Journal of Immigrant and Minority Health

, Volume 17, Issue 5, pp 1330–1336 | Cite as

Correlates of Leisure-Time Physical Activity Participation Among Latino Children and Adolescents with Acanthosis Nigricans

  • Ming Wen
  • Dejun Su
Original Paper


Little is known about leisure-time physical activity (LTPA) correlates in high-risk youth prone to obesity, insulin resistance, and associated morbidities. This study examined LTPA correlates among Latino youth identified with acanthosis nigricans (AN), a skin condition typically caused by metabolic impairment. Data were collected on 305 AN-positive Latino youth of ages 5–15 and one of their biological parents in 2012 from Texas. Ordinal logit regression was performed to analyze the data. Five health and behavioral LTPA correlates were identified, including child time spent in TV watching or videogame playing (OR of highest quartile vs. lowest quartile = 0.45; p = 0.01), child fair/poor health (OR 0.42; p = 0.01), parent obesity (OR 0.63; p = 0.06), parent daily physical exercise for more than 30 min (OR 2.20; p < 0.01), and parent housework time (OR 0.76; p < 0.05). Parent socioeconomic status was insignificant. For at-risk Latino youth, physical activity intervention strategies should take both behavioral and health factors into account.


Adolescent Exercise Health promotion Leisure activities Mexican Americans Metabolic syndrome 



This study was supported by a research grant from the Office of Minority Health issued to Dr. Su (1MPCMP081024-04-00) and by the National Institute of General Medical Sciences of the National Institutes of Health under award number R01CA140319-01A1 issued to Dr. Wen. A previous version of this paper was presented at the Childhood Obesity conference in June 2013 in Long Beach, CA. Views and opinions expressed by the authors do not reflect those of the funding agencies. We would like to thank Daphne Wang, Omar Esqueda, Klaus S. Beckmann, Denise Deleon, David Salazar, Doreen Garza, Irma R. Canales, Alysia Olivares for their assistance with data collection. We also appreciate Megan Kelley’s proofreading of the paper and her comments.


