Abstract
OBJECTIVES: To investigate the prevalence of overweight among different ethnic and gender groups of children and adolescents in the San Antonio, Texas, area and to compare the prevalence with that of the US national figures.
DESIGN: Cross-sectional study
SUBJECTS: A total of 7208 schoolchildren in kindergarten through 12th grade. There were 4215 Mexican American (MA) (58.5%), 2040 non-Hispanic white (NHW) (28.3%) and 953 African American (AA) (13.2%) subjects.
MEASUREMENTS: Weight, height and skinfold thicknesses.
RESULTS: The body mass index (BMI, kg/m2) values of MA boys were almost consistently and significantly (P<0.05) larger than NHW boys and showed a tendency to be larger than AA boys, beginning as early as age 6 and continuing through age 17. Although rarely significant, a similar trend in ethnic difference was also noted for girls, with the smallest BMI seen in NHW girls. The subscapular skinfold thickness (SST) for MA boys and girls was significantly (P<0.05) larger than that for NHW counterparts and showed a tendency to be larger than AA counterparts. No significant ethnic differences were present in the triceps skinfold thickness (TST) for girls, but MA boys' TST were occasionally larger (P<0.05) than other ethnic-gender groups. Girls' TST were frequently larger (P<0.05) than boys for each ethnic groups. Using the population data from the National Health and Nutrition Examination Survey (NHANES) I as reference, the prevalence of overweight (BMI≥95th percentile) was greater in MA (15–28%) and AA (11–29%) boys and girls than in NHW (7–17%) counterparts. The combined prevalence of overweight and ‘at risk of overweight’ (BMI>85th percentile) was much larger in MA boys (40–50%), MA girls (34–52%), and AA girls (33–51%) than other subgroups. The onset of overweight is quite early, starting at 5–6 y of age, especially in girls. Compared to the data from national surveys, the prevalence of overweight found in this study is higher than reported nationally. We found a marked increase in the skinfold thickness, especially SST for boys, but the increase is less for girls.
CONCLUSIONS: The prevalence of overweight is higher in MA boys and girls and AA girls than other ethnic-gender groups in the San Antonio, Texas, area. The prevalence of childhood overweight in the San Antonio area is higher than national figures. The findings of increasing prevalence and early onset of childhood overweight are concerning, because these are known risk factors for diabetes and diseases of many other organ systems. Measures to prevent, reduce or treat childhood obesity are urgently needed.
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References
Kuczmarski RJ, Flegal KM, Campbell SM, Johnson CL . Increasing prevalence of overweight among US adults. The National Health and Nutrition Surveys, 1960–1991 JAMA 1994 272: 205–211.
Pi-Sunyer FX . Medical Hazards of Obesity JAMA 1993 119: 655–660.
Freeman DS, Srinivasan SR, Valdez RA, Williamson DF, Berenson GS . Secular increase in relative weight and adiposity among children over two decades: the Bogalusa Heart Study Pediatrics 1997 99: 420–426.
Gortmaker SL, Dietz WH, Sobol AM, Wehler CA . Increasing pediatric obesity in the United States Am J Dis Child 1987 141: 535–540.
Troiano RP, Flegal KM, Kuczmarski RJ, Campbell SM, Johnson CL . Overweight prevalence and trends for children and adolescents: the National Health and Nutrition Surveys, 1963–1991 Arch Pediatr Adolesc Med 1995 149: 1085–1091.
Troiano RP, Flegal KM . Overweight children and adolescents: description, epidemiology, and demographics Pediatrics 1998 101: 525–539.
Malina RM, Zavaleta AN, Little BB . Body size, fatness and leanness of Mexican American children in Brownsville, Texas: Changes between 1972 and 1983 Am J Public Health 1987 77: 573–577.
Update: prevalence of overweight among children, adolescents, and adults—United States, 1988–1994 Morb Mort Wkly Rep 1997 46: 199–202.
Haffner SM, Stem MP, Hazuda H, Rosenthal M, Knapp A . The role of behavioral variables and fat patterning in explaining ethnic differences in serum lipids and lipoproteins Am J Epidemiol 1986 123: 830–839.
