Abstract:
BACKGROUND:Early childhood adiposity may have significant later health effects. This study examines the prevalence and recognition of obesity and severe obesity among preschool-aged children. METHODS:The electronic medical record was used to examine body mass index (BMI), height, sex and race/ethnicity in 42,559 children aged 3-5 years between 2007 and 2010. Normal or underweight (BMI < 85th percentile); overweight (BMI 85th-94th percentile); obesity (BMI ≥ 95th percentile); and severe obesity (BMI ≥ 1.2 × 95th percentile) were classified using the 2000 Centers for Disease Control and Prevention growth charts. Provider recognition of elevated BMI was examined for obese children aged 5 years. RESULTS:Among 42,559 children, 12.4% of boys and 10.0% of girls had BMI ≥ 95th percentile. The prevalence was highest among Hispanics (18.2% boys, 15.2% girls), followed by blacks (12.4% boys, 12.7% girls). A positive trend existed between increasing BMI category and median height percentile, with obesity rates highest in the highest height quintile. The prevalence of severe obesity was 1.6% overall and somewhat higher for boys compared with girls (1.9 vs. 1.4%, P < 0.01). By race/ethnicity, the highest prevalence of severe obesity was seen in Hispanic boys (3.3%). Among those aged 5 years, 77.9% of obese children had provider diagnosis of obesity or elevated BMI, increasing to 89.0% for the subset with severe obesity. CONCLUSIONS:Obesity and severe obesity are evident as early as age 3-5 years, with race/ethnic trends similar to older children. This study underscores the need for continued recognition and contextualization of early childhood obesity in order to develop effective strategies for early weight management.
journal_name
Pediatr Obesjournal_title
Pediatric obesityauthors
Lo JC,Maring B,Chandra M,Daniels SR,Sinaiko A,Daley MF,Sherwood NE,Kharbanda EO,Parker ED,Adams KF,Prineas RJ,Magid DJ,O'Connor PJ,Greenspan LCdoi
10.1111/j.2047-6310.2013.00154.xsubject
Has Abstractpub_date
2014-06-01 00:00:00pages
167-75issue
3eissn
2047-6302issn
2047-6310journal_volume
9pub_type
杂志文章abstract:BACKGROUND:Health Care Professionals struggle to initiate conversations about overweight in toddlerhood. A novel 3D body size scale (3D BSS) may facilitate engagement with this topic during pediatric appointments. OBJECTIVES:To explore barriers and facilitators to using the 3D BSS through a mixed-methods design. METH...
journal_title:Pediatric obesity
pub_type: 杂志文章
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更新日期:2021-02-01 00:00:00
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journal_title:Pediatric obesity
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更新日期:2020-09-23 00:00:00
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journal_title:Pediatric obesity
pub_type: 杂志文章
doi:10.1111/ijpo.12173
更新日期:2017-12-01 00:00:00
abstract:OBJECTIVE:To investigate the association of the neuropeptide Y (NPY) promoter polymorphism rs16147 with body mass index (BMI) during the course of development from infancy to adulthood. DESIGN:Longitudinal, prospective study of a German community sample. SUBJECTS:n = 306 young adults (139 males, 167 females). MEASUR...
journal_title:Pediatric obesity
pub_type: 杂志文章
doi:10.1111/j.2047-6310.2012.00069.x
更新日期:2012-12-01 00:00:00
abstract:BACKGROUND:Moderate-to-vigorous physical activity (MVPA) plays an important role in childhood overweight prevention. Sedentary time appears to be independently associated with overweight, but most research has been done in adults. OBJECTIVE:The objective of this study were to identify subgroups of children based on th...
journal_title:Pediatric obesity
pub_type: 杂志文章
doi:10.1111/j.2047-6310.2012.00117.x
更新日期:2013-10-01 00:00:00
abstract::Gut microbes are active participants of host metabolism. At birth, child physiology is committed towards healthiness or sickness depending, in part, on maternal condition (i.e. lean vs obesity) and delivery. Finally, changes from breastfeeding to solid food also account to define gut microbiota ecology in adulthood. N...
