Document Detail

Five-year obesity incidence in the transition period between adolescence and adulthood: the National Longitudinal Study of Adolescent Health.
MedLine Citation:
PMID:  15321794     Owner:  NLM     Status:  MEDLINE    
BACKGROUND: No nationally representative longitudinal data have been analyzed to evaluate the incidence of obesity in the transition between adolescence and adulthood. OBJECTIVE: The objective was to examine dynamic patterns of change in obesity among white, black, Hispanic, and Asian US teens as they transitioned to young adulthood. DESIGN: We used nationally representative, longitudinally measured height and weight data collected from US adolescents enrolled in wave II (1996; ages 13-20 y) and wave III (2001; 19-26 y) of the National Longitudinal Study of Adolescent Health (n = 9795). Obesity incidence was defined on the basis of International Obesity Task Force (IOTF) cutoffs (wave II), which link childhood body mass index (BMI) centiles to adult cutoffs (BMI > or = 30; wave III), for comparability between adolescence and adulthood. In addition, the more commonly used cutoff of BMI > or = 95th percentile for age- and sex-specific cutoffs from the 2000 Centers for Disease Control and Prevention growth charts for adolescents (wave II) were compared with adult cutoffs (BMI > or = 30; wave III). RESULTS: On the basis of the IOTF cutoffs, obesity incidence over the 5-y study period was 12.7%; 9.4% of the population remained obese and 1.6% shifted from obese to nonobese. Obesity incidence was especially high in non-Hispanic black (18.4%) females relative to white females. The prevalence of obesity increased from 10.9% in wave II to 22.1% in wave III, and extreme obesity was 4.3% at wave III on the basis of a BMI > or = 40. CONCLUSIONS: During a 5-y transitional period between adolescence and young adulthood, the proportion of adolescents becoming and remaining obese into adulthood was very high. This upward trend is likely to continue. Effective preventive and treatment efforts are critically needed.
Penny Gordon-Larsen; Linda S Adair; Melissa C Nelson; Barry M Popkin
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Publication Detail:
Type:  Journal Article; Research Support, U.S. Gov't, P.H.S.    
Journal Detail:
Title:  The American journal of clinical nutrition     Volume:  80     ISSN:  0002-9165     ISO Abbreviation:  Am. J. Clin. Nutr.     Publication Date:  2004 Sep 
Date Detail:
Created Date:  2004-08-23     Completed Date:  2004-09-21     Revised Date:  2008-11-21    
Medline Journal Info:
Nlm Unique ID:  0376027     Medline TA:  Am J Clin Nutr     Country:  United States    
Other Details:
Languages:  eng     Pagination:  569-75     Citation Subset:  AIM; IM    
Carolina Population Center, Department of Nutrition, University of North Carolina, School of Public Health, University of North Carolina at Chapel Hill.
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MeSH Terms
Adolescent Nutritional Physiological Phenomena*
African Continental Ancestry Group / statistics & numerical data
Age Distribution
Asian Americans / statistics & numerical data
Body Mass Index*
Ethnic Groups* / statistics & numerical data
European Continental Ancestry Group / statistics & numerical data
Hispanic Americans / statistics & numerical data
Longitudinal Studies
Nutrition Surveys
Obesity / epidemiology*,  prevention & control
Obesity, Morbid / epidemiology
Public Health
Sex Distribution
United States / epidemiology
Grant Support
DK 56350/DK/NIDDK NIH HHS; K01 HD 044263-01/HD/NICHD NIH HHS; R01 HD 041375-01/HD/NICHD NIH HHS; R01 HD 39183-01/HD/NICHD NIH HHS

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