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Assessment of Child Anthropometry in a Large Epidemiologic Study
Published on: February 2, 2017
Seasonal Variability in Weight Gain Among American Indian, Black, White, and Hispanic Children: A 3.5-Year Study
Taylor S Lane1, Derek L Sonderegger2, Whitney M Holeva-Eklund3
1Department of Health Sciences, Northern Arizona University, Flagstaff, Arizona.
Insights
Children gain more weight during summer, especially those who are obese. American Indian/Alaskan Native children show less seasonal weight gain but higher obesity rates, highlighting summer as a key prevention period.
Area of Science:
- Pediatric obesity research
- Seasonal weight variability
- Ethnic disparities in child health
Background:
- Childhood obesity is a significant public health concern.
- Studies indicate children gain more weight during summer months.
- Limited longitudinal research exists on summer weight gain in American Indian/Alaskan Native children.
Purpose of the Study:
- To examine seasonal weight variability over 3.5 years in a diverse pediatric population.
- To specifically include and analyze data from American Indian/Alaskan Native children.
- To compare seasonal weight changes across different ethnic groups.
Main Methods:
- Longitudinal observational study analyzing height and weight data from 2012-2015.
- Inclusion of 7,890 children with at least two consecutive measurements.
- Mixed-effects models used to assess BMI percentile and BMI differences by season and ethnicity.
Main Results:
- Obesity rates were higher in American Indian/Alaskan Native, Hispanic, and Black children compared to White children.
- BMI percentile significantly increased during summer, particularly for obese and overweight children.
- Seasonal weight gain effects were less pronounced in American Indian/Alaskan Native children than in White children.
Conclusions:
- Summer is a critical period for childhood obesity prevention efforts.
- Children who are overweight or obese experience the most significant summer weight gain.
- Seasonal weight gain patterns may differ among American Indian/Alaskan Native children, warranting further investigation.
Introduction:
Several studies have reported that children gain more weight during the summer season. Despite high obesity rates, little research has included American Indian/Alaskan Native children, and few studies have been longitudinal. This observational study examines seasonal weight variability over 3.5 years among ethnically diverse children, including 2,184 American Indian/Alaskan Native children.
Methods:
Children's height and weight were measured before and after the summer from 2012-2015 and analyzed in 2019-2020, including children with ≥2 consecutive measurements (N=7,890, mean age=8.4 [SD=2.8] years). Mixed-effects models tested whether the percentage of the 95th BMI percentile and BMI differed by season (summer versus the rest of the year) and ethnicity.
Results:
American Indian/Alaskan Native (23.7%), Hispanic (19.8%), and Black (17.8%) children had significantly higher baseline obesity rates than White children (7.1%). The percentage of the 95th BMI percentile significantly increased during the summer compared with the percentage during the rest of the year, with the strongest effects for children who were obese (b=2.69, 95% CI=1.35, 4.03, p<0.001) or overweight (b=1.47, 95% CI=0.56, 2.35, p<0.01). In BMI units, summer BMI increase was 0.50 kg/m2 higher (obese model) and 0.27 kg/m2 higher (overweight) than that of the rest of the year. Seasonal effects were significantly less pronounced for American Indian/Alaskan Native children than for White children.
Conclusions:
Children gained significantly more weight during the summer season, with the strongest effects for children who were obese. American Indian/Alaskan Native children had less seasonal variability than White children, but higher overall obesity rates. These data underscore summer as a critical time for obesity prevention among children who are overweight/obese but suggest that seasonal patterns may vary for American Indian/Alaskan Native children.
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