Prevalence of Obesity and Trends in Body Mass Index Among US Children and Adolescents, 1999-2010

Overview

Journal JAMA

Publisher American Medical Association

Specialty General Medicine

Date 2012 Jan 19

PMID 22253364

Citations 1597

Authors

Cynthia L Ogden

Margaret D Carroll

Brian K Kit

Katherine M Flegal

Affiliations

Soon will be listed here.

Abstract

Context: The prevalence of childhood obesity increased in the 1980s and 1990s but there were no significant changes in prevalence between 1999-2000 and 2007-2008 in the United States.

Objectives: To present the most recent estimates of obesity prevalence in US children and adolescents for 2009-2010 and to investigate trends in obesity prevalence and body mass index (BMI) among children and adolescents between 1999-2000 and 2009-2010.

Design, Setting, And Participants: Cross-sectional analyses of a representative sample (N = 4111) of the US child and adolescent population (birth through 19 years of age) with measured heights and weights from the National Health and Nutrition Examination Survey 2009-2010.

Main Outcome Measures: Prevalence of high weight-for-recumbent length (≥95th percentile on the growth charts) among infants and toddlers from birth to 2 years of age and obesity (BMI ≥95th percentile of the BMI-for-age growth charts) among children and adolescents aged 2 through 19 years. Analyses of trends in obesity by sex and race/ethnicity, and analyses of trends in BMI within sex-specific age groups for 6 survey periods (1999-2000, 2001-2002, 2003-2004, 2005-2006, 2007-2008, and 2009-2010) over 12 years.

Results: In 2009-2010, 9.7% (95% CI, 7.6%-12.3%) of infants and toddlers had a high weight-for-recumbent length and 16.9% (95% CI, 15.4%-18.4%) of children and adolescents from 2 through 19 years of age were obese. There was no difference in obesity prevalence among males (P = .62) or females (P = .65) between 2007-2008 and 2009-2010. However, trend analyses over a 12-year period indicated a significant increase in obesity prevalence between 1999-2000 and 2009-2010 in males aged 2 through 19 years (odds ratio, 1.05; 95% CI, 1.01-1.10) but not in females (odds ratio, 1.02; 95% CI, 0.98-1.07) per 2-year survey cycle. There was a significant increase in BMI among adolescent males aged 12 through 19 years (P = .04) but not among any other age group or among females.

Conclusion: In 2009-2010, the prevalence of obesity in children and adolescents was 16.9%; this was not changed compared with 2007-2008.

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References

McCrindle B, Manlhiot C, Millar K, Gibson D, Stearne K, Kilty H . Population trends toward increasing cardiovascular risk factors in Canadian adolescents. J Pediatr. 2010; 157(5):837-43. DOI: 10.1016/j.jpeds.2010.05.014. View

Singh A, Mulder C, Twisk J, van Mechelen W, Chinapaw M . Tracking of childhood overweight into adulthood: a systematic review of the literature. Obes Rev. 2008; 9(5):474-88. DOI: 10.1111/j.1467-789X.2008.00475.x. View

. Obesity prevalence among low-income, preschool-aged children - United States, 1998-2008. MMWR Morb Mortal Wkly Rep. 2009; 58(28):769-73. View

Aeberli I, Ammann R, Knabenhans M, Molinari L, Zimmermann M . Decrease in the prevalence of paediatric adiposity in Switzerland from 2002 to 2007. Public Health Nutr. 2009; 13(6):806-11. DOI: 10.1017/S1368980009991558. View

Grummer-Strawn L, Reinold C, Krebs N . Use of World Health Organization and CDC growth charts for children aged 0-59 months in the United States. MMWR Recomm Rep. 2010; 59(RR-9):1-15. View

Wang Y, Beydoun M, Liang L, Caballero B, Kumanyika S . Will all Americans become overweight or obese? estimating the progression and cost of the US obesity epidemic. Obesity (Silver Spring). 2008; 16(10):2323-30. DOI: 10.1038/oby.2008.351. View

