Characteristics of Children 2 to 5 Years of Age With Severe Obesity

Pediatrics
June M TesterIhuoma U Eneli

Abstract

As a distinct group, 2- to 5-year-olds with severe obesity (SO) have not been extensively described. As a part of the Expert Exchange Workgroup on Childhood Obesity, nationally-representative data were examined to better characterize children with SO. Children ages 2 to 5 (N = 7028) from NHANES (1999-2014) were classified as having normal weight, overweight, obesity, or SO (BMI ≥120% of 95th percentile). Sociodemographics, birth characteristics, screen time, total energy, and Healthy Eating Index 2010 scores were evaluated. Multinomial logistic and linear regressions were conducted, with normal weight as the referent. The prevalence of SO was 2.1%. Children with SO had higher (unadjusted) odds of being a racial and/or ethnic minority (African American: odds ratio [OR]: 1.7; Hispanic: OR: 2.3). They were from households with lower educational attainment (OR: 2.4), that were single-parent headed (OR: 2.0), and that were in poverty (OR: 2.1). Having never been breastfed was associated with increased odds of obesity (OR: 1.5) and higher odds of SO (OR: 1.9). Odds of >4 hours of screen time were 1.5 and 2.0 for children with obesity and SO. Energy intake and Healthy Eating Index 2010 scores were not significantly different in childr...Continue Reading

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Citations

Jan 31, 2019·Congenital Heart Disease·Jeremy M SteeleKenneth G Zahka
Apr 25, 2019·International nursing review·S H ParkE Cormier
May 4, 2020·Advances in Nutrition·Barbara J DealNeil J Stone
Mar 24, 2020·International Journal of Obesity : Journal of the International Association for the Study of Obesity·Jodie M DoddJennie Louise
Apr 9, 2020·Frontiers in Pediatrics·Thomas G O'ConnorMichael T Willoughby
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Sep 9, 2020·The Journal of Pediatrics·Brandi Y Rollins, Lori A Francis
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