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Cited by 430Obesity, Physical Activity, DietObesity and Health PracticesEating Disorders and Behaviors

Associations between obesity and comorbid mental health, developmental, and physical health conditions in a nationally representative sample of us children aged 10 to 17

Halfon, Neal, Larson, Kandyce, Slusser, Wendy·2013·Academic Pediatrics
DOI 10.1016/j.acap.2012.10.007
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Abstract

Objective This large population-based study of US children considered the association of obesity with a broad range of comorbidities. This study examined relationships between weight status and health for US children.Methods We performed cross-sectional analysis of data on 43,297 children aged 10 to 17 from the 2007 National Survey of Children's Health. Weight status was calculated from parent report of child height and weight. Logistic regression models assessed associations between weight status and 21 indicators of general health, psychosocial functioning, and specific health disorders, adjusting for sociodemographic factors.Results Using body mass index (BMI) percentiles for age and sex, 15% of US children were considered overweight (BMI 85th to <95th percentile), and 16% were obese (BMI ≥95th percentile). Compared with children classified as not overweight, obese children were more likely to have reported good/fair/poor health (adjusted odds ratio [AOR] 2.18, 95% confidence interval [CI] 1.76-2.69), activity restrictions (AOR 1.39, 95% CI 1.10-1.75), internalizing problems (AOR 1.59, 95% CI 1.04-2.45), externalizing problems (AOR 1.33, 95% CI 1.07-1.65), grade repetition (AOR 1.57, 95% CI 1.24-1.99), school problems, and missed school days. Attention deficit/hyperactivity disorder, conduct disorder, depression, learning disability, developmental delay, bone/joint/muscle problems, asthma, allergies, headaches, and ear infections were all more common in obese children.Conclusions Obese children have increased odds of worse reported general health, psychosocial functioning, and specific health disorders. Physicians, parents, and teachers should be informed of the specific comorbidities associated with childhood obesity to target interventions that could enhance well-being. Future research should examine additional comorbidities and seek to confirm associations using longitudinal data and clinical measures of height and weight.

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Authors
Halfon, N., Larson, K., & Slusser, W.
Affiliations
University of California, Los Angeles (US)
ORCID
Venue
Academic Pediatrics
Publisher
Elsevier BV
Published
2013-01
Volume
13
Issue
1
Pages
6-13
ISSN
1876-2859 (ISSN-L)
DOI
10.1016/j.acap.2012.10.007
OpenAlex
W2086386565
Cited by
429
References
66
Citations by year
2026: 20 · 2025: 22 · 2024: 27 · 2023: 22 · 2022: 40 · 2021: 48 · 2020: 44 · 2019: 38 · 2018: 34 · 2017: 37 · 2016: 39 · 2015: 27 · 2014: 18 · 2013: 10
FWCI
17.33
Type
journal article
Language
en
Open access
closed
Licence
www.elsevier.com/tdm/userlicense/1.0/ (tdm)
Locations
  • Academic Pediatrics (publishedVersion)
  • PubMed (publishedVersion)
Funders
National Institutes of Health
Topics
  • Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Obesity, Physical Activity, Diet
  • Health Sciences › Health Professions › Pharmacy › Obesity and Health Practices
  • Social Sciences › Psychology › Clinical Psychology › Eating Disorders and Behaviors
Keywords
childhood obesity, comorbidities, overweight, body mass index, psychosocial functioning, internalizing problems, externalizing problems, school problems, missed school days, attention deficit hyperactivity disorder, conduct disorder, depression, learning disabilities, developmental delay, asthma, allergy, ear infection, physical health, National Survey of Children's Health
MeSH terms
Adolescent, Asthma, Mental Disorders, Child, Cross-Sectional Studies, Female, Health Status, Humans, Hypersensitivity, Learning Disabilities, Male, United States, Comorbidity, Body Mass Index, Logistic Models, Odds Ratio, Attention Deficit and Disruptive Behavior Disorders, Pediatric Obesity

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