Characteristics of obese children aged 1-4 years at a referral clinic

Medical College of Wisconsin, Milwaukee, WI, USA.
Journal of the National Medical Association (Impact Factor: 0.91). 09/2008; 100(8):884-91.
Source: PubMed

ABSTRACT To describe characteristics and indicators of nutritional status of young, obese children.
Medical records of 135 children aged 1-4 years seen in an urban referral setting between January 2000 and June 2006 were reviewed. Characteristics associated with severe obesity [percent ideal body weight (%IBW) > or = 160%] were determined. Relationships between %IBW, weight-for-height Z score (WHZ), body mass index (BMI) and BMI Z score (BMIZ) were evaluated. Receiver operating characteristic analyses evaluated BMI values classifying severe and moderate (140-159% IBW) obesity.
Children were: 41% male, 71% Hispanic, 76% Medicaid/uninsured, 64% ever breastfed, had median BMI of 25.0 kg/m2 and median %IBW of 159. Fifty-two percent of mothers had BMI > or = 30 kg/m2. Severely obese children more frequently had an obese mother, birthweight > or = 4 kg, were older, male, never breastfed and reported higher juice intake. WHZ and BMIZ were lowest at 4 years; BMI and %IBW were lowest at 1 year. %IBW and BMI were highly correlated. BMI > or = 22.2 kg/ m2 indicated moderate obesity (sensitivity = 0.90, specificity = 0.93), and BMI > or = 25.0 kg/m2 indicated severe obesity (sensitivity = 0.97, specificity = 0.92).
Few current health behaviors and many family or past risk factors were associated with degree of obesity. %IBW and BMI may be the most useful nutritional status measures to track progress in young, obese children.

  • Source
    [Show abstract] [Hide abstract]
    ABSTRACT: The objective of this study was to analyze whether maternal negative affectivity assessed in pregnancy is related with subsequent infant food choices. The study design was a cohort study. The subjects were mothers (N=37 919) and their infants participating in the Norwegian Mother and Child Cohort Study conducted by the Norwegian Institute of Public Health. Maternal negative affectivity assessed prepartum (Hopkins Symptom Checklist 5 (SCL-5) at weeks 17 and 30 of pregnancy), introduction of solid foods by month 3 and feeding of sweet drinks by month 6 (by the reports of the mothers) were analyzed.Results:Mothers with higher negative affectivity were 64% more likely (95% confidence interval 1.5-1.8) to feed sweet drinks by month 6, and 79% more likely (95% confidence interval 1.6-2.0) to introduce solid foods by month 3. These odds decreased to 41 and 30%, respectively, after adjusting for mother's age, body mass index (BMI) and education. The maternal trait of negative affectivity is an independent predictor of infant feeding practices that may be related with childhood weight gain, overweight and obesity.
    International journal of obesity (2005) 11/2009; 34(2):327-31. DOI:10.1038/ijo.2009.230 · 5.39 Impact Factor