Abstract
Objective:
To understand tracking of overweight status from childhood to young adulthood in a biracial sample.
Design:
A longitudinal sample was created from cross-sectional surveys at two time points, childhood (baseline) and young adulthood (follow-up).
Setting:
Bogalusa Heart Study, Louisiana, United States of America.
Subjects:
A total of 841 young adults, 19–35 years (68% Euro-Americans (EA), 32% African-Americans (AA)) were studied. The same subjects had also participated in one of the five cross-sectional surveys at childhood (9–11 years).
Methods:
Body mass index (BMI) was used to determine overweight status as per the Centers for Disease Control and Prevention standards. Change in the BMI status from childhood to young adulthood was used to group the participants into the following categories: normal weight to normal weight (NW-NW); normal weight to overweight (NW-OW); overweight to normal weight (OW-NW); and overweight to overweight (OW-OW). Tracking of overweight was defined by (1) correlations between baseline and follow-up BMI, (2) Cohen's kappa concordance test to determine the strength of tracking in BMI quartiles and (3) the percentage of individuals who remained in the same overweight status group from baseline to follow-up.
Results:
From baseline to follow-up, the percentage of participants who were overweight increased from 24.7 to 57.7%. A total of 35.2% of the children shifted from normal weight in childhood to overweight in young adulthood (P<0.0005). Baseline BMI was positively correlated with follow-up BMI (r=0.66, P<0.0005). A total of 61.9% of the participants in the highest BMI quartile in childhood remained in the highest BMI quartile in young adulthood. The strength of tracking in BMI quartiles was 27% for EA men (P<0.0005), 23% for EA women (P<0.0005), 27% for AA men (P<0.0005) and 35% for AA women (P<0.0005). A total of 53.7% of the EA women remained in the NW-NW category and 31.2% of the AA women remained in the OW-OW category. The percentage tracking (NW-NW and OW-OW) was 72.8% in EA women, 59.6% in AA men, 59.5% in AA women and 48.8% in EA men (P<0.0001).
Conclusion:
Childhood overweight tracked into young adulthood in this sample and the tracking of NW-NW and OW-OW was the most prominent among the EA women.
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References
Bellizzi MC, Dietz WH (1999). Workshop on childhood obesity: summary of the discussion. Am J Clin Nutr 70 (Suppl. 1, Part 2), 173S–175S.
Berenson GS, McMahan CA, Voors AW, Webber LS, Srinivasan SR, Frank GC et al. (1980). Cardiovascular Risk Factors in Children – The Early Natural History of Atherosclerosis and Essential Hypertension. Oxford University Press: New York.
Berenson GS, Srinivasan SR (2001). Emergence of obesity and cardiovascular risk for coronary artery disease: the Bogalusa Heart Study. Prev Cardiol 4 (3), 116–121.
Bray GA, DeLany JP, Volaufova J, Harsha DW, Champagne C (2002). Prediction of body fat in 12-y-old African American and white children: evaluation of methods. Am J Clin Nutr 76 (5), 980–990.
Burke GL, Bild DE, Hilner JE, Folsom AR, Wagenknecht LE, Sidney S (1996). Differences in weight gain in relation to race, gender, age and education in young adults: the CARDIA Study. Coronary Artery Risk Development in Young Adults. Ethn Health 1 (4), 327–335.
Centers for Disease Control and Prevention (CDC) (2000). BMI is used differently with children than it is with adults. Updated December 2004. Available at:http://www.cdc.gov/nccdphp/dnpa/bmi/bmi-for-age.htm.
Centers for Disease Control and Prevention (CDC). BMI for adults. Updated December 2004. Available at:http://www.cdc.gov/nccdphp/dnpa/bmi/bmi-adult.htm.
Clarke WR, Lauer RM (1993). Does childhood obesity track into adulthood? Crit Rev Food Sci Nutr 33 (4–5), 423–430.
Cole TJ, Bellizzi MC, Flegal KM, Dietz WH (2000). Establishing a standard definition for child overweight and obesity worldwide: international survey. BMJ 320 (7244), 1240–1243.
Cole TJ, Faith MS, Pietrobelli A, Heo M (2005). What is the best measure of adiposity change in growing children: BMI, BMI %, BMI z-score or BMI centile? Eur J Clin Nutr 59 (3), 419–425.
Cole TJ, Freeman JV, Preece MA (1995). Body mass index reference curves for the UK, 1990. Arch Dis Child 73 (1), 25–29.
Crawford PB, Story M, Wang MC, Ritchie LD, Sabry ZI (2001). Ethnic issues in the epidemiology of childhood obesity. Pediatr Clin N Am 48 (4), 855–878.
