Prevalence of Obesity and Severe Obesity in US Children, 1999–2016

Skinner, Asheley Cockrell; Ravanbakht, Sophie N.; Skelton, Joseph A.; Perrin, Eliana M.; Armstrong, Sarah

doi:10.1542/peds.2017-3459

Cited by 1,142 publications

(919 citation statements)

References 21 publications

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“…A current review of literature by Visscher et al (16) also concludes that trend data based on waist circumference suggest an overall increase and the public health problem of obesity is still increasing. In addition, other studies highlight that the prevalence of overweight and obesity in children remains high and should be highlighted as an important public health issue (12,28).…”

Section: Fig 4 Average Bmi Values Among Girls Between 1998-2014mentioning

confidence: 99%

“…Increasing prevalence of overweight in children has also been reported in many Eastern European countries since 2002 (9). Additionally, rising trends in the prevalence of more severe forms of obesity were reported in Australia or the United States (10,11). Moreover, no national success stories have been reported in the past 33 years in terms of reducing obesity and the probability of meeting the global obesity target is virtually zero (12).…”

Section: Introductionmentioning

confidence: 99%

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Trends in Overweight and Obesity in Czech Schoolchildren from 1998 to 2014.

Hamřík¹,

Sigmundová²,

Pavelka³

et al. 2017

Cent Eur J Public Health

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SUMMARYObjective: Overweight and obesity in adolescents is associated with many health risks and considerable direct and indirect healthcare costs. The purpose of this study is to examine trends in the prevalence of overweight and obesity in 11-, 13-and 15-year-old adolescents in the Czech Republic from 1998 to 2014.Methods: Data from five self-reported survey rounds (1998, 2002, 2006, 2010, and 2014) of the Health Behaviour in School-aged Children Study (HBSC) were used to assess trends in overweight and obesity among Czech adolescents. The total sample consisted of 19,103 adolescents (51.2% girls). A logistic regression analysis was used to assess trends in different age and gender categories.Results: From 1998 to 2014 a significant increase in the prevalence of overweight and obesity was observed among boys in all age categories (11 years old 22.2% 1998 -28.3% 2014 ; 13 years old 17.9% 1998 -26.7% 2014 ; 15 years old 9.8% 1998 -20.8% 2014 ) and among 15-year-old girls (6.0% 1998 -10.9% 2014 ). None of the age and gender categories showed an overall decrease over the 16-year period. In boys, the prevalence of overweight was significantly higher with steeper negative trends compared with girls. However, stabilization in overweight rates was observed between 2010 and 2014 in all age and gender groups.Conclusion: Nationally representative self-reported data show a significant increase in overweight (including obesity) prevalence among children from 1998 to 2014 in the Czech Republic. The results also suggest stabilization in overweight prevalence between 2010 and 2014. Continuing research is needed to determine future trends while interventions aimed at reducing overweight and obesity in children should be implemented on different levels of public policy.

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Section: Fig 4 Average Bmi Values Among Girls Between 1998-2014mentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Trends in Overweight and Obesity in Czech Schoolchildren from 1998 to 2014.

Hamřík¹,

Sigmundová²,

Pavelka³

et al. 2017

Cent Eur J Public Health

View full text Add to dashboard Cite

show abstract

“…The prevalence of obesity among children has increased since 1999 and rates among nonHispanic Black and Hispanic children are consistently higher compared to non-Hispanic White children [1][2][3]. Children with obesity are at increased risk of developing chronic conditions during childhood and during adulthood if their obesity persists [4][5][6][7][8].…”

Section: Introductionmentioning

confidence: 99%

Digital Weight Loss Intervention for Parents of Children Being Treated for Obesity: A Prospective Cohort Feasibility Trial (Preprint)

