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High Body Mass Index for Age Among US Children and Adolescents, 2003-2006

Published on May 28, 2008in JAMA 51.27
· DOI :10.1001/jama.299.20.2401
Cynthia L. Ogden7
Estimated H-index: 7
(CDC: Centers for Disease Control and Prevention),
Margaret D. Carroll54
Estimated H-index: 54
,
Katherine M. Flegal83
Estimated H-index: 83
Cite
Abstract
This study aims to estimate the prevalence of 3 measures of high body mass index (BMI) for age and to examine recent trends for US children and adolescents using national data with measured heights and weights. Height and weight measurements were obtained from 8165 children and adolescents as part of the 2003-2004 and 2005-2006 National Health and Nutrition Examination Survey (NHANES), nationally representative surveys of the US civilian, noninstitutionalized population. The main outcome measures were the prevalence of BMI for age at or above the 97th percentile, at or above the 95th percentile, and at or above the 85th percentile of the 2000 sex-specific Centers for Disease Control and Prevention (CDC) BMI-for-age growth charts among US children by age, sex, and racial/ethnic group. As no statistically significant differences in the prevalence of high BMI for age were found between estimates for 2003-2004 and 2005-2006, data for the 4 years were combined to provide more stable estimates for the most recent time period. Overall, in 2003-2006, 11.3% of children and adolescents aged 2-19 years were at or above the 97th percentile of the 2000 BMI-for-age growth charts, 16.3% were at or above the 95th percentile, and 31.9% were at or above the 85th percentile. Prevalence estimates varied by age and by racial/ethnic group. Analyses of the trends in high BMI for age showed no statistically significant trend over the 4 time periods (1999-2000, 2001-2002, 2003-2004, and 2005-2006) for either boys or girls.
  • References (13)
  • Citations (1668)
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References13
Newest
Published on May 1, 2008in Obesity 3.97
David S. Freedman62
Estimated H-index: 62
(CDC: Centers for Disease Control and Prevention),
Jingsong Wang75
Estimated H-index: 75
(Mount Sinai St. Luke's and Mount Sinai Roosevelt)
+ 4 AuthorsMary Horlick14
Estimated H-index: 14
(Boston Children's Hospital)
Background: Although the BMI is widely used as a measure of adiposity, it is a measure of excess weight, and its association with body fatness may differ across racial or ethnic groups. Objective: To determine whether differences in body fatness between white, black, Hispanic, and Asian children vary by BMI-for-age, and whether the accuracy of overweight (BMI-for-age ≥ Centers for Disease Control and Prevention (CDC) 95th percentile) as an indicator of excess adiposity varies by race/ethnicity. ...
93 Citations Source Cite
Published on Dec 1, 2007in Pediatrics 5.40
Sarah E. Barlow24
Estimated H-index: 24
(BCM: Baylor College of Medicine)
To revise 1998 recommendations on childhood obesity, an Expert Committee, comprised of representatives from 15 professional organizations, appointed experienced scientists and clinicians to 3 writing groups to review the literature and recommend approaches to prevention, assessment, and treatment. Because effective strategies remain poorly defined, the writing groups used both available evidence and expert opinion to develop the recommendations. Primary care providers should universally assess c...
2,879 Citations Source Cite
Published on May 1, 2007in Gastroenterology 19.23
Cynthia L. Ogden7
Estimated H-index: 7
(CDC: Centers for Disease Control and Prevention),
Susan Z. Yanovski9
Estimated H-index: 9
(NIH: National Institutes of Health)
+ 1 AuthorsKatherine M. Flegal83
Estimated H-index: 83
(CDC: Centers for Disease Control and Prevention)
In the United States, obesity among adults and overweight among children and adolescents have increased markedly since 1980. Among adults, obesity is defined as a body mass index of 30 or greater. Among children and adolescents, overweight is defined as a body mass index for age at or above the 95th percentile of a specified reference population. In 2003–2004, 32.9% of adults 20–74 years old were obese and more than 17% of teenagers (age, 12–19 y) were overweight. Obesity varies by age and sex, ...
1,204 Citations Source Cite
Published on Dec 1, 2006in Health Education Research 1.30
Katherine M. Flegal83
Estimated H-index: 83
(CDC: Centers for Disease Control and Prevention),
Carolyn J. Tabak3
Estimated H-index: 3
(CDC: Centers for Disease Control and Prevention),
Cynthia L. Ogden55
Estimated H-index: 55
(CDC: Centers for Disease Control and Prevention)
Studies in a variety of countries have shown increases in the prevalence of overweight among children in recent years. These increases have given rise to concern about children’s health and well-being. The terminology used in these studies varies considerably. However, whatever the terminology used, such studies are generally based on weight [expressed as body mass index (BMI), a measure of weight for height, calculated as weight in kilograms divided by the square of height in meters] and not on...
