoolchildren across Europe: the energy-project. PLoS One. 2012;7:e34742.PubMedPubMedCentralCrossRef Brug J, van Stralen MM, Te Velde SJ, Chinapaw MJ, De Bourdeaudhuij I, Lien N, et al. Differences in weight status and energy-balance related behaviors among schoolchildren across Europe: the energy-project. PLoS One. 2012;7:e34742.PubMedPubMedCentralCrossRef
17.
go back to reference Arcan C, Larson N, Bauer K, Berge J, Story M, Neumark-Sztainer D. Dietary and weight-related behaviors and body mass index among Hispanic, Hmong, Somali, and white adolescents. J Acad Nutr Diet. 2014;114:375–83.PubMedPubMedCentralCrossRef Arcan C, Larson N, Bauer K, Berge J, Story M, Neumark-Sztainer D. Dietary and weight-related behaviors and body mass index among Hispanic, Hmong, Somali, and white adolescents. J Acad Nutr Diet. 2014;114:375–83.PubMedPubMedCentralCrossRef
19.
go back to reference Hardy LL, Mihrshahi S, Drayton BA, Bauman AE. NSW schools physical activity and nutrition survey (SPANS). Sydney: NSW Department of Health; 2017. Hardy LL, Mihrshahi S, Drayton BA, Bauman AE. NSW schools physical activity and nutrition survey (SPANS). Sydney: NSW Department of Health; 2017.
20.
go back to reference Lobstein T, Baur L, Uauy R. Obesity in children and young people: a crisis in public health. Obes Rev. 2004;5(Suppl 1):4–104.PubMedCrossRef Lobstein T, Baur L, Uauy R. Obesity in children and young people: a crisis in public health. Obes Rev. 2004;5(Suppl 1):4–104.PubMedCrossRef
22.
go back to reference Krebs NF, Himes JH, Jacobson D, Nicklas TA, Guilday P, Styne D. Assessment of child and adolescent overweight and obesity. Pediatrics. 2007;120(Suppl 4):S193–228.PubMedCrossRef Krebs NF, Himes JH, Jacobson D, Nicklas TA, Guilday P, Styne D. Assessment of child and adolescent overweight and obesity. Pediatrics. 2007;120(Suppl 4):S193–228.PubMedCrossRef
23.
go back to reference Strugnell C, Millar L, Churchill A, Jacka F, Bell C, Malakellis M, et al. Healthy together Victoria and childhood obesity - a methodology for measuring changes in childhood obesity in response to a community-based, whole of system cluster randomized control trial. Arch Public Health. 2016;74:16.PubMedPubMedCentralCrossRef Strugnell C, Millar L, Churchill A, Jacka F, Bell C, Malakellis M, et al. Healthy together Victoria and childhood obesity - a methodology for measuring changes in childhood obesity in response to a community-based, whole of system cluster randomized control trial. Arch Public Health. 2016;74:16.PubMedPubMedCentralCrossRef
24.
go back to reference de Onis M, Onyango AW, Borghi E, Siyam A, Nishida C, Siekmann J. Development of a WHO growth reference for school-aged children and adolescents. Bull World Health Organ. 2007;85:660–7.PubMedPubMedCentralCrossRef de Onis M, Onyango AW, Borghi E, Siyam A, Nishida C, Siekmann J. Development of a WHO growth reference for school-aged children and adolescents. Bull World Health Organ. 2007;85:660–7.PubMedPubMedCentralCrossRef
29.
go back to reference Hardy LL, Mihrshahi S, Ding D, Jin K. Trends in overweight, obesity, and waist-to-height ratio among Australian children from linguistically diverse backgrounds, 1997 to 2015. IJO. 2019;43:116–24.PubMedCrossRef Hardy LL, Mihrshahi S, Ding D, Jin K. Trends in overweight, obesity, and waist-to-height ratio among Australian children from linguistically diverse backgrounds, 1997 to 2015. IJO. 2019;43:116–24.PubMedCrossRef
30.
go back to reference Scott J. Childhood obesity estimates based on WHO and IOTF reference values. J Obes Weight Loss Ther. 2015;5:1. Scott J. Childhood obesity estimates based on WHO and IOTF reference values. J Obes Weight Loss Ther. 2015;5:1.
