Abstract:
OBJECTIVE:The objective of this study was to assess overweight and obesity status transition probabilities using first-order Markov transition models applied to elementary school children. METHOD:Complete longitudinal data across 11 assessments were available from 1494 elementary school children (from 7599 students in 41 out of 45 schools in a Southeast Texas school district) from kindergarten to the beginning of the fifth grade. Heights and weights were measured by trained school nurses using standard procedures at the beginning and end of each school year for the 11 consecutive assessments. To estimate the transition probabilities, first-order three-state (healthy weight, overweight and obese) Markov transition models were fit to the longitudinal weight status data of all assessment periods. RESULTS:While there was a gradual shift to more children in the overweight or obese category over 5 years, children were most likely to stay in the same weight category as the previous assessment. A consistent seasonal difference in the probability of changing weight status category was seen, with a greater probability of becoming overweight and obese during the summer compared with the school year. The transition probabilities to obesity were higher among boys, Hispanic and non-Hispanic Black, and lower socioeconomic status children. CONCLUSIONS:This study provides the first application of a Markov transition model to child weight status data. The transitions into the overweight and obese categories were small, but persistent, with smaller percentages transitioning out of overweight or obese. Early monitoring and summer intervention strategies are needed to prevent the slow, but relentless, transition into the overweight and obese categories.
journal_name
Pediatr Obesjournal_title
Pediatric obesityauthors
Chen TA,Baranowski T,Moreno JP,O'Connor TM,Hughes SO,Baranowski J,Woehler D,Kimbro RT,Johnston CAdoi
10.1111/ijpo.12025subject
Has Abstractpub_date
2016-04-01 00:00:00pages
88-94issue
2eissn
2047-6302issn
2047-6310journal_volume
11pub_type
杂志文章abstract:BACKGROUND:Increases in portion size are thought by many to promote obesity in children. However, this relationship remains unclear. Here, we explore the extent to which a child's BMI is predicted both by parental beliefs about their child's ideal and maximum portion size and/or by the child's own beliefs. METHODS:Par...
journal_title:Pediatric obesity
pub_type: 杂志文章,随机对照试验
doi:10.1111/ijpo.12218
更新日期:2018-04-01 00:00:00
abstract:BACKGROUND:There has been a growing amount of evidence indicating that excess visceral fat is associated with alterations in brain structure and function, including brain cortical thinning in adults. OBJECTIVES:This study aims to investigate the relationship between brain cortical thickness with obesity assessments, i...
journal_title:Pediatric obesity
pub_type: 杂志文章
doi:10.1111/ijpo.12190
更新日期:2018-01-01 00:00:00
abstract:OBJECTIVE:The objective of this study was to examine the relationship between diet and inflammation, and adiposity in minority youth. DESIGN AND METHODS:The study was designed as a cross-sectional analysis of 142 overweight (≥85th body mass index percentile) Hispanic and African-American adolescents (14-18 years) with...
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
abstract:BACKGROUND:The relationships between the trajectories of weight gain from early childhood to adolescence and risk for metabolic disease are not well understood. OBJECTIVE:The objective of the study is to examine the relationships between weight gain from 2 to 14 years and metabolic risk factors at age 14 years in Paci...
journal_title:Pediatric obesity
pub_type: 杂志文章
doi:10.1111/ijpo.12497
更新日期:2019-05-01 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:In some previous studies direct associations between intake of soft drinks, sugar-sweetened beverages and adiposity have been reported. The majority of these studies were, however, conducted in the USA and it is uncertain if the results are applicable to non-US countries. OBJECTIVE:To assess the association...
journal_title:Pediatric obesity
pub_type: 杂志文章
doi:10.1111/j.2047-6310.2013.00170.x
更新日期:2013-08-01 00:00:00
abstract:BACKGROUND:Research is needed to identify how food insecurity affects maternal eating behavior and child feeding practices, factors that may pose intergenerational risks for obesity. OBJECTIVES:This longitudinal study investigated whether maternal restrained eating mediated the association between household food insec...
journal_title:Pediatric obesity
pub_type: 杂志文章
doi:10.1111/ijpo.12637
更新日期:2020-10-01 00:00:00
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
doi:10.1111/ijpo.12715
更新日期:2021-02-01 00:00:00
abstract:BACKGROUND:Non-alcoholic fatty liver disease (NAFLD), prediabetes and type 2 diabetes mellitus are known to be closely linked with obesity as early as during childhood. OBJECTIVES:The study aimed to determine the prevalence of prediabetes and T2DM in children with obesity with or without increased transaminases. METH...
