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Updated: May 3, 2026

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Assessment of Child Anthropometry in a Large Epidemiologic Study
Published on: February 2, 2017
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Increasing socioeconomic disparities in adolescent obesity
Carl B Frederick1, Kaisa Snellman, Robert D Putnam
1Harvard Kennedy School, Harvard University, Cambridge, MA 02138.
Summary
Youth obesity rates have stabilized overall, but a widening socioeconomic gap persists. Obesity is declining in high-income youth while increasing in low-income youth, highlighting disparities in health.
Area of Science:
- Public Health
- Epidemiology
- Pediatrics
Background:
- Youth obesity rates surged in the late 20th century.
- Recent data suggest a plateau in overall youth obesity prevalence.
- Socioeconomic disparities in health outcomes are a growing concern.
Purpose of the Study:
- To investigate trends in adolescent obesity across different socioeconomic backgrounds in the US.
- To identify changes in obesity prevalence among adolescents aged 12-17 years.
- To understand the role of socioeconomic status in recent obesity trends.
Main Methods:
- Utilized data from the National Health and Nutrition Examination Surveys (NHANES) from 1988-2010.
- Analyzed data from the National Survey of Children's Health (NSCH) from 2003-2011.
- Examined obesity prevalence stratified by socioeconomic status (SES) in US adolescents.
Main Results:
- Overall adolescent obesity prevalence has stabilized.
- A significant socioeconomic gradient in obesity has emerged.
- Obesity prevalence decreased among high-SES adolescents but increased among low-SES adolescents.
- Differences in physical activity and calorie intake may explain the widening SES gap.
Conclusions:
- The stabilization of overall youth obesity masks critical socioeconomic disparities.
- Low-SES adolescents face a growing risk of obesity, necessitating targeted interventions.
- Addressing socioeconomic factors influencing diet and physical activity is crucial for reducing obesity inequalities.
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