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Updated: May 2, 2026

Assessment of Child Anthropometry in a Large Epidemiologic Study
Published on: February 2, 2017
Overweight among children younger than 3 years in a low-income patient population: prevalence in 2010
Jessica M Robbins1, John V Nguyen2, Kevin L Houck2
1Philadelphia Department of Public Health, Philadelphia, PA, USA jessica.robbins@phila.gov.
Insights
Overweight and obesity affect 10-16% of young children, with "other/unknown" race and Hispanic girls showing higher risks. Early intervention is crucial for this growing public health concern.
Area of Science:
- Pediatrics
- Public Health
- Childhood Obesity
Background:
- Early childhood is a critical period for weight status development.
- Overweight and obesity in very young children pose long-term health risks.
- Accurate measurement of weight status in infants and toddlers is essential.
Purpose of the Study:
- To determine the prevalence of overweight and obesity in children aged 0-2 years.
- To identify factors associated with elevated weight status in early childhood.
- To compare three common measures of weight status: weight-for-age, weight-for-length, and body mass index-for-age.
Main Methods:
- Cross-sectional study design.
- Data collected during well-child visits at Philadelphia Health Centers.
- Analysis of weight status using weight-for-age, weight-for-length, and BMI-for-age.
Main Results:
- 10-16% of boys and 10-13% of girls aged 0-2 years were classified as having high weight.
- No clear link found between feeding method and weight status.
- "Other/unknown" race was associated with higher overweight rates compared to African Americans.
- Hispanic girls showed higher rates of high weight-for-age and weight-for-length than African American girls.
Conclusions:
- A significant proportion of very young children exhibit elevated weight status.
- Commonly used weight measures consistently identify high weight in this age group.
- Urgent need for clinical strategies to prevent and manage overweight in infants and toddlers.
Objectives:
To examine the prevalence and correlates of overweight and obesity among patients aged 0 to 2 years, and to compare 3 measures of early childhood weight status, weight-for-age, weight-for-length, and body mass index-for-age.
Setting:
Well-child visits in the Philadelphia Health Centers, public community health centers providing primary health care to predominantly low-income residents.
Study Design:
Cross-sectional.
Results:
Using the 3 measures, 13% to 16% of boys and 10% to 13% of girls seen during 2010 were classified as high in weight. No consistent associations with feeding method were identified. "Other/unknown" race was consistently associated with higher rates of overweight than the African American reference group. Hispanic girls had higher rates of high weight-for-age and weight-for-length than African American girls.
Conclusion:
Elevated weight status emerges in a significant proportion of very young children, by all of the commonly used weight measures. There is an urgent need for appropriate clinical strategies to prevent and respond to overweight in this age group.
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