Trends of obesity and underweight in older children and adolescents in the United States, Brazil, China, and Russia
Background: Few studies have used the same references across countries to examine the trends of over- and underweight in older children and adolescents. Objective: Using international references, we examined the trends of overweight and underweight in young persons aged 6-18 y from 4 countries. Desi...
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Trends of obesity and underweight in older children and adolescents in the United States, Brazil, China, and Russia |
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Wang, Youfa Monteiro, Carlos Popkin, Barry M |
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Adolescent Adolescent Nutritional Physiological Phenomena adolescents Age Factors Biological and medical sciences Body Height - physiology Body Mass Index Body Weight - physiology Brazil - epidemiology Child Child Nutrition Disorders - epidemiology Child Nutritional Physiological Phenomena children Children & youth China - epidemiology Comparative studies Cross-Sectional Studies environmental factors Female Humans Income Male Medical sciences Metabolic diseases National Health and Nutrition Examination Survey Nutrition Disorders - epidemiology Nutrition Surveys Obesity Obesity - epidemiology Prevalence Rural Population - statistics & numerical data Russia - epidemiology Sex Factors Socioeconomic Factors underweight United States - epidemiology Urban Population - statistics & numerical data Weight |
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The American journal of clinical nutrition, 2002-06, Vol.75 (6), p.971-977 |
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Background: Few studies have used the same references across countries to examine the trends of over- and underweight in older children and adolescents. Objective: Using international references, we examined the trends of overweight and underweight in young persons aged 6-18 y from 4 countries. Design: Nationally representative data from Brazil (1975 and 1997), Russia (1992 and 1998), and the United States (1971-1974 and 1988-1994) and nationwide survey data from China (1991 and 1997) were used. To define overweight, we used the sex- and age-specific body mass index cutoffs recommended by the International Obesity Task Force. The sex- and age-specific body mass index fifth percentile from the first US National Health and Nutrition Examination Survey was used to define underweight. Results: The prevalence of overweight increased during the study periods in Brazil (from 4.1 to 13.9), China (from 6.4 to 7.7), and the United States (from 15.4 to 25.6); underweight decreased in Brazil (from 14.8 to 8.6), China (from 14.5 to 13.1), and the United States (from 5.1 to 3.3). In Russia, overweight decreased (from 15.6 to 9.0) and underweight increased (from 6.9 to 8.1). The annual rates of increase in the prevalence of overweight were 0.5% (Brazil), 0.2% (China), −1.1% (Russia), and 0.6% (United States). Conclusions: The burden of nutritional problems is shifting from energy imbalance deficiency to excess among older children and adolescents in Brazil and China. The variations across countries may relate to changes and differences in key environmental factors. |
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Objective: Using international references, we examined the trends of overweight and underweight in young persons aged 6-18 y from 4 countries. Design: Nationally representative data from Brazil (1975 and 1997), Russia (1992 and 1998), and the United States (1971-1974 and 1988-1994) and nationwide survey data from China (1991 and 1997) were used. To define overweight, we used the sex- and age-specific body mass index cutoffs recommended by the International Obesity Task Force. The sex- and age-specific body mass index fifth percentile from the first US National Health and Nutrition Examination Survey was used to define underweight. Results: The prevalence of overweight increased during the study periods in Brazil (from 4.1 to 13.9), China (from 6.4 to 7.7), and the United States (from 15.4 to 25.6); underweight decreased in Brazil (from 14.8 to 8.6), China (from 14.5 to 13.1), and the United States (from 5.1 to 3.3). In Russia, overweight decreased (from 15.6 to 9.0) and underweight increased (from 6.9 to 8.1). The annual rates of increase in the prevalence of overweight were 0.5% (Brazil), 0.2% (China), −1.1% (Russia), and 0.6% (United States). Conclusions: The burden of nutritional problems is shifting from energy imbalance deficiency to excess among older children and adolescents in Brazil and China. The variations across countries may relate to changes and differences in key environmental factors.