Prevalence of Extreme Obesity in a Multiethnic Cohort of Children and Adolescents
Objective To estimate the prevalence of extreme obesity in a large, multiethnic contemporary cohort of children and adolescents. Study design In a cross-sectional study, measured weight and height were extracted from electronic medical records of 710 949 patients aged 2 to 19 years (87.8% of eligibl...
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| Veröffentlicht in: | The Journal of pediatrics 2010-07, Vol.157 (1), p.26-31.e2 |
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| container_title | The Journal of pediatrics |
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| creator | Koebnick, Corinna, PhD Smith, Ning, MS Coleman, Karen J., PhD Getahun, Darios, MD Reynolds, Kristi, PhD Quinn, Virginia P., PhD Porter, Amy H., MD Der-Sarkissian, Jack K., MD Jacobsen, Steven J., PhD |
| description | Objective To estimate the prevalence of extreme obesity in a large, multiethnic contemporary cohort of children and adolescents. Study design In a cross-sectional study, measured weight and height were extracted from electronic medical records of 710 949 patients aged 2 to 19 years (87.8% of eligible patients) who were enrolled in an integrated prepaid health plan in 2007 and 2008. Prevalence of extreme obesity was defined as body mass index (BMI)-for-age ≥1.2 times 95th percentile or BMI ≥35 kg/m2. Results Extreme obesity was observed in 7.3% of boys and 5.5% of girls. The prevalence peaked at 10 years of age in boys and at 12 years of age with a bimodal distribution in girls (second peak at 18 years; P value for sex × age interaction = .036). The prevalence of extreme obesity varied in ethnic/racial and age groups, with the highest prevalence in Hispanic boys (as high as 11.2%) and African-American girls (as high as 11.9%). Conclusion Extreme obesity in Southern California youth is frequently observed at relatively young ages. The shift toward extreme body weights is likely to cause an enormous burden of adverse health outcomes once these children and adolescents grow older. |
| doi_str_mv | 10.1016/j.jpeds.2010.01.025 |
| format | Article |
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Study design In a cross-sectional study, measured weight and height were extracted from electronic medical records of 710 949 patients aged 2 to 19 years (87.8% of eligible patients) who were enrolled in an integrated prepaid health plan in 2007 and 2008. Prevalence of extreme obesity was defined as body mass index (BMI)-for-age ≥1.2 times 95th percentile or BMI ≥35 kg/m2. Results Extreme obesity was observed in 7.3% of boys and 5.5% of girls. The prevalence peaked at 10 years of age in boys and at 12 years of age with a bimodal distribution in girls (second peak at 18 years; P value for sex × age interaction = .036). The prevalence of extreme obesity varied in ethnic/racial and age groups, with the highest prevalence in Hispanic boys (as high as 11.2%) and African-American girls (as high as 11.9%). Conclusion Extreme obesity in Southern California youth is frequently observed at relatively young ages. The shift toward extreme body weights is likely to cause an enormous burden of adverse health outcomes once these children and adolescents grow older.</description><identifier>ISSN: 0022-3476</identifier><identifier>EISSN: 1097-6833</identifier><identifier>DOI: 10.1016/j.jpeds.2010.01.025</identifier><identifier>PMID: 20303506</identifier><identifier>CODEN: JOPDAB</identifier><language>eng</language><publisher>Maryland Heights, MO: Mosby, Inc</publisher><subject>Adolescent ; African Americans - statistics & numerical data ; Age Factors ; Biological and medical sciences ; Body Height ; Body Mass Index ; Body Weight ; California - epidemiology ; Child ; Child, Preschool ; Cohort Studies ; Cross-Sectional Studies ; Epidemiology ; Female ; General aspects ; Hispanic Americans - statistics & numerical data ; Humans ; Male ; Medical sciences ; Miscellaneous ; Obesity - diagnosis ; Obesity - epidemiology ; Obesity - ethnology ; Pediatrics ; Prevalence ; Public health. Hygiene ; Public health. Hygiene-occupational medicine ; Risk Factors ; Severity of Illness Index ; Sex Factors ; Young Adult</subject><ispartof>The Journal of pediatrics, 2010-07, Vol.157 (1), p.26-31.e2</ispartof><rights>Mosby, Inc.</rights><rights>2010 Mosby, Inc.</rights><rights>2015 INIST-CNRS</rights><rights>Copyright (c) 2010 Mosby, Inc. All rights reserved.