Orit Pinhas-Hamiel1,2,3, Uri Hamiel2,4, Cole D Bendor5, Aya Bardugo5, Gilad Twig2,5, Tali Cukierman-Yaffe2,6. 1. Pediatric Endocrinology & Diabetes Unit, Edmond and Lily Safra Children's Hospital, Sheba Medical Center, Ramat-Gan, Israel. 2. Sackler School of Medicine, Tel-Aviv University, Tel Aviv-Yafo, Israel. 3. Maccabi Juvenile Diabetes Center, Rananna, Israel. 4. Genetics Institute, Tel Aviv Sourasky Medical Center, Tel Aviv, Israel. 5. Department of Military Medicine, Hebrew University, Jerusalem, Israel. 6. Endocrinology Institute, Gertner Institute, Sheba Medical Center, Ramat-Gan, Israel.
Abstract
INTRODUCTION: Severe obesity among children and adolescents has emerged as a public health concern in multiple places around the world. METHODS: We searched the Medline database for articles on severe obesity rates in children published between January 1960 and January 2020. For studies with available prevalence rates for an early and a more recent time period, the relative increase in prevalence was imputed. RESULTS: In total, 874 publications were identified, of which 38 contained relevant epidemiological data. Rates of severe obesity varied significantly according to age, gender, geographic area, and the definition of severe obesity. The highest rates of class II and III obesity in the USA according to the Centers of Disease Control cut-off were 9.5% and 4.5%, respectively. Seventeen studies reported prevalence rates in at least two time periods. Data for 9,190,718 individuals showed a 1.71 (95% CI, 1.53-1.90) greater odds for severe obesity in 2006-2017 (N = 5,029,584) versus 1967-2007 (N = 4,161,134). In an analysis limited to studies from 1980s with a minimum follow-up of 20 years, a 9.16 (95% CI, 7.76-10.80) greater odds for severe obesity in recent versus earlier time was found. An analysis limited to studies from 2000, with a follow-up of 5-15 years, a 1.09 (95% CI, 0.99-1.20) greater odds was noted when comparing (2011-2017; N = 4,991,831) versus (2000-2011; N = 4,134,340). CONCLUSION: Severe pediatric obesity is escalating with a marked increase from the 1980s and a slower rate from 2000.
INTRODUCTION: Severe obesity among children and adolescents has emerged as a public health concern in multiple places around the world. METHODS: We searched the Medline database for articles on severe obesity rates in children published between January 1960 and January 2020. For studies with available prevalence rates for an early and a more recent time period, the relative increase in prevalence was imputed. RESULTS: In total, 874 publications were identified, of which 38 contained relevant epidemiological data. Rates of severe obesity varied significantly according to age, gender, geographic area, and the definition of severe obesity. The highest rates of class II and III obesity in the USA according to the Centers of Disease Control cut-off were 9.5% and 4.5%, respectively. Seventeen studies reported prevalence rates in at least two time periods. Data for 9,190,718 individuals showed a 1.71 (95% CI, 1.53-1.90) greater odds for severe obesity in 2006-2017 (N = 5,029,584) versus 1967-2007 (N = 4,161,134). In an analysis limited to studies from 1980s with a minimum follow-up of 20 years, a 9.16 (95% CI, 7.76-10.80) greater odds for severe obesity in recent versus earlier time was found. An analysis limited to studies from 2000, with a follow-up of 5-15 years, a 1.09 (95% CI, 0.99-1.20) greater odds was noted when comparing (2011-2017; N = 4,991,831) versus (2000-2011; N = 4,134,340). CONCLUSION: Severe pediatric obesity is escalating with a marked increase from the 1980s and a slower rate from 2000.
Authors: Lauren B Shomaker; Shelby Cox; Devon P Lehman; Nichole R Kelly; Katherine A Thompson; Rim M Mehari; Sheila M Brady; Ovidiu A Galescu; Andrew P Demidowich; Kong Y Chen; Marian Tanofsky-Kraff; Jack A Yanovski Journal: Psychol Health Med Date: 2019-11-04 Impact factor: 2.423
Authors: Mercedes de Onis; Adelheid W Onyango; Elaine Borghi; Amani Siyam; Chizuru Nishida; Jonathan Siekmann Journal: Bull World Health Organ Date: 2007-09 Impact factor: 9.408
Authors: Joan C Lo; Malini Chandra; Alan Sinaiko; Stephen R Daniels; Ronald J Prineas; Benjamin Maring; Emily D Parker; Nancy E Sherwood; Matthew F Daley; Elyse O Kharbanda; Kenneth F Adams; David J Magid; Patrick J O'Connor; Louise C Greenspan Journal: Int J Pediatr Endocrinol Date: 2014-03-03