{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,24]],"date-time":"2026-10-24T02:44:06Z","timestamp":1792809846813,"version":"4.5.0"},"reference-count":55,"publisher":"American Medical Association (AMA)","issue":"7","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["JAMA Netw Open"],"abstract":"Importance<\/jats:title>Childhood obesity is a major public health issue and is disproportionately prevalent among children from minority racial and ethnic groups. Personally mediated racism (commonly referred to as racial discrimination) is a known stressor that has been linked to higher body mass index (BMI; calculated as weight in kilograms divided by height in meters squared) in adults, but little is known about the association of racial discrimination and childhood and adolescent adiposity.<\/jats:p><\/jats:sec>Objective<\/jats:title>To assess the prospective association between self-reported experiences of racial discrimination and adiposity (BMI and waist circumference) in a large sample of children and adolescents in the Adolescent Brain Cognitive Development (ABCD) study.<\/jats:p><\/jats:sec>Design, Setting, and Participants<\/jats:title>This cohort study used complete data from the ABCD study (2017 to 2019), involving a total of 6463 participants. The ABCD study recruited a diverse sample of youths from across the US, with rural, urban, and mountain regions. Data were analyzed from January 12 to May 17, 2023.<\/jats:p><\/jats:sec>Exposure<\/jats:title>The child-reported Perceived Discrimination Scale was used to quantify racial discrimination, reflecting participants\u2019 perceptions of being treated unfairly by others or unaccepted by society based on their race or ethnicity.<\/jats:p><\/jats:sec>Main Outcomes and Measures<\/jats:title>Weight, height, and waist circumference were measured by trained research assistants. BMI z<\/jats:italic> scores were computed by applying the US Centers for Disease Control and Prevention\u2019s age and sex-specific reference standards for children and adolescents. Waist circumference (inches) was quantified as the mean of 3 consecutive measures. Measurements were taken from time 1 (ie, 2017 to 2019) and time 2 (ie, 2018 to 2020).<\/jats:p><\/jats:sec>Results<\/jats:title>Of the 6463 respondents with complete data, 3090 (47.8%) were female, and the mean (SD) age was 9.95 (0.62) years. Greater racial discrimination exposure at time 1 was associated with higher BMI z <\/jats:italic>score in both unadjusted (\u03b2, 0.05; 95% CI, 0.02-0.08) and adjusted regression models (\u03b2, 0.04; 95% CI, 0.01-0.08). Discrimination at time 1 was associated with higher waist circumference in unadjusted (\u03b2, 0.35; 95% CI, 0.15-0.54) and adjusted (\u03b2, 0.24; 95% CI, 0.04-0.44) models.<\/jats:p><\/jats:sec>Conclusions and Relevance<\/jats:title>In this cohort study of children and adolescents, racial discrimination was positively associated with adiposity, quantified by BMI z <\/jats:italic>score and waist circumference. Interventions to reduce exposure to racial discrimination in early life may help reduce the risk of excess weight gain across throughout life.<\/jats:p><\/jats:sec>","DOI":"10.1001\/jamanetworkopen.2023.22839","type":"journal-article","created":{"date-parts":[[2023,7,11]],"date-time":"2023-07-11T15:00:48Z","timestamp":1689087648000},"page":"e2322839","source":"Crossref","is-referenced-by-count":25,"title":["Association of Racial Discrimination With Adiposity in Children and Adolescents"],"prefix":"10.1001","volume":"6","author":[{"given":"Adolfo G.","family":"Cuevas","sequence":"first","affiliation":[{"name":"Department of Social and Behavioral Sciences, New York University School of Global Public Health, New York"},{"name":"Center for Anti-Racism, Social Justice, and Public Health, New York University School of Global Public Health, New York"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Danielle M.","family":"Krobath","sequence":"additional","affiliation":[{"name":"Friedman School of Nutrition Science and Policy, Tufts University, Boston, Massachusetts"},{"name":"Eliot-Pearson Department of Child Study and Human Development, Tufts University, Medford, Massachusetts"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Brennan","family":"Rhodes-Bratton","sequence":"additional","affiliation":[{"name":"Center for Anti-Racism, Social Justice, and Public Health, New York University School of Global Public Health, New York"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shu","family":"Xu","sequence":"additional","affiliation":[{"name":"Department of Biostatistics, New York University School of Global Public Health, New York"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jesulagbarami J.","family":"Omolade","sequence":"additional","affiliation":[{"name":"Department of Community Health, Tufts University, Medford, Massachusetts"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Aniyah R.","family":"Perry","sequence":"additional","affiliation":[{"name":"Department of Community Health, Tufts University, Medford, Massachusetts"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Natalie","family":"Slopen","sequence":"additional","affiliation":[{"name":"Department of Social and Behavioral Sciences, Harvard T.H. 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