Background In New Zealand, the burden of childhood obesity is greatest in Maori and Pacific children. Methods In 687 infants from an internet-based birth cohort in New Zealand, we investigated ethnic differences in early life risk factors for later obesity, the degree to which these were explained by sociodemographic factors, and the extent to which ethnic differences in weight at age 3 months were explained by measured risk factors. Results The risk of having an obese mother was double in Maori and Pacific infants compared with NZ European infants (prevalence 24% and 14%, respectively; OR 2.23, 95% CI 1.23 to 4.04). Maori and Pacific infants had higher weights in the first week of life and at 3 months (mean difference 0.19 kg, 95% CI 0.01 to 0.38), and their mothers had higher scores on a 'snacks' dietary pattern and lower scores on 'healthy' and 'sweet' dietary patterns. These inequalities were not explained by maternal education, maternal age or area-based deprivation. No ethnic differences were observed for maternal pre-pregnancy physical activity, hypertension or diabetes in pregnancy, exclusive breastfeeding or early introduction of solid foods. Ethnic inequalities in infant weight at 3 months were not explained by sociodemographic variables, maternal pre-pregnancy body mass index or dietary pattern scores or by other measured risk factors. Conclusions This study shows excess prevalence of early life risk factors for obesity in Maori and Pacific infants in New Zealand and suggests an urgent need for early interventions for these groups.
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[Anonymous], HLTH TECHNOL ASSESS, DOI DOI 10.3310/HTA13410
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Univ Sheffield, Sch Hlth & Related Res ScHARR, Sheffield, S Yorkshire, EnglandUniv Sheffield, Sch Hlth & Related Res ScHARR, Sheffield, S Yorkshire, England
Ara, R.
Blake, L.
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Univ Sheffield, Sch Hlth & Related Res ScHARR, Sheffield, S Yorkshire, EnglandUniv Sheffield, Sch Hlth & Related Res ScHARR, Sheffield, S Yorkshire, England
Blake, L.
Gray, L.
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Univ Leicester, Dept Cardiovasc Sci, Leicester, Leics, England
Univ Leicester, Dept Hlth Sci, Leicester, Leics, EnglandUniv Sheffield, Sch Hlth & Related Res ScHARR, Sheffield, S Yorkshire, England
Gray, L.
Hernandez, M.
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Univ Sheffield, Sch Hlth & Related Res ScHARR, Sheffield, S Yorkshire, EnglandUniv Sheffield, Sch Hlth & Related Res ScHARR, Sheffield, S Yorkshire, England
Hernandez, M.
Crowther, M.
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Univ Leicester, Dept Cardiovasc Sci, Leicester, Leics, England
Univ Leicester, Dept Hlth Sci, Leicester, Leics, EnglandUniv Sheffield, Sch Hlth & Related Res ScHARR, Sheffield, S Yorkshire, England
Crowther, M.
Dunkley, A.
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Univ Leicester, Dept Cardiovasc Sci, Leicester, Leics, England
Univ Leicester, Dept Hlth Sci, Leicester, Leics, EnglandUniv Sheffield, Sch Hlth & Related Res ScHARR, Sheffield, S Yorkshire, England
Dunkley, A.
Warren, F.
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Univ Leicester, Dept Cardiovasc Sci, Leicester, Leics, England
Univ Leicester, Dept Hlth Sci, Leicester, Leics, EnglandUniv Sheffield, Sch Hlth & Related Res ScHARR, Sheffield, S Yorkshire, England
Warren, F.
Jackson, R.
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Univ Sheffield, Sch Hlth & Related Res ScHARR, Sheffield, S Yorkshire, EnglandUniv Sheffield, Sch Hlth & Related Res ScHARR, Sheffield, S Yorkshire, England
Jackson, R.
Rees, A.
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Univ Sheffield, Sch Hlth & Related Res ScHARR, Sheffield, S Yorkshire, EnglandUniv Sheffield, Sch Hlth & Related Res ScHARR, Sheffield, S Yorkshire, England
Rees, A.
Stevenson, M.
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Univ Sheffield, Sch Hlth & Related Res ScHARR, Sheffield, S Yorkshire, EnglandUniv Sheffield, Sch Hlth & Related Res ScHARR, Sheffield, S Yorkshire, England
Stevenson, M.
Abrams, K.
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Univ Leicester, Dept Cardiovasc Sci, Leicester, Leics, England
Univ Leicester, Dept Hlth Sci, Leicester, Leics, EnglandUniv Sheffield, Sch Hlth & Related Res ScHARR, Sheffield, S Yorkshire, England
Abrams, K.
