Relationship of Excess Weight in Children and Adults

Abraham, Sidney; Nordsieck, Marie

doi:10.2307/4590775

Cited by 205 publications

(46 citation statements)

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“…If the prevalence of obesity continues to grow, the disease burden will surely increase further. As overweight children become overweight adults, [21][22][23][24][25][26] the diseases associated with obesity and health care costs are likely to increase even more. Because disproportionate weight gains have occurred among heavier children, 2 the rate of obesityassociated diseases will rise even faster if the expanding prevalence of obesity continues.…”

Section: Resultsmentioning

confidence: 99%

Economic Burden of Obesity in Youths Aged 6 to 17 Years: 1979–1999

2002

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ABSTRACT. Objective. To examine the trend of obesity-associated diseases in youths and related economic costs.Methods. Using a multiyear data file of the National Hospital Discharge Survey, 1979 -1999, we analyzed the changes in obesity-associated diseases and economic costs in youths (6 -17 years of age) over time. Diabetes, obesity, sleep apnea, and gallbladder disease were examined to explore the trend of the disease burden. Other obesity-associated diseases for which obesity was listed as a secondary diagnosis were also analyzed. Obesityassociated hospital costs were estimated from the discharges with obesity listed as a principal or secondary diagnosis.Results. From 1979 -1981 to 1997-1999, the percentage of discharges with obesity-associated diseases increased. The discharges of diabetes nearly doubled (from 1.43% to 2.36%), obesity and gallbladder diseases tripled (0.36% to 1.07% and 0.18% to 0.59%, respectively), and sleep apnea increased fivefold (0.14% to 0.75%). Ninety-six percent of discharges with a diagnosis of obesity listed obesity as a secondary diagnosis. Asthma and some mental disorders were the most common principal diagnoses when obesity was listed as a secondary diagnosis. Obesity-associated annual hospital costs (based on 2001 constant US dollar value) increased more than threefold; from $35 million (0.43% of total hospital costs) during 1979 -1981 to $127 million (1.70% of total hospital costs) during 1997-1999.Conclusions. Among all hospital discharges, the proportion of discharges with obesity-associated diseases has increased dramatically in the past 20 years. This increase has led to a significant growth in economic costs. These findings may reflect the impact of increasing prevalence and severity of obesity. Diet and physical activity interventions should be developed for weight loss and prevention of weight gain in youths. Pediatrics 2002; 109(5). URL: http://www.pediatrics.org/cgi/content/full/ 109/5/e81;

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Section: Resultsmentioning

confidence: 99%

Economic Burden of Obesity in Youths Aged 6 to 17 Years: 1979–1999

2002

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“…23 In one study, about three-quarters of obese 10 ± 13-yold boys and girls became obese adults, compared with 31% and 11% of non-obese boys and girls; relative risks of 2.39 and 6.55. 24 A study of a birth cohort of the year 1946 25 showed that only 21% of obese (BMI greater than 29.9 kgam 2 ) 36-y-olds had been obese at age 11 y (weight-for-height greater than 120% of a standard weight for children of the same age, height and sex), however the percentage of adult obesity increased to 58% if combining childhood overweight (weight-for-height greater than 110%) and obesity. In another study of birth cohorts from the same period (1929 ± 1960), the odds ratios for Determinants of overweight tracking in children L Mo-suwan et al overweight at 35 y ranged from 3.9 to 8.4 for childhood obesity at 8 ± 13 y of age (BMI values at the 95th percentile relative to 50th percentile).…”

Section: Discussionmentioning

confidence: 99%

Determinants of overweight tracking from childhood to adolescence: a 5 y follow-up study of Hat Yai schoolchildren

2000

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OBJECTIVE: To study the determinants of overweight tracking from childhood to adolescence of Hat Yai schoolchildren. DESIGN: A longitudinal study. SETTING: Primary and secondary schools of Hat Yai municipality, southern Thailand. SUBJECTS: 2252 schoolchildren recruited in 1992 and follow-up for 5 y. MEASUREMENTS: Child's annual body mass index (BMI, kgam 2 ) from 1992 to 1997; parental BMIs, parental income, and family history of diseases by a questionnaire completed by parents in 1992. RESULTS: Prevalence of overweight of males using the 85th percentile of the U S First National Health and Nutritional Examination Survey reference for age and sex as a cut-off point increased from 12.4% in 1992 to 21% in 1997, whereas that of females went down from 15.2 to 12.6. At the end of the ®fth year, 11.8% of children remained overweight while 4.5% became overweight. Comparing to the non-overweights, the risk for becoming an overweight adolescent of an overweight boy was 8.2 (95% con®dence interval (CI) 6, 11.2) whereas that of the overweight girls was 20 (95% CI 12.4, 32.3). The generalized estimating equations model predicted an increase in child BMI associated with having a father or a mother with high BMI, a family history of obesity, a monthly income greater than 5000 baht, and a lower level of exercise than their peers. Secular increase in BMI was also observed. CONCLUSION: Predictors of overweight tracking found in this study would be useful to select children at risk for preventive intervention.

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“…Infant and childhood obesity have been related to adult obesity (Abraham et al, 1971;Charney et al, 1976). Early obesity seems to place a child at risk for being an overweight adult (Abraham & Norsieck, 1960). Familial relationships contributing obesity have been noted (Hartz et al, 1977), particularly parent/child interrelationships.…”

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confidence: 97%