Predictors of favorable growth patterns during the obesity epidemic among US school children

Research output: Contribution to journalArticlepeer-review


Objective. To report the prevalence of favorable growth patterns, including healthy weight maintenance (HWM) and return to healthy weight (RHW) among US school-age children. Methods. A longitudinal analysis of childhood growth patterns from the Early Childhood Longitudinal Study-Kindergarten Cohort was completed (n = 9416). The primary outcome included describing the prevalence of HWM/RHW patterns using consecutive child growth data from kindergarten to fifth grades. Multivariate logistic regression was used to explore predictors of HWM/RHW. Incidence of RHW is calculated by grade level. Results. Seventy percent (n = 6617) of children enter kindergarten at a healthy weight and approximately 70% maintained a healthy weight through fifth grade. Among overweight/obese kindergartners, only 17.1% outgrew their weight risk (RHW) by fifth grade. Conclusions. Fewer than 1 in 5 at-risk children outgrow their weight risk during school-age yet a majority of healthy weight children can maintain healthy weight during a critical growth period. Future work should explore additional socioecologic factors associated with favorable growth.

Original languageEnglish (US)
Pages (from-to)458-468
Number of pages11
JournalClinical pediatrics
Issue number5
StatePublished - May 9 2015


  • favorable growth
  • growth patterns
  • health disparities
  • healthy weight
  • obesity resilience
  • school-age

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health


Dive into the research topics of 'Predictors of favorable growth patterns during the obesity epidemic among US school children'. Together they form a unique fingerprint.

Cite this