Skip to main content
Journal cover image

State disparities in time trends of adolescent body mass index percentile and weight-related behaviors in the United States.

Publication ,  Journal Article
Taber, DR; Stevens, J; Poole, C; Maciejewski, ML; Evenson, KR; Ward, DS
Published in: J Community Health
February 2012

Evidence is conflicting as to whether youth obesity prevalence has reached a plateau in the United States overall. Trends vary by state, and experts recommend exploring whether trends in weight-related behaviors are associated with changes in weight status trends. Thus, our objective was to estimate between-state variation in time trends of adolescent body mass index (BMI) percentile and weight-related behaviors from 2001 to 2007. A time series design combined cross-sectional Youth Risk Behavior Survey data from 272,044 adolescents in 29 states from 2001 to 2007. Self-reported height, weight, sports participation, physical education, television viewing, and daily consumption of 100% fruit juice, milk, and fruits and vegetables were collected. Linear mixed models estimated state variance in time trends of behaviors and BMI percentile. Across states, BMI percentile trends were consistent despite differences in behavioral trends. Boys experienced a modest linear increase in BMI percentile (ß = 0.18, 95% CI: 0.07, 0.30); girls experienced a non-linear increase, as the rate of increase declined over time from 1.02 units in 2001-2002 (95% CI: 0.68, 1.36) to 0.23 units in 2006-2007 (95% CI: -0.09, 0.56). States in which BMI percentile decreased experienced a greater decrease in TV viewing than states where BMI percentile increased. Otherwise, states with disparate BMI percentile trends did not differ with respect to behaviors. Future research should explore the role of other behaviors (e.g., soda consumption), measurement units (e.g., portion size), and societal trends (e.g., urban sprawl) on state and national adiposity trends.

Duke Scholars

Altmetric Attention Stats
Dimensions Citation Stats

Published In

J Community Health

DOI

EISSN

1573-3610

Publication Date

February 2012

Volume

37

Issue

1

Start / End Page

242 / 252

Location

Netherlands

Related Subject Headings

  • Young Adult
  • United States
  • Time Factors
  • Risk-Taking
  • Risk Factors
  • Public Health
  • Obesity
  • Male
  • Humans
  • Health Status Disparities
 

Citation

APA
Chicago
ICMJE
MLA
NLM
Taber, D. R., Stevens, J., Poole, C., Maciejewski, M. L., Evenson, K. R., & Ward, D. S. (2012). State disparities in time trends of adolescent body mass index percentile and weight-related behaviors in the United States. J Community Health, 37(1), 242–252. https://doi.org/10.1007/s10900-011-9442-y
Taber, Daniel R., June Stevens, Charles Poole, Matthew L. Maciejewski, Kelly R. Evenson, and Dianne S. Ward. “State disparities in time trends of adolescent body mass index percentile and weight-related behaviors in the United States.J Community Health 37, no. 1 (February 2012): 242–52. https://doi.org/10.1007/s10900-011-9442-y.
Taber DR, Stevens J, Poole C, Maciejewski ML, Evenson KR, Ward DS. State disparities in time trends of adolescent body mass index percentile and weight-related behaviors in the United States. J Community Health. 2012 Feb;37(1):242–52.
Taber, Daniel R., et al. “State disparities in time trends of adolescent body mass index percentile and weight-related behaviors in the United States.J Community Health, vol. 37, no. 1, Feb. 2012, pp. 242–52. Pubmed, doi:10.1007/s10900-011-9442-y.
Taber DR, Stevens J, Poole C, Maciejewski ML, Evenson KR, Ward DS. State disparities in time trends of adolescent body mass index percentile and weight-related behaviors in the United States. J Community Health. 2012 Feb;37(1):242–252.
Journal cover image

Published In

J Community Health

DOI

EISSN

1573-3610

Publication Date

February 2012

Volume

37

Issue

1

Start / End Page

242 / 252

Location

Netherlands

Related Subject Headings

  • Young Adult
  • United States
  • Time Factors
  • Risk-Taking
  • Risk Factors
  • Public Health
  • Obesity
  • Male
  • Humans
  • Health Status Disparities