Acculturation and the potential impact on Obesity levels in first and second generation Immigrant children in the United States: A systematic Review Pubblico
Quansah, Annette (Spring 2023)
Abstract
Acculturation is a process in which immigrants adopt the behaviors and habits of the host country.1 Acculturation has an association with obesity in first- and second-generation immigrant children in the United States.2 It is important to understand the association between acculturation and obesity because obesity is linked to adverse outcomes such as cardiovascular diseases, diabetes, musculoskeletal disorders, and cancer.2 It is imperative to understand this association between acculturation and obesity in immigrant children because they are susceptible to developing obesity as duration in the United States increases.3 This systematic review sought to examine the association between acculturation and obesity in first- and second-generation immigrant children in the United States using the protocol guided by the Preferred Reporting Systematic Reviews and Meta-Analyses (PRISMA).4 Articles were identified through four search engines, Google scholar, NIH PubMed, NIH PMC, and Galileo and screened through Covidence. Studies included had to be conducted in children living in the United States and have measures of acculturation and weight status. 34 studies met the criteria and were assessed in this systematic review. 85% of studies were on Latino and or Hispanic children, 32% were on Asian children, 26% were on White children and 21% of the studies included Black children. Inverse associations between acculturation and obesity were found in 20 of the studies across all ethnic and or racial groups. 13 of the 29 studies including Latino and or Hispanic children, 5 of the 11 studies including Asian children, and 2 of the 7 studies including Black and or African had an inverse association between acculturation and obesity. Positive associations between acculturation and obesity were also found in 12 of the studies across all the ethnic and or racial groups. The unclear association between acculturation and obesity across studies may have been due to the differing acculturative measures. Some studies, primarily on Latino and or Hispanic children, while focused on the same racial and ethnic group had differing measures of acculturation. We therefore recommend using a standardized measure of acculturation that is built on a holistic framework and can be tailored to specific ethnic and racial groups.
Table of Contents
Chapter 1: Introduction 1
Chapter 2: Literature Review 4
Chapter 3: Procedure and Methods 7
Methods 7
Table 1. Quality Assessment 13
Table 2. Quality Assessment Scoring and Outcome 28
Screening Results 30
Figure 1. PRISMA Chart 31
Table 3. Overview of Studies 33
Chapter 4: Results 39
Chapter 5: Findings, Conclusions, and Recommendations 47
References 53
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