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c543t-f96f41778f89d7f2a546129ead5ec904d14ecf04126f13f16a6c7c6a2b95a6d13</citedby><cites>FETCH-LOGICAL-c543t-f96f41778f89d7f2a546129ead5ec904d14ecf04126f13f16a6c7c6a2b95a6d13</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://dx.doi.org/10.1016/j.jpeds.2010.01.025$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>230,315,781,785,886,3551,27929,27930,46000</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=22962634$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/20303506$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Koebnick, Corinna, PhD</creatorcontrib><creatorcontrib>Smith, Ning, MS</creatorcontrib><creatorcontrib>Coleman, Karen J., PhD</creatorcontrib><creatorcontrib>Getahun, Darios, MD</creatorcontrib><creatorcontrib>Reynolds, Kristi, PhD</creatorcontrib><creatorcontrib>Quinn, Virginia P., PhD</creatorcontrib><creatorcontrib>Porter, Amy H., MD</creatorcontrib><creatorcontrib>Der-Sarkissian, Jack K., MD</creatorcontrib><creatorcontrib>Jacobsen, Steven J., PhD</creatorcontrib><title>Prevalence of Extreme Obesity in a Multiethnic Cohort of Children and Adolescents</title><title>The Journal of pediatrics</title><addtitle>J Pediatr</addtitle><description>Objective To estimate the prevalence of extreme obesity in a large, multiethnic contemporary cohort of children and adolescents. Study design In a cross-sectional study, measured weight and height were extracted from electronic medical records of 710 949 patients aged 2 to 19 years (87.8% of eligible patients) who were enrolled in an integrated prepaid health plan in 2007 and 2008. Prevalence of extreme obesity was defined as body mass index (BMI)-for-age ≥1.2 times 95th percentile or BMI ≥35 kg/m2. Results Extreme obesity was observed in 7.3% of boys and 5.5% of girls. The prevalence peaked at 10 years of age in boys and at 12 years of age with a bimodal distribution in girls (second peak at 18 years; P value for sex × age interaction = .036). The prevalence of extreme obesity varied in ethnic/racial and age groups, with the highest prevalence in Hispanic boys (as high as 11.2%) and African-American girls (as high as 11.9%). Conclusion Extreme obesity in Southern California youth is frequently observed at relatively young ages. The shift toward extreme body weights is likely to cause an enormous burden of adverse health outcomes once these children and adolescents grow older.</description><subject>Adolescent</subject><subject>African Americans - statistics & numerical data</subject><subject>Age Factors</subject><subject>Biological and medical sciences</subject><subject>Body Height</subject><subject>Body Mass Index</subject><subject>Body Weight</subject><subject>California - epidemiology</subject><subject>Child</subject><subject>Child, Preschool</subject><subject>Cohort Studies</subject><subject>Cross-Sectional Studies</subject><subject>Epidemiology</subject><subject>Female</subject><subject>General aspects</subject><subject>Hispanic Americans - statistics & numerical data</subject><subject>Humans</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Miscellaneous</subject><subject>Obesity - diagnosis</subject><subject>Obesity - epidemiology</subject><subject>Obesity - ethnology</subject><subject>Pediatrics</subject><subject>Prevalence</subject><subject>Public health. Hygiene</subject><subject>Public health. Hygiene-occupational medicine</subject><subject>Risk Factors</subject><subject>Severity of Illness Index</subject><subject>Sex Factors</subject><subject>Young Adult</subject><issn>0022-3476</issn><issn>1097-6833</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2010</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqFkkuP0zAQgCMEYsvCL0BCuSBOKeNnmgMrrarlIS1aEHC2XHtMXdy4aycV_fc4tCyPCydL9jcPzzdV9ZTAnACRLzfzzQ5tnlMoN0DmQMW9akagaxu5YOx-NQOgtGG8lWfVo5w3ANBxgIfVGQUGTICcVR8_JNzrgL3BOrr66vuQcIv1zQqzHw6172tdvx_D4HFY997Uy7iOaZjQ5doHm7AAva0vbQyYDfZDflw9cDpkfHI6z6svr68-L9821zdv3i0vrxsjOBsa10nHSdsu3KKzraNacEloh9oKNB1wSzgaB5xQ6QhzRGppWiM1XXVCS0vYeXVxzLsbV1u0U-2kg9olv9XpoKL26u-X3q_V17hXQnDRtawkeHFKkOLtiHlQW1--EILuMY5ZFYRxUZoqJDuSJsWcE7q7KgTU5EJt1E8XanKhgKjiokQ9-7PBu5hfwy_A8xOgs9HBJd0bn39ztJNUMl64V0cOyzj3HpPKxk_GrE9oBmWj_08jF__Em-CLTB2-4QHzJo6pL6YUUZkqUJ-mtZm2hpSFAQ6C_QDca739</recordid><startdate>20100701</startdate><enddate>20100701</enddate><creator>Koebnick, Corinna, PhD</creator><creator>Smith, Ning, MS</creator><creator>Coleman, Karen J., PhD</creator><creator>Getahun, Darios, MD</creator><creator>Reynolds, Kristi, PhD</creator><creator>Quinn, Virginia P., PhD</creator><creator>Porter, Amy H., MD</creator><creator>Der-Sarkissian, Jack K., MD</creator><creator>Jacobsen, Steven J., PhD</creator><general>Mosby, 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>5PM</scope></search><sort><creationdate>20100701</creationdate><title>Prevalence of Extreme Obesity in a Multiethnic Cohort of Children and Adolescents</title><author>Koebnick, Corinna, PhD ; Smith, Ning, MS ; Coleman, Karen J., PhD ; Getahun, Darios, MD ; Reynolds, Kristi, PhD ; Quinn, Virginia P., PhD ; Porter, Amy H., MD ; Der-Sarkissian, Jack