75633 20201113142451.0 doi 10.1093/eurpub/ckx095 sideral 105851 ART-2018-105851 eng (orcid)0000-0003-4242-5464 Iguacel, I. Universidad de Zaragoza Social vulnerabilities as determinants of overweight in 2-, 4-and 6-year-old Spanish children 2018 Access copy available to the general public Unrestricted Background: Differences in obesity prevalence among vulnerable groups exist in childhood but it remains unclear whether these differences may be partly determined by socioeconomic status (SES), parental body mass index (BMI) and early life risk factors. We aimed to explore (i) longitudinal associations between belonging to a minority group and being overweight/obese at age 2, 4 and 6 and (ii) associations between accumulation of social vulnerabilities and being overweight/obese at age 6. Methods: In total, 1031 children (53.8% boys) were evaluated at birth and re-examined during a 6-year follow-up in a representative cohort of Aragon (Spain). Children from minority (vulnerable) groups included Spanish Roma/gypsies, Eastern Europeans, Latin Americans and Africans. Two more vulnerable groups were defined at baseline as children whose parents reported low occupation and education. Ethnicity, SES and parental BMI were collected via interviews. We used logistic mixed-effects models and adjusted for parental BMI, SES, mother''s tobacco use, maternal weight gain, birth weight, infant weight gain and breastfeeding practices. Results: Regardless of confounders, Roma/gypsy children (OR = 4.63;[1.69-12.70]95% CI) and with Latin American background (OR = 3.04;[1.59-5.82]95% CI) were more likely to be overweight/obese at age 6 compared with non-gypsy Spanish group. Children with three vulnerabilities (OR = 2.18;[1.31-3.64]95% CI) were more likely to be overweight/obese at age 6 compared with children with no vulnerabilities. No associations were found between belonging to a minority group and overweight/obesity in children under 6. Conclusion: Interventions should target Roma/gypsy children, Latin American children and those who accumulate more vulnerabilities as they are at higher risk of being overweight/obese at age 6. info:eu-repo/grantAgreement/ES/ISCIII/FIS/PI08-0559 info:eu-repo/grantAgreement/ES/ISCIII/FIS/PI13-02359 info:eu-repo/grantAgreement/ES/ISCIII/RD12-0026 info:eu-repo/grantAgreement/ES/MEC/FPU014-00922 info:eu-repo/semantics/openAccess All rights reserved http://www.europeana.eu/rights/rr-f/ 2.234 2018 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH 47 / 162 = 0.29 2018 Q2 T1 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH 80 / 185 = 0.432 2018 Q2 T2 1.299 2018 Public Health, Environmental and Occupational Health 2018 Q1 info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion (orcid)0000-0002-4145-5103 Fernandez-Alvira, J.M. Labayen, I. (orcid)0000-0003-0454-653X Moreno, L.A. Universidad de Zaragoza (orcid)0000-0001-5492-3191 Samper, M.P. Universidad de Zaragoza (orcid)0000-0002-7985-9912 Rodriguez, G. Universidad de Zaragoza 1006 255 Universidad de Zaragoza Dpto. Fisiatría y Enfermería Área Enfermería 1010 670 Universidad de Zaragoza Dpto. Pediatría Radiol.Med.Fís Área Pediatría 28, 2 (2018), 289-295 Eur. j. public health European Journal of Public Health 1101-1262 187798 http://zaguan.unizar.es/record/75633/files/texto_completo.pdf Versión publicada 140765 http://zaguan.unizar.es/record/75633/files/texto_completo.jpg?subformat=icon icon Versión publicada oai:zaguan.unizar.es:75633 articulos driver 2020-11-13-14:10:22 ARTICLE