Skip to main content
Log in

Immigrant Status, Acculturation and Risk of Overweight and Obesity in Adolescents Living in Madrid (Spain): The AFINOS Study

  • Original Paper
  • Published:
Journal of Immigrant and Minority Health Aims and scope Submit manuscript

Abstract

Prior studies have identified a link between length of residence and overweight (including obesity) in immigrant populations. However, this link has not been confirmed in Europe. This study compares overweight prevalences in native Spanish and immigrant adolescents living in the Madrid region (Spain), and whether length of residence affects the risk of immigrant adolescents being overweight. The study population was a representative sample of adolescents aged 13–17 years (n = 2,081, 1,055 girls) who lived in Madrid. Data were collected from November 2007 to February 2008 through a cross-sectional survey in which self-reported height and weight were used to calculate BMI. Overall, no significant difference was detected in overweight risk between the Spanish and immigrant adolescents. However, immigrant adolescents residing in Spain for 6 years or under did show a higher overweight risk than both the Spanish adolescents (OR 1.57) and immigrants who had lived in Spain for longer than 6 years (OR 1.98). Changes in lifestyle associated to a longer duration of residence in Spain seems to have a slightly protective effect on the risk of being overweight in immigrant adolescents.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Fig. 1

Similar content being viewed by others

References

  1. Lindstrom M, Sundquist K. The impact of country of birth and time in Sweden on overweight and obesity: a population-based study. Scand J Public Health. 2005;33(4):276–84.

    Article  PubMed  Google Scholar 

  2. Arcia E, Skinner M, Bailey D, et al. Models of acculturation and health behaviors among Latino immigrants to the US. Soc Sci Med. 2001;53(1):41–53.

    Article  CAS  PubMed  Google Scholar 

  3. Singh GK, Siahpush M. Ethnic-immigrant differentials in health behaviors, morbidity, and cause-specific mortality in the United States: an analysis of two national data bases. Hum Biol. 2002;74(1):83–109.

    Article  PubMed  Google Scholar 

  4. Zea MC, Asner-Self KK, Birman D, et al. The abbreviated multidimensional acculturation scale: empirical validation with two Latino/Latina samples. Cultur Divers Ethnic Minor Psychol. 2003;9(2):107–26.

    Article  PubMed  Google Scholar 

  5. INE (Instituto Nacional de Estadística—National Institute of Statistics). Available in http://www.ine.es/jaxi/menu.do?type=pcaxis&path=%2Ft20%2Fe245&file=inebase&L=0.

  6. Barcenas CH, Wilkinson AV, Strom SS, et al. Birthplace, years of residence in the United States, and obesity among Mexican-American adults. Obesity (Silver Spring). 2007;15(4):1043–52.

    Article  Google Scholar 

  7. Cairney J, Ostbye T. Time since immigration and excess body weight. Can J Public Health. 1999;90(2):120–4.

    CAS  PubMed  Google Scholar 

  8. Goel MS, McCarthy EP, Phillips RS, et al. Obesity among US immigrant subgroups by duration of residence. JAMA. 2004;292(23):2860–7.

    Article  CAS  PubMed  Google Scholar 

  9. Koya DL, Egede LE. Association between length of residence and cardiovascular disease risk factors among an ethnically diverse group of United States immigrants. J Gen Intern Med. 2007;22(6):841–6.

    Article  PubMed Central  PubMed  Google Scholar 

  10. McDonald JT, Kennedy S. Is migration to Canada associated with unhealthy weight gain? Overweight and obesity among Canada’s immigrants. Soc Sci Med. 2005;61(12):2469–81.

    Article  PubMed  Google Scholar 

  11. Park J, Myers D, Kao D, et al. Immigrant obesity and unhealthy assimilation: alternative estimates of convergence or divergence, 1995–2005. Soc Sci Med. 2009;69(11):1625–33.

    Article  PubMed Central  PubMed  Google Scholar 

  12. Park Y, Neckerman KM, Quinn J, et al. Place of birth, duration of residence, neighborhood immigrant composition and body mass index in New York City. Int J Behav Nutr Phys Act. 2008;5:19.

    Article  PubMed Central  PubMed  Google Scholar 

  13. Setia MS, Quesnel-Vallee A, Abrahamowicz M, et al. Convergence of body mass index of immigrants to the Canadian-born population: evidence from the National Population Health Survey (1994–2006). Eur J Epidemiol. 2009;24(10):611–23.

    Article  PubMed  Google Scholar 

  14. Dijkshoorn H, Nierkens V, Nicolaou M. Risk groups for overweight and obesity among Turkish and Moroccan migrants in The Netherlands. Public Health. 2008;122(6):625–30.

    Article  CAS  PubMed  Google Scholar 

  15. Gutierrez-Fisac JL, Marin-Guerrero A, Regidor E, et al. Length of residence and obesity among immigrants in Spain. Public Health Nutr. 2010;13(10):1593–8.

