Trends in Body Mass Index and Prevalence of Extreme High Obesity Among Pennsylvania Children and Adolescents, 2007–2011

Promising but Cautionary

Datos Bibliográficos

ID11033335
AutoresDavid Lohrmann (David Lohrmann and Wasantha Jayawardene are with the Department of Applied Health Science, Indiana University School of Public Health—Bloomington. Ahmed YoussefAgha is with the Department of Epidemiology and Biostatistics, Indiana University School of Public Health—Bloomington.), David K Lohrmann (0000-0002-8720-5556, Indiana University Bloomington), Ahmed YoussefAgha (David Lohrmann and Wasantha Jayawardene are with the Department of Applied Health Science, Indiana University School of Public Health—Bloomington. Ahmed YoussefAgha is with the Department of Epidemiology and Biostatistics, Indiana University School of Public Health—Bloomington.), Wasantha Jayawardene (0000-0002-8798-0894, David Lohrmann and Wasantha Jayawardene are with the Department of Applied Health Science, Indiana University School of Public Health—Bloomington. Ahmed YoussefAgha is with the Department of Epidemiology and Biostatistics, Indiana University School of Public Health—Bloomington.)
Año2014
Volumen104
Número4
Páginase62-e68
Fecha de publicación2014-04-01
Peer ReviewedSí
Open AccessNo
TipoARTICLE
RevistaAmerican Journal of Public Health (JOURNAL)
Identificadores de la revistaISSN: 0090-0036 • E-ISSN: 1541-0048
EditorialAmerican Public Health Association (PUBLISHER • US)
DOI10.2105/ajph.2013.301851
PMID24524514
OpenAlexW2143057341
IdiomaEN
Citas recibidas2
Referencias citadas16

Objectives. We determined current trends and patterns in overweight, obesity, and extreme high obesity among Pennsylvania pre-kindergarten (pre-K) to 12th grade students and simulated future trends. Methods. We analyzed body mass index (BMI) of pre-K to 12th grade students from 43 of 67 Pennsylvania counties in 2007 to 2011 to determine trends and to discern transition patterns among BMI status categories for 2009 to 2011. Vinsem simulation, confirmed by Markov chain modeling, generated future prevalence trends. Results. Combined rates of overweight, obesity, and extreme high obesity decreased among secondary school students across the 5 years, and among elementary students, first increased and then markedly decreased. BMI status remained constant for approximately 80% of normal and extreme high obese students, but both decreased and increased among students who initially were overweight and obese; the increase in BMI remained significant. Conclusions. Overall trends in child and adolescent BMI status seemed positive. BMI transition patterns indicated that although overweight and obesity prevalence leveled off, extreme high obesity, especially among elementary students, is projected to increase substantially over time. If current transition patterns continue, the prevalence of overweight, obesity, and extreme high obesity among Pennsylvania students in 2031 is projected to be 16.0%, 6.6%, and 23.2%, respectively

Body mass index · Environmental health · Obesity · Pathology · Children's Physical and Motor Development · Demography · Medicine · Obesity, Physical Activity, Diet · Occupational Health and Performance · Gerontology