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Updated: Jul 5, 2026

Assessment of Child Anthropometry in a Large Epidemiologic Study
Published on: February 2, 2017
Clinical profile of the overweight child in the new millennium
Ryan Carvalho1, Elizabeth Johnson, Merel Kozlosky
1Department of Pediatrics, Wright State University School of Medicine, Dayton, Ohio, USA.
Insights
Childhood obesity is linked to environmental factors and eating habits, not just breastfeeding. Screen overweight children for related health issues, as TV meals and fast food correlate with higher medical morbidities.
Area of Science:
- Pediatric Endocrinology
- Public Health Nutrition
- Childhood Obesity Research
Background:
- Rising prevalence of childhood obesity over recent decades.
- Changing clinical profile of obese children.
- Hypothesized impact of environmental influences and eating practices on medical morbidities in obese children.
Purpose of the Study:
- To investigate the relationship between environmental factors, eating practices, and medical morbidities in obese children.
- To analyze the influence of specific behaviors on health outcomes in a pediatric weight management cohort.
Main Methods:
- Retrospective chart review of 90 children in a pediatric weight management program.
- Statistical analysis using Fisher's exact tests and Wilcoxon rank sum tests.
- Comparison of outcomes between different subpopulations based on environmental and feeding factors.
Main Results:
- Children eating meals in front of the television showed greater systolic blood pressure elevation (P = .03).
- Higher fast-food consumption was associated with more than 3 medical morbidities (P = .02).
- Breastfeeding did not demonstrate a protective effect against the degree of obesity (P = .02).
Conclusions:
- Aggressive symptom assessment is crucial for evaluating overweight children.
- Environmental influences and social feeding practices can negate potential benefits of breastfeeding.
- Understanding these factors is key to managing childhood obesity and associated health risks.
Background:
In conjunction with the rising prevalence of obesity during the past several decades, the clinical profile of the obese child has changed. Hypothesis. Environmental influences and eating practices have had an impact on the presence of medical morbidities among obese children.
Design:
Retrospective chart review of data collected from 90 children entering into a pediatric weight management program was performed. Fisher's exact tests and Wilcoxon rank sum tests were used to compare outcomes between subpopulations.
Results:
There was greater elevation in systolic blood pressure among children who ate in front of the television (P = .03) and a greater degree of fast-food consumption among children with more than 3 medical morbidities (P = .02). Breast-feeding did not have a protective effect on the degree of obesity (P = .02).
Conclusion:
Aggressive assessment for symptoms should be an important part of evaluating the overweight child. Environmental influences and social feeding practices can counteract the protective effects of breast-feeding in infancy.
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