Overweight and Obesity Between Adolescence and Young Adulthood: A 10-year Prospective Cohort Study

Abstract Objectives To assess changes in overweight and obesity between adolescence and young adulthood. Design Prospective 8-wave cohort study in Victoria, Australia, with 1,520 adolescents tracked from the age of 14 for a period of 10 years. Main outcome measures Participants aged 18 years overwei...

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Veröffentlicht in:Journal of adolescent health 2011-03, Vol.48 (3), p.275-280
Hauptverfasser: Patton, George C., M.D, Coffey, Carolyn, M.Sc, Carlin, John B., Ph.D, Sawyer, Susan M., M.D, Williams, Joanne, Ph.D, Olsson, Craig A., Ph.D, Wake, Melissa, M.D
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container_end_page 280
container_issue 3
container_start_page 275
container_title Journal of adolescent health
container_volume 48
creator Patton, George C., M.D
Coffey, Carolyn, M.Sc
Carlin, John B., Ph.D
Sawyer, Susan M., M.D
Williams, Joanne, Ph.D
Olsson, Craig A., Ph.D
Wake, Melissa, M.D
description Abstract Objectives To assess changes in overweight and obesity between adolescence and young adulthood. Design Prospective 8-wave cohort study in Victoria, Australia, with 1,520 adolescents tracked from the age of 14 for a period of 10 years. Main outcome measures Participants aged 18 years overweight was defined as a body mass index (BMI) ≥25; and obesity as a BMI ≥30. Results The proportion of overweight individuals increased from 20% in mid-adolescence to 33% at the age of 24 years. Obesity increased from 3.6% to 6.7%. Approximately 40% of young adults with a BMI ≥25 had been persistently at normal weights during adolescence and approximately 80% had been at a normal weight at some point. Around half of obese young adults had never been classified as obese as adolescents. No individual with persistent obesity in adolescence had a BMI
doi_str_mv 10.1016/j.jadohealth.2010.06.019
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Design Prospective 8-wave cohort study in Victoria, Australia, with 1,520 adolescents tracked from the age of 14 for a period of 10 years. Main outcome measures Participants aged &lt;18 years were classified as non-overweight, overweight, or obese according to International Obesity Taskforce cutoff points. In those aged &gt;18 years overweight was defined as a body mass index (BMI) ≥25; and obesity as a BMI ≥30. Results The proportion of overweight individuals increased from 20% in mid-adolescence to 33% at the age of 24 years. Obesity increased from 3.6% to 6.7%. Approximately 40% of young adults with a BMI ≥25 had been persistently at normal weights during adolescence and approximately 80% had been at a normal weight at some point. Around half of obese young adults had never been classified as obese as adolescents. No individual with persistent obesity in adolescence had a BMI &lt;25 at 24 years. A total of 31% of females and 59% of males who had been overweight for only one or two waves of adolescent data collection had a BMI ≥25 at 24 years. Conclusions Substantial shifts in overweight and obesity occur between adolescence and young adulthood; the extent of continuity depends on both the severity and persistence of adiposity in adolescence. Few adolescents who peak into obesity or are persistently overweight achieve a normal weight in young adulthood. Resolution is more common in those who are less persistently overweight as teenagers, suggesting scope for lifestyle interventions in this subgroup.</description><identifier>ISSN: 1054-139X</identifier><identifier>EISSN: 1879-1972</identifier><identifier>DOI: 10.1016/j.jadohealth.2010.06.019</identifier><identifier>PMID: 21338899</identifier><identifier>CODEN: JAHCD9</identifier><language>eng</language><publisher>New York, NY: Elsevier Inc</publisher><subject>Adolescent ; Adolescents ; Biological and medical sciences ; Body Mass Index ; Body weight ; Cohort analysis ; Epidemiology ; Female ; Humans ; Interviews as Topic ; Male ; Medical sciences ; Metabolic diseases ; Obesity ; Obesity - epidemiology ; Overweight ; Overweight - epidemiology ; Pediatrics ; Prevalence ; Prospective Studies ; Surveys and Questionnaires ; Victoria - epidemiology ; Young Adult ; Young adulthood ; Young adults</subject><ispartof>Journal of adolescent health, 2011-03, Vol.48 (3), p.275-280</ispartof><rights>Society for Adolescent Health and Medicine</rights><rights>2011 Society for Adolescent Health and Medicine</rights><rights>2015 INIST-CNRS</rights><rights>Copyright © 2011 Society for Adolescent Health and Medicine. 