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:Previous studies have indicated that snacking is contributing to increased calorie intake of American children and that the energy density of snacks in US diets has increased in recent decades. OBJECTIVE:Examine short-term and long-term trends in the energy density and food sources of snacks for US children...
journal_title:Pediatric obesity
pub_type: 杂志文章
doi:10.1111/ijpo.12220
更新日期:2018-04-01 00:00:00
abstract:BACKGROUND:Attention-deficit/hyperactivity disorder (ADHD) symptoms have been linked with eating behaviors and obesity adolescence and young adulthood. Yet, little is known about whether these associations occur during early childhood and few studies have examined these associations prospectively. OBJECTIVES:To assess...
journal_title:Pediatric obesity
pub_type: 杂志文章
doi:10.1111/ijpo.12631
更新日期:2020-07-01 00:00:00
abstract:BACKGROUND:Reports comparing waist circumference (WC) measurements from young populations are scarce. OBJECTIVES:We compared two protocols for measuring waist circumference in a sample of youth with diabetes. METHODS:Participants were enrolled in the SEARCH for Diabetes in Youth Study (SEARCH). WC was measured at lea...
journal_title:Pediatric obesity
pub_type: 杂志文章
doi:10.1111/j.2047-6310.2012.00088.x
更新日期:2012-12-01 00:00:00
abstract:BACKGROUND:The prevalence of obesity in childhood is of high concern, especially in deprived populations. We explored trends in obesity following the introduction of a citywide strategy focused on preschool children. METHODS:Analysis of obesity prevalence using the National Child Measurement Programme 2009 to 2017 for...
journal_title:Pediatric obesity
pub_type: 杂志文章
doi:10.1111/ijpo.12529
更新日期:2019-09-01 00:00:00
abstract:OBJECTIVES:Increased meal frequency and daily breakfast consumption have been inversely associated with childhood obesity. The purpose of the study was to examine the possible interaction effect between meal frequency and breakfast consumption on childhood obesity. METHODS:Seven hundred children (323 boys) aged 10-12 ...
journal_title:Pediatric obesity
pub_type: 杂志文章
doi:10.1111/j.2047-6310.2011.00006.x
更新日期:2012-02-01 00:00:00
abstract:OBJECTIVES:The current cross-sectional study examined whether children who are overweight experience greater levels of parent-reported bullying behaviors and victimization using a national sample. Additionally, the relations among child (mental health), family (parent-child sharing of information), and contextual facto...
journal_title:Pediatric obesity
pub_type: 杂志文章
doi:10.1111/ijpo.12516
更新日期:2019-07-01 00:00:00
abstract:BACKGROUND:Child obesity is a growing public health concern. Excess weight in childhood is known to be associated with a high risk of obesity and obesity-related comorbidities in adulthood. OBJECTIVES:This study quantifies lifetime excess costs of overweight and obese adults in Germany taking the history of obesity in...
journal_title:Pediatric obesity
pub_type: 杂志文章
doi:10.1111/ijpo.278
更新日期:2015-12-01 00:00:00
abstract:OBJECTIVES:Growing evidence indicates that ambient (AAP: NO2 , PM2.5 and O3 ) and traffic-related air pollutants (TRAP) contribute to metabolic disease risk in adults; however, few studies have examined these relationships in children. METHODS:Metabolic profiling was performed in 429 overweight and obese African-Ameri...
