Entrenched obesity in childhood: findings from a national cohort study.
Entrenched obesity in childhood: findings from a national cohort study.
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DOI：
10.1016/j.annepidem.2017.05.016
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发表时间：
2017-07
影响因子：
5.6
通讯作者：
Kramer MR
中科院分区：
文献类型：
--
作者：
Cunningham SA;Datar A;Narayan KMV;Kramer MR
鉴于美国儿童的肥胖水平很高，我们研究了儿童肥胖是一种短暂的现象还是在青春期仍然根深蒂固。数据来自1998-1999年幼儿园班级的前瞻性全国代表性幼儿纵向研究（分析样本= 6 600）。在1998-2007年期间进行了6次人体测量。使用CDC临界点定义超重和肥胖。根深蒂固的肥胖定义为5-9岁之间的肥胖加上11岁和14岁的持续肥胖。近30%的儿童在5.6岁至14.1岁之间的某个时候经历过肥胖; 63%的儿童在5.6岁至9.1岁之间曾经有过肥胖，72%的儿童在幼儿园入学时有过肥胖。在幼儿园严重肥胖或在小学早期肥胖超过一年的儿童很可能在14岁之前经历肥胖，无论他们的性别，种族或社会经济背景如何。预防应侧重于幼儿期，因为入学时肥胖症往往不是一种暂时现象。即使是在小学早期测量的一个肥胖时间点也可能是长期肥胖风险的指标。
Given high levels of obesity among U.S. children, we examine whether obesity in childhood is a passing phenomenon or remains entrenched into adolescence. Data are from the prospective nationally representative Early Childhood Longitudinal Study, Kindergarten Class of 1998–1999 (analytic sample=6,600). Anthropometrics were measured 6 times during 1998–2007. Overweight and obesity were defined using CDC cut-points. Entrenched obesity was defined as obesity between ages 5–9 coupled with persistent obesity at ages 11 and 14. Almost 30% of children experienced obesity at some point between ages 5.6 and 14.1 years; 63% of children who ever had obesity between ages 5.6 and 9.1 and 72% of those who had obesity at kindergarten entry experienced entrenched obesity. Children with severe obesity in kindergarten or who had obesity at more than one year during early elementary were very likely to experience obesity through age 14, regardless of their sex, race, or socio-economic background. Prevention should focus on early childhood, as obesity at school entry is not often a passing phenomenon. Even one timepoint of obesity measured during the early elementary school years may be an indicator of risk for long-term obesity.
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影响因子：
3.1
作者：
Galaviz, Karla I.;Zytnick, Deena;Kegler, Michelle C.;Cunningham, Solveig A.
通讯作者：
Cunningham, Solveig A.
DOI：
10.1056/nejmoa1309753
发表时间：
2014-01-30
期刊：
The New England journal of medicine
影响因子：
--
作者：
Cunningham SA;Kramer MR;Narayan KM
通讯作者：
Narayan KM
影响因子：
--
作者：
Herman, Katya M.;Craig, Cora L.;Katzmarzyk, Peter T.
通讯作者：
Katzmarzyk, Peter T.
影响因子：
6.9
作者：
Li, Chaoyang;Goran, Michael I.;Ahluwalia, Jasjit S.
通讯作者：
Ahluwalia, Jasjit S.
DOI：
10.1177/0272989x12447240
发表时间：
2013-02
期刊：
Medical decision making : an international journal of the Society for Medical Decision Making
影响因子：
--
作者：
Goldhaber-Fiebert JD;Rubinfeld RE;Bhattacharya J;Robinson TN;Wise PH
通讯作者：
Wise PH