</description><identifier>ISSN: 0002-9165</identifier><identifier>EISSN: 1938-3207</identifier><identifier>DOI: 10.1093/ajcn/75.6.971</identifier><identifier>PMID: 12036801</identifier><identifier>CODEN: AJCNAC</identifier><language>eng</language><publisher>Bethesda, MD: American Society for Clinical Nutrition</publisher><subject>Adolescent ; Adolescent Nutritional Physiological Phenomena ; adolescents ; Age Factors ; Biological and medical sciences ; Body Height - physiology ; Body Mass Index ; Body Weight - physiology ; Brazil - epidemiology ; Child ; Child Nutrition Disorders - epidemiology ; Child Nutritional Physiological Phenomena ; children ; Children & youth ; China - epidemiology ; Comparative studies ; Cross-Sectional Studies ; environmental factors ; Female ; Humans ; Income ; Male ; Medical sciences ; Metabolic diseases ; National Health and Nutrition Examination Survey ; Nutrition Disorders - epidemiology ; Nutrition Surveys ; Obesity ; Obesity - epidemiology ; Prevalence ; Rural Population - statistics & numerical data ; Russia - epidemiology ; Sex Factors ; Socioeconomic Factors ; underweight ; United States - epidemiology ; Urban Population - statistics & numerical data ; Weight</subject><ispartof>The American journal of clinical nutrition, 2002-06, Vol.75 (6), p.971-977</ispartof><rights>2002 INIST-CNRS</rights><rights>Copyright American Society for Clinical Nutrition, Inc. 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Objective: Using international references, we examined the trends of overweight and underweight in young persons aged 6-18 y from 4 countries. Design: Nationally representative data from Brazil (1975 and 1997), Russia (1992 and 1998), and the United States (1971-1974 and 1988-1994) and nationwide survey data from China (1991 and 1997) were used. To define overweight, we used the sex- and age-specific body mass index cutoffs recommended by the International Obesity Task Force. The sex- and age-specific body mass index fifth percentile from the first US National Health and Nutrition Examination Survey was used to define underweight. Results: The prevalence of overweight increased during the study periods in Brazil (from 4.1 to 13.9), China (from 6.4 to 7.7), and the United States (from 15.4 to 25.6); underweight decreased in Brazil (from 14.8 to 8.6), China (from 14.5 to 13.1), and the United States (from 5.1 to 3.3). In Russia, overweight decreased (from 15.6 to 9.0) and underweight increased (from 6.9 to 8.1). The annual rates of increase in the prevalence of overweight were 0.5% (Brazil), 0.2% (China), −1.1% (Russia), and 0.6% (United States). Conclusions: The burden of nutritional problems is shifting from energy imbalance deficiency to excess among older children and adolescents in Brazil and China. The variations across countries may relate to changes and differences in key environmental factors.</description><subject>Adolescent</subject><subject>Adolescent Nutritional Physiological Phenomena</subject><subject>adolescents</subject><subject>Age Factors</subject><subject>Biological and medical sciences</subject><subject>Body Height - physiology</subject><subject>Body Mass Index</subject><subject>Body Weight - physiology</subject><subject>Brazil - epidemiology</subject><subject>Child</subject><subject>Child Nutrition Disorders - epidemiology</subject><subject>Child Nutritional Physiological Phenomena</subject><subject>children</subject><subject>Children & youth</subject><subject>China - epidemiology</subject><subject>Comparative studies</subject><subject>Cross-Sectional Studies</subject><subject>environmental factors</subject><subject>Female</subject><subject>Humans</subject><subject>Income</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Metabolic diseases</subject><subject>National Health and Nutrition Examination Survey</subject><subject>Nutrition Disorders - epidemiology</subject><subject>Nutrition Surveys</subject><subject>Obesity</subject><subject>Obesity - epidemiology</subject><subject>Prevalence</subject><subject>Rural Population - statistics & numerical data</subject><subject>Russia - epidemiology</subject><subject>Sex Factors</subject><subject>Socioeconomic Factors</subject><subject>underweight</subject><subject>United States - epidemiology</subject><subject>Urban Population - statistics & numerical data</subject><subject>Weight</subject><issn>0002-9165</issn><issn>1938-3207</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2002</creationdate><recordtype>article</recordtype><recordid>eNqF0cFrFDEUBvAgil2rR68aBD3tbF-SmUxy1KVVoSDY7jlkkjfdLLOZmswg9a83210oePEUQn75yMtHyFsGKwZaXNidixdts5Ir3bJnZMG0UJXg0D4nCwDglWayOSOvct4BMF4r-ZKcMQ5CKmALkm8TRp_p2NOxwxymB2qjp3P0mH5juNtONEQ6DmVL3TYMvvBHYf04YHYYp3wQ0xbpJoYJPb2Z7IR5Sb8k-ycMS7rehmiXj5d-zjkH-5q86O2Q8c1pPSebq8vb9bfq-sfX7-vP15Wra5gqBU6wrnVOg6-xBqWZQCeUENJq1XkNjRAOETvJG_DOMgmyZ0qyVrHOS3FOPh1z79P4a8Y8mX0oLx4GG3Gcs2lZy2ut4L-QqVrUJbjAD__A3TinWIYwXBx-HjgvqDoil8acE_bmPoW9TQ-GgTl0Zg6dmbYx0pTOin93Cp27PfonfSqpgI8nYLOzQ59sdCE_OSG1YvVhjPdH19vR2LtUzOaGQzkCkLwVQvwFvO-nNw</recordid><startdate>20020601</startdate><enddate>20020601</enddate><creator>Wang, Youfa</creator><creator>Monteiro, Carlos</creator><creator>Popkin, Barry M</creator><general>American Society for Clinical Nutrition</general><general>American Society for Clinical Nutrition, Inc</general><scope>FBQ</scope><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7QP</scope><scope>7T7</scope><scope>7TS</scope><scope>8FD</scope><scope>C1K</scope><scope>FR3</scope><scope>K9.