126 Citations Source Cite
Published on Apr 5, 2006in JAMA 51.27
Cynthia L. Ogden7
Estimated H-index: 7
(CDC: Centers for Disease Control and Prevention),
Margaret D. Carroll54
Estimated H-index: 54
(CDC: Centers for Disease Control and Prevention)
+ 3 AuthorsKatherine M. Flegal83
Estimated H-index: 83
(CDC: Centers for Disease Control and Prevention)
ContextThe prevalence of overweight in children and adolescents and obesity in adults in the United States has increased over several decades.ObjectiveTo provide current estimates of the prevalence and trends of overweight in children and adolescents and obesity in adults.Design, Setting, and ParticipantsAnalysis of height and weight measurements from 3958 children and adolescents aged 2 to 19 years and 4431 adults aged 20 years or older obtained in 2003-2004 as part of the National Health and N...
7,780 Citations Source Cite
Published on Jan 1, 2006
Cynthia L. Ogden7
Estimated H-index: 7
,
Margaret D. Carroll54
Estimated H-index: 54
+ 3 AuthorsKatherine M. Flegal83
Estimated H-index: 83
4,611 Citations
Published on Jun 16, 2004in JAMA 51.27
Allison A. Hedley2
Estimated H-index: 2
(CDC: Centers for Disease Control and Prevention),
Cynthia L. Ogden55
Estimated H-index: 55
+ 3 AuthorsKatherine M. Flegal83
Estimated H-index: 83
ContextThe prevalence of overweight and obesity has increased markedly in the last 2 decades in the United States.ObjectiveTo update the US prevalence estimates of overweight in children and obesity in adults, using the most recent national data of height and weight measurements.Design, Setting, and ParticipantsAs part of the National Health and Nutrition Examination Survey (NHANES), a complex multistage probability sample of the US noninstitutionalized civilian population, both height and weigh...
3,883 Citations Source Cite
Published on Oct 9, 2002in JAMA 51.27
Cynthia L. Ogden55
Estimated H-index: 55
(CDC: Centers for Disease Control and Prevention),
Katherine M. Flegal83
Estimated H-index: 83
+ 1 AuthorsClifford L. Johnson53
Estimated H-index: 53
ContextThe prevalence of overweight among children in the United States increased between 1976-1980 and 1988-1994, but estimates for the current decade are unknown.ObjectiveTo determine the prevalence of overweight in US children using the most recent national data with measured weights and heights and to examine trends in overweight prevalence.Design, Setting, and ParticipantsSurvey of 4722 children from birth through 19 years of age with weight and height measurements obtained in 1999-2000 as ...
3,561 Citations Source Cite
Published on Jul 1, 2002in Pediatrics 5.40
Sarah E. Barlow24
Estimated H-index: 24
(SLU: Saint Louis University),
William H. Dietz97
Estimated H-index: 97
(CDC: Centers for Disease Control and Prevention)
Intensive, behavior-based weight loss programs for children have proved successful in clinical studies,1 but these approaches have not yet been translated to effective office care. In 1996, the Maternal and Child Health Bureau (MCHB), Health Resources and Services Administration (HRSA), Department of Health and Human Services (DHHS), and the National Center for Education in Maternal and Child Health (NCEMCH) convened a committee of experts in childhood obesity to recommend the medical, emotional...
157 Citations
Published on May 1, 2002
Robert J. Kuczmarski16
Estimated H-index: 16
,
Cynthia L. Ogden7
Estimated H-index: 7
+ 7 AuthorsClifford L. Johnson53
Estimated H-index: 53
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Published on Apr 18, 2019in BMC Public Health 2.57
Patricia Markham Risica25
Estimated H-index: 25
(Brown University),
Alison Tovar17
Estimated H-index: 17
(URI: University of Rhode Island)
+ 5 AuthorsKim M. Gans20
Estimated H-index: 20
(Brown University)
Early childhood is a crucial time to foster healthy eating and physical activity (PA) habits, which are critical for optimal child health, growth and development. Child care facilities are important settings to promote healthy eating and PA and prevent childhood obesity; however, almost all prior intervention studies have focused on child care centers and not family child care homes (FCCH), which care for over 1.6 million U.S. children. This paper describes Healthy Start/Comienzos Sanos, a clust...
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Published on Jun 1, 2019in Journal of Community Health 1.57
Ethan Hunt1
Estimated H-index: 1
(USC: University of South Carolina),
Keith Brazendale8
Estimated H-index: 8
(USC: University of South Carolina)
+ 5 AuthorsR. Glenn Weaver10
Estimated H-index: 10
(USC: University of South Carolina)
Objectives To describe the associations of income and race with obesogenic behaviors and % body fat among a large sample of U.S. children and adolescents.
