The Emergence of Clinically Abnormal Levels of Cardiovascular Disease Risk Factor Variables Among Young Adults: The Bogalusa Heart-Study

Wattigney, Wendy A.; Webber, L. S.; Srinivasan, Sathanur R.; Gs, Berenson

doi:10.1006/pmed.1995.1097

Cited by 58 publications

(30 citation statements)

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“…Table 3 illustrates that BMI tracking from childhood to adulthood varies according to age. [50][51][52]55,62,63 Single BMI measures track reasonably well from childhood and adolescence (ages 6 -18) into young adulthood (ages 20 -37), as evidenced by longitudinal studies showing low/moderate (r ϭ 0.2-0.4) or moderate/high (0.5-0.8) correlations between childhood and adult BMI measures. Increased tracking (r Ն 0.6 or elevated odds of adult obesity) is seen for older children (after age 8), 55 particularly with sexual maturity, 70,71 for younger children (ages 6 -12) who are more overweight (usually above the 95th or 98th percentile), 36,72 and for children with an obese parent.…”

Section: Key Question 2b: What Clinical Screening Tests For Overweighmentioning

confidence: 89%

“…[50][51][52][53][54][55][56][57][58][59][60][61][62][63][64][65][66][67][68][69] BMI measurements in childhood and adulthood correlated with each other as well as, or better than, other overweight measures, such as Ponderal Index or skinfold measurements, in childhood and adulthood correlated. Table 3 illustrates that BMI tracking from childhood to adulthood varies according to age.…”

Section: Key Question 2b: What Clinical Screening Tests For Overweighmentioning

confidence: 99%

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Screening and Interventions for Childhood Overweight: A Summary of Evidence for the US Preventive Services Task Force

et al. 2005

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ABSTRACT. Background. Childhood and adolescent overweight and obesity are related to health risks, medical conditions, and increased risk of adult obesity, with its attendant effects on morbidity and mortality rates. The prevalence of childhood overweight and obesity has more than doubled in the past 25 years.Purpose. This evidence synthesis examines the evidence for the benefits and harms of screening and early treatment of overweight among children and adolescents in clinical settings.Methods. We developed an analytic framework and 7 key questions representing the logical evidence connecting screening and weight control interventions with changes in overweight and behavioral, physiologic, and health outcomes in childhood or adulthood. We searched Results. Although BMI is a measure of relative weight rather than adiposity, it is recommended widely for use among children and adolescents to determine overweight and is the currently preferred measure. The risk of adult overweight from childhood overweight provides the best available evidence to judge the clinical validity of BMI as an overweight criterion for children and adolescents. BMI measures in childhood track to adulthood moderately or very well, with stronger tracking seen for children with >1 obese parent and children who are more overweight or older. The probability of adult obesity (BMI of >30 kg/m 2 ) is >50% among children >13 years of age whose BMI percentiles meet or exceed the 95th percentile for age and gender. BMI-based overweight categorization for individuals, particularly for racial/ethnic minorities with differences in body composition, may have limited validity because BMI measures cannot differentiate between increased weight for height attributable to relatively greater fat-free mass (muscle, bone, and fluids) and that attributable to greater fat. No trials of screening programs to identify and to treat childhood overweight have been reported. Limited research is available on effective, generalizable interventions for overweight children and adolescents that can be conducted in primary care settings or through primary care referrals.Conclusions.

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Section: Key Question 2b: What Clinical Screening Tests For Overweighmentioning

confidence: 89%

Section: Key Question 2b: What Clinical Screening Tests For Overweighmentioning

confidence: 99%

Screening and Interventions for Childhood Overweight: A Summary of Evidence for the US Preventive Services Task Force

et al. 2005

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“…Many studies [30][31][32] have clearly demonstrated that isolate or associated cardiovascular risk factors are already present in the pediatric phase and may contribute to the development of atherosclerosis [7][8][9][10] . In this context, the ERJ is a line of research on BP and cardiovascular risk factors and have followed-up young people during 17 years, accomplishing several assessments along this period.…”

Section: Discussionmentioning

confidence: 99%

“…In this context, we highlight the Bogalusa study that, based on many cohorts, demonstrated that cardiovascular risk factors are present since the childhood/adolescence (C/A) 7 and have a relation to atherosclerotic lesions evidenced in studies of necropsy in young individuals [8][9][10] . Data on overweight/obesity (O/O) in Brazilian population reinforce its increased prevalence in early age groups, as it may vary from 18.8% to 26.3% in Brazilian cohorts comprising children and adolescents [11][12][13] .…”

Section: Introductionmentioning

confidence: 95%