Racial/Ethnic Disparities in Meeting 5-2-1-0 Recommendations among Children and Adolescents in the United States

Details

• Alternative Title:
  J Pediatr
• Personal Author:
  Haughton, Christina F. ; Wang, Monica L. ; Lemon, Stephenie C.
• Description:
  Objective
  
  To evaluate racial/ethnic disparities among children and adolescents in meeting the 4 daily 5-2-1-0 nutrition and activity targets in a nationally representative sample. The 5-2-1-0 message summarizes 4 target daily behaviors for obesity prevention: consuming ≥5 servings of fruit and vegetables, engaging in ≤2 hours of screen time, engaging in ≥1 hour of physical activity, and consuming 0 sugar-sweetened beverages daily.
  
  Study design
  
  The National Health and Nutrition Examination Survey (2011–2012) data were used. The study sample included Hispanic (n = 608), non-Hispanic black (n = 609), Asian (n = 253), and non-Hispanic white (n = 484) youth 6–19 years old. The 5-2-1-0 targets were assessed using 24-hour dietary recalls, the Global Physical Activity Questionnaire, and sedentary behavior items. Outcomes included meeting all targets, no targets, and individual targets. Multivariable logistic regression models accounting for the complex sampling design were used to evaluate the association of race/ethnicity with each outcome among children and adolescents separately.
  
  Results
  
  None of the adolescents and <1% of children met all 4 of the 5-2-1-0 targets, and 19% and 33%, of children and adolescents, respectively, met zero targets. No racial/ethnic differences in meeting zero targets were observed among children. Hispanic (aOR, 1.76 [95% CI, 1.04–2.98]), non-Hispanic black (aOR, 1.82 [95% CI, 1.04–3.17]), and Asian (aOR, 1.48 [95% CI, 1.08–2.04]) adolescents had greater odds of meeting zero targets compared with non-Hispanic whites. Racial/ethnic differences in meeting individual targets were observed among children and adolescents.
  
  Conclusions
  
  Despite national initiatives, youth in the US are far from meeting 5-2-1-0 targets. Racial/ethnic disparities exist, particularly among adolescents.
  
  
• Subjects:
  Adolescent Child Cross-Sectional Studies Diet Ethnicity Exercise Female Guidelines As Topic Health Behavior Health Promotion Health Status Disparities Humans Logistic Models Male Nutrition Surveys Obesity Recommended Dietary Allowances Sedentary Behavior United States White People Young Adult

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• Source:
  J Pediatr. 175:188-194.e1
• Pubmed ID:
  27112040
• Pubmed Central ID:
  PMC5988361
• Document Type:
  Journal Article
• Funding:
  K01 DK102447/DK/NIDDK NIH HHSUnited States/ ; T32 HL120823/HL/NHLBI NIH HHSUnited States/ ; U48 DP005031/DP/NCCDPHP CDC HHSUnited States/ ; U48DP005031/ACL/ACL HHSUnited States/
• Volume:
  175
• Collection(s):
  CDC Public Access
• Main Document Checksum:
  urn:sha256:f1d016f29b6681e20cc79876f3c163ab4437944edca2fb380904303110706570
• Download URL:
  https://stacks.cdc.gov/view/cdc/158012/cdc_158012_DS1.pdf
• File Type:
  [PDF - 649.47 KB ]