Prevalence of overweight and obesity in the United States, 1999-2004

Ogden, C. L., Carroll, M. D., Curtin, L. R., McDowell, M. A., Tabak, C. J., & Flegal, K. M. (2006). Prevalence of overweight and obesity in the United States, 1999-2004. JAMA, 295(13), 7. http://dx.doi.org/10.1001/jama.295.13.1549

Over the past several decades, there has been a dramatic increase in the number of overweight children in the United StatesOver the past 40 to 50 years, the Centers for Disease Control and Prevention has conducted large national surveys to measure and better understand nutrition and health in the United States. By looking at some of these measurements over time, we can track changes with regards to various health measures, such as the prevalence of children and adolescents who are overweight. In this study, authors investigated prevalence and trends from the late 1990s to 2004 using height and weight measurements from 3958 children and adolescents aged 2 to 19 years and 4431 adults aged 20 years or older obtained in 2003-2004 as part of the National Health and Nutrition Examination Survey (NHANES), a nationally representative sample of the US population. In 2003-2004, 17.1% of US children and adolescents were overweight and 32.2% of adults were obese. Tests for trend were significant for male and female children and adolescents, indicating an increase in the prevalence of overweight in female children and adolescents from 13.8% in 1999-2000 to 16.0% in 2003-2004 and an increase in the prevalence of overweight in male children and adolescents from 14.0% to 18.2%. The prevalence of overweight among children and adolescents and obesity among men increased significantly during the 6-year period from 1999 to 2004; among women, no overall increases in the prevalence of obesity were observed. These estimates were based on a 6-year period and suggest that the increases in body weight are continuing in men and in children and adolescents while they may be leveling off in women. Examination of racial/ethnic differences suggest significant disparities.

The Bottom Line

Over the past several decades, there has been a dramatic increase in the number of overweight children in the United States