Changes in pediatric waist circumference percentiles despite reported pediatric weight stabilization in the United States
Summary Background Obesity is a global health concern but the United States has reported a leveling in obesity rates in the pediatric population. Objective To provide updated waist circumference (WC) percentile values, identify differences across time and discuss differences within the context of re...
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| Published in: | Pediatric obesity Vol. 12; no. 5; pp. 347 - 355 |
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| Main Authors: | , , , , , , |
| Format: | Journal Article |
| Language: | English |
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England
Wiley Subscription Services, Inc
01-10-2017
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| Abstract | Summary
Background
Obesity is a global health concern but the United States has reported a leveling in obesity rates in the pediatric population.
Objective
To provide updated waist circumference (WC) percentile values, identify differences across time and discuss differences within the context of reported weight stabilization in a nationally representative sample of American children.
Methods
Percentiles for WC in self‐identified African Americans (AA), European Americans (EA) and Mexican Americans (MA) were obtained from 2009–2014 National Health and Nutrition Examination Survey data (NHANES2014). Descriptive trends across time in 10th, 25th, 50th, 75th and 90th percentile WC distributions were identified by comparing NHANES2012 with previously reported NHANESIII (1988–1994).
Results
WC increased in a monotonic fashion in AA, EA and MA boys and girls. When compared with NHANESIII data, a clear left shift of percentile categories was observed such that values that used to be in the 90th percentile are now in the 85th percentile. Differences in WC were observed in EA and MA boys during a reported period of weight stabilization.
Conclusion and Relevance
WC has changed in the US pediatric population across time, even during times of reported weight stabilization, particularly among children of diverse racial/ethnic backgrounds. |
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| AbstractList | BACKGROUNDObesity is a global health concern but the United States has reported a leveling in obesity rates in the pediatric population.OBJECTIVETo provide updated waist circumference (WC) percentile values, identify differences across time and discuss differences within the context of reported weight stabilization in a nationally representative sample of American children.METHODSPercentiles for WC in self-identified African Americans (AA), European Americans (EA) and Mexican Americans (MA) were obtained from 2009-2014 National Health and Nutrition Examination Survey data (NHANES2014). Descriptive trends across time in 10th, 25th, 50th, 75th and 90th percentile WC distributions were identified by comparing NHANES2012 with previously reported NHANESIII (1988-1994).RESULTSWC increased in a monotonic fashion in AA, EA and MA boys and girls. When compared with NHANESIII data, a clear left shift of percentile categories was observed such that values that used to be in the 90th percentile are now in the 85th percentile. Differences in WC were observed in EA and MA boys during a reported period of weight stabilization.CONCLUSION AND RELEVANCEWC has changed in the US pediatric population across time, even during times of reported weight stabilization, particularly among children of diverse racial/ethnic backgrounds. Summary Background Obesity is a global health concern but the United States has reported a leveling in obesity rates in the pediatric population. Objective To provide updated waist circumference (WC) percentile values, identify differences across time and discuss differences within the context of reported weight stabilization in a nationally representative sample of American children. Methods Percentiles for WC in self‐identified African Americans (AA), European Americans (EA) and Mexican Americans (MA) were obtained from 2009–2014 National Health and Nutrition Examination Survey data (NHANES2014). Descriptive trends across time in 10th, 25th, 50th, 75th and 90th percentile WC distributions were identified by comparing NHANES2012 with previously reported NHANESIII (1988–1994). Results WC increased in a monotonic fashion in AA, EA and MA boys and girls. When compared with NHANESIII data, a clear left shift of percentile categories was observed such that values that used to be in the 90th percentile are now in the 85th percentile. Differences in WC were observed in EA and MA boys during a reported period of weight stabilization. Conclusion and Relevance WC has changed in the US pediatric population across time, even during times of reported weight stabilization, particularly among children of diverse racial/ethnic backgrounds. Summary Background Obesity is a global health concern but the United States has reported a leveling in obesity rates in the pediatric population. Objective To provide updated waist circumference (WC) percentile values, identify differences across time and discuss differences within the context of reported weight stabilization in a nationally representative sample of American children. Methods Percentiles for WC in self-identified African Americans (AA), European Americans (EA) and Mexican Americans (MA) were obtained from 2009-2014 National Health and Nutrition Examination Survey data (NHANES2014). Descriptive trends across time in 10th, 25th, 50th, 75th and 90th percentile WC distributions were identified by comparing NHANES2012 with previously reported NHANESIII (1988-1994). Results WC increased in a monotonic fashion in AA, EA and MA boys and girls. When compared with NHANESIII data, a clear left shift of percentile categories was observed such that values that used to be in the 90th percentile are now in the 85th percentile. Differences in WC were observed in EA and MA boys during a reported period of weight stabilization. Conclusion and Relevance WC has changed in the US pediatric population across time, even during times of reported weight stabilization, particularly among children of diverse racial/ethnic backgrounds. Obesity is a global health concern but the United States has reported a leveling in obesity rates in the pediatric