scholarly journals Ethnic differences in blood lipids and dietary intake between UK children of black African, black Caribbean, South Asian, and white European origin: the Child Heart and Health Study in England (CHASE)

2010 ◽  
Vol 92 (4) ◽  
pp. 776-783 ◽  
Author(s):  
Angela S Donin ◽  
Claire M Nightingale ◽  
Christopher G Owen ◽  
Alicja R Rudnicka ◽  
Mary C McNamara ◽  
...  
Keyword(s):  
Dietary Intake ◽  
South Asian ◽  
Ethnic Differences ◽  
Blood Lipids ◽  
Health Study ◽  
European Origin ◽  
Black African ◽  
Black Caribbean ◽  
African Black

scholarly journals Influence of weaning timing advice and associated weaning behaviours in a survey of black and minority ethnic groups in the UK

2013 ◽  
Vol 17 (9) ◽  
pp. 2094-2103 ◽  
Author(s):  
Amanda P Moore ◽  
Kristina Nanthagopan ◽  
Grace Hammond ◽  
Peter Milligan ◽  
Louise M Goff
Keyword(s):  
Infant Feeding ◽  
South Asian ◽  
South Asians ◽  
Black African ◽  
Department Of Health ◽  
Minority Ethnic Groups ◽  
Black Caribbean ◽  
African Black ◽  
The Uk ◽  
Minority Ethnic

AbstractObjectiveTo assess understanding of the Department of Health weaning guidelines and weaning influences in a self-selected sample of black and minority ethnic (BME) parents, residing in London.DesignA face-to-face, questionnaire-facilitated survey among Black African, Black Caribbean and South Asian parents.SettingAn opportunistic sample of parents was recruited from Sure Start centres, churches and play groups across key London boroughs.SubjectsThree hundred and forty-nine interviews were included; 107 Black African, fifty-four Black Caribbean, 120 South Asian and sixty-four of Black mixed-race ethnicity.ResultsFifty-two per cent of Black and 66 % of South Asian parents had accurate understanding of the guidelines. Inaccurate knowledge of the guidelines was associated with weaning before 17 weeks (P < 0·001); 36 % of Black Africans and 31 % of Black Caribbeans were weaned before 4 months compared with 16 % of South Asians. All BME groups were most influenced by weaning information from the previous generations of mothers in their families, which was associated with earlier weaning (21·5 (sd 6·5) v. 24·1 (sd 4·2) weeks; F(2,328) = 5·79, P = 0·003), and less so by professional infant feeding advice, which was associated with a later weaning age (23·7 (sd 5·1) v. 20·7 (sd 5·7) weeks; F(1,344) = 34·7, P < 0·001).ConclusionsLack of awareness of the Department of Health weaning guidelines is common among these BME populations, whose weaning behaviour is strongly influenced by informal advice. Further research is necessary to elucidate the influences on weaning in these populations and to facilitate the development of infant feeding support which is salient for BME groups in the UK.

scholarly journals Ethnic differences in height growth trajectories and early life factors: findings from the UK Millennium Cohort Study

2020 ◽  
Vol 11 (1) ◽  
pp. 105-119
Author(s):  
Yi Lu ◽  
Anna Pearce ◽  
Leah Li
Keyword(s):  
South Asian ◽  
Ethnic Differences ◽  
Early Life ◽  
White Children ◽  
Black African ◽  
Explanatory Factors ◽  
Asian Children ◽  
Uk Millennium Cohort Study ◽  
The Uk ◽  
Lower Birthweight

Height growth is an important biomarker for early life exposures that influence later disease risk. Previous studies show that ethnic minority children in the UK tend to be born lighter but experience more rapid infancy growth than White peers. However, whether subsequent child-to-adolescent growth differs by ethnic group is insufficiently understood. We used the data from 15,239 singletons in the UK Millennium Cohort Study and applied mixed-effects cubic growth models to examine ethnic differences in height trajectories between 3y and 14y. Models were subsequently adjusted for potential early life explanatory factors. Compared with White counterparts, South Asian children had lower birthweight and shorter parents on average, but were slightly taller at 3y by 0.5cm [95% CI: 0.2–0.9] and had comparable childhood and adolescent trajectories, except that girls had a slower growth in adolescence. Height of South Asians relative to White children increased after adjusting for birthweight (taller by 1.3cm at 3y). Black African/Caribbeans were taller than White children at all ages between 3y and 14y (at 3y boys: 2.2cm, 1.2–2.7; girls: 3.2cm, 2.6–3.8) with height differences widening in childhood and reducing in adolescence. Adjustment for potential explanatory factors did not alter these differences. Despite having lower birthweight, contemporary UK South Asian children had comparable child-to-adolescent growth as White children. Black African/Caribbeans were considerably taller than other ethnic groups. Future research is needed in understanding the role of genetic and other environmental factors (such as diet) in these distinct growth patterns across ethnic groups and their health implications.