</scope><scope>NAPCQ</scope><scope>P64</scope><scope>7X8</scope></search><sort><creationdate>20020601</creationdate><title>Trends of obesity and underweight in older children and adolescents in the United States, Brazil, China, and Russia</title><author>Wang, Youfa ; Monteiro, Carlos ; Popkin, Barry M</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c440t-80c31b7cc90d4e408913ec38336a98bd90533ceeeb6250dca1606f1861781bd63</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2002</creationdate><topic>Adolescent</topic><topic>Adolescent Nutritional Physiological Phenomena</topic><topic>adolescents</topic><topic>Age Factors</topic><topic>Biological and medical sciences</topic><topic>Body Height - physiology</topic><topic>Body Mass Index</topic><topic>Body Weight - physiology</topic><topic>Brazil - epidemiology</topic><topic>Child</topic><topic>Child Nutrition Disorders - epidemiology</topic><topic>Child Nutritional Physiological Phenomena</topic><topic>children</topic><topic>Children & youth</topic><topic>China - epidemiology</topic><topic>Comparative studies</topic><topic>Cross-Sectional Studies</topic><topic>environmental factors</topic><topic>Female</topic><topic>Humans</topic><topic>Income</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Metabolic diseases</topic><topic>National Health and Nutrition Examination Survey</topic><topic>Nutrition Disorders - epidemiology</topic><topic>Nutrition Surveys</topic><topic>Obesity</topic><topic>Obesity - epidemiology</topic><topic>Prevalence</topic><topic>Rural Population - statistics & numerical data</topic><topic>Russia - epidemiology</topic><topic>Sex Factors</topic><topic>Socioeconomic Factors</topic><topic>underweight</topic><topic>United States - epidemiology</topic><topic>Urban Population - statistics & numerical data</topic><topic>Weight</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Wang, Youfa</creatorcontrib><creatorcontrib>Monteiro, Carlos</creatorcontrib><creatorcontrib>Popkin, Barry M</creatorcontrib><collection>AGRIS</collection><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Calcium & Calcified Tissue Abstracts</collection><collection>Industrial and Applied Microbiology Abstracts (Microbiology A)</collection><collection>Physical Education Index</collection><collection>Technology Research Database</collection><collection>Environmental Sciences and Pollution Management</collection><collection>Engineering Research Database</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Premium</collection><collection>Biotechnology and BioEngineering Abstracts</collection><collection>MEDLINE - Academic</collection><jtitle>The American journal of clinical nutrition</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Wang, Youfa</au><au>Monteiro, Carlos</au><au>Popkin, Barry M</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Trends of obesity and underweight in older children and adolescents in the United States, Brazil, China, and Russia</atitle><jtitle>The American journal of clinical nutrition</jtitle><addtitle>Am J Clin Nutr</addtitle><date>2002-06-01</date><risdate>2002</risdate><volume>75</volume><issue>6</issue><spage>971</spage><epage>977</epage><pages>971-977</pages><issn>0002-9165</issn><eissn>1938-3207</eissn><coden>AJCNAC</coden><notes>http://www.ajcn.org/content/75/6.toc</notes><notes>ObjectType-Article-2</notes><notes>SourceType-Scholarly Journals-1</notes><notes>ObjectType-Feature-1</notes><notes>content type line 23</notes><notes>ObjectType-Article-1</notes><notes>ObjectType-Feature-2</notes><abstract>Background: Few studies have used the same references across countries to examine the trends of over- and underweight in older children and adolescents. Objective: Using international references, we examined the trends of overweight and underweight in young persons aged 6-18 y from 4 countries. Design: Nationally representative data from Brazil (1975 and 1997), Russia (1992 and 1998), and the United States (1971-1974 and 1988-1994) and nationwide survey data from China (1991 and 1997) were used. To define overweight, we used the sex- and age-specific body mass index cutoffs recommended by the International Obesity Task Force. The sex- and age-specific body mass index fifth percentile from the first US National Health and Nutrition Examination Survey was used to define underweight. Results: The prevalence of overweight increased during the study periods in Brazil (from 4.1 to 13.9), China (from 6.4 to 7.7), and the United States (from 15.4 to 25.6); underweight decreased in Brazil (from 14.8 to 8.6), China (from 14.5 to 13.1), and the United States (from 5.1 to 3.3). In Russia, overweight decreased (from 15.6 to 9.0) and underweight increased (from 6.9 to 8.1). The annual rates of increase in the prevalence of overweight were 0.5% (Brazil), 0.2% (China), −1.1% (Russia), and 0.6% (United States). Conclusions: The burden of nutritional problems is shifting from energy imbalance deficiency to excess among older children and adolescents in Brazil and China. The variations across countries may relate to changes and differences in key environmental factors.</abstract><cop>Bethesda, MD</cop><pub>American Society for Clinical Nutrition</pub><pmid>12036801</pmid><doi>10.1093/ajcn/75.6.971</doi><oa>free_for_read</oa></addata></record> |