Predictors of overweight and overfatness in multiethnic pediatric population

• Published in: The American journal of clinical nutrition 1998-04, Vol.67 (4), p.602-610
• Main Authors: Dwyer, J.T. (New England Research Institutes, Watertown, MA.), Stone, E.J, Yang, M, Feldman, H, Webber, L.S, Must, A, Perry, C.L, Nader, P.R, Parcel, G.S
• Format: Article
• Language: English
• Subjects: ACTIVIDAD FISICA; ACTIVITE PHYSIQUE; ALTURA; AMERICAN INDIANS; APOLIPOPROTEINS; APOPROTEINAS; APOPROTEINE; APOPROTEINS; ASIANS; Biological and medical sciences; BIOLOGICAL DIFFERENCES; BLACKS; BLOOD LIPIDS; BLOOD PRESSURE; BLOOD SERUM; BODY MASS INDEX; BODY MEASUREMENTS; BODY WEIGHT; CALIFORNIA; CALIFORNIE; CAUCASIANS; CHILD AND ADOLESCENT TRIAL FOR CARDIOVASCULAR HEALTH; CHILDREN; Children & youth; CHOLESTEROL; CLINICAL TRIALS; COLESTEROL; DIET; DIETA; DIFERENCIAS BIOLOGICAS; DIFFERENCE BIOLOGIQUE; EDUCATIONAL INSTITUTIONS; ELEMENTARY SCHOOLS; ENERGY INTAKE; ENFANT; ENFANT EN AGE SCOLAIRE; ENSAYOS CLINICOS; ESSAI CLINIQUE; ETABLISSEMENT D'ENSEIGNEMENT; ETHNIC GROUPS; ETHNICITY; Feeding. Feeding behavior; FORECASTING; Fundamental and applied biological sciences. Psychology; GEOGRAPHICAL VARIATION; GIRLS; GROUPE ETHNIQUE; GRUPOS ETNICOS; HAUTEUR; Health risk assessment; HEIGHT; HEMOLIPIDOS; HIGH DENSITY LIPOPROTEIN; HISPANICS; HUMAN NUTRITION; INGESTION DE NUTRIENTES; INGESTION DE SUBSTANCES NUTRITIVES; INSTITUCIONES DE EDUCACION; LIPIDE SANGUIN; LIPOPROTEINAS; LIPOPROTEINE; LIPOPROTEINS; LONGITUDINAL STUDIES; LOUISIANA; LOUISIANE; LUISIANA; MEDICION DEL CUERPO; MENSURATION CORPORELLE; MINNESOTA; NINOS; NINOS DE EDAD ESCOLAR; NUTRICION HUMANA; NUTRIENT INTAKE; NUTRITION HUMAINE; Obesity; OVERWEIGHT; PESO CORPORAL; PHYSICAL ACTIVITY; POIDS CORPOREL; PRESION SANGUINEA; PRESSION SANGUINE; REGIME ALIMENTAIRE; SCHOOL CHILDREN; SERUM SANGUIN; SEX; SEXE; SEXO; SKIN FOLD THICKNESS; SOBREPESO; SUERO SANGUINEO; SURPOIDS; TECHNIQUE DE PREVISION; TECNICAS DE PREDICCION; TEXAS; Vertebrates: anatomy and physiology, studies on body, several organs or systems
• ISSN: 0002-9165; 1938-3207
• DOI: 10.1093/ajcn/67.4.602

The goal of the study was to determine whether overweight or overfatness were predicted from sex, race or ethnicity, school site, and intervention or control status for children who were 9 y old at the outset of the Child and Adolescent Trial for Cardiovascular Health (CATCH). In this ethnically and geographically diverse group of 5106 students, height, weight, and triceps skinfold thickness were measured at 9 (baseline) and 11 y (follow-up) of age. The strongest predictors of status at follow-up were baseline overweight (odds ratio: 69.0; 95% CI: 54.9, 96.3) and overfatness (odds ratio: 27.4; 95% CI: 22.4, 33.4); site, African American race or ethnicity, and male sex were also significant independent associations. Children in the overweight ( 85th percentile for body mass index) group had significantly higher adjusted means for total blood cholesterol, higher apolipoprotein B concentrations, lower mean HDL-cholesterol concentrations, and lower performance on the 9-min run than those in other groups ( 15th, 15-49th, or 50-85th body mass index percentiles). Similar results were found for these factors for those subjects with greater triceps skinfold-thickness measurements. Groups of children who were overweight and overfat at baseline were more likely to be overweight and overfat at follow-up and to have more cardiovascular risk factors than their peers