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Disparities in Early Transitions to Obesity in Contemporary Multi-Ethnic U.S. Populations.

Publication ,  Journal Article
Avery, CL; Holliday, KM; Chakladar, S; Engeda, JC; Hardy, ST; Reis, JP; Schreiner, PJ; Shay, CM; Daviglus, ML; Heiss, G; Lin, DY; Zeng, D
Published in: PLoS One
2016

BACKGROUND: Few studies have examined weight transitions in contemporary multi-ethnic populations spanning early childhood through adulthood despite the ability of such research to inform obesity prevention, control, and disparities reduction. METHODS AND RESULTS: We characterized the ages at which African American, Caucasian, and Mexican American populations transitioned to overweight and obesity using contemporary and nationally representative cross-sectional National Health and Nutrition Examination Survey data (n = 21,220; aged 2-80 years). Age-, sex-, and race/ethnic-specific one-year net transition probabilities between body mass index-classified normal weight, overweight, and obesity were estimated using calibrated and validated Markov-type models that accommodated complex sampling. At age two, the obesity prevalence ranged from 7.3% in Caucasian males to 16.1% in Mexican American males. For all populations, estimated one-year overweight to obesity net transition probabilities peaked at age two and were highest for Mexican American males and African American females, for whom a net 12.3% (95% CI: 7.6%-17.0%) and 11.9% (95% CI: 8.5%-15.3%) of the overweight populations transitioned to obesity by age three, respectively. However, extrapolation to the 2010 U.S. population demonstrated that Mexican American males were the only population for whom net increases in obesity peaked during early childhood; age-specific net increases in obesity were approximately constant through the second decade of life for African Americans and Mexican American females and peaked at age 20 for Caucasians. CONCLUSIONS: African American and Mexican American populations shoulder elevated rates of many obesity-associated chronic diseases and disparities in early transitions to obesity could further increase these inequalities if left unaddressed.

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Published In

PLoS One

DOI

EISSN

1932-6203

Publication Date

2016

Volume

11

Issue

6

Start / End Page

e0158025

Location

United States

Related Subject Headings

  • United States
  • Obesity
  • Middle Aged
  • Mexican Americans
  • Male
  • Humans
  • Health Status Disparities
  • General Science & Technology
  • Female
  • Child, Preschool
 

Citation

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Avery, C. L., Holliday, K. M., Chakladar, S., Engeda, J. C., Hardy, S. T., Reis, J. P., … Zeng, D. (2016). Disparities in Early Transitions to Obesity in Contemporary Multi-Ethnic U.S. Populations. PLoS One, 11(6), e0158025. https://doi.org/10.1371/journal.pone.0158025
Avery, Christy L., Katelyn M. Holliday, Sujatro Chakladar, Joseph C. Engeda, Shakia T. Hardy, Jared P. Reis, Pamela J. Schreiner, et al. “Disparities in Early Transitions to Obesity in Contemporary Multi-Ethnic U.S. Populations.PLoS One 11, no. 6 (2016): e0158025. https://doi.org/10.1371/journal.pone.0158025.
Avery CL, Holliday KM, Chakladar S, Engeda JC, Hardy ST, Reis JP, et al. Disparities in Early Transitions to Obesity in Contemporary Multi-Ethnic U.S. Populations. PLoS One. 2016;11(6):e0158025.
Avery, Christy L., et al. “Disparities in Early Transitions to Obesity in Contemporary Multi-Ethnic U.S. Populations.PLoS One, vol. 11, no. 6, 2016, p. e0158025. Pubmed, doi:10.1371/journal.pone.0158025.
Avery CL, Holliday KM, Chakladar S, Engeda JC, Hardy ST, Reis JP, Schreiner PJ, Shay CM, Daviglus ML, Heiss G, Lin DY, Zeng D. Disparities in Early Transitions to Obesity in Contemporary Multi-Ethnic U.S. Populations. PLoS One. 2016;11(6):e0158025.

Published In

PLoS One

DOI

EISSN

1932-6203

Publication Date

2016

Volume

11

Issue

6

Start / End Page

e0158025

Location

United States

Related Subject Headings

  • United States
  • Obesity
  • Middle Aged
  • Mexican Americans
  • Male
  • Humans
  • Health Status Disparities
  • General Science & Technology
  • Female
  • Child, Preschool