ArticleAJPM focus2026
Racial and Ethnic Disparities in Obesity and Contributing Behavioral Factors: Diet, Physical Activity, Length of Walk, and Sleep Duration.
Article in AJPM focus, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Authors and funding
2 authors.
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Abstract
Introduction: The prevalence of obesity varies by racial and ethnic group in the U.S., with non-Hispanic Black and Hispanic adults having higher rates than non-Hispanic White and Asian adults. Unhealthy diet, sedentary lifestyle, and short sleep duration are associated with greater likelihoods of obesity. Methods: Using the 2022 National Health Interview Survey Public Use Sample Adult File, this study constructed measurements of obesity, diet, physical activities, walk, and sleep duration. Multivariable logistic regressions were performed for each racial/ethnic group to assess associations between behavioral factors and the likelihood of obesity, adjusting for demographic and socioeconomic characteristics. Results: Obesity prevalence was the highest in non-Hispanic American Indian and Alaska Native (44.0%; 95% CI=38.2%, 50.1%), followed by 42.7% (95% CI=40.5%, 44.9%) in non-Hispanic Black adults. Non-Hispanic Asian adults reported the highest fruit and vegetable intake than other groups. Non-Hispanic American Indian and Alaska Native adults had diets low in fruits and vegetables and high in sugar-sweetened beverages. One of 4 adults who are non-Hispanic Whites or other/multiple races met the recommendations for strength-building and aerobic activities. More than half of Hispanics failed to meet either physical activity criterion. More than one third of non-Hispanic American Indian and Alaska Natives, Blacks, and other/multiple races reported short sleep duration. Adjusted odds of obesity were 1.359 (95% CI=1.167, 1.581) higher for Hispanics, 1.338 (95% CI=1.240, 1.445) higher for non-Hispanic Whites, and 1.285 (95% CI=1.087, 1.519) higher for non-Hispanic Blacks with <7 hours of sleep than for their counterparts of the same race/ethnicity with adequate sleep. Conclusions: Although there is a strong association between obesity and behavioral factors, the effects vary substantially across racial/ethnic groups, adjusting for demographic and socioeconomic characteristics. Policies and programs addressing obesity should consider the heterogeneous effects of behavioral factors on obesity among racial/ethnic groups.
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