Meigen C, Keller A, Gausche R, Kromeyer-Hauschild K, Bluher S, Kiess W . Secular trends in body mass index in German children and adolescents: a cross-sectional data analysis via CrescNet between 1999 and 2006. Metabolism. 2008; 57(7):934-9. DOI: 10.1016/j.metabol.2008.02.008. View

Flegal K, Troiano R . Changes in the distribution of body mass index of adults and children in the US population. Int J Obes Relat Metab Disord. 2000; 24(7):807-18. DOI: 10.1038/sj.ijo.0801232. View

Sekhobo J, Edmunds L, Reynolds D, Dalenius K, Sharma A . Trends in prevalence of obesity and overweight among children enrolled in the New York State WIC program, 2002-2007. Public Health Rep. 2010; 125(2):218-24. PMC: 2821849. DOI: 10.1177/003335491012500210. View

10.

Ekblom O, Oddsson K, Ekblom B . Prevalence and regional differences in overweight in 2001 and trends in BMI distribution in Swedish children from 1987 to 2001. Scand J Public Health. 2004; 32(4):257-63. DOI: 10.1080/1403494031009498. View

11.

Freedman D, Mei Z, Srinivasan S, Berenson G, Dietz W . Cardiovascular risk factors and excess adiposity among overweight children and adolescents: the Bogalusa Heart Study. J Pediatr. 2006; 150(1):12-17.e2. DOI: 10.1016/j.jpeds.2006.08.042. View

12.

Freedman D, Katzmarzyk P, Dietz W, Srinivasan S, Berenson G . Relation of body mass index and skinfold thicknesses to cardiovascular disease risk factors in children: the Bogalusa Heart Study. Am J Clin Nutr. 2009; 90(1):210-6. PMC: 2697002. DOI: 10.3945/ajcn.2009.27525. View

13.

Salanave B, Peneau S, Rolland-Cachera M, Hercberg S, Castetbon K . Stabilization of overweight prevalence in French children between 2000 and 2007. Int J Pediatr Obes. 2009; 4(2):66-72. DOI: 10.1080/17477160902811207. View

14.

Flegal K, Ogden C, Yanovski J, Freedman D, Shepherd J, Graubard B . High adiposity and high body mass index-for-age in US children and adolescents overall and by race-ethnic group. Am J Clin Nutr. 2010; 91(4):1020-6. PMC: 2844683. DOI: 10.3945/ajcn.2009.28589. View

15.

Ogden C, Carroll M, Curtin L, Lamb M, Flegal K . Prevalence of high body mass index in US children and adolescents, 2007-2008. JAMA. 2010; 303(3):242-9. DOI: 10.1001/jama.2009.2012. View

16.

Ogden C, Flegal K . Changes in terminology for childhood overweight and obesity. Natl Health Stat Report. 2010; (25):1-5. View

17.

Sherry B, Jefferds M, Grummer-Strawn L . Accuracy of adolescent self-report of height and weight in assessing overweight status: a literature review. Arch Pediatr Adolesc Med. 2007; 161(12):1154-61. DOI: 10.1001/archpedi.161.12.1154. View

18.

Ogden C, Flegal K, Carroll M, Johnson C . Prevalence and trends in overweight among US children and adolescents, 1999-2000. JAMA. 2002; 288(14):1728-32. DOI: 10.1001/jama.288.14.1728. View

19.

Kalies H, Lenz J, von Kries R . Prevalence of overweight and obesity and trends in body mass index in German pre-school children, 1982-1997. Int J Obes Relat Metab Disord. 2002; 26(9):1211-7. DOI: 10.1038/sj.ijo.0802013. View

20.

Kuczmarski R, Ogden C, Guo S, Grummer-Strawn L, Flegal K, Mei Z . 2000 CDC Growth Charts for the United States: methods and development. Vital Health Stat 11. 2002; (246):1-190. View