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Assessment of Child Anthropometry in a Large Epidemiologic Study
Published on: February 2, 2017
Racial and ethnic differences in secular trends for childhood BMI, weight, and height
David S Freedman1, Laura Kettel Khan, Mary K Serdula
1Division of Nutrition and Physical Activity, Centers for Disease Control and Prevention, Atlanta, Georgia, USA. DFreedman@CDC.gov
Insights
Childhood overweight prevalence increased significantly in the US over 30 years, with Black children experiencing the largest rise. This trend will likely increase adult disease burden, necessitating targeted obesity interventions.
Area of Science:
- Pediatric Health
- Public Health Trends
- Epidemiology
Background:
- Childhood overweight prevalence in the U.S. has risen dramatically over the past three decades.
- Understanding trends across different racial and ethnic groups is crucial for public health initiatives.
Purpose of the Study:
- To examine secular trends in Body Mass Index (BMI), weight, and height among white, black, and Mexican-American children.
- To identify disparities in these trends across racial and ethnic groups.
Main Methods:
- Analysis of nationally representative data from children aged 2-17 years.
- Data collected across four examination periods from 1971-1974 to 1999-2002.
Main Results:
- Black children showed significantly larger increases in BMI, weight, and height compared to white children.
- Overweight prevalence increased 5-fold in Black children (4% to 20%) versus 3-fold in white children (4% to 13%) aged 6-11.
- Mexican-American children's trends fell between those of black and white children; white children had the largest increase in overweight among 2-5 year olds.
- In 1999-2002, extreme BMI levels (≥99th percentile) affected 6-7% of black girls and Mexican-American boys.
Conclusions:
- Secular increases in childhood overweight are projected to significantly elevate the burden of adult diseases due to strong BMI tracking into adulthood.
- Development of tailored obesity interventions for diverse racial and ethnic groups is essential.
Objectives:
The prevalence of childhood overweight in the United States has markedly increased over the last 30 years. We examined differences in the secular trends for BMI, weight, and height among white, black, and Mexican-American children.
Research Methods And Procedures:
Analyses were based on nationally representative data collected from 2 to 17 year olds in four examinations (1971-1974 through 1999-2002).
Results:
Overall, black children experienced much larger secular increases in BMI, weight, and height than did white children. For example, over the 30-year period, the prevalence of overweight increased approximately 3-fold (4% to 13%) among 6- to 11-year-old white children but 5-fold (4% to 20%) among black children. In most sex-age groups, Mexican-American children experienced increases in BMI and overweight that were between those experienced by blacks and whites. Race/ethnicity differences were less marked among 2 to 5 year olds, and in this age group, white children experienced the largest increase in overweight (from 4% to 9%). In 1999-2002, the prevalence of extreme BMI levels (> or =99th percentile) reached 6% to 7% among black girls and Mexican-American boys.
Discussion:
Because of the strong tracking of childhood BMI levels into adulthood, it is likely that the secular increases in childhood overweight will greatly increase the burden of adult disease. The further development of obesity interventions in different racial/ethnic groups should be emphasized.
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