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Prevalence of childhood and adult obesity in the United States, 2011-2012.

Abstract

IMPORTANCE

More than one-third of adults and 17% of youth in the United States are obese, although the prevalence remained stable between 2003-2004 and 2009-2010.

OBJECTIVE

To provide the most recent national estimates of childhood obesity, analyze trends in childhood obesity between 2003 and 2012, and provide detailed obesity trend analyses among adults.

DESIGN, SETTING, AND PARTICIPANTS

Weight and height or recumbent length were measured in 9120 participants in the 2011-2012 nationally representative National Health and Nutrition Examination Survey.

MAIN OUTCOMES AND MEASURES

In infants and toddlers from birth to 2 years, high weight for recumbent length was defined as weight for length at or above the 95th percentile of the sex-specific Centers for Disease Control and Prevention (CDC) growth charts. In children and adolescents aged 2 to 19 years, obesity was defined as a body mass index (BMI) at or above the 95th percentile of the sex-specific CDC BMI-for-age growth charts. In adults, obesity was defined as a BMI greater than or equal to 30. Analyses of trends in high weight for recumbent length or obesity prevalence were conducted overall and separately by age across 5 periods (2003-2004, 2005-2006, 2007-2008, 2009-2010, and 2011-2012).

RESULTS

In 2011-2012, 8.1% (95% CI, 5.8%-11.1%) of infants and toddlers had high weight for recumbent length, and 16.9% (95% CI, 14.9%-19.2%) of 2- to 19-year-olds and 34.9% (95% CI, 32.0%-37.9%) of adults (age-adjusted) aged 20 years or older were obese. Overall, there was no significant change from 2003-2004 through 2011-2012 in high weight for recumbent length among infants and toddlers, obesity in 2- to 19-year-olds, or obesity in adults. Tests for an interaction between survey period and age found an interaction in children (P = .03) and women (P = .02). There was a significant decrease in obesity among 2- to 5-year-old children (from 13.9% to 8.4%; P = .03) and a significant increase in obesity among women aged 60 years and older (from 31.5% to 38.1%; P = .006).

CONCLUSIONS AND RELEVANCE

Overall, there have been no significant changes in obesity prevalence in youth or adults between 2003-2004 and 2011-2012. Obesity prevalence remains high and thus it is important to continue surveillance.

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  • Authors+Show Affiliations

    ,

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

    ,

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

    ,

    National Center for Health Statistics, Centers for Disease Control and Prevention, Hyattsville, Maryland2United States Public Health Service, Rockville, Maryland.

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

    Source

    JAMA 311:8 2014 Feb 26 pg 806-14

    MeSH

    Adolescent
    Adult
    Aged
    Body Mass Index
    Body Weight
    Child
    Child, Preschool
    Female
    Humans
    Infant
    Infant, Newborn
    Male
    Nutrition Surveys
    Obesity
    Pediatric Obesity
    Prevalence
    Sex Distribution
    United States

    Pub Type(s)

    Journal Article

    Language

    eng

    PubMed ID

    24570244

    Citation

    Ogden, Cynthia L., et al. "Prevalence of Childhood and Adult Obesity in the United States, 2011-2012." JAMA, vol. 311, no. 8, 2014, pp. 806-14.
    Ogden CL, Carroll MD, Kit BK, et al. Prevalence of childhood and adult obesity in the United States, 2011-2012. JAMA. 2014;311(8):806-14.
    Ogden, C. L., Carroll, M. D., Kit, B. K., & Flegal, K. M. (2014). Prevalence of childhood and adult obesity in the United States, 2011-2012. JAMA, 311(8), pp. 806-14. doi:10.1001/jama.2014.732.
    Ogden CL, et al. Prevalence of Childhood and Adult Obesity in the United States, 2011-2012. JAMA. 2014 Feb 26;311(8):806-14. PubMed PMID: 24570244.
    * Article titles in AMA citation format should be in sentence-case
    TY - JOUR T1 - Prevalence of childhood and adult obesity in the United States, 2011-2012. AU - Ogden,Cynthia L, AU - Carroll,Margaret D, AU - Kit,Brian K, AU - Flegal,Katherine M, PY - 2014/2/27/entrez PY - 2014/2/27/pubmed PY - 2014/3/4/medline SP - 806 EP - 14 JF - JAMA JO - JAMA VL - 311 IS - 8 N2 - IMPORTANCE: More than one-third of adults and 17% of youth in the United States are obese, although the prevalence remained stable between 2003-2004 and 2009-2010. OBJECTIVE: To provide the most recent national estimates of childhood obesity, analyze trends in childhood obesity between 2003 and 2012, and provide detailed obesity trend analyses among adults. DESIGN, SETTING, AND PARTICIPANTS: Weight and height or recumbent length were measured in 9120 participants in the 2011-2012 nationally representative National Health and Nutrition Examination Survey. MAIN OUTCOMES AND MEASURES: In infants and toddlers from birth to 2 years, high weight for recumbent length was defined as weight for length at or above the 95th percentile of the sex-specific Centers for Disease Control and Prevention (CDC) growth charts. In children and adolescents aged 2 to 19 years, obesity was defined as a body mass index (BMI) at or above the 95th percentile of the sex-specific CDC BMI-for-age growth charts. In adults, obesity was defined as a BMI greater than or equal to 30. Analyses of trends in high weight for recumbent length or obesity prevalence were conducted overall and separately by age across 5 periods (2003-2004, 2005-2006, 2007-2008, 2009-2010, and 2011-2012). RESULTS: In 2011-2012, 8.1% (95% CI, 5.8%-11.1%) of infants and toddlers had high weight for recumbent length, and 16.9% (95% CI, 14.9%-19.2%) of 2- to 19-year-olds and 34.9% (95% CI, 32.0%-37.9%) of adults (age-adjusted) aged 20 years or older were obese. Overall, there was no significant change from 2003-2004 through 2011-2012 in high weight for recumbent length among infants and toddlers, obesity in 2- to 19-year-olds, or obesity in adults. Tests for an interaction between survey period and age found an interaction in children (P = .03) and women (P = .02). There was a significant decrease in obesity among 2- to 5-year-old children (from 13.9% to 8.4%; P = .03) and a significant increase in obesity among women aged 60 years and older (from 31.5% to 38.1%; P = .006). CONCLUSIONS AND RELEVANCE: Overall, there have been no significant changes in obesity prevalence in youth or adults between 2003-2004 and 2011-2012. Obesity prevalence remains high and thus it is important to continue surveillance. SN - 1538-3598 UR - https://www.unboundmedicine.com/medline/citation/24570244/full_citation L2 - https://jamanetwork.com/journals/jama/fullarticle/10.1001/jama.2014.732 DB - PRIME DP - Unbound Medicine ER -