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Prevalence of High Weight Status in Children Under 2 Years in NHANES and Statewide Electronic Health Records Data in North Carolina and South Carolina.

Publication ,  Journal Article
Brown, CL; Skinner, AC; Steiner, MJ; Truong, T; Green, CL; Wood, CT
Published in: Acad Pediatr
2022

OBJECTIVES: We evaluated the prevalence of high weight status in children ages 0 to 24 months (m) using data from electronic health records (EHR) and NHANES. We also examined relationships between weight status during infancy and obesity at 24 months of age. METHODS: EHR data from 4 institutions in North and South Carolina included patients born January 1, 2013-October 10, 2017 (N = 147,290). NHANES data included study waves from 1999 to 2018 (unweighted N = 5121). We calculated weight-for-length (WFL), weight-for-age (WFA), and body mass index (BMI), excluding implausible values, and categorized weight status (<85th, 85th to <95th, or ≥95th percentile), assessing prevalence at birth, 6, 12, 18, and 24 months. Utilizing individual, longitudinal EHR data, we used separate regression models to assess obesity risk at 24 months based on anthropometrics at birth, 6, 12, and 18 months, adjusting for sex, race/ethnicity, insurance, and health system. RESULTS: Prevalence of BMI ≥95th percentile in EHR data at 6, 12, 18, and 24 months were 9.7%, 15.7%, 19.6%, and 20.5%, respectively. With NHANES the prevalence was 11.6%, 15.0%, 16.0%, and 8.4%. For both, the prevalence of high weight status was higher in Hispanic children. In EHR data, high weight status at 6, 12, and 18 months was associated with obesity at 24 months, with stronger associations as BMI category increased and as age increased. CONCLUSIONS: High weight status is common in infants and young children, although lower at 24 months in NHANES than EHR data. In EHR data, high BMI at 6, 12, and 18 months was associated with increased risk of obesity at 24 months.

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Published In

Acad Pediatr

DOI

EISSN

1876-2867

Publication Date

2022

Volume

22

Issue

8

Start / End Page

1353 / 1359

Location

United States

Related Subject Headings

  • South Carolina
  • Prevalence
  • Pediatrics
  • Overweight
  • Obesity
  • Nutrition Surveys
  • North Carolina
  • Infant, Newborn
  • Infant
  • Humans
 

Citation

APA
Chicago
ICMJE
MLA
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Brown, C. L., Skinner, A. C., Steiner, M. J., Truong, T., Green, C. L., & Wood, C. T. (2022). Prevalence of High Weight Status in Children Under 2 Years in NHANES and Statewide Electronic Health Records Data in North Carolina and South Carolina. Acad Pediatr, 22(8), 1353–1359. https://doi.org/10.1016/j.acap.2022.03.014
Brown, Callie L., Asheley C. Skinner, Michael J. Steiner, Tracy Truong, Cynthia L. Green, and Charles T. Wood. “Prevalence of High Weight Status in Children Under 2 Years in NHANES and Statewide Electronic Health Records Data in North Carolina and South Carolina.Acad Pediatr 22, no. 8 (2022): 1353–59. https://doi.org/10.1016/j.acap.2022.03.014.
Brown, Callie L., et al. “Prevalence of High Weight Status in Children Under 2 Years in NHANES and Statewide Electronic Health Records Data in North Carolina and South Carolina.Acad Pediatr, vol. 22, no. 8, 2022, pp. 1353–59. Pubmed, doi:10.1016/j.acap.2022.03.014.
Brown CL, Skinner AC, Steiner MJ, Truong T, Green CL, Wood CT. Prevalence of High Weight Status in Children Under 2 Years in NHANES and Statewide Electronic Health Records Data in North Carolina and South Carolina. Acad Pediatr. 2022;22(8):1353–1359.
Journal cover image

Published In

Acad Pediatr

DOI

EISSN

1876-2867

Publication Date

2022

Volume

22

Issue

8

Start / End Page

1353 / 1359

Location

United States

Related Subject Headings

  • South Carolina
  • Prevalence
  • Pediatrics
  • Overweight
  • Obesity
  • Nutrition Surveys
  • North Carolina
  • Infant, Newborn
  • Infant
  • Humans