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Overweight children and adolescents: description, epidemiology, and demographics.

Abstract

We describe prevalence and trends in overweight among children and adolescents (6 to 17 years old) in the US population and variation in the prevalence by sex, age, race-ethnicity, income, and educational level. Height and weight were measured in nationally representative surveys conducted between 1963 and 1994: cycles II (1963 to 1965) and III (1966 to 1970) of the National Health Examination Survey (NHES) and the National Health and Nutrition Examination Surveys (NHANES I, 1971 to 1974; NHANES II, 1976 to 1980; and NHANES III, 1988 to 1994). Overweight was defined by the age- and sex-specific 95th percentile of body mass index (BMI) from NHES II and III. BMI values between the 85th and 95th percentiles were considered an area of concern, because at this level there is increased risk for becoming overweight. Approximately 11% of children and adolescents were overweight in 1988 to 1994, and an additional 14% had a BMI between the 85th and 95th percentiles. The prevalence of overweight did not vary systematically with race-ethnicity, income, or education. Overweight prevalence increased over time, with the largest increase between NHANES II and NHANES III. Examination of the entire BMI distribution showed that the heaviest children were markedly heavier in NHANES III than in NHES, but the rest of the distribution of BMI showed little change. Data are limited for assessing the causes of the rapid change in the prevalence of overweight. The increased overweight prevalence in US children and adolescents may be one manifestation of a more general set of societal effects. Childhood overweight should be addressed from a public health perspective.

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  • Publisher Full Text
  • Authors+Show Affiliations

    ,

    National Center for Health Statistics, Centers for Disease Control and Prevention, Hyattsville, Maryland, USA.

    Source

    Pediatrics 101:3 Pt 2 1998 Mar pg 497-504

    MeSH

    Adolescent
    Adult
    Age Factors
    Anthropometry
    Body Mass Index
    Body Weight
    Centers for Disease Control and Prevention (U.S.)
    Child
    Female
    Health Surveys
    Humans
    Male
    Nutrition Surveys
    Obesity
    Prevalence
    Sex Factors
    United States

    Pub Type(s)

    Journal Article
    Review

    Language

    eng

    PubMed ID

    12224656

    Citation

    Troiano, R P., and K M. Flegal. "Overweight Children and Adolescents: Description, Epidemiology, and Demographics." Pediatrics, vol. 101, no. 3 Pt 2, 1998, pp. 497-504.
    Troiano RP, Flegal KM. Overweight children and adolescents: description, epidemiology, and demographics. Pediatrics. 1998;101(3 Pt 2):497-504.
    Troiano, R. P., & Flegal, K. M. (1998). Overweight children and adolescents: description, epidemiology, and demographics. Pediatrics, 101(3 Pt 2), pp. 497-504.
    Troiano RP, Flegal KM. Overweight Children and Adolescents: Description, Epidemiology, and Demographics. Pediatrics. 1998;101(3 Pt 2):497-504. PubMed PMID: 12224656.
    * Article titles in AMA citation format should be in sentence-case
    TY - JOUR T1 - Overweight children and adolescents: description, epidemiology, and demographics. AU - Troiano,R P, AU - Flegal,K M, PY - 2002/9/13/pubmed PY - 2002/9/20/medline PY - 2002/9/13/entrez SP - 497 EP - 504 JF - Pediatrics JO - Pediatrics VL - 101 IS - 3 Pt 2 N2 - We describe prevalence and trends in overweight among children and adolescents (6 to 17 years old) in the US population and variation in the prevalence by sex, age, race-ethnicity, income, and educational level. Height and weight were measured in nationally representative surveys conducted between 1963 and 1994: cycles II (1963 to 1965) and III (1966 to 1970) of the National Health Examination Survey (NHES) and the National Health and Nutrition Examination Surveys (NHANES I, 1971 to 1974; NHANES II, 1976 to 1980; and NHANES III, 1988 to 1994). Overweight was defined by the age- and sex-specific 95th percentile of body mass index (BMI) from NHES II and III. BMI values between the 85th and 95th percentiles were considered an area of concern, because at this level there is increased risk for becoming overweight. Approximately 11% of children and adolescents were overweight in 1988 to 1994, and an additional 14% had a BMI between the 85th and 95th percentiles. The prevalence of overweight did not vary systematically with race-ethnicity, income, or education. Overweight prevalence increased over time, with the largest increase between NHANES II and NHANES III. Examination of the entire BMI distribution showed that the heaviest children were markedly heavier in NHANES III than in NHES, but the rest of the distribution of BMI showed little change. Data are limited for assessing the causes of the rapid change in the prevalence of overweight. The increased overweight prevalence in US children and adolescents may be one manifestation of a more general set of societal effects. Childhood overweight should be addressed from a public health perspective. SN - 0031-4005 UR - https://www.unboundmedicine.com/medline/citation/12224656/Overweight_children_and_adolescents:_description_epidemiology_and_demographics_ L2 - http://pediatrics.aappublications.org/cgi/pmidlookup?view=long&pmid=12224656 DB - PRIME DP - Unbound Medicine ER -