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R. E. Rabeiy (Assiut University)
This study investigates indoor heat stress among employees engaged in bakeries in Assiut city. Heat stress is one of the occupational hazards especially in arid climates that impose negative impacts on workers such as heat rashes, heat exhaustion, heat cramps, heat fainting or heat stroke. In this research, 100 subjects were chosen randomly from 20 bakery stations to testify heat stress impacts. Heat stress levels were measured using wet-bulb globe temperature index (WBGT) to evaluate the impact...
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Published on Apr 8, 2019in Acta Neurologica Belgica 1.61
Fatma Hanci (Abant Izzet Baysal University), Nimet Kabakuş1
Estimated H-index: 1
(Abant Izzet Baysal University)
+ 2 AuthorsMustafa Dilek2
Estimated H-index: 2
(Abant Izzet Baysal University)
This study evaluates the role of obesity, overweight and vitamin D deficiency in primary headaches in childhood. This retrospective observational study included pediatric patients aged 5–17 years admitted to the pediatric neurology clinic with headaches between January 2015 and August 2018 and diagnosed with primary headache based on ICHD III-beta criteria. The control group consisted of healthy children without headache admitted to the pediatric outpatient clinic for check-ups before engaging i...
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Published on Apr 1, 2019in Cities 3.85
Meng Yang (WHU: Wuhan University), Haoluan Wang5
Estimated H-index: 5
(UMD: University of Maryland, College Park),
Feng Qiu6
Estimated H-index: 6
(U of A: University of Alberta)
Abstract This study uses the network-based coverage method to assess the built environment of schools, which includes both unhealthy food outlets and outdoor recreational facilities. Poisson regression models are further adopted to investigate the association between the built environment and neighborhood characteristics. Public and Catholic schools are separately analyzed to obtain a more detailed perspective of the disparity between the two. Results indicate that schools facing the most unfavo...
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Published on Apr 1, 2019in Health Education & Behavior 2.19
Katie Loth23
Estimated H-index: 23
(UMN: University of Minnesota),
Amy Shanafelt4
Estimated H-index: 4
(UMN: University of Minnesota)
+ 5 AuthorsMarilyn S. Nanney12
Estimated H-index: 12
(UMN: University of Minnesota)
Licensed child care providers, and the early care and education settings in which they operate, are uniquely situated to influence children’s healthy eating and physical activity through practices, attitudes, and supportive physical and social environments. However, preliminary research indicates that child-, family-, and provider-level characteristics affect adherence to best practices across early care and education settings. The current article used survey data (n = 618) to characterize diffe...
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Published on Mar 1, 2019in Obesity Reviews 8.19
Y. Kim (UM: University of Michigan), C. Cubbin (University of Texas at Austin), S. Oh (University of Texas at Austin)
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Published on Feb 27, 2019in Nutrients 4.17
Jared M. Tucker10
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Renee DeFrang + 2 AuthorsKathleen Howard2
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Background: Primary care offers a promising setting for promoting parenting practices that shape healthy eating and physical activity behaviors of young children. This study assessed the impact of a parent-based, primary care intervention on the feeding habits, health behaviors, and body mass index (BMI) of 2–5 year olds with elevated or rapidly-increasing BMI. Methods: Four private pediatric offices in West Michigan were assigned as control (n = 2) or intervention (n = 2) sites based on patient...
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Published on Feb 1, 2019in Journal of Evaluation in Clinical Practice 1.54
Raaj Kishore Biswas2
Estimated H-index: 2
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Enamul Kabir5
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Hafiz T. A. Khan9
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(UWL: University of West London)
Rationale, aims, and objectives: Bangladesh is an underdeveloped country that has recently joined the ranks of low-middle-income countries. This study aims to investigate how socioeconomic and developmental factors have influenced women towards a shift in their body mass index (BMI). Methods: The trend was analysed using data on ever-married women from 6 nationwide surveys covering the years 1996 to 2014, conducted by the Bangladesh Demographic and Health Survey (BDHS). To assess the relationshi...
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+ 10 AuthorsTeresia M. O'Connor18
Estimated H-index: 18
(BCM: Baylor College of Medicine)
Abstract Strategies are needed to help early care and education centers (ECEC) comply with policies to meet daily physical activity and fruit and vegetable guidelines for young children. This manuscript describes the design and methodology of Sustainability via Active Garden Education (SAGE), a 12-session cluster-randomized controlled crossover design trial using community-based participatory research (CBPR) to test a garden-based ECEC physical activity and fruit and vegetables promotion interve...
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