    Article  PubMed  Google Scholar 

  16. Franzen L, Smith C. Differences in stature, BMI, and dietary practices between US born and newly immigrated Hmong children. Soc Sci Med. 2009;69(3):442–50.

    Article  PubMed  Google Scholar 

  17. Gordon-Larsen P, Harris KM, Ward DS, et al. Acculturation and overweight-related behaviors among Hispanic immigrants to the US: the National Longitudinal Study of Adolescent Health. Soc Sci Med. 2003;57(11):2023–34.

    Article  PubMed  Google Scholar 

  18. Popkin BM, Udry JR. Adolescent obesity increases significantly in second and third generation U.S. immigrants: the National Longitudinal Study of Adolescent Health. J Nutr. 1998;128(4):701–6.

    CAS  PubMed  Google Scholar 

  19. Singh GK, Kogan MD, Yu SM. Disparities in obesity and overweight prevalence among US immigrant children and adolescents by generational status. J Commun Health. 2009;34(4):271–81.

    Article  Google Scholar 

  20. Strickman-Stein N, Gervais MD, Ludwig DA, et al. Body mass index as a function of length of United States residency among Haitian immigrant children. Ethn Dis. 2010;20(1):22–8.

    PubMed  Google Scholar 

  21. Schaefer SE, Salazar M, Bruhn C, et al. Influence of race, acculturation, and socioeconomic status on tendency toward overweight in Asian-American and Mexican-American early adolescent females. J Immigr Minor Health. 2009;11(3):188–97.

    Article  PubMed  Google Scholar 

  22. Renzaho AM, Swinburn B, Burns C. Maintenance of traditional cultural orientation is associated with lower rates of obesity and sedentary behaviours among African migrant children to Australia. Int J Obes. 2008;32(4):594–600.

    Article  CAS  Google Scholar 

  23. Skreblin L, Sujoldzic A. Acculturation process and its effects on dietary habits, nutritional behavior and body-image in adolescents. Coll Antropol. 2003;27(2):469–77.

    PubMed  Google Scholar 

  24. Veiga OL, Gomez-Martinez S, Martinez-Gomez D, et al. Physical activity as a preventive measure against overweight, obesity, infections, allergies and cardiovascular disease risk factors in adolescents: AFINOS Study protocol. BMC Public Health. 2009;9:475.

    Article  PubMed Central  PubMed  Google Scholar 

  25. INE (Instituto Nacional de Estadística—National Institute of Statistics). Available in http://www.ine.es/jaxi/tabla.do?path=/t20/p319/a2007/p02/l0/&file=04006.px&type=pcaxis&L=0.

  26. Wärnberg J, Ruiz JR, Ortega FB, et al. Estudio AVENA* (Alimentación y valoración del estado nutricional en adolescentes). Resultados obtenidos 2003–2006. [AVENA study. (Food and Nutritional Evaluation in Adolescents). Results obtained 2003–2006]. Pediatr Integral. 2006;Suppl 1:50–5.

  27. Roberts C, Freeman J, Samdal O, et al. The Health Behaviour in School-aged Children (HBSC) study: methodological developments and current tensions. Int J Public Health. 2009;54(2):140–50.

    Article  PubMed Central  PubMed  Google Scholar 

  28. Cole TJ, Bellizzi MC, Flegal KM, et al. Establishing a standard definition for child overweight and obesity worldwide: international survey. BMJ. 2000;320(7244):1240–3.

    Article  PubMed Central  CAS  PubMed  Google Scholar 

  29. Prochaska JJ, Sallis JF, Long B. A physical activity screening measure for use with adolescents in primary care. Arch Pediatr Adolesc Med. 2001;155(5):554–9.

    Article  CAS  PubMed  Google Scholar 

  30. American Academy of Pediatrics. Children, adolescents, and television. Pediatrics. 2001;107(2):423–6.

    Article  Google Scholar 

  31. Álvarez ML, Rodriguez G, Romero A, et al. Influencia de la etnicidad en las características antropométricas de los niños oscenses. Bol Pediatr Arag Rioj Sor. 2009;39:39–43.

    Google Scholar 

  32. Chamorro LR. Hábitos, comportamientos y actitudes de los adolescentes inmigrantes sobre nutrición. In: Granada Ud, editor. Recomendaciones educativas. Spain: Granada; 2007.

    Google Scholar 

  33. Montoya P, Torres E, Torres A. Diet and anthropometric of migrant and Spanish children. Pediátrika. 2003;23(1):6–15.

    Google Scholar 

  34. Marin-Guerrero AC, Gutierrez-Fisac JL, Guallar-Castillon P, et al. Prevalence of obesity in immigrants in Madrid, Spain. Med Clin. 2010;134(11):483–5.

