Obesity

Associations of Acculturation With Added Sugars Intake and Weight Status Among Mexican American Adolescents in the United States, NHANES , 2009–2018

Pediatr ObesPublished Cross-sectional study

Authors' conclusion

These findings suggest that while higher acculturation is associated with excess added sugars intake, future research is needed to clarify how acculturation influences obesity risk.

Study context

Population
Mexican American adolescents aged 12–19 years, NHANES 2009–2018
Participants
1,317 adolescents
Exposure
Greater vs lower acculturation
Outcome
High added sugars intake (≥ 10% total energy intake) by 24-h dietary recall
Methodological detailsNHANES 2009-2018, multivariable logistic regression, path analysis
  • NHANES 2009-2018
  • Multivariable logistic regression
  • Path analysis

Main finding

As reported in the abstract

High added sugars intake
Odds ratio (95% CI)
English at homevs Spanish at home
1.6(1.0–2.5)
Caregiver U.S.-bornvs Mexico-born
2.2(1.1–4.2)
Child and caregiver U.S.-bornvs Mexico-born
2.8(1.2–6.5)
Both U.S.-born + English at homevs Mexico-born, Spanish at home
2.9(1.1–7.5)

Observational data: associations, not effects.

Further findings

Mediation by added sugars of acculturation and overweight/obesity (≥ 85th BMI percentile)

Added sugars did not mediate the effect of acculturation on obesity/overweight status

Original publication

Associations of Acculturation With Added Sugars Intake and Weight Status Among Mexican American Adolescents in the United States, NHANES , 2009–2018. Pediatr Obes. Published 28 October 2025. doi:10.1111/ijpo.70063

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