Trends in Prevalence of Obesity and Overweight among Children Enrolled in the New York State WIC Program,2002

Abstract

Objectives.

We examined recent overweight and obesity trends in a multiethnic population of low-income preschool children.

Methods.

We defined overweight as sex-specific body mass index (BMI)-for-age ≥85th and <95th percentile and obesity as sex-specific BMI-for-age ≥95th percentile, and calculated them using demographic data and randomly selected height and weight measurements that were recorded while 2- to <5-year-old children were enrolled in the New York State (NYS) Special Supplemental Nutrition Program for Women, Infants, and Children (WIC) during 2002–2007.

Results.

Obesity prevalence peaked at 16.7% in 2003, declined from 2003 through 2005, and stabilized at 14.7% through 2007. Among both boys and girls, the downward trend in annual prevalence of obesity was evident only among Hispanic children (22.8% boys and 20.9% girls in 2002 vs. 19.3% boys and 17.5% girls in 2007) and non-Hispanic black children (15.6% boys and 14.2% girls in 2002 vs. 13.6% boys and 12.4% girls in 2007). In contrast, the annual prevalence estimate for overweight showed an increasing trend from 2002 through 2007.

Conclusions.

These results showed a slight decline in prevalence of childhood obesity and a continuing rise in prevalence of childhood overweight among children enrolled in the NYS WIC program during 2002–2007. Future research should investigate the extent to which the slight decline in childhood obesity prevalence may be attributable to population-based and high-risk obesity prevention efforts in NYS.

References

Freedman

Khan

Serdula

Ogden

Dietz

. Racial and ethnic differences in secular trends for childhood BMI, weight, and height. Obesity (Silver Spring) 2006;14:301–8.

Ogden

Carroll

Flegal

. High body mass index for age among US children and adolescents, 2003–2006. JAMA 2008;299:2401–5.

Ogden

Yanovski

Carroll

Flegal

. The epidemiology of obesity. Gastroenterology 2007;132:2087–102.

Kelly

Yang

Chen

Reynolds

. Global burden of obesity in 2005 and projections to 2030. Int J Obes (Lond) 2008;32:1431–7.

Dietz

. Health consequences of obesity in youth: Childhood predictors of adult disease. Pediatrics 1998;101(3 Pt 2):518–25.

Schwimmer

Burwinkle

Varni

. Health-related quality of life of severely obese children and adolescents. JAMA 2003;289:1813–9.

Williams

Wake

Hesketh

Maher

Waters

. Health-related quality of life of overweight and obese children. JAMA 2005;293: 70–6.

Wang

Beydoun

. The obesity epidemic in the United States—gender, age, socioeconomic, racial/ethnic, and geographic characteristics: A systematic review and meta-regression analysis. Epidemiol Rev 2007;29:6–28.

Wang

Zhang

. Are American children and adolescents of low socioeconomic status at increased risk of obesity? Changes in the association between overweight and family income between 1971 and 2002. Am J Clin Nutr 2006;84:707–16.

10.

Sherry

Mei

Scanlon

Mokdad

Grummer-Strawn

. Trends in state-specific prevalence of overweight and underweight in 2- through 4-year-old children from low-income families from 1989 through 2000. Arch Pediatr Adolesc Med 2004;158:1116–24.

11.

Strauss

Knight

. Influence of the home environment on the development of obesity in children. Pediatrics 1999;103:e85.

12.

Kimbro

Brooks-Gunn

McLanahan

. Racial and ethnic differentials in overweight and obesity among 3-year-old children. Am J Public Health 2007;97:298–305.

13.

Kumanyika

Grier

. Targeting interventions for ethnic minority and low-income populations. Future Child 2006;16:187–207.

14.

Freedman

Ogden

Flegal

Khan

Serdula

Dietz

. Childhood overweight and family income. MedGenMed 2007;9:26.

15.

Anderson

Butcher

. Childhood obesity: Trends and potential causes. Future Child 2006;16:19–45.

16.

Hill

Peters

. Environmental contributions to the obesity epidemic. Science 1998;280:1371–4.

17.

Drewnowski

. Obesity and the food environment: Dietary energy density and diet costs. Am J Prev Med 2004;27(3 Suppl):154–62.

18.

Bluford

Sherry

Scanlon

. Interventions to prevent or treat obesity in preschool children: A review of evaluated programs. Obesity (Silver Spring) 2007;15:1356–72.