Croft JB, Webber LS, Parker FC, Berenson GS (1984). Recruitment and participation of children in a long-term study of cardiovascular disease: the Bogalusa Heart Study, 1973–1982. Am J Epidemiol 120 (3), 436–448.
Dai S, Labarthe DR, Grunbaum JA, Harrist RB, Mueller WH (2002). Longitudinal analysis of changes in indices of obesity from age 8 years to age 18 years. Project HeartBeat!. Am J Epidemiol 156 (8), 720–729.
Dietz WH, Bellizzi MC (1999). Introduction: the use of body mass index to assess obesity in children. Am J Clin Nutr 70 (1), 123S–125S.
Ferraro KF, Thorpe Jr RJ, Wilkinson JA (2003). The life course of severe obesity: does childhood overweight matter? J Gerontol B Psychol Sci Soc Sci 58 (2), S110–S119.
Finkelstein EA, Fiebelkorn IC, Wang G (2004). State-level estimates of annual medical expenditures attributable to obesity. Obes Res 12 (1), 18–24.
Flegal KM, Carroll MD, Ogden CL, Johnson CL (2002). Prevalence and trends in obesity among US adults, 1999–2000. JAMA 288 (14), 1723–1727.
Flegal KM, Ogden CL, Wei R, Kuczmarski RL, Johnson CL (2001). Prevalence of overweight in US children: comparison of US growth charts from the Centers for Disease Control and Prevention with other reference values for body mass index. Am J Clin Nutr 73 (6), 1086–1093.
Foster TA, Voors AW, Webber LS, Frerichs RR, Berenson GS (1977). Anthropometric and maturation measurements of children, ages 5–14 years in a biracial community – Bogalusa Heart Study. Am J Clin Nutr 30, 582–591.
Foster TA, Webber LS, Srinivasan SR, Voors AW, Berenson GS (1980). Measurement error of risk factor variables in an epidemiologic study of children – the Bogalusa Heart Study. J Chron Dis 33, 661–672.
Foulkes MA, Davis CE (1981). An index of tracking for longitudinal data. Biometrics 37, 439–446.
Franklin MF (1999). Comparison of weight and height relations in boys from 4 countries. Am J Clin Nutr 70 (1), 157S–162S.
Freedman DS, Dietz WH, Srinivasan SR, Berenson GS (1999). The relation of overweight to cardiovascular risk factors among children and adolescents: the Bogalusa Heart Study. Pediatrics 103 (6 Part 1), 1175–1182.
Freedman DS, Kettel Khan L, Serdula MK, Srinivasan SR, Berenson GS (2001a). BMI rebound, childhood height and obesity among adults: the Bogalusa Heart Study. Int J Obes Relat Metab Disord 25 (4), 543–549.
Freedman DS, Kettel-Khan L, Srinivasan SR, Berenson GS (2000). Black/White differences in relative weight and obesity among girls: the Bogalusa Heart Study. Prev Med 30 (3), 234–243.
Freedman DS, Khan LK, Dietz WH, Srinivasan SR, Berenson GS (2001b). Relationship of childhood obesity to coronary heart disease risk factors in adulthood: the Bogalusa Heart Study. Pediatrics 108 (3), 712–718.
Freedman DS, Srinivasan SR, Valdez RA, Williamson DF, Berenson GS (1997). Secular increases in relative weight and adiposity among children over two decades: the Bogalusa Heart Study. Pediatrics 99 (3), 6420–6426.
Freedman MR, King J, Kennedy E (2001). Popular diets: a scientific review. Obes Res 9 (Suppl.1), 1S–40S.
Frontini MG, Bao W, Elkasabany A, Srinivasan SR, Berenson GS (2001). Comparison of weight-for-height indices as a measure of adiposity and cardiovascular risk from childhood to young adulthood: the Bogalusa Heart Study. J Clin Epidemiol 54 (8), 817–822.
Fuentes RM, Notkola IL, Shemeikka S, Tuomilehto J, Nissinen A (2003). Tracking of body mass index during childhood: a 15-year prospective population-based family study in eastern Finland. Int J Obes Relat Metab Disord 27 (6), 716–721.
Garrow JS, Webster J (1985). Quetelet's index (W/H2) as a measure of fatness. Int J Obes 9 (2), 147–153.
Gaskin PS, Walker SP (2003). Obesity in a cohort of black Jamaican children as estimated by BMI and other indices of adiposity. Eur J Clin Nutr 57 (3), 420–426.
Gunnell DJ, Frankel SJ, Nanchahal K, Peters TJ, Smith DG (1998). Childhood obesity and adult cardiovascular mortality: a 57-y follow-up study based on the Boyd Orr cohort. Am J Clin Nutr 67 (6), 1111–1118.