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Cooper, N.
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Davies, M.
Khunti, K.
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Univ Leicester, Dept Cardiovasc Sci, Leicester, Leics, England
Univ Leicester, Dept Hlth Sci, Leicester, Leics, EnglandUniv Sheffield, Sch Hlth & Related Res ScHARR, Sheffield, S Yorkshire, England
Khunti, K.
Sutton, A.
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Univ Leicester, Dept Cardiovasc Sci, Leicester, Leics, England
Univ Leicester, Dept Hlth Sci, Leicester, Leics, EnglandUniv Sheffield, Sch Hlth & Related Res ScHARR, Sheffield, S Yorkshire, England
机构:
Univ Sheffield, Sch Hlth & Related Res ScHARR, Sheffield, S Yorkshire, EnglandUniv Sheffield, Sch Hlth & Related Res ScHARR, Sheffield, S Yorkshire, England
Ara, R.
Blake, L.
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Univ Sheffield, Sch Hlth & Related Res ScHARR, Sheffield, S Yorkshire, EnglandUniv Sheffield, Sch Hlth & Related Res ScHARR, Sheffield, S Yorkshire, England
Blake, L.
Gray, L.
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Univ Leicester, Dept Cardiovasc Sci, Leicester, Leics, England
Univ Leicester, Dept Hlth Sci, Leicester, Leics, EnglandUniv Sheffield, Sch Hlth & Related Res ScHARR, Sheffield, S Yorkshire, England
Gray, L.
Hernandez, M.
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Univ Sheffield, Sch Hlth & Related Res ScHARR, Sheffield, S Yorkshire, EnglandUniv Sheffield, Sch Hlth & Related Res ScHARR, Sheffield, S Yorkshire, England
Hernandez, M.
Crowther, M.
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h-index: 0
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Univ Leicester, Dept Cardiovasc Sci, Leicester, Leics, England
Univ Leicester, Dept Hlth Sci, Leicester, Leics, EnglandUniv Sheffield, Sch Hlth & Related Res ScHARR, Sheffield, S Yorkshire, England
Crowther, M.
Dunkley, A.
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h-index: 0
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Univ Leicester, Dept Cardiovasc Sci, Leicester, Leics, England
Univ Leicester, Dept Hlth Sci, Leicester, Leics, EnglandUniv Sheffield, Sch Hlth & Related Res ScHARR, Sheffield, S Yorkshire, England
Dunkley, A.
Warren, F.
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h-index: 0
机构:
Univ Leicester, Dept Cardiovasc Sci, Leicester, Leics, England
Univ Leicester, Dept Hlth Sci, Leicester, Leics, EnglandUniv Sheffield, Sch Hlth & Related Res ScHARR, Sheffield, S Yorkshire, England
Warren, F.
Jackson, R.
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Univ Sheffield, Sch Hlth & Related Res ScHARR, Sheffield, S Yorkshire, EnglandUniv Sheffield, Sch Hlth & Related Res ScHARR, Sheffield, S Yorkshire, England
Jackson, R.
Rees, A.
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Univ Sheffield, Sch Hlth & Related Res ScHARR, Sheffield, S Yorkshire, EnglandUniv Sheffield, Sch Hlth & Related Res ScHARR, Sheffield, S Yorkshire, England
Rees, A.
Stevenson, M.
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Univ Sheffield, Sch Hlth & Related Res ScHARR, Sheffield, S Yorkshire, EnglandUniv Sheffield, Sch Hlth & Related Res ScHARR, Sheffield, S Yorkshire, England
Stevenson, M.
Abrams, K.
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Univ Leicester, Dept Cardiovasc Sci, Leicester, Leics, England
Univ Leicester, Dept Hlth Sci, Leicester, Leics, EnglandUniv Sheffield, Sch Hlth & Related Res ScHARR, Sheffield, S Yorkshire, England
Abrams, K.
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Cooper, N.
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Davies, M.
Khunti, K.
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Univ Leicester, Dept Cardiovasc Sci, Leicester, Leics, England
Univ Leicester, Dept Hlth Sci, Leicester, Leics, EnglandUniv Sheffield, Sch Hlth & Related Res ScHARR, Sheffield, S Yorkshire, England
Khunti, K.
Sutton, A.
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机构:
Univ Leicester, Dept Cardiovasc Sci, Leicester, Leics, England
Univ Leicester, Dept Hlth Sci, Leicester, Leics, EnglandUniv Sheffield, Sch Hlth & Related Res ScHARR, Sheffield, S Yorkshire, England