Obesity disparities among elementary-aged children: Data from school-based BMI surveillance

Lisa Bailey-Davis, Michael Horst, Marianne M. Hillemeier, Alison Lauter

Research output: Contribution to journalArticle

18 Citations (Scopus)

Abstract

OBJECTIVES: To examine 3-year trends and spatial clustering in the prevalence of obesity among elementary-aged children in Pennsylvania. METHODS: Height and weight were measured for ∼980 000 children between ages 5 and 12 years, corresponding to kindergarten through grade 6 in 3 consecutive school years (2006-2007, 2007-2008, 2008-2009). These data were obtained at the school district level and reported to the Pennsylvania Department of Health in response to a state mandate requiring public schools to conduct annual surveillance of student growth. Analyses at the school district level (n = 501) regarding obesity prevalence (BMI ≥ 95th percentile) according to age and gender were conducted to examine associations over time and in relation to population density, geographic boundaries, and a calculated family distress index. RESULTS: The mean prevalence of obesity remained stable over 3 years at ∼17.6% of elementary-aged children. However, within the state, significant differences in the prevalence of obesity were identified. Schools in the most rural areas had adjusted obesity prevalence over 2 percentage points higher than urban schools. Consistent with secular findings for the nation in general, students with families living in socioeconomic distress exhibited upward trends in obesity risk. CONCLUSIONS: School-based surveillance elucidates the disparate risk of obesity for younger students living in the most rural areas, a key finding for primarily rural states. Preventive interventions are needed to reach the most rural children with an emphasis on families where parents are single, are unemployed, have a lower income, and lower educational attainment.

Original languageEnglish (US)
Pages (from-to)1102-1109
Number of pages8
JournalPediatrics
Volume130
Issue number6
DOIs
StatePublished - Dec 1 2012

Fingerprint

Obesity
Students
Single-Parent Family
Population Density
Cluster Analysis
Weights and Measures
Health
Growth

All Science Journal Classification (ASJC) codes

  • Pediatrics, Perinatology, and Child Health

Cite this

Bailey-Davis, Lisa ; Horst, Michael ; Hillemeier, Marianne M. ; Lauter, Alison. / Obesity disparities among elementary-aged children : Data from school-based BMI surveillance. In: Pediatrics. 2012 ; Vol. 130, No. 6. pp. 1102-1109.
@article{90c6fc44ad96456d9ff2f9f34e6369f8,
title = "Obesity disparities among elementary-aged children: Data from school-based BMI surveillance",
abstract = "OBJECTIVES: To examine 3-year trends and spatial clustering in the prevalence of obesity among elementary-aged children in Pennsylvania. METHODS: Height and weight were measured for ∼980 000 children between ages 5 and 12 years, corresponding to kindergarten through grade 6 in 3 consecutive school years (2006-2007, 2007-2008, 2008-2009). These data were obtained at the school district level and reported to the Pennsylvania Department of Health in response to a state mandate requiring public schools to conduct annual surveillance of student growth. Analyses at the school district level (n = 501) regarding obesity prevalence (BMI ≥ 95th percentile) according to age and gender were conducted to examine associations over time and in relation to population density, geographic boundaries, and a calculated family distress index. RESULTS: The mean prevalence of obesity remained stable over 3 years at ∼17.6{\%} of elementary-aged children. However, within the state, significant differences in the prevalence of obesity were identified. Schools in the most rural areas had adjusted obesity prevalence over 2 percentage points higher than urban schools. Consistent with secular findings for the nation in general, students with families living in socioeconomic distress exhibited upward trends in obesity risk. CONCLUSIONS: School-based surveillance elucidates the disparate risk of obesity for younger students living in the most rural areas, a key finding for primarily rural states. Preventive interventions are needed to reach the most rural children with an emphasis on families where parents are single, are unemployed, have a lower income, and lower educational attainment.",
author = "Lisa Bailey-Davis and Michael Horst and Hillemeier, {Marianne M.} and Alison Lauter",
year = "2012",
month = "12",
day = "1",
doi = "10.1542/peds.2012-0192",
language = "English (US)",
volume = "130",
pages = "1102--1109",
journal = "Pediatrics",
issn = "0031-4005",
publisher = "American Academy of Pediatrics",
number = "6",

}

Bailey-Davis, L, Horst, M, Hillemeier, MM & Lauter, A 2012, 'Obesity disparities among elementary-aged children: Data from school-based BMI surveillance', Pediatrics, vol. 130, no. 6, pp. 1102-1109. https://doi.org/10.1542/peds.2012-0192

Obesity disparities among elementary-aged children : Data from school-based BMI surveillance. / Bailey-Davis, Lisa; Horst, Michael; Hillemeier, Marianne M.; Lauter, Alison.