K., MD ; Jacobsen, Steven J., PhD</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c543t-f96f41778f89d7f2a546129ead5ec904d14ecf04126f13f16a6c7c6a2b95a6d13</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2010</creationdate><topic>Adolescent</topic><topic>African Americans - statistics & numerical data</topic><topic>Age Factors</topic><topic>Biological and medical sciences</topic><topic>Body Height</topic><topic>Body Mass Index</topic><topic>Body Weight</topic><topic>California - epidemiology</topic><topic>Child</topic><topic>Child, Preschool</topic><topic>Cohort Studies</topic><topic>Cross-Sectional Studies</topic><topic>Epidemiology</topic><topic>Female</topic><topic>General aspects</topic><topic>Hispanic Americans - statistics & numerical data</topic><topic>Humans</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Miscellaneous</topic><topic>Obesity - diagnosis</topic><topic>Obesity - epidemiology</topic><topic>Obesity - ethnology</topic><topic>Pediatrics</topic><topic>Prevalence</topic><topic>Public health. Hygiene</topic><topic>Public health. Hygiene-occupational medicine</topic><topic>Risk Factors</topic><topic>Severity of Illness Index</topic><topic>Sex Factors</topic><topic>Young Adult</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Koebnick, Corinna, PhD</creatorcontrib><creatorcontrib>Smith, Ning, MS</creatorcontrib><creatorcontrib>Coleman, Karen J., PhD</creatorcontrib><creatorcontrib>Getahun, Darios, MD</creatorcontrib><creatorcontrib>Reynolds, Kristi, PhD</creatorcontrib><creatorcontrib>Quinn, Virginia P., PhD</creatorcontrib><creatorcontrib>Porter, Amy H., MD</creatorcontrib><creatorcontrib>Der-Sarkissian, Jack K., MD</creatorcontrib><creatorcontrib>Jacobsen, Steven J., PhD</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>PubMed Central (Full Participant titles)</collection><jtitle>The Journal of pediatrics</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Koebnick, Corinna, PhD</au><au>Smith, Ning, MS</au><au>Coleman, Karen J., PhD</au><au>Getahun, Darios, MD</au><au>Reynolds, Kristi, PhD</au><au>Quinn, Virginia P., PhD</au><au>Porter, Amy H., MD</au><au>Der-Sarkissian, Jack K., MD</au><au>Jacobsen, Steven J., PhD</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Prevalence of Extreme Obesity in a Multiethnic Cohort of Children and Adolescents</atitle><jtitle>The Journal of pediatrics</jtitle><addtitle>J Pediatr</addtitle><date>2010-07-01</date><risdate>2010</risdate><volume>157</volume><issue>1</issue><spage>26</spage><epage>31.e2</epage><pages>26-31.e2</pages><issn>0022-3476</issn><eissn>1097-6833</eissn><coden>JOPDAB</coden><abstract>Objective To estimate the prevalence of extreme obesity in a large, multiethnic contemporary cohort of children and adolescents. Study design In a cross-sectional study, measured weight and height were extracted from electronic medical records of 710 949 patients aged 2 to 19 years (87.8% of eligible patients) who were enrolled in an integrated prepaid health plan in 2007 and 2008. Prevalence of extreme obesity was defined as body mass index (BMI)-for-age ≥1.2 times 95th percentile or BMI ≥35 kg/m2. Results Extreme obesity was observed in 7.3% of boys and 5.5% of girls. The prevalence peaked at 10 years of age in boys and at 12 years of age with a bimodal distribution in girls (second peak at 18 years; P value for sex × age interaction = .036). The prevalence of extreme obesity varied in ethnic/racial and age groups, with the highest prevalence in Hispanic boys (as high as 11.2%) and African-American girls (as high as 11.9%). Conclusion Extreme obesity in Southern California youth is frequently observed at relatively young ages. The shift toward extreme body weights is likely to cause an enormous burden of adverse health outcomes once these children and adolescents grow older.</abstract><cop>Maryland Heights, MO</cop><pub>Mosby, Inc</pub><pmid>20303506</pmid><doi>10.1016/j.jpeds.2010.01.025</doi><tpages>6</tpages><oa>free_for_read</oa></addata></record> |
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| subjects | Adolescent African Americans - statistics & numerical data Age Factors Biological and medical sciences Body Height Body Mass Index Body Weight California - epidemiology Child Child, Preschool Cohort Studies Cross-Sectional Studies Epidemiology Female General aspects Hispanic Americans - statistics & numerical data Humans Male Medical sciences Miscellaneous Obesity - diagnosis Obesity - epidemiology Obesity - ethnology Pediatrics Prevalence Public health. Hygiene Public health. Hygiene-occupational medicine Risk Factors Severity of Illness Index Sex Factors Young Adult |
| title | Prevalence of Extreme Obesity in a Multiethnic Cohort of Children and Adolescents |
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