Overweight and obesity in young Turkish, Moroccan and Surinamese migrants of the second generation in the Netherlands

Dijkshoorn, Henriëtte; Nicolaou, Mary; Ujcic-Voortman, Joanne K.; Schouten, Gea M.; Bouwman-Notenboom, Arianne J; Berns, Mary P H; Verhoeff, Arnoud P.

doi:10.1017/s1368980013002322

Cited by 10 publications

(11 citation statements)

References 23 publications

(27 reference statements)

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“…Furthermore, within-individual seasonal differences in PA were not assessed [33]. Secondly, the response rate was low among some ethnic groups which may affect the external validity of our findings; this response rate is similar to what is commonly seen in studies among ethnic minority groups [34]. Education, language and literacy levels are likely to be important confounders, particularly as in this study the SQUASH was self-administered by participants.…”

Section: Discussionmentioning

confidence: 86%

Validation of the SQUASH Physical Activity Questionnaire in a Multi-Ethnic Population: The HELIUS Study

et al. 2016

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PurposeTo investigate the reliability and validity of the SQUASH physical activity (PA) questionnaire in a multi-ethnic population living in the Netherlands.MethodsWe included participants from the HELIUS study, a population-based cohort study. In this study we included Dutch (n = 114), Turkish (n = 88), Moroccan (n = 74), South-Asian Surinamese (n = 98) and African Surinamese (n = 91) adults, aged 18–70 years. The SQUASH was self-administered twice to assess test-re-test reliability (mean interval 6–7 weeks) and participants wore an accelerometer and heart rate monitor (Actiheart) to enable assessment of construct validity.ResultsWe observed low test-re-test reliability; Intra class correlation coefficients ranged from low (0.05 for moderate/high intensity PA in African Surinamese women) to acceptable (0.78 for light intensity PA in Moroccan women). The discrepancy between self-reported and measured PA differed on the basis of the intensity of activity: self-reported light intensity PA was lower than measured but self-reported moderate/high intensity PA was higher than measured, with wide limits of agreement. The discrepancy between questionnaire and Actiheart measures of moderate intensity PA did not differ between ethnic minority and Dutch participants with correction for relevant confounders. Additionally, the SQUASH overestimated the number of participants meeting the Dutch PA norm; Cohen’s kappas for the agreement were poor, the highest being 0.30 in Dutch women.ConclusionWe found considerable variation in the test-re-test reliability and validity of self-reported PA with no consistency based on ethnic origin. Our findings imply that the SQUASH does not provide a valid basis for comparison of PA between ethnic groups.

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Section: Discussionmentioning

confidence: 86%

Validation of the SQUASH Physical Activity Questionnaire in a Multi-Ethnic Population: The HELIUS Study

et al. 2016

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“…Ethnic differences in childhood overweight have been reported in several country settings [12, 13]. In the Netherlands, the prevalence of overweight and obesity is much higher among children with a Turkish and Moroccan background than among native Dutch children [14]. Furthermore, studies in other countries have revealed that ethnic minority groups spend more time watching TV than their native counterparts [15, 16].…”

Section: Introductionmentioning

confidence: 99%

Ethnic background and children’s television viewing trajectories: The Generation R Study

et al. 2018

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This study, conducted in the Netherlands, evaluated the association between ethnic background and children’s TV viewing time at multiple time points and its trajectory. We analyzed 4,833 children with a Dutch, Moroccan, Turkish, or Surinamese ethnic background from the Generation R Study, a population-based study in the Netherlands. Parent-reported television viewing time for children at ages 2, 3, 4, 6, and 9 years was collected by questionnaires sent from April 2004 until January 2015. Odds ratios of watching television ≥1 hour/day at each age were calculated for children from the various ethnic backgrounds. Generalized logistic mixed models (GLMMs) were used to assess the association between ethnic background and television viewing time trajectory. The effect modification by family socioeconomic status was examined in cross-sectional and longitudinal analyses. The percentage of children viewing television ≥1 hour/day increased from age 2 to 9 years for children from all ethnic backgrounds. After adjusting for maternal educational level and net household income, children from all ethnic subgroups had greater odds of watching television ≥1 hour/day at some time points compared with children with a Dutch background (Surinamese: all ages; Moroccan: at ages 4 and 6 years; Turkish: at ages 4 and 9 years). The GLMMs indicated that television viewing trajectories differed between ethnic subgroups. The associations between ethnic background and children’s television viewing time were moderated by maternal educational level for child ages 4 and 6 years (p < 0.05). In longitudinal analyses, the ethnic differences in probability of watching television ≥1 hour/day were larger in children from high-educated mothers than in children from low-educated mothers. In conclusion, ethnic differences in television viewing time were present at all measuring time points. The discrepancy between children with a Dutch background and children with another background was larger in high maternal educational subgroups.

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“…However, the obesity inequalities between immigrants and native men are not conclusive and depend on the country of destination and the prevalence of obesity [15] of the home country [16,32], length of stay [31] or whether men are first or second generation in the host country [15,33]. For women, the highest prevalence of obesity among immigrants compared to natives is also consistent with previous studies in Europe regardless of the country of birth [14,15,16,26,32,34]. In addition, similarly to studies conducted in the Netherlands [16] and Sweden [14] with immigrants from Morocco, sub-Saharan Africa Central and South America, obesity inequalities between native and immigrant women, persist after adjusting for sociodemographic characteristics and health behaviors.…”

Section: Discussionmentioning

confidence: 99%

“…Therefore, most studies conclude that the worst socioeconomic and labor conditions, the lowest social support and the highest discrimination of the immigrant population may explain their poor mental and physical health outcomes compared to the native population [11,12,13]. With regards to obesity in Europe, studies report higher prevalence estimates of obesity among immigrant population compared to their native counterparts [14,15,16,17]. However, this difference may be explained by the lower socioeconomic position of the immigrant population.…”

Section: Introductionmentioning

confidence: 99%

Obesity Inequalities According to Place of Birth: The Role of Education

Rodriguez-Alvarez

Lanborena

Borrell

2018

IJERPH

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This study examined obesity inequalities according to place of birth and educational attainment in men and in women in Spain. A cross-sectional study was conducted using data from the Spanish National Health Survey 2011–2012 and from the European Health Survey in Spain 2014. We used data for 27,720 adults aged 18–64 years of whom 2431 were immigrants. We used log-binomial regression to quantify the association of place of birth with obesity before and after adjusting for the selected characteristics in women and in men. We found a greater probability of obesity in immigrant women (PR: 1.42; 95% CI: 1.22–1.64) and a lower probability of obesity in immigrant men (PR: 0.73; 95% CI: 0.59–0.89) relative to natives after adjustment. Significant heterogeneity was observed for the association of place of birth and obesity according to education in men (p-interactions = 0.002): Men with lower educational levels (PR: 0.47; 95% CI: 0.26–0.83) have a protective effect against obesity compared with their native counterparts. This study suggests that place of birth may affect obesity in women and in men. However, this effect may be compounded with education differently for women and men.

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Overweight and obesity in young Turkish, Moroccan and Surinamese migrants of the second generation in the Netherlands

Cited by 10 publications

References 23 publications

Validation of the SQUASH Physical Activity Questionnaire in a Multi-Ethnic Population: The HELIUS Study

Validation of the SQUASH Physical Activity Questionnaire in a Multi-Ethnic Population: The HELIUS Study

Ethnic background and children’s television viewing trajectories: The Generation R Study

Obesity Inequalities According to Place of Birth: The Role of Education

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