High Prevalence of Overweight Among Pediatric Users of Community Health Centers

Stettler, Nicolas; Elliott, Michael R.; Kallan, Michael J.; Auerbach, Steven B.; Kumanyika, Shiriki

doi:10.1542/peds.2005-0104

Cited by 31 publications

(23 citation statements)

References 28 publications

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“…Furthermore, Hispanics had the lowest income level, and whites had the highest (not shown). As we expected on the basis of prevalence data from the overall CHC sample (Stettler et al 2005), a high proportion of the children were overweight (23%) or at risk of becoming overweight (14%), which is higher than would be expected for children in this age range in the U.S. population as a whole (Ogden et al 2006 Tables 2 and 3 show responses for parents' reported exposure to fast-food promotions, access to fast-food restaurants, and attitudes and social norms, and Table 4 shows the frequency of children's fast-food consumption. We present data for the total sample and by race/ethnicity.…”

Section: Methodssupporting

confidence: 59%

Fast-Food Marketing and Children's Fast-Food Consumption: Exploring Parents’ Influences in an Ethnically Diverse Sample

Grier

Mensinger

Huang

et al. 2007

Journal of Public Policy & Marketing

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141

121

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Section: Methodssupporting

confidence: 59%

Fast-Food Marketing and Children's Fast-Food Consumption: Exploring Parents’ Influences in an Ethnically Diverse Sample

Grier

Mensinger

Huang

et al. 2007

Journal of Public Policy & Marketing

Self Cite

141

121

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“…Although the prevalence of osteoporosis and related fragility fracture is lower in African American women compared with white women, osteoporosis is not uncommon in the African American adult population 70,71 and may be underdiagnosed. 72 Additional study is needed to better understand and improve bone health in the African American population given our study findings of an increased prevalence of factors associated with forearm fracture risk, [24][25][26][27][28][29][30] higher rates of some fractures, 32,33 and the apparent paradox of a relatively increased BMD in comparison with white children. 31 …”

Section: Discussionmentioning

confidence: 99%

“…[24][25][26] African American children are also more likely than white children to be overweight or obese. [27][28][29] Additionally, darker skin pigmentation is a risk factor for vitamin D deficiency. 30 Although African American children have a relatively increased BMD in comparison with white children and studies of a South African cohort show higher fracture rates in white children, other studies show a higher incidence of femur fracture and fracture-related hospitalizations in African American children.…”

mentioning

confidence: 99%

Bone Mineral Density and Vitamin D Status Among African American Children With Forearm Fractures

Ryan¹,

Teach²,

Singer

et al. 2012

Pediatrics

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WHAT'S KNOWN ON THIS SUBJECT: Forearm fractures are unique injuries which are associated with lower bone mineral density in adults and white children. The relationships among bone mineral density, 25-hydroxyvitamin D status, and risk for forearm fracture have not been investigated in African American children. WHAT THIS STUDY ADDS:Our data support an association between both lower bone mineral density and vitamin D deficiency and increased odds of forearm fracture in African American children. Promotion of bone health is indicated in this population.abstract OBJECTIVE: To determine whether African American children with forearm fractures have decreased bone mineral density and an increased prevalence of vitamin D deficiency (serum 25-hydroxyvitamin D level #20 ng/mL) compared with fracture-free control patients. METHODS:This case-control study in African American children, aged 5 to 9 years, included case patients with forearm fracture and control patients without fracture. Evaluation included measurement of bone mineral density and serum 25-hydroxyvitamin D level. Univariable and multivariable analyses were used to test for associations between fracture status and 2 measures of bone health (bone mineral density and 25-hydroxyvitamin D level) while controlling for other potential confounders. RESULTS:The final sample included 76 case and 74 control patients. There were no significant differences between case and control patients in age, gender, parental education level, enrollment season, outdoor play time, height, or mean dietary calcium nutrient density. Cases were more likely than control patients to be overweight (49.3% vs 31.4%, P = .03). Compared with control patients, case patients had lower whole body z scores for bone mineral density (0.62 6 0.96 vs 0.98 6 1.09; adjusted odds ratio 0.38 [0.20-0.72]) and were more likely to be vitamin D deficient (47.1% vs 40.8%; adjusted odds ratio 3.46 [1.09-10.94]). CONCLUSIONS:These data support an association of lower bone mineral density and vitamin D deficiency with increased odds of forearm fracture among African American children. Because suboptimal childhood bone health also negatively impacts adult bone health, interventions to increase bone mineral density and correct vitamin D deficiency are indicated in this population to provide short-term and long-term benefits. Pediatrics 2012;130:e553-e560

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“…7,8 Obesity has long been associated with low socioeconomic status (SES). 9 Indeed, characteristics of health and healthcare associated with low SES may be true of residents of both rural areas and inner-city urban areas.…”

Section: Introductionmentioning

confidence: 99%

Weight Status of Children and Adolescents in a Telepsychiatry Clinic

Marks

Shaikh

Hilty

et al. 2009

Telemedicine and e-Health

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The prevalence of overweight and obesity is approximately 32% among children and adolescents in the United States. Comorbid conditions associated with pediatric overweight and obesity include psychiatric conditions. The purpose of this study was to determine the prevalence of overweight and obesity among children and adolescents presenting for consultation from rural communities to the UC Davis Telemedicine Program (UCDTP), as well as to collect preliminary data to design an integrated disease management program for children and adolescents with obesity and mental illness. Patients aged 21 and under seen for psychiatric consultation at the UCDTP between 2004 and 2006 were included. Retrospective medical record review was conducted to determine the major psychiatric diagnoses, height, weight, body-mass index, and weight status (underweight=at risk for underweight, normal weight, overweight, or obese) for each patient. Of the 230 patients referred, a total of 121 patients had both height and weight values documented. Three patients were underweight; 51 were normal weight; 28 were overweight; 39 were obese. The most common psychiatric diagnoses in the 121 patients were attention deficit=hyperactivity disorder (ADHD; n ¼ 40), bipolar disorder (n ¼ 36), and depression (n ¼ 31). The most common psychiatric diagnoses in patients with available weight and height data who were overweight and obese were bipolar disorder (n ¼ 20), depression (n ¼ 18), and ADHD (n ¼ 17). Approximately 55% of child and adolescent patients seen for telepsychiatry consultation whose charts documented height and weight measurements were overweight or obese. Psychiatric diagnoses in overweight youngsters need to be researched further to determine whether the weight change is primary or secondary to mood and=or to treatments, such as medication. At such a high rate of comorbidity, monitoring the weight status of young psychiatric patients in this population is indicated.

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High Prevalence of Overweight Among Pediatric Users of Community Health Centers

Cited by 31 publications

References 28 publications

Fast-Food Marketing and Children's Fast-Food Consumption: Exploring Parents’ Influences in an Ethnically Diverse Sample

Fast-Food Marketing and Children's Fast-Food Consumption: Exploring Parents’ Influences in an Ethnically Diverse Sample

Bone Mineral Density and Vitamin D Status Among African American Children With Forearm Fractures

Weight Status of Children and Adolescents in a Telepsychiatry Clinic

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