  1. 1.
    Abraham C, Rozmus CL. Is acanthosis nigricans a reliable indicator for risk of type 2 diabetes in obese children and adolescents? A systematic review. J Sch Nurs. 2012;28:195–205.CrossRefPubMedGoogle Scholar
  2. 2.
    Bauman AE, Reis RS, Sallis JF, et al. Correlates of physical activity: why are some people physically active and others not? Lancet. 2012;380:258–71.CrossRefPubMedGoogle Scholar
  3. 3.
    Biddle SJH, Whitehead SH, O’donovan TM, et al. Correlates of participation in physical activity for adolescent girls: a systematic review of recent literature. J Phys Act Health. 2005;2:423–34.Google Scholar
  4. 4.
    Birch LL, Ventura AK. Preventing childhood obesity: what works? Int J Obes. 2009;33:S74–81.CrossRefGoogle Scholar
  5. 5.
    Brickman WJ, Huang J, Silverman BL, et al. Acanthosis nigricans identifies youth at high risk for metabolic abnormalities. J Pediatr. 2010;156:87–92.CrossRefPubMedGoogle Scholar
  6. 6.
    Brown B, Noonan C, Bentley B, et al. Acanthosis nigricans among Northern Plains American Indian children. J Sch Nurs. 2010;26:450–60.CrossRefPubMedGoogle Scholar
  7. 7.
    Craggs C, Corder K, Van Sluijs EMF, et al. Determinants of change in physical activity in children and adolescents: a systematic review. Am J Prev Med. 2011;40:645–58.PubMedCentralCrossRefPubMedGoogle Scholar
  8. 8.
    Edwardson CL, Gorely T. Activity-related parenting practices and children’s objectively measured physical activity. Pediatr Exerc Sci. 2010;22:105–13.PubMedGoogle Scholar
  9. 9.
    Jimenez-Pavon D, Fernandez-Alvira JM, Te Velde SJ, et al. Associations of parental education and parental physical activity (PA) with children’s PA: the ENERGY cross-sectional study. Prev Med. 2012;55:310–4.CrossRefPubMedGoogle Scholar
  10. 10.
    Jones LH, Ficca M. Is acanthosis nigricans a reliable indicator for risk of type 2 diabetes? J Sch Nurs. 2007;23:247–51.CrossRefPubMedGoogle Scholar
  11. 11.
    Kawachi I, Berkman LF. Neighborhoods and health. New York: Oxford University Press; 2003.CrossRefGoogle Scholar
  12. 12.
    Kobaissi HA, Weigensberg MJ, Ball GDC, et al. Relation between acanthosis nigricans and insulin sensitivity in overweight Hispanic children at risk for type 2 diabetes. Diabetes Care. 2004;27:1412–6.CrossRefPubMedGoogle Scholar
  13. 13.
    Kuczmarski RJ, Ogden CL, Grummer-Strawn LM, et al. CDC growth charts: United States. Adv Data. 2000;314:1–27.Google Scholar
  14. 14.
    Loprinzi PD, Trost SG. Parental influences on physical activity behavior in preschool children. Prev Med. 2010;50:129–33.CrossRefPubMedGoogle Scholar
  15. 15.
    Lytle LA. Dealing with the childhood obesity epidemic: a public health approach. Abdom Imaging. 2012;37:719–24.CrossRefPubMedGoogle Scholar
  16. 16.
    Macniven R, Bauman A, Abouzeid M. A review of population-based prevalence studies of physical activity in adults in the Asia-Pacific region. BMC Public Health. 2012;12:41–41.PubMedCentralCrossRefPubMedGoogle Scholar
  17. 17.
    Mukhtar Q, Cleverley G, Voorhees RE, et al. Prevalence of acanthosis nigricans and its association with hyperinsulinemia in New Mexico adolescents. J Adolesc Health. 2001;28:372–6.CrossRefPubMedGoogle Scholar
  18. 18.
    Nguyen TT, Keil MF, Russell DL, et al. Relation of acanthosis nigricans to hyperinsulinemia and insulin sensitivity in overweight African American and white children. J Pediatr. 2001;138:474–80.CrossRefPubMedGoogle Scholar
  19. 19.
    Ogden CL, Carroll MD, Flegal KM. Epidemiologic trends in overweight and obesity. Endocrin Metab Clin. 2003;32:741–60.CrossRefGoogle Scholar
  20. 20.
    Ogden CL, Carroll MD, Kit BK, et al. Prevalence of obesity and trends in body mass index among US children and adolescents, 1999–2010. JAMA. 2012;307:483–90.CrossRefPubMedGoogle Scholar
  21. 21.
    Ogden CL, Flegal KM. Changes in terminology for childhood overweight and obesity. Nat Health Statistics Rep. 2010;25:1–5.Google Scholar
  22. 22.
    Ogden CL, Kuczmarski RJ, Flegal KM, et al. Centers for Disease Control and Prevention 2000 growth charts for the United States: improvements to the 1977 National Center for Health Statistics version. Pediatrics. 2002;109:45–60.CrossRefPubMedGoogle Scholar
  23. 23.
    Sallis JF, Owen N, Fisher EB. Ecological models of health behavior. In: Glanz K, Rimer BK, Viswanath K, editors. Health behavior and health education: theory, research, and practice. Jossey-Bass: San Francisco; 2008. p. 465–86.Google Scholar
  24. 24.
    Sallis JF, Owen N, Fotheringham MJ. Behavioral epidemiology: a systematic framework to classify phases of research on health promotion and disease prevention. Ann Behav Med. 2000;22:294–8.CrossRefPubMedGoogle Scholar
  25. 25.
    Sallis JF, Prochaska JJ, Taylor WC. A review of correlates of physical activity of children and adolescents. Med Sci Sports Exerc. 2000;32:963–75.CrossRefPubMedGoogle Scholar
  26. 26.
    Sebire SJ, Jago R, Gorely T, et al. “If there wasn’t the technology then I would probably be out everyday”: a qualitative study of children’s strategies to reduce their screen viewing. Prev Med. 2011;53:303–8.CrossRefPubMedGoogle Scholar
  27. 27.
    Sinha S, Schwartz RA. Juvenile acanthosis nigricans. J Am Acad Dermatol. 2007;57:502–8.CrossRefPubMedGoogle Scholar
  28. 28.
    Stoddart ML, Blevins KS, Lee ET, et al. Association of acanthosis nigricans with hyperinsulinemia compared with other selected risk factors for type 2 diabetes in Cherokee Indians: the Cherokee diabetes study. Diabetes Care. 2002;25:1009–14.CrossRefPubMedGoogle Scholar
  29. 29.
    Stuart CA, Driscoll MS, Lundquist KF, et al. Acanthosis nigricans. J Basic Clin Pathophysiol. 1998;9:407–18.Google Scholar
  30. 30.
    Ten S, Maclaren N. Insulin resistance syndrome in children. J Clin Endocrinol Metab. 2004;89:2526–39.CrossRefPubMedGoogle Scholar
  31. 31.
    Myers S, Vargas Z. Parental perceptions of the preschool obese child. Pediatr Nurs. 2000;26(1):23–30.PubMedGoogle Scholar
  32. 32.
    Kramer MS, Barr RG, Leduc DG, Boisjoly C, Pless IB. Maternal psychological determinants of infant obesity. Development and testing of two new instruments. J Chronic Dis. 1983;36(4):329–35.CrossRefPubMedGoogle Scholar
  33. 33.
    Garcia RS. No come nada. Health Aff (Millwood). 2004;23(2):215–9.CrossRefGoogle Scholar
  34. 34.
    Alexander MA, Sherman JB. Factors associated with obesity in school children. J Sch Nurs. 1991;7(4):6–10.PubMedGoogle Scholar

Copyright information

© Springer Science+Business Media New York 2014

Authors and Affiliations

  1. 1.Department of SociologyUniversity of UtahSalt Lake CityUSA
  2. 2.Center for Reducing Health Disparities, College of Public HealthUniversity of Nebraska Medical CenterOmahaUSA
  3. 3.Department of Health Promotion, Social and Behavioral Health, College of Public HealthUniversity of Nebraska Medical CenterOmahaUSA

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