Positive associations have been observed between acculturation and body mass index (BMI), but the mediators of this relationship are not well established. Acculturation researchers have called for investigating the influence of socio-contextual variables as mediators. The objective of this study was to test the mediating effects of salty snacks, sweet snacks, physical activity, and sedentary behavior on the relationship between acculturation and BMI among Latino adolescents.
Methods:
Adolescents who self-identified as Latino (n = 431) at public high schools in Southern California were recruited and completed a self-report survey. A bootstrapped multiple mediation model was used to test mediation pathways.
Results:
Acculturation was positively associated with physical activity (B = 0.09, p < .05). The indirect effects of salty snacks, sweet snacks, physical activity, and sedentary behavior were not associated with BMI, suggesting no mediation.
Conclusions:
Future research should examine additional mediating variables on the relationship between acculturation and BMI.
Abraído-LanzaA. F.EcheverríaS. E.FlórezK. R. (2016). Latino immigrants, acculturation, and health: Promising new directions in research. Annual Review of Public Health, 37(1), 219–236.
2.
AllenJ. D.CaspiC.YangM.LeyvaB.StoddardA. M.TamersS.Tucker-SeeleyR. D.SorensenG. C. (2014). Pathways between acculturation and health behaviors among residents of low-income housing: The mediating role of social and contextual factors. Social Science and Medicine, 123, 26–36. https://doi.org/10.1016/j.socscimed.2014.10.034
3.
AllenM. L.ElliottM. N.MoralesL. S.DiamantA. L.HambarsoomianK.SchusterM. A. (2007). Adolescent participation in preventive health behaviors, physical activity, and nutrition: Differences across immigrant generations for Asians and Latinos compared with whites. American Journal of Public Health, 97(2), 337–343. https://doi.org/10.2105/AJPH.2005.076810
4.
AmesS. L.WurptsI. C.PikeJ. R.MacKinnonD. P.ReynoldsK. R.StacyA. W. (2016). Self-regulation interventions to reduce consumption of sugar-sweetened beverages in adolescents. Appetite, 105, 652–662. https://doi.org/10.1016/j.appet.2016.06.036
5.
AyalaG. X.BaqueroB.KlingerS. (2008). A systematic review of the relationship between acculturation and diet among Latinos in the United States: Implications for future research. Journal of the American Dietetic Association, 108(8), 1330–1344. https://doi.org/10.1016/j.jada.2008.05.009
6.
BannaJ. C.KaiserL. L.DrakeC.TownsendM. S. (2012). Acculturation, physical activity and television viewing in Hispanic women: Findings from the 2005 California Women’s Health Survey. Public Health Nutrition, 15(2), 198–207. https://doi.org/10.1017/S1368980011001273
7.
BekelmanT. A.JohnsonS. L.TaylorC. A. (2020). Differences in diet quality and snack intakes among non-Hispanic White and Mexican American adolescents from different acculturation groups. Journal of Racial and Ethnic Health Disparities. https://doi.org/10.1007/s40615-020-00732-8
8.
BerryJ. W. (2005). Acculturation: Living successfully in two cultures. International Journal of Intercultural Relations, 29(6 SPEC. ISS.), 697–712. https://doi.org/10.1016/j.ijintrel.2005.07.013
9.
BerryJ. W. (2017). Theories and models of acculturation. In SchwartzS. J.UngerJ. B. (Eds.), The Oxford handbook of acculturation and health. Oxford University Press.
10.
BickhamD. S.HswenY.RichM. (2015). Media use and depression: Exposure, household rules, and symptoms among young adolescents in the USA. International Journal of Public Health. https://doi.org/10.1007/s00038-014-0647-6
11.
BriefelR. R.WilsonA.GleasonP. M. (2009). Consumption of low-nutrient, energy-dense foods and beverages at school, home, and other locations among school lunch participants and nonparticipants. Journal of the American Dietetic Association. https://doi.org/10.1016/j.jada.2008.10.064
12.