Guo SS, Chumlea WC (1999). Tracking of body mass index in children in relation to overweight in adulthood. Am J Clin Nutr 70 (1), 145S–148S.
Guo SS, Wu W, Chumlea WC, Roche AF (2002). Predicting overweight and obesity in adulthood from body mass index values in childhood and adolescence. Am J Clin Nutr 76 (3), 653–658.
Himes JH, Dietz WH (1994). Guidelines for overweight in adolescent preventive services: recommendations from an expert committee. The Expert Committee on Clinical Guidelines for Overweight in Adolescent Preventive Services. Am J Clin Nutr 59 (2), 307–316.
Kelder SH, Osganian SK, Feldman HA, Webber LS, Parcel GS, Leupker RV et al. (2002). Tracking of physical and physiological risk variables among ethnic subgroups from third to eighth grade: the Child and Adolescent Trial for Cardiovascular Health cohort study. Prev Med 34 (3), 324–333.
Kimm SY, Barton BA, Obarzanek E, McMahon RP, Kronsberg SS, Waclawiw MA et al. (2002). Obesity development during adolescence in a biracial cohort: the NHLBI Growth and Health Study. Pediatrics 110 (5), e54.
Kochanek KD, Murphy SL, Anderson RN, Scott C (2004). Deaths final data for 2002. National Center for Health Statistics (NCHS), Center of Disease Control and Prevention (CDC), National Vital Statistics Reports, No. 53 (5). Available at:http://www.cdc.gov/nchs/data/nvsr/nvsr53/nvsr53_05acc.pdf.
Kuczmarski RJ, Ogden CL, Grummer-Strawn LM, Flegal KM, Guo SS, Wei R et al. (2000). CDC growth charts: United States. Adv Data 314, 1–27.
Landis JR, Koch GG (1977). The measurement of observer agreement for categorical data. Biometrics 33, 159–174.
Lissau I (2004). Overweight and obesity epidemic among children. Answer from European countries. Int J Obes Relat Metab Disord 28 (Suppl. 3), S10–S15.
Maffeis C, Moghetti P, Grezzani A, Clementi M, Gaudino R, Tato L (2002). Insulin resistance and the persistence of obesity from childhood into adulthood. J Clin Endocrinol Metab 87 (1), 71–76.
Magarey AM, Daniels LA, Boulton TJ, Cockington RA (2003). Predicting obesity in early adulthood from childhood and parental obesity. Int J Obes Relat Metab Disord 27 (4), 505–513.
McMahan CA (1981). An index of tracking. Biometrics 37, 447–455.
McManus K, Antinoro L, Sacks F (2001). A randomized controlled trial of a moderate-fat, low-energy diet compared with a low fat, low-energy diet for weight loss in overweight adults. Int J Obes Relat Metab Disord 25 (10), 1503–1511.
Morrison JA, Payne G, Barton BA, Khoury PR, Crawford P (1994). Mother–daughter correlations of obesity and cardiovascular disease risk factors in black and white households: the NHLBI Growth and Health Study. Am J Public Health 84 (11), 1761–1767.
Mo-suwan L, Tongkumchum P, Puetpaiboon A (2000). Determinants of overweight tracking from childhood to adolescence: a 5 y follow-up study of Hat Yai schoolchildren. Int J Obes Relat Metab Disord 24 (12), 1642–1647.
Must A, Jacques PF, Dallal GE, Bajema CJ, Dietz WH (1992). Long-term morbidity and mortality of overweight adolescents: a follow-up of the Harvard Growth Study of 1922 to 1935. N Engl J Med 327 (19), 1350–1355.
National Heart, Lung and Blood Institute (NHLBI) in cooperation with The National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK) (1998). The practical guide: identification, evaluation, and treatment of overweight and obesity in adults. NIH Publication No. 98-4083. Available at:http://www.nhlbi.nih.gov/guidelines/obesity/ob_gdlns.htm.
Nicklas TA, Yang SJ, Baranowski T, Zakeri I, Berenson G (2003). Eating patterns and obesity in children. The Bogalusa Heart Study. Am J Prev Med 25 (1), 9–16.
Ogden CL, Carroll MD, Flegal KM (2003). Epidemiologic trends in overweight and obesity. Endocrinol Metab Clin N Am 32 (4), 741–760.
Ogden CL, Flegal KM, Carroll MD, Johnson CL (2002). Prevalence and trends in overweight among US children and adolescents, 1999–2000. JAMA 288 (14), 1728–1732.
Pinhas-Hamiel O, Dolan LM, Daniels SR, Standiford D, Khoury PR, Zeitler P (1996). Increased incidence of non-insulin-dependent diabetes mellitus among adolescents. J Pediatr 128 (5 Part 1), 608–615.
