title: The social determinants of health of the child-adolescent immigration and its influence on the nutritional status: systematic review.
abstract: OBJECTIVE
  to review the social determinants of health more characteristic of the child and adolescents of immigrants, by reviewing the literature and assess its effect on nutritional status.
  
  
  METHODS
  a systematic review was performed using Medical Subject Headings (MeSH) in PubMed (Medline) and The Cochrane Library, in order to identify undetected studies; articles bibliographic lists were examined. The final election was done according to inclusion and exclusion criteria. No restrictions on sex and ethnicity of the participants. STROBE checkpoints were used for an information and methodological quality control. As Social Determinants of Health (SDH); social, demographic and economic conditions were considered for the study of their effect on the nutritional status.
  
  
  RESULTS
  from 31 identified articles 18 are included in this study, 17 (94.4%) had a good or excellent quality. Hispanic and African were the most studied ethnicities; birth place and parent's residence period were used for generational classification. Alimentary culture and linguistic isolation of the first generation have a protective effect preventing from overweight and obesity risk while it decrease in second and third generation due to the experienced acculturation process equalizing their weight gain to natives; which prevalence is higher among Hispanics. No relation was found for nutritional status differences between sexes neither alimentary aids protective effect hypothesis was confirmed.
  
  
  CONCLUSIONS
  the SDH with greater influence on child-adolescent immigrants were the socio-demographic conditions; among them: residence period distinguish the three identified generations while linguistic barrier and ethnic background are truly influential on the biological response to the experimented change caused by the acculturation process, establishing differences in the nutritional status.
authors.affiliation: Department of Public Health and History of Science, Miguel Hernandez University, Elche.. nutdiet5@gmail.com.
authors.forename: Kamila
authors.initials: K
authors.lastname: Cheikh Moussa
authors.affiliation: Department of Public Health and History of Science, Miguel Hernandez University, Elche. Department of Public Health and History of Science, University of Alicante, Alicante. Spain.. jsanz@umh.es.
authors.forename: Javier
authors.initials: J
authors.lastname: Sanz-Valero
authors.affiliation: Department of Pharmacy, CEU Cardenal Herrera University, Elche. Home Care Unit, General University Hospital of Alicante, Alicante.. jsanz@umh.es.
authors.forename: Carmina
authors.initials: C
authors.lastname: Wanden-Berghe
mesh_terms: D000293:Adolescent; D002648:Child; D054242:Emigrants and Immigrants; D004641:Emigration and Immigration; D005006:Ethnicity; D006304:Health Status; D006801:Humans; D009752:Nutritional Status; D064890:Social Determinants of Health; D012931:Social Environment