CamplainR.Sotres-AlvarezD.AlvarezC.WilsonR.PerreiraK. M.CastañedaS. F.MerchantG.GellmanM. D.ChambersE. C.GalloL. C.EvensonK. R. (2020). The association of acculturation with accelerometer-assessed and self-reported physical activity and sedentary behavior: The Hispanic Community Health Study/Study of Latinos. Preventive Medicine Reports. https://doi.org/10.1016/j.pmedr.2020.101050
13.
CerinE.BarnettA.BaranowskiT. (2009). Testing theories of dietary behavior change in youth using the mediating variable model with intervention programs. Journal of Nutrition Education and Behavior. https://doi.org/10.1016/j.jneb.2009.03.129
14.
CrosnoeR. (2006). Health and the education of children from racial/ethnic minority and immigrant families. Journal of Health and Social Behavior, 47(1), 77–93.
15.
CrosnoeRLopez-GonzalezL. (2005). Immigration from Mexico, school composition, and adolescent functioning. Sociological Perspectives, 48(1), 1–24. https://doi.org/10.1525/sop.2005.48.1.1
16.
DavisC.LevitanR. D.MugliaP.BewellC.KennedyJ. L. (2004). Decision-making deficits and overeating: A risk model for obesity. Obesity Research, 12(6), 929–935. https://doi.org/10.1038/oby.2004.113
17.
DuerksenS.ElderJ. P.ArredondoE.AyalaG. X.SlymenD.CampbellN. R.BaqueroB. (2007). Family restaurant choices are associated with child and adult overweight status in Mexican-American families. American Dietetic Association, 107, 849–853. https://doi.org/10.1016/j.jada.2007.02.012
18.
EvensonK. R.ArredondoE. M.CarnethonM. R.DelamaterA. M.GalloL. C.IsasiC. R.PerreiraK. M.FotiS. A.Van HornL.VidotD. C.Sotres-AlvarezD. (2019). Physical activity and sedentary behavior among US Hispanic/Latino youth: The SOL youth study. Medicine and Science in Sports and Exercise. https://doi.org/10.1249/MSS.0000000000001871
19.
Garcia-MaasL. D. (1999). Intergenerational analysis of dietary practices and health perceptions of Hispanic women and their adult daughters. Journal of Transcultural Nursing. https://doi.org/10.1177/104365969901000312
20.
GerberM.BarkerD.PühseU. (2012). Acculturation and physical activity among immigrants: A systematic review. Journal of Public Health (Germany), 20(3), 313–341. https://doi.org/10.1007/s10389-011-0443-1
21.
Gordon-LarsenP.HarrisK. M.WardD. S.PopkinB. M. (2003). Acculturation and overweight-related behaviors among Hispanic immigrants to the US: The National Longitudinal Study of Adolescent Health. Social Science and Medicine, 57(11), 2023–2034. https://doi.org/10.1016/S0277-9536(03)00072-8
22.
GowenK.HaywardC.KillenJ.RobinsonT.TaylorB. C. (1999). Acculturation and eating disorder symptoms in adolescent girls. Journal of Research on Adolescents, 9(1), 67–83.
23.
HayesA. F. (2018). Introduction to mediation, moderation, and conditional process analysis, second edition: A regression-based approach. The Guilford Press.
24.
Hernández-CorderoS.Cuevas-NasuL.Morán-RuánM. C.Méndez-Gómez HumaránI.Ávila-ArcosM. A.Rivera-DommarcoJ. A. (2017). Overweight and obesity in Mexican children and adolescents during the last 25 years. Nutrition & Diabetes. https://doi.org/10.1038/nutd.2016.52
25.
HimmelgreenD.BretnallA.Perez-EscamillaR.PengY.BermudezA. (2005). Birthplace, length of time in the U.S., and language are associated with diet among inner-city Puerto Rican women. Ecology of Food and Nutrition, 44(2), 105–122. https://doi.org/10.1080/03670240590923514
26.
IannottiR. J.WangJ. (2013). Trends in physical activity, sedentary behavior, diet, and BMI among US adolescents, 2001-2009. Pediatrics. https://doi.org/10.1542/peds.2013-1488
27.
JohansenC.ReynoldsK. D.XieB.PalmerP. (2020). An examination of family variables as mediators of the association of acculturation with sugar-sweetened beverage consumption among Latinx adolescents. Family & Community Health, 43(4), 287–295. https://doi.org/10.1097/FCH.0000000000000278
28.
