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Updated: Feb 26, 2026

Assessment of Child Anthropometry in a Large Epidemiologic Study
Published on: February 2, 2017
Obesity and Overweight in American Indian and Alaska Native Children, 2006-2015
Ann Bullock1, Karen Sheff1, Kelly Moore1
1Ann Bullock and Karen Sheff are with the Division of Diabetes Treatment and Prevention, Office of Clinical and Preventive Services, Indian Health Service, Rockville, MD. Kelly Moore and Spero Manson are with the Centers for American Indian and Alaska Native Health, Colorado School of Public Health, University of Colorado Denver, Aurora.
Insights
Obesity and overweight prevalence in American Indian and Alaska Native (AI/AN) children remains high, with 29.7% obesity in 2015. Rates may have stabilized but exceed those of US children overall.
Area of Science:
- Pediatric Health
- Public Health
- Epidemiology
Background:
- Childhood obesity is a significant public health concern.
- American Indian and Alaska Native (AI/AN) children face unique health disparities.
- Understanding prevalence is crucial for targeted interventions.
Purpose of the Study:
- To estimate obesity and overweight prevalence in AI/AN children.
- Analyze prevalence across genders, ages, and geographic regions.
- Compare AI/AN children's prevalence to the general US population.
Main Methods:
- Utilized data from the Indian Health Service National Data Warehouse (2006-2015).
- Included over 184,000 AI/AN children aged 2-19 years.
- Calculated BMI percentiles using CDC 2000 growth charts.
Main Results:
- In 2015, overweight prevalence was 18.5% and obesity was 29.7% in AI/AN children.
- Boys exhibited higher obesity rates (31.5%) than girls (27.9%).
- Adolescents (12-19 years) showed higher overweight/obesity prevalence than younger children.
Conclusions:
- Overweight and obesity prevalence in AI/AN children may have stabilized.
- Prevalence remains significantly higher compared to US children overall.
- Continued monitoring and culturally relevant interventions are warranted.
Objectives:
To estimate obesity and overweight prevalence in American Indian and Alaska Native (AI/AN) children across genders, ages, and geographic regions in the Indian Health Service active clinical population.
Methods:
We obtained data from the Indian Health Service National Data Warehouse. At least 184 000 AI/AN children aged 2 to 19 years had body mass index data for each year studied, 2006 to 2015. We calculated body mass index percentiles with the 2000 Centers for Disease Control and Prevention growth charts.
Results:
In 2015, the prevalence of overweight and obesity in AI/AN children aged 2 to 19 years was 18.5% and 29.7%, respectively. Boys had higher obesity prevalence than girls (31.5% vs 27.9%). Children aged 12 to 19 years had a higher prevalence of overweight and obesity than younger children. The AI/AN children in our study had a higher prevalence of obesity than US children overall in the National Health and Nutrition Examination Survey. Results for 2006 through 2014 were similar.
Conclusions:
The prevalence of overweight and obesity among AI/AN children in this population may have stabilized, while remaining higher than prevalence for US children overall.
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