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The Association of Cardiometabolic Risk Factors in Parent–Child Dyads in Guam: Pacific Islands Cohort on Cardiometabolic Health Study

Author

Listed:
  • Tanisha F. Aflague

    (College of Natural and Applied Sciences, University of Guam, Mangilao, GU 96923, USA)

  • Grazyna Badowski

    (College of Natural and Applied Sciences, University of Guam, Mangilao, GU 96923, USA)

  • Karen Mae A. Bacalia

    (Department of Nutritional Sciences, Rutgers, The State University of New Jersey, New Brunswick, NJ 08901, USA)

  • Jaelene Renae Manibusan

    (College of Natural and Applied Sciences, University of Guam, Mangilao, GU 96923, USA)

  • Regina-Mae Dominguez

    (College of Natural and Applied Sciences, University of Guam, Mangilao, GU 96923, USA)

  • Kathryn Wood

    (School of Health, University of Guam, Mangilao, GU 96923, USA)

  • Margaret Hattori-Uchima

    (School of Health, University of Guam, Mangilao, GU 96923, USA)

  • Rachael T. Leon Guerrero

    (College of Natural and Applied Sciences, University of Guam, Mangilao, GU 96923, USA)

Abstract

The Western Pacific region, including Guam, has the highest prevalence of prediabetes and type 2 diabetes mellitus, which are associated with metabolic syndrome (MetS)—a cluster of preventable risk factors. Children with parents with MetS are likely to develop MetS in the future. MetS prevalence in Guam and the impact of MetS on children are unknown. Data from the Pacific Islands Cohort on Cardiometabolic Health (PICCAH) study in Guam were analyzed to determine MetS in adults and MetS risk in children using the International Diabetes Federation criteria and sex- and age-specific waist circumference values for abdominal obesity, respectively. MetS Z-scores were calculated. MetS or MetS risk indicators, including MetS Z-scores, were examined by lifestyle risk factors (parent and child: physical activity and sleep; parent only: sedentary behavior and stress; child only: screen time). The relationship between adult MetS Z-scores and child MetS Z-scores was evaluated using linear-regression analyses. Child–parent risk for MetS was directly correlated in this population. The high prevalence of adult MetS in Guam demonstrates a critical need for interventions involving both parents and children. Expanding the analysis to assess the relationships between other lifestyle factors, like diet, in parent–child dyads is necessary to refine such intervention programs.

Suggested Citation

  • Tanisha F. Aflague & Grazyna Badowski & Karen Mae A. Bacalia & Jaelene Renae Manibusan & Regina-Mae Dominguez & Kathryn Wood & Margaret Hattori-Uchima & Rachael T. Leon Guerrero, 2025. "The Association of Cardiometabolic Risk Factors in Parent–Child Dyads in Guam: Pacific Islands Cohort on Cardiometabolic Health Study," IJERPH, MDPI, vol. 22(4), pages 1-14, April.
    • Handle: RePEc:gam:jijerp:v:22:y:2025:i:4:p:611-:d:1634276
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    References listed on IDEAS

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    1. Gemma Enright & Margaret Allman-Farinelli & Julie Redfern, 2020. "Effectiveness of Family-Based Behavior Change Interventions on Obesity-Related Behavior Change in Children: A Realist Synthesis," IJERPH, MDPI, vol. 17(11), pages 1-26, June.
    2. Coleman-Jensen, Alisha & Gregory, Christian & Singh, Anita, 2014. "Household Food Security in the United States in 2013: Statistical Supplement," Administrative Publications 292109, United States Department of Agriculture, Economic Research Service.
    3. Coleman-Jensen, Alisha & Gregory, Christian & Singh, Anita, 2014. "Household Food Security in the United States in 2013," Economic Research Report 183589, United States Department of Agriculture, Economic Research Service.
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