racial differences in central adiposity in a longitudinal cohort of black and white adolescent females种族差异在中央肥胖青少年女性。纵向的黑色和白色.pdfVIP

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racial differences in central adiposity in a longitudinal cohort of black and white adolescent females种族差异在中央肥胖青少年女性。纵向的黑色和白色.pdf

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racial differences in central adiposity in a longitudinal cohort of black and white adolescent females种族差异在中央肥胖青少年女性。纵向的黑色和白色

Tybor et al. BMC Pediatrics 2010, 10:2 /1471-2431/10/2 RESEARCH ARTICLE Open Access Racial differences in central adiposity in a longitudinal cohort of black and white adolescent females 1* 2 2 3 4 David J Tybor , Alice H Lichtenstein , Gerard E Dallal , Stephen R Daniels , Aviva Must Abstract Background: Central adiposity is related to chronic disease risk in adolescents. Racial differences in waist circumference have been identified using cross-sectional data from this age group. We tested for racial differences in age-related growth in waist circumference in a longitudinal cohort of black and white adolescent girls. Methods: We analyzed 9 years of publicly available data from the National Heart, Lung, and Blood Institute Growth and Health Study, for 2379 girls (1213 black and 1166 white) enrolled at age 9-10 years in 1987-1988 and followed annually. Individual growth trajectories of waist circumference were constructed for girls with 3 annual measures. Mixed models were used to compare changes in waist circumference during adolescence between black and white females. BMI and age at menarche were included in the models. Results: At each age, black females had significantly higher waist circumference. Mean annual increase in waist circumference was significantly higher for black females compared to white females (1.46 cm/yr vs. 1.36 cm/yr, respectively). After adjusting for BMI, the mean annual increase in waist circumference for white females was significantly higher than for black females (0.08 cm/yr vs. -0.07 cm/yr, respectively). These relationships remained significant after adjusting for age at menarche. Conclusions: Black females had significantly steeper increases in waist circumference over adolescence