Identifying the "Tipping Point" Age for Overweight Pediatric Patients
Identifying the "Tipping Point" Age for Overweight Pediatric Patients
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DOI：
10.1177/0009922809359418
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发表时间：
2010-07-01
影响因子：
1.6
通讯作者：
Lewis, Donald
中科院分区：
文献类型：
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作者：
Harrington, John W.;Nguyen, Vu Q.;Lewis, Donald
根据2007年全国健康和营养调查，近一半的美国儿童超重或肥胖。回顾性病历审查确定了患有超重、肥胖和/或体重过度增加诊断代码的患者。入选标准为当前年龄在2至20岁之间，至少5次体重和身高测量访视，体重指数（BMI）≥第85百分位数。共有184例患者符合入选标准。超过一半的儿童在2岁之前超重，所有患者在10岁时肥胖或超重。体重增加率约为每年1个BMI单位，因此导致大多数儿童在2岁时超重（R-2 = .53）。这项研究表明，在这一确定的患者子集中，预防儿童肥胖的关键时期是在生命的前2年，许多人在3个月大时。
According to the National Health and Nutrition Examination Survey in 2007, nearly half of all American children are either overweight or obese. Retrospective chart review identified patients with the diagnostic codes for overweight, obese, and/or excessive weight gain. Inclusion criteria were current age between 2 and 20 years, a minimum of 5 visits with weight and height measurements, and a body mass index (BMI) at or above the 85th percentile. A total of 184 patients met inclusion criteria. More than half the children became overweight before age 2, and all patients were obese or overweight by age 10. The rate of gain is approximately 1 excess BMI unit/year, therefore causing most children to be overweight by age 2 (R-2 = .53). This study indicates that the critical period for preventing childhood obesity in this subset of identified patients is during the first 2 years of life and for many by 3 months of age.