Stevens J, Keil JE, Rust PF, Tyroler HA, Davis CE, Gazes PC . Body mass index and body girths as predictors of mortality in black and white women Arch Intern Med 1992 152: 1257–1262.
Winkleby MA, Robinson TN, Sundquist J, Kraemer HC . Ethnic variation in cardiovascular disease risk factors among children and young adults JAMA 1999 281: 1006–1013.
Martorell R, Mendosa FS, Castillo RO . Genetic and environmental determinants of growth in Mexican-Americans Pediatrics 1989 84: 864–871.
Kissebah AH . Central obesity: measurement and metabolic effects Diabetes Rev 1997 5: 8–20.
Reaven GM . Role of insulin resistance in human disease Diabetes 1988 37: 1595–1609.
Brambilla P, Manzoni P, Sironi S et al. Peripheral and abdominal adiposity in childhood obesity Int J Obes Relat Metab Disord 1994 18: 795–800.
Daniels SR, Morrison JA, Sprecher DL, Khoury P, Kimball TR . Association of body fat distribution and cardiovascular risk factors in children and adolescents Circulation 1999 99: 541–545.
Dietz WH . Health consequences of obesity in youth: childhood predictors of adult disease Pediatrics 1998 101: 518–525.
Mueller WH . Ethnic differences in fat distribution during growth Liss: New York 1988.
Greaves KA, Puhl J, Baranowski T, Gruben D, Seale D . Ethnic differences in anthropometric characteristics of young children and their parents Hum Biol 1989 61: 459–477.
Report of the Second Task Force on Blood Pressure Control in Children—1987 Pediatrics 1987 79: 1–25.
Lauer RM, Burns TL, Clarke WR . Assessing children's blood pressure—consideration of age and body size: the Muscatine study Pediatrics 1985 75: 1081–1090.
Hazuda HP, Comeaux PJ, Stern MP, Haffner SM, Rosenthal M, Franco LJ . A comparison of three indicators for identifying Mexican-Americans in epidemiologic research Am J Epidemiol 1986 123: 96–112.
Must MF, Dallal GE, Dietz WH . Referencer data for obesity: 85th and 95th percentiles of body mass index (wt/ht2) and triceps skinfold thickness Am J Clin Nutr 1991 53: 839–846.
Must A, Dallal GE, Dietz WH . Reference data for obesity: 85th and 95th percentiles of body mass index (wt/ht2)—a correction Am J Clin Nutr 1991 54: 773.
Barlow SE, Dietz WH . Obesity evaluation and treatment: expert Committee Recommendations Pediatrics 1998 102: e29.
Cronk CE, Roche AF . Race- and sex-specific reference data for triceps and subscapular skinfold and weight/height2 Am J Clin Nutr 1982 35: 347–354.
Abrahams S, Lawenstein FW, O'Connell DE . Preliminary findings to the first Health and Nutrition Survey, United States, 1971–1972: anthropometric and clinical findings National Center for Health Statistics: Washington, DC 1975.
National Center for Health Statistics . Anthropometric data and prevalence of overweight for Hispanics: 1982–84 DHHS Publication no. (PHS) 89-1689 1989.
Najjar MF, Rowland M . Anthropometric reference data and prevalence of overweight, United States, 1976–80 DHHS Publication no. (PHS) 87-1688 1987.
Flegal KM, Carroll MD, Kuczmarski RJ . Overweight and obesity in the United States: prevalence and trends Int J Obes Relat Metab Disord 1998 22: 39–47.
Serdula MK, Ivery D, Coates RJ, Freedman DS, Williamson DF, Byers T . Do obese children become obese adults? A review of the literature Prev Med 1993 22: 167–177.
Must A, Jacques PF, Dallal LM, Bajema CJ, Dietz WH . Long-term morbidity and mortality of overweight adolescents. A follow-up of the Harvard growth study of 1922 to 1935 New Engl J Med 1992 327: 1350–1355.
Bray GA . Obesity In: Harrison's Principle of Internal Medicine 14th edn McGraw-Hill: New York 1998.