population. To provide updated waist circumference (WC) percentile values, identify differences across time and discuss differences within the context of reported weight stabilization in a nationally representative sample of American children. Percentiles for WC in self-identified African Americans (AA), European Americans (EA) and Mexican Americans (MA) were obtained from 2009-2014 National Health and Nutrition Examination Survey data (NHANES2014). Descriptive trends across time in 10th, 25th, 50th, 75th and 90th percentile WC distributions were identified by comparing NHANES2012 with previously reported NHANESIII (1988-1994). WC increased in a monotonic fashion in AA, EA and MA boys and girls. When compared with NHANESIII data, a clear left shift of percentile categories was observed such that values that used to be in the 90th percentile are now in the 85th percentile. Differences in WC were observed in EA and MA boys during a reported period of weight stabilization. WC has changed in the US pediatric population across time, even during times of reported weight stabilization, particularly among children of diverse racial/ethnic backgrounds. |
| Author | Dawson, J. A. Fernández, J. R. López‐Alarcón, M. Redden, D. T. Allison, D. B. Bohan Brown, M. Guo, F. |
| AuthorAffiliation | 1 Department of Nutrition Sciences and Nutrition and Obesity Research Center, University of Alabama at Birmingham, Birmingham, AL, USA 6 Department of Biostatistics, University of Alabama at Birmingham, Birmingham, AL, USA 2 Department of Food, Nutrition, and Packaging Sciences, Clemson University, Clemson, SC, USA 7 Office of Energetics, University of Alabama at Birmingham, Birmingham, AL, USA 5 Department of Obstetrics & Gynecology and Center for Interdisciplinary Research in Women’s Health, The University of Texas Medical Branch, Galveston, TX, USA 3 Unit of Research in Medical Nutrition, Pediatric Hospital “Centro Médico Nacional Siglo XXI” Mexican Institute of Social Security, Mexico, DF 4 Department of Nutritional Sciences, Texas Tech University, Lubbock, TX, USA |
| AuthorAffiliation_xml | – name: 2 Department of Food, Nutrition, and Packaging Sciences, Clemson University, Clemson, SC, USA – name: 4 Department of Nutritional Sciences, Texas Tech University, Lubbock, TX, USA – name: 1 Department of Nutrition Sciences and Nutrition and Obesity Research Center, University of Alabama at Birmingham, Birmingham, AL, USA – name: 7 Office of Energetics, University of Alabama at Birmingham, Birmingham, AL, USA – name: 3 Unit of Research in Medical Nutrition, Pediatric Hospital “Centro Médico Nacional Siglo XXI” Mexican Institute of Social Security, Mexico, DF – name: 5 Department of Obstetrics & Gynecology and Center for Interdisciplinary Research in Women’s Health, The University of Texas Medical Branch, Galveston, TX, USA – name: 6 Department of Biostatistics, University of Alabama at Birmingham, Birmingham, AL, USA |
| Author_xml | – sequence: 1 givenname: J. R. surname: Fernández fullname: Fernández, J. R. email: jose@uab.edu organization: University of Alabama at Birmingham – sequence: 2 givenname: M. surname: Bohan Brown fullname: Bohan Brown, M. organization: Clemson University – sequence: 3 givenname: M. surname: López‐Alarcón fullname: López‐Alarcón, M. organization: Pediatric Hospital "Centro Médico Nacional Siglo XXI" Mexican Institute of Social Security – sequence: 4 givenname: J. A. surname: Dawson fullname: Dawson, J. A. organization: Texas Tech University – sequence: 5 givenname: F. orcidid: 0000-0003-3729-2724 surname: Guo fullname: Guo, F. organization: The University of Texas Medical Branch – sequence: 6 givenname: D. T. surname: Redden fullname: Redden, D. T. organization: University of Alabama at Birmingham – sequence: 7 givenname: D. B. surname: Allison fullname: Allison, D. B. organization: University of Alabama at Birmingham |
| BackLink | https://www.ncbi.nlm.nih.gov/pubmed/27273320$$D View this record in MEDLINE/PubMed |
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| Cites_doi | 10.1038/ijo.2013.170 10.1177/0884533612454884 10.1089/met.2010.0127 10.1111/ijpo.12061 10.1515/jpem-2012-0416 10.1177/0009922812440838 10.1515/jpem-2014-0389 10.1093/ajcn/72.2.490 10.1038/sj.ijo.0802867 10.1111/ijpo.12065 10.1016/j.jpeds.2004.06.044 10.1542/peds.2013-0047 10.1093/eurheartj/ehm026 10.1016/j.nut.2012.05.015 10.1111/ijpo.12056 10.1038/ejcn.2010.245 10.1111/ijpo.12083 10.1038/ijo.2014.95 10.1111/j.2047-6310.2013.00175.x 10.1016/j.puhe.2014.11.003 10.2217/bmm.13.14 10.1038/sj.ijo.0801641 10.2307/1913643 10.1001/jama.2014.8362 10.1001/jama.2014.732 10.1111/j.2047-6310.2013.00165.x 10.1002/sim.1839 |
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| Copyright | 2016 World Obesity Federation 2016 World Obesity Federation. 2017 World Obesity Federation |
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| Snippet | Summary
Background
Obesity is a global health concern but the United States has reported a leveling in obesity rates in the pediatric population.
Objective
To... Obesity is a global health concern but the United States has reported a leveling in obesity rates in the pediatric population. To provide updated waist... Summary Background Obesity is a global health concern but the United States has reported a leveling in obesity rates in the pediatric population. Objective To... BACKGROUNDObesity is a global health concern but the United States has reported a leveling in obesity rates in the pediatric population.OBJECTIVETo provide... |
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| SourceType | Open Access Repository Aggregation Database Index Database Publisher |
| StartPage | 347 |
| SubjectTerms | Adolescent Body Weight Child Childrens health Cross-Sectional Studies Female Humans Male National data Nutrition Surveys Obesity pediatric obesity Pediatric Obesity - epidemiology Pediatrics percentiles racial/ethnic differences United States Waist Circumference |
| Title | Changes in pediatric waist circumference percentiles despite reported pediatric weight stabilization in the United States |
| URI | https://onlinelibrary.wiley.com/doi/abs/10.1111%2Fijpo.12150 https://www.ncbi.nlm.nih.gov/pubmed/27273320 https://www.proquest.com/docview/1937310620 https://search.proquest.com/docview/1826694230 https://pubmed.ncbi.nlm.nih.gov/PMC5145787 |
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