# Maternal Acculturation in Pregnancy and Infant Adiposity in Mexican Americans

> **NIH NIH R01** · UNIVERSITY OF CALIFORNIA-IRVINE · 2020 · $721,696

## Abstract

PROJECT SUMMARY/ ABSTRACT 
 
 This proposal addresses the compelling public health issue of the problem of childhood obesity in the Hispanic 
(Mexican-American) population. In this context, one of the most striking epidemiological observations is that Hispanic 
immigrants in the U.S. exhibit a progressive and pronounced decline in health (obesity/ adiposity) over time and across 
generations that is evident even after accounting for socioeconomic status. The prevailing paradigm invokes the construct 
of acculturation (post-migration acquisition of host culture and/or loss of heritage culture) and posits this health decline 
is a biological consequence of some of acculturation’s psychosocial and behavioral sequelae (increasing stress, declining 
social ties, adoption of unhealthy diet). However, research has overlooked one crucial point: a major feature of this 
phenomenon is its intergenerational component, and yet intergenerational transmission is unaddressed. Our proposal 
seeks to address this important limitation. We propose that the cause of the observed intergenerational escalation in 
obesity among Mexican-Americans may, in part, originate during the intrauterine period of life. At this time, maternal 
acculturation-related processes may impact fetal development to produce phenotypic alterations in the structure and 
function of cells, tissues and organ systems that increase susceptibility for obesity/adiposity (i.e., the concept of 
“fetal/developmental programming of health and disease risk”). 
 We propose to conduct a prospective, longitudinal study in a representative cohort of N=300 first- and second-
generation Mexican-American mothers and their offspring from early gestation through birth till 6-month age. We will 
conceptualize, operationalize and analyze acculturation as a multi-dimensional construct. We will quantify child 
adiposity (% fat mass) at birth and at 6-mo age by dual-energy X-ray absorptiometry (DXA) whole-body imaging. We will 
address the following specific aims: Aim 1: Test the hypothesis that maternal acculturation is prospectively associated 
with newborn and infant body composition (adiposity). Aim 2: Test the hypothesis that gestational endocrine (cortisol, 
CRH), immune (IL-6, TNF-α, CRP), oxidative (5-iPF2α-VI), and metabolic (glucose, insulin) biology across pregnancy 
mediates the effect of maternal acculturation on newborn and infant body composition (adiposity). Aim 3: Identify and 
quantify the potentially modifiable maternal psychological, behavioral and biophysical characteristics that are associated 
with acculturation and may account for its impact on gestational biology and child body composition (adiposity). 
We have assembled an interdisciplinary team of established investigators with complementary expertise; performed a 
feasibility analysis documenting our ability to recruit and retain the proposed study population and implement all 
elements of the study protocol; and collected and present prel...

## Key facts

- **NIH application ID:** 9878911
- **Project number:** 5R01MD010738-05
- **Recipient organization:** UNIVERSITY OF CALIFORNIA-IRVINE
- **Principal Investigator:** Sonja Entringer
- **Activity code:** R01 (R01, R21, SBIR, etc.)
- **Funding institute:** NIH
- **Fiscal year:** 2020
- **Award amount:** $721,696
- **Award type:** 5
- **Project period:** 2016-07-13 → 2023-02-28

## Primary source

NIH RePORTER: https://reporter.nih.gov/project-details/9878911

## Citation

> US National Institutes of Health, RePORTER application 9878911, Maternal Acculturation in Pregnancy and Infant Adiposity in Mexican Americans (5R01MD010738-05). Retrieved via AI Analytics 2026-05-23 from https://api.ai-analytics.org/grant/nih/9878911. Licensed CC0.

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