journal_title:Pediatric obesity
pub_type: 杂志文章,评审
doi:10.1111/ijpo.12146
更新日期:2017-08-01 00:00:00
abstract:BACKGROUND:Few studies have assessed how well body mass index (BMI), waist circumference (WC), or waist to height ratio (WtHR) perform in identifying cardio-metabolic risk among youth. OBJECTIVE:The objective of this study was to evaluate the utility of BMI and WC percentiles and WtHR to distinguish adolescents with a...
journal_title:Pediatric obesity
pub_type: 杂志文章,随机对照试验
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更新日期:2015-10-01 00:00:00
abstract:BACKGROUND:Increased consumption of sweetened beverages has previously been linked to the degree of childhood obesity. OBJECTIVE:The aim of the present study was to assess whether the intake of sweetened beverages, candy, snacks or fast food at baseline in a multidisciplinary childhood obesity treatment program was as...
journal_title:Pediatric obesity
pub_type: 杂志文章
doi:10.1111/ijpo.12094
更新日期:2016-12-01 00:00:00
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journal_title:Pediatric obesity
pub_type: 杂志文章
doi:10.1111/j.2047-6310.2013.00189.x
更新日期:2014-10-01 00:00:00
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journal_title:Pediatric obesity
pub_type: 杂志文章
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更新日期:2017-02-01 00:00:00
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journal_title:Pediatric obesity
pub_type: 杂志文章,多中心研究
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更新日期:2015-06-01 00:00:00
abstract:BACKGROUND:In adults, depressive symptoms are positively associated with insulin resistance. OBJECTIVE:To determine whether an association exists between depressive symptoms and markers of insulin resistance in youth. METHODS:This study used a retrospective review of data from an obesity clinic. We evaluated the asso...
journal_title:Pediatric obesity
pub_type: 杂志文章
doi:10.1111/ijpo.237
更新日期:2014-10-01 00:00:00
abstract:BACKGROUND:Circulating microRNAs (miRNAs) may act as biomarkers of metabolic disturbances. OBJECTIVE:The aim of this study was to identify serum miRNAs signature of early insulin resistance in obese preschoolers. METHODS:Twelve obese children, aged 2-6 years, six insulin resistant (IR) and six controls were selected ...
journal_title:Pediatric obesity
pub_type: 杂志文章
doi:10.1111/ijpo.12133
更新日期:2017-06-01 00:00:00
abstract::Childhood obesity is associated with a pro-atherogenic phenotype contributing to increased cardiovascular disease (CVD) risk. This single-arm pilot study examined the effects of a lifestyle intervention on lipoprotein particle size and cholesterol distribution in obese Latino adolescents. Fifteen obese Latino adolesce...
journal_title:Pediatric obesity
pub_type: 杂志文章
doi:10.1111/j.2047-6310.2013.00162.x
更新日期:2013-10-01 00:00:00
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journal_title:Pediatric obesity
pub_type: 杂志文章
doi:10.1111/ijpo.12761
更新日期:2020-12-17 00:00:00
abstract:OBJECTIVE:To examine associations between consumption of low-calorie sweetened beverages (LCSBs), sugar, and total energy intake in children in the United States. METHODS:We used 24-hour dietary recalls from 7026 children enrolled in the National Health and Nutrition Examination Survey (NHANES) 2011 to 2016 to assess ...
journal_title:Pediatric obesity
pub_type: 杂志文章
doi:10.1111/ijpo.12535
更新日期:2019-10-01 00:00:00
abstract:BACKGROUND:The effect of the patatin-like phospholipase domain containing 3 gene (PNPLA3) I148M polymorphism on the risk and severity of paediatric and adolescent nonalcoholic fatty liver disease (NAFLD) remains inconclusive. OBJECTIVES:We aimed to estimate the effect of this polymorphism not only on early-onset NAFLD...