31.
go back to reference Wang Y, Wang JQ. A comparison of international references for the assessment of child and adolescent overweight and obesity in different populations. Eur J Clin Nutr. 2002;56:973–82.PubMedCrossRef Wang Y, Wang JQ. A comparison of international references for the assessment of child and adolescent overweight and obesity in different populations. Eur J Clin Nutr. 2002;56:973–82.PubMedCrossRef
32.
go back to reference Fraser LK, Clarke GP, Cade JE, Edwards KL. Fast food and obesity: a spatial analysis in a large United Kingdom population of children aged 13–15. Am J Prev Med. 2012;42:e77–85.PubMedCrossRef Fraser LK, Clarke GP, Cade JE, Edwards KL. Fast food and obesity: a spatial analysis in a large United Kingdom population of children aged 13–15. Am J Prev Med. 2012;42:e77–85.PubMedCrossRef
33.
go back to reference Braithwaite I, Stewart AW, Hancox RJ, Beasley R, Murphy R, Mitchell EA. Fast-food consumption and body mass index in children and adolescents: An international cross-sectional study. BMJ Open. 2014;4:12.CrossRef Braithwaite I, Stewart AW, Hancox RJ, Beasley R, Murphy R, Mitchell EA. Fast-food consumption and body mass index in children and adolescents: An international cross-sectional study. BMJ Open. 2014;4:12.CrossRef
34.
go back to reference Wellard L, Glasson C, Chapman K. Fries or a fruit bag? Investigating the nutritional composition of fast food children’s meals. Appetite. 2012;58:105–10.PubMedCrossRef Wellard L, Glasson C, Chapman K. Fries or a fruit bag? Investigating the nutritional composition of fast food children’s meals. Appetite. 2012;58:105–10.PubMedCrossRef
35.
go back to reference Bahadoran Z, Mirmiran P, Azizi F. Fast food pattern and cardiometabolic disorders: a review of current studies. Health Promot Perspect. 2015;5(4):231–400.PubMedCrossRef Bahadoran Z, Mirmiran P, Azizi F. Fast food pattern and cardiometabolic disorders: a review of current studies. Health Promot Perspect. 2015;5(4):231–400.PubMedCrossRef
36.
go back to reference Andreyeva T, Kelly IR, Harris JL. Exposure to food advertising on television: associations with children's fast food and soft drink consumption and obesity. Econ Hum Biol. 2011;9:221–33.PubMedCrossRef Andreyeva T, Kelly IR, Harris JL. Exposure to food advertising on television: associations with children's fast food and soft drink consumption and obesity. Econ Hum Biol. 2011;9:221–33.PubMedCrossRef
37.
go back to reference Janssen HG, Davies IG, Richardson LD, Stevenson L. Determinants of takeaway and fast food consumption: a narrative review. Nutr Res Rev. 2017;31:16–34.PubMedCrossRef Janssen HG, Davies IG, Richardson LD, Stevenson L. Determinants of takeaway and fast food consumption: a narrative review. Nutr Res Rev. 2017;31:16–34.PubMedCrossRef
38.
go back to reference Renzaho AMN. Fat, rich and beautiful: changing socio-cultural paradigms associated with obesity risk, nutritional status and refugee children from sub-Saharan Africa. Health Place. 2004;10:105.PubMedCrossRef Renzaho AMN. Fat, rich and beautiful: changing socio-cultural paradigms associated with obesity risk, nutritional status and refugee children from sub-Saharan Africa. Health Place. 2004;10:105.PubMedCrossRef
39.