Reed III JF (2000). Homogeneity of Kappa statistics in multiple samples. Comput Methods Programs Biomed 63, 43–46.
Rolland-Cachera MF, Sempe M, Guilloud-Bataille M, Patois E, Pequignot-Guggenbuhl F, Fautrad V (1982). Adiposity indices in children. Am J Clin Nutr 36 (1), 178–184.
Rosner B, Prineas R, Loggie J, Daniels SR (1998). Percentiles for body mass index in U.S. children 5 to 17 years of age. J Pediatr 132 (2), 211–222.
Saxena S, Ambler G, Cole TJ, Majeed A (2004). Ethnic group differences in overweight and obese children and young people in England: cross sectional survey. Arch Dis Child 89 (1), 30–36.
Serdula MK, Ivery D, Coates RJ, Freedman DS, Williamson DF, Byers T (1993). Do obese children become obese adults? A review of the literature. Prev Med 22, 167–177.
Sorof JM, Lai D, Turner J, Poffenbarger T, Portman RJ (2004). Overweight, ethnicity, and the prevalence of hypertension in school-aged children. Pediatrics 113 (3 Part 1), 475–482.
SPSS Inc. (2001). Statistical Software for the Social Sciences (SPSS) for Windows, Version 11.01. SPSS Inc.: Chicago, IL.
Terrell DF (2002). Overweight and obesity prevalence rates among youth in the Carolinas. N C Med J 63 (6), 281–286.
Tienboon P, Wahlqvist ML (2002). A prospective study of weight and height going from infancy to adolescence. Asia Pac J Clin Nutr 11 (1), 42–47.
Trudeau F, Shephard RJ, Arsenault F, Laurencelle L (2001). Changes in adiposity and body mass index from late childhood to adult life in the Trois-Rivieres study. Am J Hum Biol 13 (3), 349–355.
Wang Y, Ge K, Popkin BM (2000). Tracking of body mass index from childhood to adolescence: a 6-y follow-up study in China. Am J Clin Nutr 72 (4), 1018–1024.
Wang Y, Ge K, Popkin BM (2003). Why do some overweight children remain overweight, whereas others do not? Public Health Nutr 6 (6), 549–558.
Wang Y, Wang X (2003). How do statistical properties influence findings of tracking (maintenance) in epidemiologic studies? An example of research in tracking of obesity. Eur J Epidemiol 18, 1037–1045.
Ware JH, Wu MC (1981). Tracking: prediction of future values from serial measurements. Biometrics 37, 427–438.
Whitaker RC, Wright JA, Pepe MS, Seidel KD, Dietz WH (1997). Predicting obesity in young adulthood from childhood and parental obesity. N Engl J Med 337 (13), 869–873.
World Health Organization (WHO) (1998). Obesity: preventing and managing the global epidemic of obesity. Report of the WHO Consultation of Obesity, 3–5 June 1997, Geneva.
Zimmermann MB, Gubeli C, Puntener C, Molinari L (2004). Detection of overweight and obesity in a national sample of 6–12-y-old Swiss children: accuracy and validity of reference values for body mass index from the US Centers for Disease Control and Prevention and the International Obesity Task Force. Am J Clin Nutr 79 (5), 838–843.
Acknowledgements
This research was supported by the National Institutes of Health, Evolution of Cardiovascular Risk with Normal Aging, National Institute on Aging (AG16592) and the United States Department of Agriculture, Economic Research Service Cooperative Agreement No. 43-3AEM-0-80071. This work is a product of the US Department of Agriculture, Agricultural Research Service (USDA/ARS), Children's Nutrition Research Center, Department of Pediatrics, Baylor College of Medicine, Houston, Texas, and had been funded in part with federal funds from the USDA/ARS under Cooperative Agreement No. 58-6250-6001. The contents of this publication do not necessarily reflect the views of policies of the USDA, nor does mention of trade names, commercial products or organizations imply endorsement from the US Government. We thank Pamelia Harris for help in preparing the manuscript. We extend special thanks to the children and young adults of Bogalusa, without whom this work could not have been accomplished.
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Guarantor: P Deshmukh-Taskar.
Contributors: PD-T interpreted the data and wrote the initial draft of the manuscript. TAN assisted in the design of the study, interpreted the data and assisted in preparing the manuscript. MM and S-JY assisted with data analyses. IZ provided statistical consultation. GSB designed the study and assisted in editing the manuscript.
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Deshmukh-Taskar, P., Nicklas, T., Morales, M. et al. Tracking of overweight status from childhood to young adulthood: the Bogalusa Heart Study. Eur J Clin Nutr 60, 48–57 (2006). https://doi.org/10.1038/sj.ejcn.1602266
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DOI: https://doi.org/10.1038/sj.ejcn.1602266
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