    Article  Google Scholar 

  35. Hauck K, Hollingsworth B, Morgan L: BMI differences in 1st and 2nd generation immigrants of Asian and European origin to Australia. Health Place. 2010;17:78–85.

  36. Berry J. Acculturation: living successfully in two cultures. Int J Intercult Relat. 2005;29:697–712.

    Article  Google Scholar 

  37. Prentice AM. The emerging epidemic of obesity in developing countries. Int J Epidemiol. 2006;35(1):93–9.

    Article  PubMed  Google Scholar 

  38. Uauy R, Albala C, Kain J. Obesity trends in Latin America: transiting from under- to overweight. J Nutr. 2001;131(3):893S–9S.

    CAS  PubMed  Google Scholar 

  39. Gordon-Larsen P, Adair LS, Popkin BM. The relationship of ethnicity, socioeconomic factors, and overweight in US adolescents. Obes Res. 2003;11(1):121–9.

    Article  PubMed  Google Scholar 

  40. Malmusi D, Borrell C, Benach J. Migration-related health inequalities: showing the complex interactions between gender, social class and place of origin. Soc Sci Med. 2010;71(9):1610–9.

    Article  PubMed  Google Scholar 

  41. Kleiser C, Mensink GB, Neuhauser H, et al. Food intake of young people with a migration background living in Germany. Public Health Nutr. 2010;13(3):324–30.

    Article  PubMed  Google Scholar 

  42. Lv N, Cason KL. Dietary pattern change and acculturation of Chinese Americans in Pennsylvania. J Am Diet Assoc. 2004;104(5):771–8.

    Article  PubMed  Google Scholar 

  43. Babio N, Bullo M, Salas-Salvado J. Mediterranean diet and metabolic syndrome: the evidence. Public Health Nutr. 2009;12(9A):1607–17.

    Article  PubMed  Google Scholar 

  44. Esposito K, Kastorini CM, Panagiotakos DB, et al. Mediterranean diet and weight loss: meta-analysis of randomized controlled trials. Metab Syndr Relat Disord. 2011;9(1):1–12.

    Article  PubMed  Google Scholar 

  45. Montoya Saez PP, Torres Cantero AM, Torija Isasa ME. Nutrition among Moroccan immigrants in the community of Madrid: factors affecting the choice of food. Aten Primaria. 2001;27(4):264–70.

    Article  CAS  PubMed  Google Scholar 

  46. Sherry B, Jefferds ME, Grummer-Strawn LM. Accuracy of adolescent self-report of height and weight in assessing overweight status: a literature review. Arch Pediatr Adolesc Med. 2007;161(12):1154–61.

    Article  PubMed  Google Scholar 

  47. Gillum RF, Sempos CT. Ethnic variation in validity of classification of overweight and obesity using self-reported weight and height in American women and men: the Third National Health and Nutrition Examination Survey. Nutr J. 2005;4:27.

    Article  PubMed Central  CAS  PubMed  Google Scholar 

Download references

Acknowledgments

The authors gratefully acknowledge the contribution of the adolescents and their parents who participated in this study. The AFINOS Study was supported by Grant DEP2006-56184-C03-01-02-03/PREV from the Spanish Ministry of Education and Science and co-funded by FEDER funds from the European Union.

Conflict of interest

None of them had any conflicts of interest.

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Laura Esteban-Gonzalo.

Additional information

AFINOS Study Group:

Coordinator: Marcos A

Main Investigators: Calle ME, Villagra A, Marcos A.

Sub-study 1: Calle ME, Regidor E, Martínez-Hernández D, Esteban-Gonzalo L. Department of Preventive Medicine and Public Health, Universidad Complutense de Madrid, E- 28040, Madrid, Spain; Sub-study 2: Villagra A, Veiga OL, del-Campo J, Moya JM, Martínez-Gómez D, Zapatera B. Department of Physical Education, Sport and Human Movement, Facultad de Formación del Profesorado y Educación, Universidad Autonoma de Madrid, E-28049, Madrid, Spain; Sub-study 3: Marcos A, Gómez-Martínez S, Nova E, Wärnberg J, Romeo J, Diaz LE, Pozo T, Puertollano MA, Martínez-Gómez D, Zapatera B, Veses A. Immunonutrition Research Group, Department of Metabolism and Nutrition, Institute of Food Science, Technology and Nutrition (ICTAN), Spanish National Research Council (CSIC), E-28040, Madrid, Spain.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Esteban-Gonzalo, L., Veiga, Ó.L., Regidor, E. et al. Immigrant Status, Acculturation and Risk of Overweight and Obesity in Adolescents Living in Madrid (Spain): The AFINOS Study. J Immigrant Minority Health 17, 367–374 (2015). https://doi.org/10.1007/s10903-013-9933-2

Download citation

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s10903-013-9933-2

Keywords

Navigation