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Design Prospective 8-wave cohort study in Victoria, Australia, with 1,520 adolescents tracked from the age of 14 for a period of 10 years. Main outcome measures Participants aged &lt;18 years were classified as non-overweight, overweight, or obese according to International Obesity Taskforce cutoff points. In those aged &gt;18 years overweight was defined as a body mass index (BMI) ≥25; and obesity as a BMI ≥30. Results The proportion of overweight individuals increased from 20% in mid-adolescence to 33% at the age of 24 years. Obesity increased from 3.6% to 6.7%. Approximately 40% of young adults with a BMI ≥25 had been persistently at normal weights during adolescence and approximately 80% had been at a normal weight at some point. Around half of obese young adults had never been classified as obese as adolescents. No individual with persistent obesity in adolescence had a BMI &lt;25 at 24 years. A total of 31% of females and 59% of males who had been overweight for only one or two waves of adolescent data collection had a BMI ≥25 at 24 years. Conclusions Substantial shifts in overweight and obesity occur between adolescence and young adulthood; the extent of continuity depends on both the severity and persistence of adiposity in adolescence. Few adolescents who peak into obesity or are persistently overweight achieve a normal weight in young adulthood. Resolution is more common in those who are less persistently overweight as teenagers, suggesting scope for lifestyle interventions in this subgroup.</description><subject>Adolescent</subject><subject>Adolescents</subject><subject>Biological and medical sciences</subject><subject>Body Mass Index</subject><subject>Body weight</subject><subject>Cohort analysis</subject><subject>Epidemiology</subject><subject>Female</subject><subject>Humans</subject><subject>Interviews as Topic</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Metabolic diseases</subject><subject>Obesity</subject><subject>Obesity - epidemiology</subject><subject>Overweight</subject><subject>Overweight - epidemiology</subject><subject>Pediatrics</subject><subject>Prevalence</subject><subject>Prospective Studies</subject><subject>Surveys and Questionnaires</subject><subject>Victoria - epidemiology</subject><subject>Young Adult</subject><subject>Young adulthood</subject><subject>Young adults</subject><issn>1054-139X</issn><issn>1879-1972</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2011</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>7QJ</sourceid><recordid>eNqNkk1v1DAQhiNERUvhL6BcEKcstpPYMQek7YovqdIiFSQ4WY496Tpk462dbJV_z4TdtlIv5WRr_MzM63knSVJKFpRQ_r5dtNr6Dehu2CwYwTDhC0Lls-SMVkJmVAr2HO-kLDKay1-nycsYW4KpnJIXySmjeV5VUp4l9XoP4Rbc9WZIdW_TdQ3RDVN6AcMtQJ8ure8gGugN_Hv_7cf-GqMjdvbefkiXKCqbQIf0e_BxB2Zwe0hXfuPDkF4No51eJSeN7iK8Pp7nyc_Pn36svmaX6y_fVsvLzJSMDZnOZd3UhRZCNgxqoblpOAXKGOOW1doQUUJlyyIvmQTObV2AlsbUtsJflVV-nrw71N0FfzNCHNTWofKu0z34MSpZFpxJycmTZMUrxigrxNNkmRcCi0okqwNpcAwxQKN2wW11mBQlajZNterBNDWbpghXaBqmvjk2Gest2PvEO5cQeHsEdDS6a4LujYsPXC6pEOWs9uLAAY557yCoaNxsnXUBjVHWu_9R8_FREdO53mHfPzBBbP0YerRRURWZIupqXrJ5xyghJKco-S8W5M7t</recordid><startdate>20110301</startdate><enddate>20110301</enddate><creator>Patton, George C., M.D</creator><creator>Coffey, Carolyn, M.Sc</creator><creator>Carlin, John B., Ph.D</creator><creator>Sawyer, Susan M., M.D</creator><creator>Williams, Joanne, Ph.D</creator><creator>Olsson, Craig A., Ph.D</creator><creator>Wake, Melissa, M.D</creator><general>Elsevier Inc</general><general>Elsevier</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><scope>7QJ</scope><scope>7T2</scope><scope>7U2</scope><scope>C1K</scope></search><sort><creationdate>20110301</creationdate><title>Overweight and Obesity Between Adolescence and Young Adulthood: A 10-year Prospective Cohort Study</title><author>Patton, George C., M.D ; Coffey, Carolyn, M.Sc ; Carlin, John B., Ph.D ; Sawyer, Susan M., M.D ; Williams, Joanne, Ph.D ; Olsson, Craig A., Ph.D ; Wake, Melissa, M.D</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c522t-a39bfb4a779f2eb7a6cf61e12226d2bac075e8d543529e66db4ea9ccbd8661583</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2011</creationdate><topic>Adolescent</topic><topic>Adolescents</topic><topic>Biological and medical sciences</topic><topic>Body Mass