The overall goal of this 2-year secondary data analysis R03 project is to study the resemblances between American children's and their parents'eating, physical activity (PA) patterns, and body weight status (obesity), and the influence of individual-, household-, and environmental factors on the resemblances. A good understanding of the familial resemblances and discrepancies, related between-population differences, and the determinants of the resemblances based on nationally representative data will help understand the etiology of childhood obesity, determinants of children's eating and PA behaviors and the related health disparities, provide useful insights for the development of population-based interventions to help achieve the Health People 2010 national goals. In the proposed study, related nationally representative data collected in three surveys, including longitudinal data, to be linked with additional contextual factor measures from other data sources using geocode will be used. The first three aims are our primary objectives, the others are secondary objectives:
Aim 1 : Examine the child-parent resemblance in dietary intakes. We will focus on a number of indicators of dietary quality including intakes of food groups, energy and nutrients, and an overall dietary quality score.
Aim 2 : Study the differences in the child-parent resemblance in intakes by individual-, household-, and environmental factors. This will help increase our understanding of the influence of the latter on the resemblance. A set of analyses will be conducted to address several questions.
Aim 3 : Study the child-parent resemblance in BMI and weight status (obesity) and the influence of the multi-level factors on the resemblance. We will also test if the resemblance has changed over time and will test the resemblance in BMI change based on repeated measures.
Aim 4 : Study the child-parent resemblance in PA and sedentary behaviors and the influence of multi-level factors.
Aim 5 : Assess the influence of measurement error on findings of the resemblance in dietary intakes, e.g., by comparing the measurement error corrected- ('calibrated') versus uncorrected results. A set of sophisticated statistical approaches such as multivariate linear and logistic regression analysis, multilevel models, and structural equation models will be used to achieve our goals, in particular, to examine the influence of the predictors. As the first such study based on national data and innovative analysis approaches, our findings will help fill a major gap in the literature and have many important public health implications.

Public Health Relevance

We propose to study the resemblances in American children's and their parents'eating, physical activity and body weight status (obesity), and the influence of individual-, household-, and environmental- factors on the resemblances. The study will be conducted based on rich data collected in nationally representative survey and from other sources.

National Institute of Health (NIH)
Eunice Kennedy Shriver National Institute of Child Health & Human Development (NICHD)
Small Research Grants (R03)
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Special Emphasis Panel (ZHD1-DSR-M (HB))
Program Officer
Esposito, Layla E
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Johns Hopkins University
Public Health & Prev Medicine
Schools of Public Health
United States
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Zhang, Qi; Lamichhane, Rajan; Chen, Hsin-Jen et al. (2014) Does child-parent resemblance in body weight status vary by sociodemographic factors in the USA? J Epidemiol Community Health 68:1034-42
Tuan, Nguyen T; Wang, Youfa (2014) Adiposity assessments: agreement between dual-energy X-ray absorptiometry and anthropometric measures in U.S. children. Obesity (Silver Spring) 22:1495-504
Chen, Hsin-Jen; Liu, Yinghui; Wang, Youfa (2014) Socioeconomic and demographic factors for spousal resemblance in obesity status and habitual physical activity in the United States. J Obes 2014:703215
Isgor, Zeynep; Powell, Lisa M; Wang, Youfa (2013) Multivariable analysis of the association between fathers' and youths' physical activity in the United States. BMC Public Health 13:1075
Liu, Yinghui; Chen, Hsin-Jen; Liang, Lan et al. (2013) Parent-child resemblance in weight status and its correlates in the United States. PLoS One 8:e65361
Tuan, Nguyen T; Butte, Nancy F; Wang, Youfa (2012) Demographic and socioeconomic correlates of adiposity assessed with dual-energy X-ray absorptiometry in US children and adolescents. Am J Clin Nutr 96:1104-12
Chen, Fangfang; Wang, Youfa; Shan, Xiaoyi et al. (2012) Association between childhood obesity and metabolic syndrome: evidence from a large sample of Chinese children and adolescents. PLoS One 7:e47380
Beydoun, May A; Wang, Youfa (2011) Socio-demographic disparities in distribution shifts over time in various adiposity measures among American children and adolescents: What changes in prevalence rates could not reveal. Int J Pediatr Obes 6:21-35
Wang, Youfa (2011) Disparities in pediatric obesity in the United States. Adv Nutr 2:23-31
Wang, Y; Beydoun, M A; Li, J et al. (2011) Do children and their parents eat a similar diet? Resemblance in child and parental dietary intake: systematic review and meta-analysis. J Epidemiol Community Health 65:177-89

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