go back to reference Renzaho AMN, Burns C. Post-migration food habits of sub-Saharan African migrants in Victoria: a cross-sectional study. Nutr Diet. 2006;63:91–102.CrossRef Renzaho AMN, Burns C. Post-migration food habits of sub-Saharan African migrants in Victoria: a cross-sectional study. Nutr Diet. 2006;63:91–102.CrossRef
40.
go back to reference Bucher Della Torre S, Keller A, Laure Depeyre J, Kruseman M. Sugar-sweetened beverages and obesity risk in children and adolescents: A systematic analysis on how methodological quality may influence conclusions. J Acad Nutr Diet. 2016;116:638–59.PubMedCrossRef Bucher Della Torre S, Keller A, Laure Depeyre J, Kruseman M. Sugar-sweetened beverages and obesity risk in children and adolescents: A systematic analysis on how methodological quality may influence conclusions. J Acad Nutr Diet. 2016;116:638–59.PubMedCrossRef
41.
go back to reference Boylan S, Hardy L, Drayton B, Grunseit A, Mihrshahi S. Assessing junk food consumption among Australian children: trends and associated characteristics from a cross-sectional study. BMC Public Health. 2017;17:299.PubMedPubMedCentralCrossRef Boylan S, Hardy L, Drayton B, Grunseit A, Mihrshahi S. Assessing junk food consumption among Australian children: trends and associated characteristics from a cross-sectional study. BMC Public Health. 2017;17:299.PubMedPubMedCentralCrossRef
42.
go back to reference Strugnell C, Orellana L, Hayward J, Millar L, Swinburn B, Allender S. Active (opt-in) consent underestimates mean BMI-z and the prevalence of overweight and obesity compared to passive (opt-out) consent. Evidence from the healthy together Victoria and childhood obesity study. Int J Environ Res Public Health. 2018;15:747.PubMedCentralCrossRef Strugnell C, Orellana L, Hayward J, Millar L, Swinburn B, Allender S. Active (opt-in) consent underestimates mean BMI-z and the prevalence of overweight and obesity compared to passive (opt-out) consent. Evidence from the healthy together Victoria and childhood obesity study. Int J Environ Res Public Health. 2018;15:747.PubMedCentralCrossRef
43.
go back to reference Reilly JJ. Diagnostic accuracy of the BMI for age in paediatrics. IJO. 2006;30(4):595–7. Reilly JJ. Diagnostic accuracy of the BMI for age in paediatrics. IJO. 2006;30(4):595–7.
44.
go back to reference Livingstone MBE, Robson PJ, Wallace JMW. Issues in dietary intake assessment of children and adolescents. Brit J Nutr. 2007;92:S213–22.CrossRef Livingstone MBE, Robson PJ, Wallace JMW. Issues in dietary intake assessment of children and adolescents. Brit J Nutr. 2007;92:S213–22.CrossRef
45.
go back to reference Burrows TL, Truby H, Morgan PJ, Callister R, Davies PSW, Collins CE. A comparison and validation of child versus parent reporting of children's energy intake using food frequency questionnaires versus food records: Who's an accurate reporter? Clin Nutr. 2013;32:613–8.PubMedCrossRef Burrows TL, Truby H, Morgan PJ, Callister R, Davies PSW, Collins CE. A comparison and validation of child versus parent reporting of children's energy intake using food frequency questionnaires versus food records: Who's an accurate reporter? Clin Nutr. 2013;32:613–8.PubMedCrossRef
Metadata
Title
Weight status and obesity-related dietary behaviours among culturally and linguistically diverse (CALD) children in Victoria, Australia
Authors
Breanna Scott
Kristy A. Bolton
Claudia Strugnell
Steven Allender
Jennifer Marks
Publication date
01-12-2019
Publisher
BioMed Central
Published in
BMC Pediatrics / Issue 1/2019
Electronic ISSN: 1471-2431
DOI
https://doi.org/10.1186/s12887-019-1845-4

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