Differences across four major US urban areas in metabolic syndrome in the Hispanic Community Children's Health Study/Study of Latino Youth (SOL Youth)
Lauren Iacono
Division of Pediatric Endocrinology and Diabetes, University of Vermont Medical Center, Larner College of Medicine at the University of Vermont, Burlington, Vermont, USA
Search for more papers by this authorCorresponding Author
Paola Filigrana
Department of Epidemiology and Population Health, Albert Einstein College of Medicine, Bronx, New York, USA
Correspondence
Paola Filigrana, Department of Epidemiology and Population Health, Albert Einstein College of Medicine, 1300 Morris Park Avenue, Belfer Building-Room 1308, Bronx, NY 10461, USA.
Email: [email protected]
Search for more papers by this authorMonica Batalha
Department of Epidemiology and Population Health, Albert Einstein College of Medicine, Bronx, New York, USA
Search for more papers by this authorKrista M. Perreira
Department of Social Medicine, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina, USA
Search for more papers by this authorLinda C. Gallo
Department of Psychology, San Diego State University, San Diego, California, USA
Search for more papers by this authorBharat Thyagarajan
Department of Laboratory Medicine and Pathology, University of Minnesota, Minneapolis, Minnesota, USA
Search for more papers by this authorMartha L. Daviglus
Institute for Minority Health Research, University of Illinois at Chicago, Chicago, Illinois, USA
Search for more papers by this authorAmber Pirzada
Institute for Minority Health Research, University of Illinois at Chicago, Chicago, Illinois, USA
Search for more papers by this authorAlan M. Delamater
Department of Pediatrics, University of Miami, Miami, Florida, USA
Search for more papers by this authorFrank J. Penedo
Department of Psychology, University of Miami, Miami, Florida, USA
Search for more papers by this authorKelly R. Evenson
Department of Epidemiology, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina, USA
Search for more papers by this authorCarmen R. Isasi
Department of Epidemiology and Population Health, Albert Einstein College of Medicine, Bronx, New York, USA
Search for more papers by this authorLauren Iacono
Division of Pediatric Endocrinology and Diabetes, University of Vermont Medical Center, Larner College of Medicine at the University of Vermont, Burlington, Vermont, USA
Search for more papers by this authorCorresponding Author
Paola Filigrana
Department of Epidemiology and Population Health, Albert Einstein College of Medicine, Bronx, New York, USA
Correspondence
Paola Filigrana, Department of Epidemiology and Population Health, Albert Einstein College of Medicine, 1300 Morris Park Avenue, Belfer Building-Room 1308, Bronx, NY 10461, USA.
Email: [email protected]
Search for more papers by this authorMonica Batalha
Department of Epidemiology and Population Health, Albert Einstein College of Medicine, Bronx, New York, USA
Search for more papers by this authorKrista M. Perreira
Department of Social Medicine, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina, USA
Search for more papers by this authorLinda C. Gallo
Department of Psychology, San Diego State University, San Diego, California, USA
Search for more papers by this authorBharat Thyagarajan
Department of Laboratory Medicine and Pathology, University of Minnesota, Minneapolis, Minnesota, USA
Search for more papers by this authorMartha L. Daviglus
Institute for Minority Health Research, University of Illinois at Chicago, Chicago, Illinois, USA
Search for more papers by this authorAmber Pirzada
Institute for Minority Health Research, University of Illinois at Chicago, Chicago, Illinois, USA
Search for more papers by this authorAlan M. Delamater
Department of Pediatrics, University of Miami, Miami, Florida, USA
Search for more papers by this authorFrank J. Penedo
Department of Psychology, University of Miami, Miami, Florida, USA
Search for more papers by this authorKelly R. Evenson
Department of Epidemiology, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina, USA
Search for more papers by this authorCarmen R. Isasi
Department of Epidemiology and Population Health, Albert Einstein College of Medicine, Bronx, New York, USA
Search for more papers by this authorLauren Iacono and Paola Filigrana contributed equally as first authors.
Summary
Background
Although Hispanic/Latino youth experience a high burden of cardiometabolic risk factors, few studies address regional differences.
Objective
We assessed differences between urban areas in metabolic syndrome and cardiometabolic markers among US Hispanic/Latino youth and examined underlying factors explaining these differences.
Methods
Cross-sectional study of youth (n = 1466, aged 8–16 years) in four US urban areas (Chicago, Bronx, Miami and San Diego) of the Hispanic Community Children's Health Study/Study of Latinos. Metabolic syndrome was ascertained following the International Diabetes Federation criteria. Socio-demographics, perceived environmental characteristics and diet quality were collected through questionnaires. Physical activity was measured using accelerometry. Survey regression models assessed the association between urban areas and metabolic syndrome.
Results
There were differences across urban areas in socio-demographic, behavioural and perceived environmental characteristics. Relative to youth in the four urban areas, youth in Chicago (odds ratios [OR]: 2.39, 95% confidence interval [CI]: 1.29, 4.42), but not Bronx and San Diego, had higher odds of metabolic syndrome, while youth in Miami had lower odds of this syndrome (OR: 0.32, 95% CI: 0.12, 0.85).
Conclusion
We found differences across US urban areas in metabolic syndrome in Hispanic/Latino youth. Although behavioural and environmental characteristics partially explained these differences, future research is needed to understand persistent differences.
CONFLICT OF INTEREST STATEMENT
No conflict of interest was declared.
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