Details:

Alternative Title:
Pediatrics
Personal Author:
Pan, Liping ; May, Ashleigh L. ; Wethington, Holly ; Dalenius, Karen ; Grummer-Strawn, Laurence M.
Pan, Liping ; May, Ashleigh L. ; Wethington, Holly ; Dalenius, Karen ; Grummer-Strawn, Laurence M. Less -
Description:
OBJECTIVE

To examine the incidence and reverse of obesity among young low-income children and variations across population subgroups.

METHODS

We included 1.2 million participants in federally funded child health and nutrition programs who were 0 to 23 months old in 2008 and were followed up 24 to 35 months later in 2010–2011. Weight and height were measured. Obesity at baseline was defined as gender-specific weight-for-length ≥95th percentile on the 2000 Centers for Disease Control and Prevention growth charts. Obesity at follow-up was defined as gender-specific BMI-for-age ≥95th percentile. We used a multivariable log-binomial model to estimate relative risk of obesity adjusting for gender, baseline age, race/ethnicity, duration of follow-up, and baseline weight-for-length percentile.

RESULTS

The incidence of obesity was 11.0% after the follow-up period. The incidence was significantly higher among boys versus girls and higher among children aged 0 to 11 months at baseline versus those older. Compared with non-Hispanic whites, the risk of obesity was 35% higher among Hispanics and 49% higher among American Indians (AIs)/Alaska Natives (ANs), but 8% lower among non-Hispanic African Americans. Among children who were obese at baseline, 36.5% remained obese and 63.5% were nonobese at follow-up. The proportion of reversing of obesity was significantly lower among Hispanics and AIs/ANs than that among other racial/ethnic groups.

CONCLUSIONS

The high incidence underscores the importance of early-life obesity prevention in multiple settings for low-income children and their families. The variations within population subgroups suggest that culturally appropriate intervention efforts should be focused on Hispanics and AIs/ANs.


Subject:
[+]
Article
Body Mass Index
Child, Preschool
Childhood Obesity
Female
Follow-Up Studies
Food Assistance
Humans
Incidence
Income
Infancy
Infant
Infant, Newborn
Male
Models, Statistical
Multivariate Analysis
Obesity
Population-based Studies
Poverty
Preschool Age
Public Health
Risk Factors
Incidence

Source:
Pediatrics. 132(6):1006-1013.
Pubmed ID:
24276843
Pubmed Central ID:
PMC4582754
Document Type:
Journal Article
Funding:
CC999999/Intramural CDC HHS/United States
Place as Subject:
United States
Collection(s):
CDC Public Access
Main Document Checksum:
[+]
urn:sha256:f1c385e892c244db55f9de91fa39f192fe02f760a5fb67258c462e4576c3993c
File Type:

Supporting Files

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