RT Journal Article
SR Electronic
T1 Characteristics of Children 2 to 5 Years of Age With Severe Obesity
JF Pediatrics
JO Pediatrics
FD American Academy of Pediatrics
SP e20173228
DO 10.1542/peds.2017-3228
VO 141
IS 3
A1 Tester, June M.
A1 Phan, Thao-Ly T.
A1 Tucker, Jared M.
A1 Leung, Cindy W.
A1 Dreyer Gillette, Meredith L.
A1 Sweeney, Brooke R.
A1 Kirk, Shelley
A1 Tindall, Alexis
A1 Olivo-Marston, Susan E.
A1 Eneli, Ihuoma U.
YR 2018
UL http://pediatrics.aappublications.org/content/141/3/e20173228.abstract
AB BACKGROUND AND OBJECTIVES: As a distinct group, 2- to 5-year-olds with severe obesity (SO) have not been extensively described. As a part of the Expert Exchange Workgroup on Childhood Obesity, nationally-representative data were examined to better characterize children with SO.METHODS: Children ages 2 to 5 (N = 7028) from NHANES (1999–2014) were classified as having normal weight, overweight, obesity, or SO (BMI ≥120% of 95th percentile). Sociodemographics, birth characteristics, screen time, total energy, and Healthy Eating Index 2010 scores were evaluated. Multinomial logistic and linear regressions were conducted, with normal weight as the referent.RESULTS: The prevalence of SO was 2.1%. Children with SO had higher (unadjusted) odds of being a racial and/or ethnic minority (African American: odds ratio [OR]: 1.7; Hispanic: OR: 2.3). They were from households with lower educational attainment (OR: 2.4), that were single-parent headed (OR: 2.0), and that were in poverty (OR: 2.1). Having never been breastfed was associated with increased odds of obesity (OR: 1.5) and higher odds of SO (OR: 1.9). Odds of >4 hours of screen time were 1.5 and 2.0 for children with obesity and SO. Energy intake and Healthy Eating Index 2010 scores were not significantly different in children with SO.CONCLUSIONS: Children ages 2 to 5 with SO appear to be more likely to be of a racial and/or ethnic minority and have greater disparities in social determinants of health than their peers and are more than twice as likely to engage in double the recommended screen time limit.