scholarly journals Associations of dietary intake with cardiometabolic risk in a multi-ethnic cohort: a longitudinal analysis of the Determinants of Adolescence, now young Adults, Social well-being and Health (DASH) study

2019 ◽  
Vol 121 (09) ◽  
pp. 1069-1079
Author(s):  
Louise M. Goff ◽  
Peiyuan Huang ◽  
Maria J. Silva ◽  
Claire Bordoli ◽  
Elli Z. Enayat ◽  
...  
Keyword(s):  
Dietary Intake ◽  
Ethnic Groups ◽  
Young Adulthood ◽  
Cardiometabolic Risk ◽  
Well Being ◽  
Dietary Behaviour ◽  
Black African ◽  
Dietary Behaviours ◽  
Black Caribbean ◽  
Skipping Breakfast

AbstractUnfavourable dietary habits, such as skipping breakfast, are common among ethnic minority children and may contribute to inequalities in cardiometabolic disease. We conducted a longitudinal follow-up of a subsample of the UK multi-ethnic Determinants of Adolescent Social well-being and Health cohort, which represents the main UK ethnic groups and is now aged 21–23 years. We aimed to describe longitudinal patterns of dietary intake and investigate their impact on cardiometabolic risk in young adulthood. Participants completed a dietary behaviour questionnaire and a 24 h dietary intake recall; anthropometry, blood pressure, total cholesterol and HDL-cholesterol and HbA1c were measured. The cohort consisted of 107 White British, 102 Black Caribbean, 132 Black African, 98 Indian, 111 Bangladeshi/Pakistani and 115 other/mixed ethnicity. Unhealthful dietary behaviours such as skipping breakfast and low intake of fruits and vegetables were common (56, 57 and 63 %, respectively). Rates of skipping breakfast and low fruit and vegetable consumption were highest among Black African and Black Caribbean participants. BMI and cholesterol levels at 21–23 years were higher among those who regularly skipped breakfast at 11–13 years (BMI 1·41 (95 % CI 0·57, 2·26), P=0·001; cholesterol 0·15 (95 % CI –0·01, 0·31), P=0·063) and at 21–23 years (BMI 1·05 (95 % CI 0·22, 1·89), P=0·014; cholesterol 0·22 (95 % CI 0·06, 0·37), P=0·007). Childhood breakfast skipping is more common in certain ethnic groups and is associated with cardiometabolic risk factors in young adulthood. Our findings highlight the importance of targeting interventions to improve dietary behaviours such as breakfast consumption at specific population groups.

scholarly journals Uncoded chronic kidney disease in primary care: a cross-sectional study of inequalities and cardiovascular disease risk management

2020 ◽  
Vol 70 (700) ◽  
pp. e785-e792
Author(s):  
Mariam Molokhia ◽  
Grace N Okoli ◽  
Patrick Redmond ◽  
Elham Asgari ◽  
Catriona Shaw ◽  
...  
Keyword(s):  
Primary Care ◽  
Quality Of Care ◽  
South Asian ◽  
Disease Risk ◽  
Cardiovascular Disease Risk ◽  
Cross Sectional ◽  
Black African ◽  
Black Caribbean ◽  
Ckd Stage

BackgroundUncoded chronic kidney disease (CKD) is associated with poorer quality of care.AimTo ascertain the proportion and determinants of CKD, which have not been formally recorded (Read coded), and identify differences in management and quality-of-care measures for patients with coded and uncoded CKD.Design and settingCross-sectional survey undertaken in an ethnically diverse adult population using primary care electronic health records (EHRs) from GP clinics in Lambeth, South London, UK.MethodMultivariable logistic regression analysis examined the association of demographic factors, selected comorbidities, deprivation, and cardiovascular disease risk management in CKD, with coding status as outcome.ResultsIn total, the survey involved 286 162 adults, of whom 9325 (3.3%) were identified with CKD stage 3–5 (assigned as CKD based on estimated glomerular filtration rate [eGFR] values). Of those identified with CKD, 4239 (45.5%) were Read coded, and 5086 (54.5%) were uncoded. Of those identified with CKD stage 3–5, individuals aged ≥50 years were more likely to be coded for CKD, compared with those aged <50 years. Lower levels of coding were independently associated with deprivation and black Caribbean, black African, South Asian, and non-stated ethnicities, compared with white ethnicity. Prescribed statin and angiotensin-converting enzyme inhibitor/angiotensin receptor blocker medications were associated with increased odds of coded CKD.ConclusionThis study found that >50% of CKD was uncoded and, for those patients, quality of care was lower compared with those with coded CKD. Future research and practices should focus on areas of greater deprivation and targeted initiatives for those aged <50 years and of black African, black Caribbean, South Asian, or non-stated ethnic groups. Possible areas for improvement include diagnostic coding support, automated CKD recording, and clinical decision support (based on adjusted eGFR results) in the GP clinical records.

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