Adjusting for Pubertal Status Reduces Overweight and Obesity Prevalence in the United States.
Adjusting for Pubertal Status Reduces Overweight and Obesity Prevalence in the United States.
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DOI：
10.1016/j.jpeds.2020.12.038
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发表时间：
2021-04
期刊：
影响因子：
--
通讯作者：
Miller BS
中科院分区：
文献类型：
--
作者：
Bomberg EM;Addo OY;Sarafoglou K;Miller BS
比较根据青春期状态调整体重指数（BMI）前后非西班牙裔白色、墨西哥裔美国人和非西班牙裔黑人儿童超重和肥胖的患病率，通过坦纳分期评估美国青年。我们分析了全国健康与营养调查（NHANES）III中NHW、MA和NHB青年的横断面人体测量和青春期数据。我们开发了专门的坦纳阶段和实际年龄调整模型，以建立唐纳阶段调整的BMI z评分，然后用于确定调整后的超重/肥胖患病率。我们比较了调整青春期状态前后儿童超重/肥胖的患病率。在3，206名8 - 18岁的青少年中（50%为男性; 26%为NHW，35%为MA，39%为NHB），调整坦纳阶段的BMI显著降低了所有种族/民族的超重（男性29%至21%;女性29%至17%）和肥胖（男性14%至7%;女性11%至5%）患病率。与NHW（男性减少6%;女性减少5%）相比，MA（男性减少11%;女性减少9%）和NHB（男性和女性减少10%）的肥胖患病率降低更明显。在超重流行率中也看到了类似的模式。调整青春期状态降低了NHW、MA和NHB青年的超重/肥胖患病率。这表明，青春期的调整包括了只考虑孩子年龄时无法捕捉到的变化。在解释青少年的体重状况和肥胖管理的考虑时，以及在解释儿童超重/肥胖患病率数据时，调整青春期状态的BMI可能很重要。
To compare pediatric overweight and obesity prevalence among non-Hispanic White, Mexican American, and non-Hispanic Black before and after adjusting body mass index (BMI) for pubertal status, assessed by Tanner stage, in US youth. We analyzed cross-sectional anthropometric and pubertal data from NHW, MA, and NHB youth in the National Health and Nutrition Examination Survey (NHANES) III. We developed specialized Tanner stage and chronological age-adjusted models to establish Tanner-stage adjusted BMI z-scores, which were then used to determine adjusted overweight/obesity prevalence. We compared pediatric overweight/obesity prevalence before and after pubertal status adjustment. Among 3,206 youth aged 8 – 18 years (50% male; 26% NHW, 35% MA, 39% NHB), adjusting BMI for Tanner stage significantly reduced overweight (males 29% to 21%; females 29% to 17%) and obesity (male 14% to 7%; females 11% to 5%) prevalence across all races/ethnicities. The obesity prevalence reduction was more pronounced in MA (males 11% reduction; females 9% reduction) and NHB (males and females 10% reduction) compared with NHW (males 6% reduction; females 5% reduction). Similar patterns were seen in overweight prevalence. Adjusting for pubertal status reduced the prevalence of overweight/obesity in NHW, MA, and NHB youth. This suggests that adjusting for puberty incorporates changes otherwise not captured when only considering the age of a child. Adjusting BMI for pubertal status may be important when interpreting a youth’s weight status and consideration for obesity management, as well as when interpreting pediatric overweight/obesity prevalence data.
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影响因子：
3.7
作者：
Grantham JP;Henneberg M
通讯作者：
Henneberg M
影响因子：
2
作者：
COLE, TJ;GREEN, PJ
通讯作者：
GREEN, PJ
影响因子：
3.8
作者：
Maring B;Greenspan LC;Chandra M;Daniels SR;Sinaiko A;Prineas RJ;Parker ED;Adams KF;Daley MF;Sherwood NE;Kharbanda EO;Margolis KL;Magid DJ;O'Connor PJ;Lo JC
通讯作者：
Lo JC
影响因子：
2.9
作者：
Gillison F;Cumming S;Standage M;Barnaby C;Katzmarzyk P
通讯作者：
Katzmarzyk P
DOI：
10.1038/oby.2004.102
发表时间：
2004-05-01
期刊：
OBESITY RESEARCH
影响因子：
--
作者：
Freedman, DS;Thornton, JC;Horlick, M
通讯作者：
Horlick, M