Index</topic><topic>Body weight</topic><topic>Cohort analysis</topic><topic>Epidemiology</topic><topic>Female</topic><topic>Humans</topic><topic>Interviews as Topic</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Metabolic diseases</topic><topic>Obesity</topic><topic>Obesity - epidemiology</topic><topic>Overweight</topic><topic>Overweight - epidemiology</topic><topic>Pediatrics</topic><topic>Prevalence</topic><topic>Prospective Studies</topic><topic>Surveys and Questionnaires</topic><topic>Victoria - epidemiology</topic><topic>Young Adult</topic><topic>Young adulthood</topic><topic>Young adults</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Patton, George C., M.D</creatorcontrib><creatorcontrib>Coffey, Carolyn, M.Sc</creatorcontrib><creatorcontrib>Carlin, John B., Ph.D</creatorcontrib><creatorcontrib>Sawyer, Susan M., M.D</creatorcontrib><creatorcontrib>Williams, Joanne, Ph.D</creatorcontrib><creatorcontrib>Olsson, Craig A., Ph.D</creatorcontrib><creatorcontrib>Wake, Melissa, M.D</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><collection>Applied Social Sciences Index &amp; Abstracts (ASSIA)</collection><collection>Health and Safety Science Abstracts (Full archive)</collection><collection>Safety Science and Risk</collection><collection>Environmental Sciences and Pollution Management</collection><jtitle>Journal of adolescent health</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Patton, George C., M.D</au><au>Coffey, Carolyn, M.Sc</au><au>Carlin, John B., Ph.D</au><au>Sawyer, Susan M., M.D</au><au>Williams, Joanne, Ph.D</au><au>Olsson, Craig A., Ph.D</au><au>Wake, Melissa, M.D</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Overweight and Obesity Between Adolescence and Young Adulthood: A 10-year Prospective Cohort Study</atitle><jtitle>Journal of adolescent health</jtitle><addtitle>J Adolesc Health</addtitle><date>2011-03-01</date><risdate>2011</risdate><volume>48</volume><issue>3</issue><spage>275</spage><epage>280</epage><pages>275-280</pages><issn>1054-139X</issn><eissn>1879-1972</eissn><coden>JAHCD9</coden><abstract>Abstract Objectives To assess changes in overweight and obesity between adolescence and young adulthood. Design Prospective 8-wave cohort study in Victoria, Australia, with 1,520 adolescents tracked from the age of 14 for a period of 10 years. Main outcome measures Participants aged &lt;18 years were classified as non-overweight, overweight, or obese according to International Obesity Taskforce cutoff points. In those aged &gt;18 years overweight was defined as a body mass index (BMI) ≥25; and obesity as a BMI ≥30. Results The proportion of overweight individuals increased from 20% in mid-adolescence to 33% at the age of 24 years. Obesity increased from 3.6% to 6.7%. Approximately 40% of young adults with a BMI ≥25 had been persistently at normal weights during adolescence and approximately 80% had been at a normal weight at some point. Around half of obese young adults had never been classified as obese as adolescents. No individual with persistent obesity in adolescence had a BMI &lt;25 at 24 years. A total of 31% of females and 59% of males who had been overweight for only one or two waves of adolescent data collection had a BMI ≥25 at 24 years. Conclusions Substantial shifts in overweight and obesity occur between adolescence and young adulthood; the extent of continuity depends on both the severity and persistence of adiposity in adolescence. Few adolescents who peak into obesity or are persistently overweight achieve a normal weight in young adulthood. Resolution is more common in those who are less persistently overweight as teenagers, suggesting scope for lifestyle interventions in this subgroup.</abstract><cop>New York, NY</cop><pub>Elsevier Inc</pub><pmid>21338899</pmid><doi>10.1016/j.jadohealth.2010.06.019</doi><tpages>6</tpages></addata></record>
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subjects Adolescent
Adolescents
Biological and medical sciences
Body Mass Index
Body weight
Cohort analysis
Epidemiology
Female
Humans
Interviews as Topic
Male
Medical sciences
Metabolic diseases
Obesity
Obesity - epidemiology
Overweight
Overweight - epidemiology
Pediatrics
Prevalence
Prospective Studies
Surveys and Questionnaires
Victoria - epidemiology
Young Adult
Young adulthood
Young adults
title Overweight and Obesity Between Adolescence and Young Adulthood: A 10-year Prospective Cohort Study
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