Overweight among children and adolescents in a Native Canadian community: Prevalence and associated factors

Anthony J G Hanley, Stewart B. Harris, Joel Gittelsohn, Thomas M S Wolever, Brit Saksvig, Bernard Zinman

Research output: Contribution to journalArticle

Abstract

Background: The prevalence of pediatric obesity in North America is increasing. Native American children are at especially high risk. Objectives: The objective was to evaluate the prevalence of pediatric overweight and associated behavioral factors in a Native Canadian community with high rates of adult obesity and type 2 diabetes mellitus. Design: Height and weight were measured in 445 children and adolescents aged 2-19 y. Fitness level, television viewing, body image concepts, and dietary intake were assessed in 242 subjects aged 10-19 y. Overweight was defined as a body mass index ≥85th percentile value for age- and sex-specific reference data from the third National Health and Nutrition Examination Survey (NHANES III). Multiple logistic regression was used to examine factors associated with overweight, with adjustment for age and sex. Results: The overall prevalence of overweight in subjects aged 2-19 y was significantly higher than NHANES III reference data [boys: 27.7% (95% CI: 21.8, 34.5); girls: 33.7% (95% CI: 27.9, 40.1)]. In the subset aged 10-19 y, ≥5 h television viewing/d was associated with a significantly higher risk of overweight than was ≤2 h/d [odds ratio (OR) = 2.52; 95% CI: 1.06, 5.98]. Subjects in the third and fourth quartiles of fitness had a substantially lower risk of overweight than did those in the first quartile [third quartile compared with first quartile: OR = 0.24 (95% CI: 0.09, 0.66); fourth quartile compared with first quartile: OR = 0.13 (95% CI: 0.03, 0.48)]. Fiber consumption on the previous day was associated with a decreased risk of overweight (OR = 0.69; 95% CI: 0.47, 0.99 for each 0.77 g/MJ increase in fiber intake). Conclusions: Pediatric overweight is a harbinger of future diabetes risk and indicates a need for programs targeting primary prevention of obesity in children and adolescents.

Original languageEnglish (US)
Pages (from-to)693-700
Number of pages8
JournalAmerican Journal of Clinical Nutrition
Volume71
Issue number3
StatePublished - Mar 2000
Externally publishedYes

Fingerprint

childhood obesity
odds ratio
National Health and Nutrition Examination Survey
Nutrition Surveys
Pediatric Obesity
television
Odds Ratio
Television
dietary fiber
body image
American Indians
gender
risk reduction
Pediatrics
noninsulin-dependent diabetes mellitus
body mass index
diabetes
North American Indians
Body Image
food intake

Keywords

  • Adolescence
  • Children
  • Diet
  • Epidemiology
  • Native Canadians
  • North America
  • Obesity
  • Overweight
  • Physical activity

ASJC Scopus subject areas

  • Medicine (miscellaneous)
  • Food Science

Cite this

Overweight among children and adolescents in a Native Canadian community : Prevalence and associated factors. / Hanley, Anthony J G; Harris, Stewart B.; Gittelsohn, Joel; Wolever, Thomas M S; Saksvig, Brit; Zinman, Bernard.

In: American Journal of Clinical Nutrition, Vol. 71, No. 3, 03.2000, p. 693-700.

Research output: Contribution to journalArticle

Hanley, Anthony J G ; Harris, Stewart B. ; Gittelsohn, Joel ; Wolever, Thomas M S ; Saksvig, Brit ; Zinman, Bernard. / Overweight among children and adolescents in a Native Canadian community : Prevalence and associated factors. In: American Journal of Clinical Nutrition. 2000 ; Vol. 71, No. 3. pp. 693-700.
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abstract = "Background: The prevalence of pediatric obesity in North America is increasing. Native American children are at especially high risk. Objectives: The objective was to evaluate the prevalence of pediatric overweight and associated behavioral factors in a Native Canadian community with high rates of adult obesity and type 2 diabetes mellitus. Design: Height and weight were measured in 445 children and adolescents aged 2-19 y. Fitness level, television viewing, body image concepts, and dietary intake were assessed in 242 subjects aged 10-19 y. Overweight was defined as a body mass index ≥85th percentile value for age- and sex-specific reference data from the third National Health and Nutrition Examination Survey (NHANES III). Multiple logistic regression was used to examine factors associated with overweight, with adjustment for age and sex. Results: The overall prevalence of overweight in subjects aged 2-19 y was significantly higher than NHANES III reference data [boys: 27.7{\%} (95{\%} CI: 21.8, 34.5); girls: 33.7{\%} (95{\%} CI: 27.9, 40.1)]. In the subset aged 10-19 y, ≥5 h television viewing/d was associated with a significantly higher risk of overweight than was ≤2 h/d [odds ratio (OR) = 2.52; 95{\%} CI: 1.06, 5.98]. Subjects in the third and fourth quartiles of fitness had a substantially lower risk of overweight than did those in the first quartile [third quartile compared with first quartile: OR = 0.24 (95{\%} CI: 0.09, 0.66); fourth quartile compared with first quartile: OR = 0.13 (95{\%} CI: 0.03, 0.48)]. Fiber consumption on the previous day was associated with a decreased risk of overweight (OR = 0.69; 95{\%} CI: 0.47, 0.99 for each 0.77 g/MJ increase in fiber intake). Conclusions: Pediatric overweight is a harbinger of future diabetes risk and indicates a need for programs targeting primary prevention of obesity in children and adolescents.",
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AB - Background: The prevalence of pediatric obesity in North America is increasing. Native American children are at especially high risk. Objectives: The objective was to evaluate the prevalence of pediatric overweight and associated behavioral factors in a Native Canadian community with high rates of adult obesity and type 2 diabetes mellitus. Design: Height and weight were measured in 445 children and adolescents aged 2-19 y. Fitness level, television viewing, body image concepts, and dietary intake were assessed in 242 subjects aged 10-19 y. Overweight was defined as a body mass index ≥85th percentile value for age- and sex-specific reference data from the third National Health and Nutrition Examination Survey (NHANES III). Multiple logistic regression was used to examine factors associated with overweight, with adjustment for age and sex. Results: The overall prevalence of overweight in subjects aged 2-19 y was significantly higher than NHANES III reference data [boys: 27.7% (95% CI: 21.8, 34.5); girls: 33.7% (95% CI: 27.9, 40.1)]. In the subset aged 10-19 y, ≥5 h television viewing/d was associated with a significantly higher risk of overweight than was ≤2 h/d [odds ratio (OR) = 2.52; 95% CI: 1.06, 5.98]. Subjects in the third and fourth quartiles of fitness had a substantially lower risk of overweight than did those in the first quartile [third quartile compared with first quartile: OR = 0.24 (95% CI: 0.09, 0.66); fourth quartile compared with first quartile: OR = 0.13 (95% CI: 0.03, 0.48)]. Fiber consumption on the previous day was associated with a decreased risk of overweight (OR = 0.69; 95% CI: 0.47, 0.99 for each 0.77 g/MJ increase in fiber intake). Conclusions: Pediatric overweight is a harbinger of future diabetes risk and indicates a need for programs targeting primary prevention of obesity in children and adolescents.

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KW - North America

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