Kaplan NM . The deadly quartet. Upper-body obesity, glucose intolerance, hypertriglyceridemia, and hypertension Arch Intern Med 1989 149: 1514–1520.
Wolf AM, Colditz GA . Current estimates of the economic costs of obesity in the United States Obes Res 1998 6: 97–106.
Pinhas-Hamiel O, Dolan LM, Daniels SR, Standiford D, Khoury PR, Zeitler P . Increased incidence of non-insulin-dependent diabetes mellitus among adolescents J Pediatr 1996 128: 608–615.
Webber LS, Harsha DW, Phillips GT, Srinivasan SR, Simon JW, Berenson GS . Cardiovascular risk factors in Hispanic, white and black children: the Brooks County and Bogalusa Heart Studies Am J Epidemiol 1991 133: 704–714.
Steinberger J, Moorhead C, Katch V, Rocchini AP . Relationship between insulin resistance and abnormal lipid profile in obese adolescents J Pediatr 1995 126: 690–695.
Berenson GS, Radhakishnamujrthy B, Srinivasan RS et al. Plasma glucose and insulin levels in relation to cardiovascular risk factors in children from a biracial population—the Bogalusa Heart Study J Chronic Dis 1981 34: 379–391.
Monello LF, Mayer J . Obese adolescenct girls: an interdisciplinary study of adolescent obesity J Pediatr 1972 13: 35–39.
Berenson GS, Wattigney MS, Bao W, Srinivasan SR, Radhakrishnamurthy B . Rationale to study the early natural history of heart disease: the Bogalusa Heart Study Am J Med Sci 1995 310: S22–S28.
Hernandez B, Tphold CR, Graham MV, Singer L . Prevalence and correlates of obesity in preschool children J Pediatr Nurs 1998 13: 68–76.
Reilly JJ, Dorosty AR, Emmett PM . Prevalence of overweight and obesity in British children: cohort study Br Med J 1999 319: 1039–1041.
Epstein LH, Volaski A, Wing RR, McCurley J . Ten-year follow-up of behavioral, family based treatment for obese children JAMA 1990 264: 2519–2523.
Mapping US obesity Tufts Univ Health Nutr Lett 1997 15: 1.
Mei Z, Scanlon KS, Grummer-Strawn LM, Freedman DS, Yip R, Trowdridge FL . Increasing prevalence of overweight among US low-income preschool children: the Center for Disease Control and Prevention pediatric nutrition surveillance, 1983 to 1995 Pediatrics 1998 101: E12.
Brown PJ . Cultural perspectives on the etiology and treatment of obesity. 2nd edn. Raven Press: New York 1993.
Rosner B, Prineas R, Loggie J, Daniels SR . Percentiles for body mass index in US children 5 to 17 years of age J Pediatr 1998 132: 211–222.
Shear CL, Freeman DS, Burke GL, Harsha DW, Berenson GS . Body fat patterning and blood pressure in children and young adults. The Bogalusa Heart Study Hypertension 1987 9: 236–244.
Diehl AK, Stern MP . Special health problems of Mexican-Americans: obesity, gallbladder disease, diabetes mellitus, and cardiovascular disease Adv Intern Med 1989 34: 73–96.
Acknowledgements
The authors wish to thank the school board members, superintendents, school teachers, and nursing staff of the South San Antonio Independent School District (ISD), the Schertz-Cibolo-Universal City ISD, and the San Antonio ISD for their enthusiastic support for the project. We wish to thank all staff members of the San Antonio Triethnic Children's Blood Pressure Study for their dedication to the project.
This study was supported by grant MCH-480612 and MCH-480747 from the Maternal and Child Health Program (Title V, Social Security Act), Health Resources and Services Administration, Department of Health and Human Services.
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Park, M., Menard, S. & Schoolfield, J. Prevalence of overweight in a triethnic pediatric population of San Antonio, Texas. Int J Obes 25, 409–416 (2001). https://doi.org/10.1038/sj.ijo.0801550
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DOI: https://doi.org/10.1038/sj.ijo.0801550
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