Kay¹,

Burroughs²,

Askew³

et al. 2018

Preprint

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BACKGROUND The prevalence of childhood obesity continues to increase, and clinic-based treatment options have failed to demonstrate effectiveness. One of the strongest predictors of child weight is parent weight. Parental treatment for weight loss may indirectly reduce obesity in the child. We have previously demonstrated the effectiveness among adults of a fully automated, evidence-based digital weight loss intervention (Track). However, it is unknown if it is feasible to deliver such a treatment directly to parents with obesity who bring their child with obesity to a weight management clinic for treatment. OBJECTIVE The objective of our study was to evaluate the feasibility of and engagement with a digital weight loss intervention among parents of children receiving treatment for obesity. METHODS We conducted a 6-month pre-post feasibility trial among parents or guardians and their children aged 4-16 years presenting for tertiary care obesity treatment. Along with the standard family-based treatment protocol, parents received a 6-month digital weight loss intervention, which included weekly monitoring of personalized behavior change goals via mobile technologies. We examined levels of engagement by tracking completed weeks of self-monitoring and feasibility by assessing change in weight. RESULTS Participants (N=48) were on average 39 years old, mostly female (35/42, 82% ), non-Hispanic Black individuals (21/41, 51%) with obesity (36/48, 75%). Over a quarter had a yearly household income of <US $25,000, and about a third had the equivalent of a high school education. Children were on average 10 years old and had a body mass index of 29.8 kg/m2. The median percentage of weeks participants tracked their behaviors was 77% (18.5/24 total weeks; interquartile range [IQR] 6.3 to 100). The median number of attempts via phone or text message (short message service) required to complete one tracking week was 3.3 (IQR 2.6 to 4.9). Nearly half (23/48, 48%) had high levels of engagement, completing 80% (19/24) or more weeks of tracking. Of the 26 participants with weight measurements reported at 6 months, of which 81% (21/26) were self-reported, there was a median 2.44 kg (IQR −6.5 to 1.0) decrease in weight. CONCLUSIONS It is feasible to deliver an evidence-based digital weight loss intervention to parents or guardians whose children are enrolled in a weight management program. Given the feasibility of this approach, future studies should investigate the effectiveness of digital weight loss interventions for parents on child weight and health outcomes.

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“…Childhood obesity is prevalent in the United States (Skinner, Ravanbakht, Skelton, Perrin, & Armstrong, 2018), particularly among children living in low-income families (Pan, May, Wethington, Dalenius, & Grummer-Strawn, 2013). It is seen as early as the first years of life, often tracking into adulthood (Reilly & Kelly, 2010).…”

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confidence: 99%

Longitudinal associations between eating and drinking engagement during mealtime and eating in the absence of hunger in low income toddlers

et al. 2018

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To develop effective obesity-related interventions during early life, it is important to identify predictors of eating in the absence of hunger during toddlerhood. Hence, this study examined longitudinal associations between child eating and drinking engagement at 27 months of age and child eating in the absence of hunger (EAH) at 33 months of age (N = 91 children; 57.1% boys). At 27 months of age, we coded child eating and drinking engagement during a videotaped naturalistic lunch meal at home. We also obtained mothers' reports of their child's food responsiveness (FR), satiety responsiveness (SR), and desire to drink (DD) using the Child Eating Behavior Questionnaire (CEBQ). Children participated in a standard EAH protocol at 27 and 33 months of age where they were presented with palatable foods and the amount of food eaten was assessed (calculated as total kilocalories consumed). Correlational analyses showed that EAH at 27 months of age was positively related to EAH at 33 months of age and that neither mother-reported child FR or SR were associated with child eating engagement. Mother-reported child DD was associated with child drinking engagement. To predict EAH at 33 months, a regression analysis was conducted in which EAH at 27 months, mother-reported and observed child eating and drinking engagement at 27 months were entered as predictors, controlling for child demographics (i.e., age, sex, race/ethnicity and weight-for-length z-score (WLZ). Findings were that children who were observed to engage in more drinking at 27 months of age consumed more energy (measured as kcal) in the EAH at 33 months of age. Implications for understanding eating, and drinking, behaviors in toddlerhood are discussed.

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Prevalence of Obesity and Severe Obesity in US Children, 1999–2016

Cited by 1,142 publications

References 21 publications

Trends in Overweight and Obesity in Czech Schoolchildren from 1998 to 2014.

Trends in Overweight and Obesity in Czech Schoolchildren from 1998 to 2014.

Digital Weight Loss Intervention for Parents of Children Being Treated for Obesity: A Prospective Cohort Feasibility Trial (Preprint)

Longitudinal associations between eating and drinking engagement during mealtime and eating in the absence of hunger in low income toddlers

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