Prevalence of overweight among youth with chronic conditions in the United States: An update from the 2016 National Survey of Children's Health

Haegele, Justin A.; Foley, John T.; Healy, Seán; Paller, Alexis

doi:10.1111/ijpo.12595

Cited by 13 publications

(13 citation statements)

References 35 publications

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“…Our findings are consistent with most of the pooled Health Behavior in School‐aged Children scores representing 15 European countries, which reported that after adjusting for age and socioeconomic status, males with disabilities spent significantly longer times in recreational ST behaviors compared to those without disabilities 14 . These results seem to be in agreement with other authors who found that a high proportion of adolescents living with visual or hearing impairments do not meet ST recommendations, and this prevalence seems to increase over time 15 . This is an important issue with possible clinical relevance since adolescents with disabilities are at risk of developing further health conditions due to their sedentary behavior 16 …”

Section: Discussionsupporting

confidence: 92%

“…The ENSE involved a sample of approximately 88,629 schoolchildren from 1,190 educational institutions located in 298 municipalities, and it was estimated through stratified probabilistic, clustered, stratified, and multistage sampling. In the last analysis, in the final sample, 35,404 adolescents (aged [13][14][15][16][17] were included in our study. Further information about the selection of the study sample is shown in Figure S1.…”

Section: Design and Participantsmentioning

confidence: 99%

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Meeting physical activity and screen time among Colombian adolescents with or without sensory‐related problems

López-Gil

Ramírez‐Vélez

Flórez-López

et al. 2021

Scandinavian Med Sci Sports

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The aim of this study was to assess the extent to which adolescents with and without visual and hearing‐related problems meet physical activity (PA) and recreational screen time (ST) recommendations in a representative Colombian sample. A total of 35,404 adolescents aged 13–17 years were included from the Encuesta Nacional de Salud Escolar (ENSE) (Colombia). Sociodemographic‐related information, anthropometric variables, PA, ST, and both visual‐ and hearing‐related problems were collected by self‐administered questionnaires. The prevalence of adolescents meeting with PA, ST, and both recommendations was 14.8%, 53.4%, and 7.8%, respectively. Both sexes with visual‐ (males: OR=0.70, 95%CI 0.59–0.83; females: OR=0.73, 95%CI 0.61–0.88) and hearing‐related problems (males, OR=0.75, 95%CI 0.61–0.93; females, OR=0.76, 95%CI 0.61–0.94) are less likely to meet combined recommendations. Sensory problems such as vision‐ and hearing‐related problems could be considered key barriers to engagement in PA and facilitators of recreational ST in Colombian adolescents.

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Section: Discussionsupporting

confidence: 92%

Section: Design and Participantsmentioning

confidence: 99%

Meeting physical activity and screen time among Colombian adolescents with or without sensory‐related problems

López-Gil

Ramírez‐Vélez

Flórez-López

et al. 2021

Scandinavian Med Sci Sports

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“…This study focused on 24 405 youth (aged 10-17 years): 13 408 without a chronic condition and 10 997 children with 1 of 19 chronic condition diagnoses included in the NSCH, which included (1) attention-deficit disorder or attention-deficit/ hyperactivity disorder (ADD/ADHD), (2) anxiety problems, (3) arthritis, (4) asthma, (5) autism, (6) behavior or conduct problems, (7) cerebral palsy, (8) cystic fibrosis, (9) depression, (10) developmental delay, (11) diabetes, (12) Down syndrome, (13) epilepsy, (14) frequent or severe headaches, (15) hearing impairments (including deafness), (16) intellectual disability, (17) learning disability, (18) speech disorder, and (19) VIs (including blindness). Participants were identified as those whose parents reported that they had been told by a healthcare professional that their child has the condition and that the child currently has the condition.…”

Section: Samplementioning

confidence: 99%

“…4 While research examining the prevalence of meeting multiple health behavior guidelines among children is increasing, 13,14 and national health initiatives such as Healthy People 2020 outline specific objectives for meeting PA, SB, and SD guidelines, 15 the extension of this integrated framework to the study of health behaviors among youth with chronic conditions is scarce. Yet, a focus on this group is imperative as children with various chronic conditions have been demonstrated to be at greater risk of negative health outcomes, such as overweight 16,17 and having poorer health-related quality of life. 18 To address this scarcity, researchers have begun to examine the prevalence of adherence to PA, ST, and SD guidelines among children with autism spectrum disorder (ASD) 19 and children with visual impairments (VIs).…”

mentioning

confidence: 99%

Physical Activity, Screen Time, and Sleep Duration Among Youth With Chronic Health Conditions in the United States

