Prevalence, Patterns, and Predictors: A Statewide Longitudinal Study of Childhood Obesity

Autor/inn/en	Rouse, Heather; Goudie, Anthony; Rettiganti, Mallik; Leath, Katherine; Riser, Quentin; Thompson, Joseph
Titel	Prevalence, Patterns, and Predictors: A Statewide Longitudinal Study of Childhood Obesity
Quelle	In: Journal of School Health, 89 (2019) 4, S.237-245 (9 Seiten)Infoseite zur Zeitschrift PDF als Volltext Verfügbarkeit
Sprache	englisch
Dokumenttyp	gedruckt; online; Zeitschriftenaufsatz
ISSN	0022-4391
DOI	10.1111/josh.12741
Schlagwörter	Incidence; Longitudinal Studies; Obesity; Kindergarten; Elementary School Students; Grade 8; Body Weight; Family Characteristics; Poverty; Predictor Variables; Gender Differences; Hispanic American Students; African American Students; Risk; Public Schools; Health Services; Data Collection; Body Composition; Racial Differences; Health Education + Suchen Sie Ihr Suchwort? Vorkommen; Longitudinal study; Longitudinal method; Longitudinal methods; Längsschnittuntersuchung; Adipositas; School year 08; 8. Schuljahr; Schuljahr 08; Körpergewicht; Armut; Prädiktor; Geschlechterkonflikt; Hispanic; Hispanic Americans; Student; Students; Hispanoamerikaner; Schüler; Schülerin; Studentin; African Americans; Afroamerikaner; Risiko; Public school; Öffentliche Schule; Health service; Gesundheitsdienst; Gesundheitswesen; Data capture; Datensammlung; Rassenunterschied; Gesundheitsaufklärung; Gesundheitsbildung; Gesundheitserziehung
Abstract	Background: We examined prevalence, incidence, and trajectory of obesity from kindergarten through grade 8 in one of the first states to implement annual surveillance. Methods: Participants included 16,414 children enrolled in kindergarten in Arkansas in 2004 with complete body mass index (BMI) measurements in kindergarten and eighth grade. Repeated measures of weight status were entered in multiple linear and logistic regression models with demographics and family poverty status. Results: The prevalence of obesity (BMI = 95th percentile) was lowest in kindergarten (14.9%), with subsequent incidence rates consistent at 4%. Prevalence and incidence peaked in eighth grade (24.5% and 4.9%, respectively), with 33.8% of children measuring obese at least once by eighth grade. Kindergarten obesity was a significant predictor of eighth grade obesity (odds ratio, 17.5; 95% confidence interval, 15.8-19.3). We found statistically significant 3-way interactions for sex, race, and time, suggesting unique patterns for Hispanic boys and black girls. Conclusions: Our study documents unique longitudinal patterns of obesity from kindergarten through eighth grade that expand our understanding of risk. It demonstrates the value of public school health systems that collect routine administrative data about student BMI that is integrated with education records to foster program and policy discussions. (As Provided).
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Erfasst von	ERIC (Education Resources Information Center), Washington, DC
Update	2020/1/01