In: Pediatrics, Vol. 130, No. 6, 01.12.2012, p. 1102-1109.

Research output: Contribution to journalArticle

TY - JOUR

T1 - Obesity disparities among elementary-aged children

T2 - Data from school-based BMI surveillance

AU - Bailey-Davis, Lisa

AU - Horst, Michael

AU - Hillemeier, Marianne M.

AU - Lauter, Alison

PY - 2012/12/1

Y1 - 2012/12/1

N2 - OBJECTIVES: To examine 3-year trends and spatial clustering in the prevalence of obesity among elementary-aged children in Pennsylvania. METHODS: Height and weight were measured for ∼980 000 children between ages 5 and 12 years, corresponding to kindergarten through grade 6 in 3 consecutive school years (2006-2007, 2007-2008, 2008-2009). These data were obtained at the school district level and reported to the Pennsylvania Department of Health in response to a state mandate requiring public schools to conduct annual surveillance of student growth. Analyses at the school district level (n = 501) regarding obesity prevalence (BMI ≥ 95th percentile) according to age and gender were conducted to examine associations over time and in relation to population density, geographic boundaries, and a calculated family distress index. RESULTS: The mean prevalence of obesity remained stable over 3 years at ∼17.6% of elementary-aged children. However, within the state, significant differences in the prevalence of obesity were identified. Schools in the most rural areas had adjusted obesity prevalence over 2 percentage points higher than urban schools. Consistent with secular findings for the nation in general, students with families living in socioeconomic distress exhibited upward trends in obesity risk. CONCLUSIONS: School-based surveillance elucidates the disparate risk of obesity for younger students living in the most rural areas, a key finding for primarily rural states. Preventive interventions are needed to reach the most rural children with an emphasis on families where parents are single, are unemployed, have a lower income, and lower educational attainment.

AB - OBJECTIVES: To examine 3-year trends and spatial clustering in the prevalence of obesity among elementary-aged children in Pennsylvania. METHODS: Height and weight were measured for ∼980 000 children between ages 5 and 12 years, corresponding to kindergarten through grade 6 in 3 consecutive school years (2006-2007, 2007-2008, 2008-2009). These data were obtained at the school district level and reported to the Pennsylvania Department of Health in response to a state mandate requiring public schools to conduct annual surveillance of student growth. Analyses at the school district level (n = 501) regarding obesity prevalence (BMI ≥ 95th percentile) according to age and gender were conducted to examine associations over time and in relation to population density, geographic boundaries, and a calculated family distress index. RESULTS: The mean prevalence of obesity remained stable over 3 years at ∼17.6% of elementary-aged children. However, within the state, significant differences in the prevalence of obesity were identified. Schools in the most rural areas had adjusted obesity prevalence over 2 percentage points higher than urban schools. Consistent with secular findings for the nation in general, students with families living in socioeconomic distress exhibited upward trends in obesity risk. CONCLUSIONS: School-based surveillance elucidates the disparate risk of obesity for younger students living in the most rural areas, a key finding for primarily rural states. Preventive interventions are needed to reach the most rural children with an emphasis on families where parents are single, are unemployed, have a lower income, and lower educational attainment.

UR - http://www.scopus.com/inward/record.url?scp=84870495162&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84870495162&partnerID=8YFLogxK

U2 - 10.1542/peds.2012-0192

DO - 10.1542/peds.2012-0192

M3 - Article

C2 - 23147975

AN - SCOPUS:84870495162

VL - 130

SP - 1102

EP - 1109

JO - Pediatrics

JF - Pediatrics

SN - 0031-4005

IS - 6

ER -