journal_title:Pediatric obesity
pub_type: 杂志文章,meta分析
doi:10.1111/ijpo.12615
更新日期:2020-06-01 00:00:00
abstract:BACKGROUND:Population-specific accelerometer cut-points are required to accurately determine the accumulation of physical activity of various intensities. OBJECTIVES:A calibration study was conducted (i) to determine the cut-points for the ActiGraph GT3X+, non-dominant, wrist-mounted accelerometer in children aged 8-1...
journal_title:Pediatric obesity
pub_type: 杂志文章,多中心研究
doi:10.1111/ijpo.12033
更新日期:2016-04-01 00:00:00
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journal_title:Pediatric obesity
pub_type: 杂志文章
doi:10.1111/ijpo.262
更新日期:2015-08-01 00:00:00
abstract:BACKGROUND:There are no academic studies that characterize advertisements directed at children from the companies that signed the self-regulation. OBJECTIVE:The aim of this paper was to assess the extent and nature of food advertisements and the persuasive techniques used to market unhealthy food and beverages (UFB) t...
journal_title:Pediatric obesity
pub_type: 杂志文章
doi:10.1111/ijpo.12144
更新日期:2017-08-01 00:00:00
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journal_title:Pediatric obesity
pub_type: 杂志文章
doi:10.1111/ijpo.12589
更新日期:2020-03-01 00:00:00
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journal_title:Pediatric obesity
pub_type: 杂志文章
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更新日期:2020-10-01 00:00:00
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journal_title:Pediatric obesity
pub_type: 杂志文章
doi:10.1111/ijpo.12017
更新日期:2016-02-01 00:00:00
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journal_title:Pediatric obesity
pub_type: 杂志文章
doi:10.1111/ijpo.12193
更新日期:2018-01-01 00:00:00
abstract:BACKGROUND:The Healthy Communities Study (HCS) was a national study of community programs and policies that aimed to address childhood obesity; it necessitated recruitment of a large sample of children from communities throughout the United States. OBJECTIVE:The HCS aimed to complete visits with an average of 45 child...
journal_title:Pediatric obesity
pub_type: 杂志文章
doi:10.1111/ijpo.12455
更新日期:2018-10-01 00:00:00
abstract:BACKGROUND:Intestinal parasites, virus and bacterial infections are positively associated with obesity and adiposity in vitro and in animal models, but conclusive evidence of this relationship in humans is lacking. The aim of this cross-sectional study was to determine differences in adiposity between infected and non-...
journal_title:Pediatric obesity
pub_type: 杂志文章
doi:10.1111/ijpo.12085
更新日期:2016-12-01 00:00:00
abstract:BACKGROUND:The data regarding prospective associations between physical activity (PA) and adiposity in youth are inconsistent. OBJECTIVE:The objective of this study was to investigate associations between baseline levels of objectively measured PA and changes in adiposity over 2.5 years from mid-to-late adolescence. ...
journal_title:Pediatric obesity
pub_type: 杂志文章
doi:10.1111/ijpo.12031
更新日期:2016-04-01 00:00:00
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journal_title:Pediatric obesity
pub_type: 杂志文章,评审
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更新日期:2020-09-22 00:00:00
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journal_title:Pediatric obesity
pub_type: 杂志文章
doi:10.1111/ijpo.12601
更新日期:2020-04-01 00:00:00
abstract:BACKGROUND:The American Academy of Pediatrics calls for aggressive management of preterm infants to achieve body composition approximating that of the healthy infant in utero. Air displacement plethysmography (ADP) has been validated for assessment of body composition in preterm infants and could be used to monitor the...
journal_title:Pediatric obesity
pub_type: 杂志文章
doi:10.1111/j.2047-6310.2013.00215.x
更新日期:2015-02-01 00:00:00