Forum for Science, Industry and Business

Sponsored by:     3M 
Search our Site:

 

Obesity rates decline for many adolescents but disparities worsen

16.08.2010
Obesity rates have started to decline and level off for many adolescents, but continue to increase for certain racial and ethnic minorities, according to a new UCSF-led study.

The evidence of increasing racial disparities for obesity underscores the need for more tailored intervention programs and policies that target high-risk groups, the authors conclude.

The study, which is the first to find significant differences in obesity trends over time by race and ethnicity, appears online in the journal Pediatrics, available at http://pediatrics.aappublications.org/papbyrecent.dtl. It also will be published in the September 2010 print issue of the journal.

"While the decline and stabilization of obesity among certain groups is encouraging, we are seeing an increase in disparities that is troubling, especially among the most severely obese youth," said first author Kristine Madsen, MD, MPH, an assistant professor of pediatrics at UCSF. "As our country becomes increasingly diverse, it is critical that we act quickly to address these disparities."

Madsen and her co-authors examined trends in the prevalence of high body mass index (BMI) among Hispanic, non-Hispanic white, Asian, black, and American Indian adolescents in California from 2001 through 2008. BMI is a measure of body fat based on a person's height and weight that is commonly used to screen for obesity. Generally, children are considered obese if they have a BMI at or above the 95th percentile, and severely obese if their BMI score is at or above the 99th percentile.

The data revealed that obesity rates at the 95th percentile declined or stabilized among a number of groups during the time period studied. Among white and Asian girls and boys, obesity rates peaked in 2005, then declined over the next three years, with 2008 rates coming in at 12 percent for white youth and 13 percent for Asians. Overall rates for Hispanic youth also peaked in 2005 and then leveled off at 26 percent through 2008; although Hispanic boys did show a small decline on their own. Rates among black boys stayed at the same level each year.

However, from 2001 through 2008, the prevalence of obesity continued to climb for black and American Indian girls, reaching 22 percent and 23 percent, respectively. Furthermore, these two groups were more than three times as likely as white girls to be severely obese, with a BMI at the 99th percentile.

When comparing groups at the 99th BMI percentile, the researchers found that only Asian youth and white boys showed any signs of decline after 2005. All other groups – including Hispanic boys and girls, white girls, black boys and girls, and American Indian boys and girls – peaked in 2005 and then remained at a plateau through 2008.

"When you look at the very heaviest end of the spectrum, the picture is pretty bleak, and we do not yet know if severe obesity rates for these groups will remain at a plateau or continue to increase," Madsen added.

The researchers analyzed the health records of more than eight million fifth-, seventh-, and ninth-grade students in California who underwent the state's mandatory school-based BMI screening. Among the students studied, 46.4 percent were Hispanic, 32.8 percent were white, 12.6 percent were Asian, 7.7 percent were black, and 0.5 percent were American Indian.

According to the researchers, the study's large and highly diverse group of subjects is a unique strength. And, although the data were confined to one state, the results show population level trends that are applicable elsewhere, since about one in eight children in the United States currently live in California.

"We need to focus on implementing real change in the places where kids spend most of their time – at home, at school and in the after-school arena – to encourage healthier habits and reduce consumption," Madsen said. "Priorities must be reconsidered so that health is not an afterthought."

Co- authors on the paper include Patricia Crawford, DrPH, RD, of the Dr. Robert C. and Veronica Atkins Center for Weight and Health at University of California, Berkeley; and Ashley Weedn, MD, of the Department of Pediatrics at University of Oklahoma.

The research was supported by grants from the Robert Wood Johnson Foundation, the Eunice Kennedy Shriver National Institute of Child Health and Human Development, and the American Heart Association.

UCSF Benioff Children's Hospital creates an environment where children and their families find compassionate care at the forefront of scientific discovery, with more than 150 experts in 50 medical specialties serving patients throughout Northern California and beyond. The hospital admits about 5,000 children each year, including 2,000 babies born in the hospital. For more information, visit http://www.ucsfbenioffchildrens.org/.

UCSF is a leading university dedicated to promoting health worldwide through advanced biomedical research, graduate-level education in the life sciences and health professions, and excellence in patient care. For further information, please visit http://www.ucsf.edu/.

Follow UCSF on Twitter at http://twitter.com/ucsfnews

Kate Vidinsky | EurekAlert!
Further information:
http://www.ucsf.edu

More articles from Studies and Analyses:

nachricht Win-win strategies for climate and food security
02.10.2017 | International Institute for Applied Systems Analysis (IIASA)

nachricht The personality factor: How to foster the sharing of research data
06.09.2017 | ZBW – Leibniz-Informationszentrum Wirtschaft

All articles from Studies and Analyses >>>

The most recent press releases about innovation >>>

Die letzten 5 Focus-News des innovations-reports im Überblick:

Im Focus: Neutron star merger directly observed for the first time

University of Maryland researchers contribute to historic detection of gravitational waves and light created by event

On August 17, 2017, at 12:41:04 UTC, scientists made the first direct observation of a merger between two neutron stars--the dense, collapsed cores that remain...

Im Focus: Breaking: the first light from two neutron stars merging

Seven new papers describe the first-ever detection of light from a gravitational wave source. The event, caused by two neutron stars colliding and merging together, was dubbed GW170817 because it sent ripples through space-time that reached Earth on 2017 August 17. Around the world, hundreds of excited astronomers mobilized quickly and were able to observe the event using numerous telescopes, providing a wealth of new data.

Previous detections of gravitational waves have all involved the merger of two black holes, a feat that won the 2017 Nobel Prize in Physics earlier this month....

Im Focus: Smart sensors for efficient processes

Material defects in end products can quickly result in failures in many areas of industry, and have a massive impact on the safe use of their products. This is why, in the field of quality assurance, intelligent, nondestructive sensor systems play a key role. They allow testing components and parts in a rapid and cost-efficient manner without destroying the actual product or changing its surface. Experts from the Fraunhofer IZFP in Saarbrücken will be presenting two exhibits at the Blechexpo in Stuttgart from 7–10 November 2017 that allow fast, reliable, and automated characterization of materials and detection of defects (Hall 5, Booth 5306).

When quality testing uses time-consuming destructive test methods, it can result in enormous costs due to damaging or destroying the products. And given that...

Im Focus: Cold molecules on collision course

Using a new cooling technique MPQ scientists succeed at observing collisions in a dense beam of cold and slow dipolar molecules.

How do chemical reactions proceed at extremely low temperatures? The answer requires the investigation of molecular samples that are cold, dense, and slow at...

Im Focus: Shrinking the proton again!

Scientists from the Max Planck Institute of Quantum Optics, using high precision laser spectroscopy of atomic hydrogen, confirm the surprisingly small value of the proton radius determined from muonic hydrogen.

It was one of the breakthroughs of the year 2010: Laser spectroscopy of muonic hydrogen resulted in a value for the proton charge radius that was significantly...

All Focus news of the innovation-report >>>

Anzeige

Anzeige

Event News

ASEAN Member States discuss the future role of renewable energy

17.10.2017 | Event News

World Health Summit 2017: International experts set the course for the future of Global Health

10.10.2017 | Event News

Climate Engineering Conference 2017 Opens in Berlin

10.10.2017 | Event News

 
Latest News

Ocean atmosphere rife with microbes

17.10.2017 | Life Sciences

Neutrons observe vitamin B6-dependent enzyme activity useful for drug development

17.10.2017 | Life Sciences

NASA finds newly formed tropical storm lan over open waters

17.10.2017 | Earth Sciences

VideoLinks
B2B-VideoLinks
More VideoLinks >>>