JohansenC.ReynoldsK. D.XieB.UngerJ. B.AmesS. L. (2019). Acculturation and sugar-sweetened beverage consumption among Hispanic adolescents: The moderating effect of impulsivity. Appetite. https://doi.org/10.1016/j.appet.2018.12.026
29.
KelleyG. A.KelleyK. S.PateR. R. (2014). Effects of exercise on BMI z-score in overweight and obese children and adolescents: A systematic review with meta-analysis. BMC Pediatrics. https://doi.org/10.1186/1471-2431-14-225
30.
LeeH.CardinalB. J.LoprinziP. D. (2012). Effects of socioeconomic status and acculturation on accelerometer-measured moderate-to-vigorous physical activity among Mexican American adolescents: Findings from NHANES 2003-2004. Journal of Physical Activity & Health, 9(8), 1155–1162. https://doi.org/2010-0295
31.
LindC.MirchandaniG. G.CastrucciB. C.ChávezN.HandlerA.HoelscherD. M. (2012). The effects of acculturation on healthy lifestyle characteristics among Hispanic fourth-grade children in Texas public schools, 2004-2005. Journal of School Health. https://doi.org/10.1111/j.1746-1561.2011.00682.x
32.
LiuJ.ChuY.FrongilloE. A.ProbstJ. C. (2012). Generation and acculturation status are associated with dietary intake and body weight in Mexican American adolescents. Journal of Nutrition, 142, 298–305. https://doi.org/10.3945/jn.111.145516.higher
33.
LiuJProbstJ. C.HarunN.BennettK. J.TorresM. E. (2009). Acculturation, physical activity, and obesity among Hispanic adolescents. Ethnicity & Health, 14(5), 509–525. https://doi.org/10.1080/13557850902890209
34.
LobsteinT.Jackson-LeachR.MoodieM. L.HallK. D.GortmakerS. L.SwinburnB. A.JamesW. P. T.WangY.McPhersonK. (2015). Child and adolescent obesity: Part of a bigger picture. The Lancet, 385(9986), 2510–2520. https://doi.org/10.1016/S0140-6736(14)61746-3
35.
LorenD. M. L.BohnertA.SantiagoC. D. C. (2019). Measures of acculturation and relations to zBMI among Mexican-Origin youth. Journal of Racial and Ethnic Health Disparities. https://doi.org/10.1007/s40615-018-00533-0
36.
LubansD. R.FosterC.BiddleS. J. H. (2008). A review of mediators of behavior in interventions to promote physical activity among children and adolescents. Preventive Medicine. https://doi.org/10.1016/j.ypmed.2008.07.011
37.
McLeodD. L.BuscemiJ.BohnertA. M. (2016). Becoming American, becoming obese? A systematic review of acculturation and weight among Latino youth. Obesity Reviews, 17(11), 1040–1049. https://doi.org/10.1111/obr.12447
38.
Neumark-SztainerD.StoryM.HannanP. J.PerryC. L.IrvingL. M. (2002). Weight-related concerns and behaviors among overweight and nonoverweight adolescents: Implications for preventing weight-related disorders. Archives of Pediatrics and Adolescent Medicine. https://doi.org/10.1001/archpedi.156.2.171
39.
NormanS.CastroC.AlbrightC.KingA. (2004). Comparing acculturation models in evaluating dietary habits among low-income Hispanic women. Ethnicity and Disease, 14(3), 399–404.
40.
OgdenC. L.KitB. K.FakhouriT. H. I.CarrollM. D.FlegalK. M. (2014). The epidemiology of obesity among adults. In GI epidemiology: Diseases and clinical methodology (2nd ed.). https://doi.org/10.1002/9781118727072.ch35
41.
OwenN. E. Al. (2010). Too much sitting: The population-health science of sedentary behavior. Exercise and Sport Sciences Reviews, 38(3), 105–113. https://doi.org/10.1097/JES.0b013e3181e373a2.Too
42.
PopkinB. M.UdryJ. R. (1998). Adolescent obesity increases significantly in second and third generation U.S. immigrants: The National Longitudinal Study of Adolescent Health. The Journal of Nutrition, 128(4), 701–706.