journal_title:Pediatric obesity
pub_type: 杂志文章
doi:10.1111/ijpo.12188
更新日期:2018-01-01 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
doi:10.1111/ijpo.267
更新日期:2015-10-01 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::Mobile health (mHealth) is a relatively nascent field, with a variety of technologies being explored and developed. Because of the explosive growth in this field, it is of interest to examine the design, development and efficacy of various interventions as research becomes available. This systematic review examines cu...
journal_title:Pediatric obesity
pub_type: 杂志文章,评审
doi:10.1111/ijpo.12002
更新日期:2015-12-01 00:00:00
abstract:BACKGROUND:Weight/length (W/L) indices are poor surrogates for adiposity in preterm infants born appropriate for gestational age (AGA) at birth, but whether the association subsequently improves is unknown. OBJECTIVE:To determine if W/L indices accurately reflect adiposity in premature infants born AGA in later infanc...
journal_title:Pediatric obesity
pub_type: 杂志文章
doi:10.1111/ijpo.12744
更新日期:2020-11-03 00:00:00
abstract:BACKGROUND:Maternal obesity increases offspring's obesity risk. However, studies have not often considered maternal metabolic and exercise patterns as well as paternal adiposity as potential covariates. OBJECTIVE:To assess the relationship between parental and newborn adiposity. METHODS:Participants were mother-child...
journal_title:Pediatric obesity
pub_type: 杂志文章
doi:10.1111/ijpo.12596
更新日期:2020-04-01 00:00:00
abstract:BACKGROUND:Consumption of added sugars is linked to excess adiposity in older age groups and breastfeeding has been shown to protect against later obesity. OBJECTIVES:This investigation aimed to determine whether intake of added sugars associates with rapid weight gain in individuals under 2 years of age, if intake of...
journal_title:Pediatric obesity
pub_type: 杂志文章
doi:10.1111/ijpo.12728
更新日期:2020-09-23 00:00:00
abstract:BACKGROUND:Childhood and adolescent obesity may lead to obesity and related complications in adulthood. Biomarkers of obesity can be useful for screening for obesity complications and promoting early intervention during school age. Thus, the metabolomic differences in obese children and adolescents should be investigat...
journal_title:Pediatric obesity
pub_type: 杂志文章
doi:10.1111/ijpo.12114
更新日期:2017-04-01 00:00:00
abstract:BACKGROUND:Biochemical predictors of infants' growth changes are not available. OBJECTIVES:We tested whether retinol-binding protein (RBP), docosahexaenoic acid and insulin (I) measured within 72 h from birth are associated with growth changes in infants born to mothers with gestational diabetes mellitus (GDM). METHO...
journal_title:Pediatric obesity
pub_type: 杂志文章
doi:10.1111/j.2047-6310.2012.00097.x
更新日期:2012-12-01 00:00:00
abstract:BACKGROUND:Emerging adulthood is a critical time for excess weight gain. Risk can be masked if recommended overweight and obesity cut-points for Asians are not employed. OBJECTIVES:To determine the associations among sociodemographic factors and occurrence of overweight and obesity among normal weight 18-year olds. M...
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:The objective of this study was to investigate changes in volatile organic compounds (VOCs) in exhaled breath in overweight/obese children compared with their lean counterparts. STUDY DESIGN:Single exhaled breath was collected and analyzed per protocol using selective ion flow tube mass spectrometry (SIFT-MS...
journal_title:Pediatric obesity
pub_type: 杂志文章
doi:10.1111/j.2047-6310.2014.221.x
更新日期:2015-02-01 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
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
abstract:OBJECTIVE:The objective of this study was to establish, through measured height and weight, the prevalence of overweight and obesity in a representative sample of Maltese children aged 10-11 years. METHODS:Height and weight were measured in a sample, stratified by sex, region and type of school, of 874 year 6 children...
journal_title:Pediatric obesity
pub_type: 杂志文章
doi:10.1111/j.2047-6310.2013.00191.x
更新日期:2013-10-01 00:00:00