19.

Story

Kaphingst

French

. The role of child care settings in obesity prevention. Future Child 2006;16:143–68.

20.

Institute of Medicine. WIC food packages: Time for a change. Washington: National Academies Press; 2005.

21.

New York State Department of Health. New York State strategic plan for overweight and obesity prevention. Revised 2008 [cited 2008 Aug 8]. Available from: URL: http://www.health.state.ny.us/prevention/obesity/strategic_plan

22.

Jesaitis

Race

. Eat Well Play Hard—New York State's initiative to prevent childhood obesity. Pediatr Nutr 2000;23:11–3.

23.

Edmunds

Woelfel

Dennison

Stratton

Pruzek

Abusabha

. Overweight trends among children enrolled in the New York State Special Supplemental Nutrition Program for Women, Infants, and Children. J Am Diet Assoc 2006;106:113–7.

24.

Hedley

Ogden

Johnson

Carroll

Curtin

Flegal

. Prevalence of overweight and obesity among US children, adolescents, and adults, 1999–2002. JAMA 2004;291:2847–50.

25.

Centers for Disease Control and Prevention (US). Pediatric and Pregnancy Nutrition Surveillance System [cited 2008 Aug 5]. Available from: URL: http://www.cdc.gov/pednss

26.

Mei

Grummer-Strawn

Pietrobelli

Goulding

Goran

Dietz

. Validity of body mass index compared with other body-composition screening indexes for the assessment of body fatness in children and adolescents. Am J Clin Nutr 2002;75:978–85.

27.

Kuczmarski

Ogden

Guo

Gummer-Strawn

Flegal

Mei

. 2000 CDC growth charts for the United States: Methods and development. Vital Health Stat 11 2002(246).

28.

Polhamus

Dalenius

Borland

Smith

Grummer-Strawn

. Pediatric nutrition surveillance report 2006. Atlanta: CDC (US); 2007.

29.

Barlow

; the Expert Committee. Expert Committee recommendations regarding the prevention, assessment, and treatment of child and adolescent overweight and obesity: Summary report. Pediatrics 2007;120:S164–92.

30.

Barlow

Dietz

. Obesity evaluation and treatment: Expert Committee recommendations. Pediatrics 1998;102:E29.

31.

SAS Institute, Inc. SAS®: Version 9.1.3. Cary (NC): SAS Institute, Inc.; 2004.

32.

CDC (US). How to read a data table [cited 2008 Aug 5]. Available from: URL: http://www.cdc.gov/pednss/how_to/read_a_data_table/index.htm

33.

CDC (US). An SAS program for the CDC growth charts [cited 2008 Aug 5]. Available from: URL: http://www.cdc.gov/nccdphp/dnpa/growthcharts/resources/sas.htm

34.

New York State Department of Health. Vital statistics of New York State 2006: Table 1: Estimated population by age, sex and region, New York State—2006 [cited 2008 Jul 28]. Available from: URL: http://www.health.state.ny.us/nysdoh/vital_statistics/2006/table01.htm

35.

Ogden

Flegal

Carroll

Johnson

. Prevalence and trends in overweight among US children and adolescents, 1999–2000. JAMA 2002;288:1728–32.

36.

Thorpe

List

Marx

May

Helgerson

Frieden

. Childhood obesity in New York City elementary school students. Am J Public Health 2004;94:1496–1500.

37.

Nelson

Carpenter

Chiasson

. Diet, activity, and overweight among preschool-age children enrolled in the Special Supplemental Nutrition Program for Women, Infants, and Children (WIC). Prev Chronic Dis 2006;3:A49.

38.

CDC (US). Pediatric data tables: Table 12: 2007 Pediatric Nutrition Surveillance Summary: Summary of trends in growth and anemia indicators [cited 2008 Aug 27]. Available from: URL: http://www.cdc.gov/pednss/pednss_tables/tables_numeric.htm

39.

Stettler

. The global epidemic of childhood obesity: Is there a role for the paediatrician? Obes Rev 2004;5:91–2.

40.

Krebs

Jacobson

; American Academy of Pediatrics Committee on Nutrition. Prevention of pediatric overweight and obesity. Pediatrics 2003;112:424–30.

Trends in Prevalence of Obesity and Overweight among Children Enrolled in the New York State WIC Program,2002–2007

Abstract

Objectives.

Methods.

Results.

Conclusions.

References