2020

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Purpose: To compare the degree to which youth with and without chronic conditions in the United States met physical activity (PA), screen time, and sleep duration guidelines. Design: A cross-sectional study using data from the 2016 National Survey of Children’s Health. Participants: A total of 24 405 youth (aged 10-17 years) with and without 1 of 19 prevalent chronic health conditions who participated in the 2016 National Survey of Children’s Health. Measures: Parents reported on the time spent by their children in PA, screen time, and sleep. Analysis: Descriptive and bivariate analyses were conducted to estimate and compare health behavior guideline adherence rates among children with and without chronic conditions. Results: Overall, 18.7% of children with chronic conditions did not meet any health behavior guidelines compared to 15.6% of children without chronic conditions. Children with hearing impairments, diabetes, and depression were most likely to not meet any health behavior guidelines (27.9%, 25.4%, and 21.7%, respectively). Of the 3 guidelines, children with and without chronic conditions were least likely to meet the PA guideline (18.6% and 21%, respectively). Conclusions: This study identifies specific groups of children with chronic conditions that are most at risk of not meeting health behavior guidelines. The findings highlight specific behaviors in most need of intervention for children with chronic conditions; PA was identified as the most frequently unmet guideline. Overall findings suggest a need for a more integrated, holistic view of health promotion for children with chronic conditions.

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“…These ancillary data will ultimately allow us to consider the association of these medical conditions and treatments with respect to anthropometric status relative to these novel curves. Another unique opportunity this large cohort provides is to examine secular trends in weight in the US general population since there has been a clear trend of increasing body weight over the last several decades [ 20 , 21 ].…”

Section: Introductionmentioning

confidence: 99%

Growth in achondroplasia including stature, weight, weight-for-height and head circumference from CLARITY: achondroplasia natural history study—a multi-center retrospective cohort study of achondroplasia in the US

Hoover‐Fong

Schulze

Alade

et al. 2021

Orphanet J Rare Dis

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Background Achondroplasia is the most common genetic skeletal disorder causing disproportionate short stature/dwarfism. Common additional features include spinal stenosis, midface retrusion, macrocephaly and a generalized spondylometaphyseal dysplasia which manifest as spinal cord compression, sleep disordered breathing, delayed motor skill acquisition and genu varus with musculoskeletal pain. To better understand the interactions and health outcomes of these potential complications, we embarked on a multi-center, natural history study entitled CLARITY (achondroplasia natural history study). One of the CLARITY objectives was to develop growth curves (length/height, weight, head circumference, weight-for-height) and corresponding reference tables of mean and standard deviations at 1 month increments from birth through 18 years for clinical use and research for achondroplasia patients. Methods All available retrospective anthropometry data including length/height, weight and head circumference from achondroplasia patients were collected at 4 US skeletal dysplasia centers (Johns Hopkins University, AI DuPont Hospital for Children, McGovern Medical School University of Texas Health, University of Wisconsin School of Medicine and Public Health). Weight-for-age values beyond 3 SD above the mean were excluded from the weight-for-height and weight-for-age curves to create a stricter tool for weight assessment in this population. Results Over 37,000 length/height, weight and head circumference measures from 1374 patients with achondroplasia from birth through 75 years of age were compiled in a REDCap database. Stature and weight data from birth through 18 years of age and head circumference from birth through 5 years of age were utilized to construct new length/height-for-age, weight-for-age, head circumference-for-age and weight-for-height curves. Conclusion Achondroplasia-specific growth curves are essential for clinical care of growing infants and children with this condition. In an effort to provide prescriptive, rather than purely descriptive, references for weight in this population, extreme weight values were omitted from the weight-for-age and weight-for-height curves. This well-phenotyped cohort may be studied with other global achondroplasia populations (e.g. Europe, Argentina, Australia, Japan) to gain further insight into environmental or ethnic influences on growth.

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Prevalence of overweight among youth with chronic conditions in the United States: An update from the 2016 National Survey of Children's Health

Cited by 13 publications

References 35 publications

Meeting physical activity and screen time among Colombian adolescents with or without sensory‐related problems

Meeting physical activity and screen time among Colombian adolescents with or without sensory‐related problems

Physical Activity, Screen Time, and Sleep Duration Among Youth With Chronic Health Conditions in the United States

Growth in achondroplasia including stature, weight, weight-for-height and head circumference from CLARITY: achondroplasia natural history study—a multi-center retrospective cohort study of achondroplasia in the US

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