43.
ProchaskaJ. J.SallisJ. F.LongB. (2001). A physical activity screening measure for use with adolescents in primary care. Archives of Pediatrics & Adolescent Medicine, 155(May), 554–559. https://doi.org/10.1001/archpedi.155.5.554
44.
ReiningerB.LeeM.JenningsR.EvansA.VidoniM. (2017). Healthy eating patterns associated with acculturation, sex and BMI among Mexican Americans. Public Health Nutrition. https://doi.org/10.1017/S1368980016003311
45.
RoA.BosteanG. (2015). Duration of U.S. stay and body mass index among Latino and Asian immigrants: A test of theoretical pathways. Social Science and Medicine, 144, 39–47. https://doi.org/10.1016/j.socscimed.2015.09.001
46.
RockettH. R.BreitenbachM.FrazierA.WitschiJ.WolfA.FieldA.ColditzG. (1997). Validation of a youth adolescent food frequency questionnaire. Preventive Medicine, 26(6), 808–816. https://doi.org/10.1006/pmed.1997.0200
47.
RockettH. R.WolfA. M.ColditzG. A. (1995). Development and reproducibility of a food frequency questionnaire to assess diets of older children and adolescents. Journal of the American Dietetic Association, 95, 336–340. https://doi.org/10.1016/S0002-8223(95)00086-0
48.
SchwartzS. J.UngerJ. B.ZamboangaB. L.SzapocznikJ. (2010). Rethinking the concept of acculturation: Implications for theory and research. American Psychologist, 65(4), 237–251. https://doi.org/10.1037/a0019330
49.
ShiL.Van MeijgaardJ.SimonP. (2012). The association between acculturation and recreational computer use among Latino adolescents in California. Pediatric Obesity, 7(4). https://doi.org/10.1111/j.2047-6310.2012.00057.x
50.
SissonS. B.BroylesS. T.BakerB. L.KatzmarzykP. T. (2010). Screen time, physical activity, and overweight in U.S. youth: National survey of children’s health 2003. The Journal of Adolescent Health: Official Publication of the Society for Adolescent Medicine, 47(3), 309–311. https://doi.org/10.1016/j.jadohealth.2010.02.016
51.
SkinnerA. C.RavanbakhtS. N.SkeltonJ. A.PerrinE. M.ArmstrongS. C. (2018). Prevalence of obesity and severe obesity in US children, 1999–2016. Pediatrics, 141(3), e20173459. https://doi.org/10.1542/peds.2017-3459
52.
Taverno RossS. E.FrancisL. A.BeLueR. Z.Viruell-FuentesE. A. (2012). Associations between physical activity and overweight among U.S. youth by immigrant generation: Results from the 2007 National Survey of Children’s Health. Journal of Physical Activity & Health, 9(6), 840–848. https://doi.org/10.1123/jpah.9.6.840
53.
UngerJ.GallaherP.ShakibS.Ritt-OlsonA.PalmerP. H.JohnsonC. A. (2002). The AHIMSA acculturation scale: A new measure of acculturation for adolescents in a multicultural society. The Journal of Early Adolescence, 22(3), 225–251. https://doi.org/10.1177/02731602022003001
54.
UngerJ.ReynoldsK.ShakibS.Spruijt-MetzD.SunP.JohnsonC. A. (2004). Acculturation, physical activity, and fast-food consumption among Asian-American and Hispanic adolescents. Journal of Community Health, 29, 467–481. https://doi.org/10.1007/s10900-004-3395-3
55.
WeaverR. G.BrazendaleK.HuntE.SarzynskiM. A.BeetsM. W.WhiteK. (2019). Disparities in childhood overweight and obesity by income in the United States: An epidemiological examination using three nationally representative datasets. International Journal of Obesity. https://doi.org/10.1038/s41366-019-0331-2
56.
WileyJ. F.CloutierM. M.WakefieldD. B.HernandezD. B.GrantA.BeaulieuA.GorinA. A. (2014). Acculturation determines BMI percentile and noncore food intake in Hispanic children. Journal of Nutrition, 144, 305–310. https://doi.org/10.3945/jn.113.182592
