Details:

Alternative Title:
JAMA
Personal Author:
Ogden, Cynthia L. ; Carroll, Margaret D. ; Kit, Brian K. ; Flegal, Katherine M.
Ogden, Cynthia L. ; Carroll, Margaret D. ; Kit, Brian K. ; Flegal, Katherine M. Less -
Description:
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.


Keywords:
[+]
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
Source:
JAMA. 311(8):806-814
Pubmed ID:
24570244
Pubmed Central ID:
PMC4770258
Document Type:
Journal Article
Funding:
CC999999/Intramural CDC HHSUnited States/
Collection(s):
CDC Public Access
Main Document Checksum:
[+]
urn:sha256:414ffaf553035ce1fbb9aaae7b3601e2e6a97a5b083af4be5821dfcc6b72d7e7
Download URL:
https://stacks.cdc.gov/view/cdc/38265/cdc_38265_DS1.pdf
File Type:

Supporting Files

• 	NIHMS759250-supplement-Online_tables.docx	docx
  	nihms759250.nxml	xml

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