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Cited by 693Obesity, Physical Activity, DietHealth and Medical StudiesChild and Adolescent Health

Dynamics of Obesity and Chronic Health Conditions Among Children and Youth

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Van Cleave, Jeanne·2010·JAMA
DOI 10.1001/jama.2010.104
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Abstract

CONTEXT: Rates of obesity and other childhood chronic conditions have increased over recent decades. Patterns of how conditions change over time have not been widely examined. OBJECTIVE: To evaluate change in prevalence of obesity and other chronic conditions in US children, including incidence, remission, and prevalence. DESIGN, SETTING, AND PARTICIPANTS: Prospective study using the National Longitudinal Survey of Youth-Child Cohort (1988-2006) of 3 nationally representative cohorts of children. Children were aged 2 through 8 years at the beginning of each study period, and cohorts were followed up for 6 years, from 1988 to 1994 (cohort 1, n = 2337), 1994 to 2000 (cohort 2, n = 1759), and 2000 to 2006 (n = 905). MAIN OUTCOME MEASURES: Parent report of a child having a health condition that limited activities or schooling or required medicine, special equipment, or specialized health services and that lasted at least 12 months. Obesity was defined as a body mass index at or above the 95th percentile for age. Chronic conditions were grouped into 4 categories: obesity, asthma, other physical conditions, and behavior/learning problems. RESULTS: The end-study prevalence of any chronic health condition was 12.8% (95% confidence interval [CI], 11.2%-14.5%) for cohort 1 in 1994, 25.1% (95% CI, 22.7%-27.6%) for cohort 2 in 2000, and 26.6% (95% CI, 23.5%-29.9%) for cohort 3 in 2006. There was substantial turnover in chronic conditions: 7.4% (95% CI, 6.5%-8.3%) of participants in all cohorts had a chronic condition at the beginning of the study that persisted to the end, 9.3% (95% CI, 8.3%-10.3%) reported conditions at the beginning that resolved within 6 years, and 13.4% (95% CI, 12.3%-14.6%) had new conditions that arose during the 6-year study period. The prevalence of having a chronic condition during any part of the 6-year study period was highest for cohort 3 (51.5%; 95% CI, 47.3%-55.0%), and there were higher rates among male (adjusted odds ratio [AOR], 1.24; 95% CI, 1.07-1.42), Hispanic (AOR, 1.36; 95% CI, 1.11-1.67), and black (AOR, 1.60; 95% CI, 1.35-1.90) youth. CONCLUSIONS: Prevalence of chronic conditions among children and youth increased from 1988 to 2006. However, presence of these conditions was dynamic over each 6-year cohort.

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  • About 25% of children and adolescents in the United States are estimated to suffer from chronic conditions such as asthma, diabetes, food allergies, epilepsy, and obesity.

    “Nationally, about 25% of children and adolescents in the United States are estimated to suffer from chronic conditions such as asthma, diabetes, food allergies, epilepsy, and obesity.57”

    From Critical connections: health and academics (2015) · cites this paper as [57]

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Authors
Van Cleave, J.
Venue
JAMA
Publisher
American Medical Association (AMA)
Published
2010-02-17
Volume
303
Issue
7
Pages
623
ISSN
  • 0002-9955 (ISSN-L)
  • 0098-7484
DOI
10.1001/jama.2010.104
OpenAlex
W1556640487
Cited by
693
References
60
Citations by year
2026: 22 · 2025: 34 · 2024: 35 · 2023: 36 · 2022: 45 · 2021: 43 · 2020: 51 · 2019: 50 · 2018: 48 · 2017: 54 · 2016: 45 · 2015: 34 · 2014: 60 · 2013: 43 · 2012: 45
FWCI
43.10
Type
journal article
Language
en
Open access
Licence
cc-by
Locations
  • JAMA (publishedVersion)
  • PubMed (publishedVersion)
  • Digital Access to Scholarship at Harvard (DASH) (Harvard University) (submittedVersion, cc-by)
Funders
  • U.S. Public Health Service (U53MC04773)
  • National Center for Chronic Disease Prevention and Health Promotion (U48/DP00064)
Topics
  • Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Obesity, Physical Activity, Diet
  • Health Sciences › Health Professions › General Health Professions › Health and Medical Studies
  • Health Sciences › Health Professions › General Health Professions › Child and Adolescent Health
Keywords
childhood obesity, chronic disease, children and adolescents, prevalence trends, incidence, remission, asthma, physical condition, longitudinal cohort, body mass index, health policy evaluation
MeSH terms
Adolescent, Adult, Child, Child, Preschool, Chronic Disease, Female, Health Surveys, Humans, Infant, Male, Obesity, United States, Cohort Studies, Incidence, Prevalence, Young Adult

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