The high levels of overweight among children and
obesity among adults remain a major public health concern, according to a report in the June 16 issue of the
Journal of the American Medical Association (JAMA).
According to background information in the article, "The prevalence of overweight and obesity is considered an important public health issue in the United States. Healthy People 2010 identified overweight and obesity as one of the 10 leading health indicators."
Allison A. Hedley, Ph.D., from the Centers for Disease Control and Prevention, Atlanta, and colleagues updated the U.S. prevalence estimates of overweight in children and obesity in adults using the most recent national data of height and weight measurements. The researchers analyzed data from the National Health and Nutrition Examination Survey (NHANES), a probability sample of the U.S. non-institutionalized civilian population. Both height and weight measurements were obtained from 4,115 adults and 4,018 children in 1999 - 2000 and from 4,390 adults and 4,258 children in 2001-2002.
"For adults, overweight, obesity, and extreme obesity, were defined as body mass index (BMI, calculated as weight in kilograms divided by the square of height in meters) of 25.0 to 29.9, 30.0 or more, and 40.0 or more, respectively." For children, "at risk for overweight was defined as at or above the 85th percentile but less than the 95th percentile of the sex-specific BMI for age", as defined by the CDC growth charts. "Overweight was defined as at or above the 95th percentile of the sex-specific BMI-for-age growth chart."
"Between 1999 - 2000 and 2001 - 2002, there were no significant changes among adults in the prevalence of overweight or obesity (64.5 percent vs. 65.7 percent), obesity (30.5 percent vs. 30.6 percent), or extreme obesity (4.7 percent vs. 5.1 percent), or among children aged 6 through 19 years in the prevalence of at risk for overweight or overweight (29.9 percent vs. 31.5 percent) or overweight (15.0 percent vs. 16.5 percent)," the authors found. "Overall, among adults aged at least 20 years in 1999 - 2002, 65.1 percent were overweight or obese, 30.4 percent were obese, and 4.9 percent were extremely obese. Among children aged 6 through 19 years in 1999 - 2002, 31 percent were at risk for overweight or overweight and 16 percent were overweight."