ArticlePediatric obesity2014
Prevalence of obesity and extreme obesity in children aged 3-5 years.
Article in Pediatric obesity, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 33 papers, 1 of them a synthesis that pooled it.
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The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
33 citing papers in PubMed, 1 synthesis or guideline pooled it, 69 citations in OpenAlex.
- The Global Spread of Severe Obesity in Toddlers, Children, and Adolescents: A Systematic Review and Meta-Analysis.Obesity facts · 2022Pooled it
- The Protective Effect of Prenatal Social Support on Infant Adiposity in the First 18 Months of Life.The Journal of pediatrics · 2019Trial
- The Early Childhood Obesity Prevention Program (ECHO): an ecologically-based intervention delivered by home visitors for newborns and their mothers.BMC public health · 2015Trial
- Steps to Growing Up Healthy: a pediatric primary care based obesity prevention program for young children.BMC public health · 2014Trial
- Household Food Insecurity Risk and Weight Status Outcomes in Early Childhood: A Public Health Perspective.Nutrients · 2026Article
- Epidemiology of Overweight and Obesity in Early Childhood in China and Associated Factors.Diabetes, metabolic syndrome and obesity : targets and therapy · 2025Article
- A better performing algorithm for identification of implausible growth data from longitudinal pediatric medical records.Scientific reports · 2024Article
- Epidemiology of obesity and influential factors in China: a multicenter cross-sectional study of children and adolescents.BMC pediatrics · 2024Article
- Training Promotoras to Implement a Mindfulness-Based Healthy Lifestyle Program in Rural Communities.Journal of nutrition education and behavior · 2024Article
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- eHealth Intervention to Improve Health Habits in the Adolescent Population: Mixed Methods Study.JMIR mHealth and uHealth · 2021Article
- Accelerated skeletal maturation is associated with overweight and obesity as early as preschool age: a cross-sectional study.BMC pediatrics · 2020Article
- Breastfeeding Practices and Overweight/Obesity Among Children Under 5 Years of Age: A Multistage Random Sampling Survey in Central and Western China.Maternal and child health journal · 2020Article
- Weight Loss for Patients With Obesity: An Analysis of Long-Term Electronic Health Record Data.Medical care · 2020Observational
- Is it time to stop sweeping data cleaning under the carpet? A novel algorithm for outlier management in growth data.PloS one · 2020Article
- From conception to infancy - early risk factors for childhood obesity.Nature reviews. Endocrinology · 2019Review
- Epidemiology of childhood overweight, obesity and their related factors in a sample of preschool children from Central Iran.BMC pediatrics · 2019Article
- A three-year multifaceted intervention to prevent obesity in children of Mexican-heritage.BMC public health · 2019Article
- Associations between the adherence to the Mediterranean diet and cardiorespiratory fitness with total and central obesity in preschool children: the PREFIT project.European journal of nutrition · 2018Article
Corrections and comments
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Authors and funding
14 authors at 7 institutions in 1 country.
Funding
Abstract
backgroundEarly childhood adiposity may have significant later health effects. This study examines the prevalence and recognition of obesity and severe obesity among preschool-aged children.
methodsThe electronic medical record was used to examine body mass index (BMI), height, sex and race/ethnicity in 42,559 children aged 3-5 years between 2007 and 2010. Normal or underweight (BMI < 85th percentile); overweight (BMI 85th-94th percentile); obesity (BMI ≥ 95th percentile); and severe obesity (BMI ≥ 1.2 × 95th percentile) were classified using the 2000 Centers for Disease Control and Prevention growth charts. Provider recognition of elevated BMI was examined for obese children aged 5 years.
resultsAmong 42,559 children, 12.4% of boys and 10.0% of girls had BMI ≥ 95th percentile. The prevalence was highest among Hispanics (18.2% boys, 15.2% girls), followed by blacks (12.4% boys, 12.7% girls). A positive trend existed between increasing BMI category and median height percentile, with obesity rates highest in the highest height quintile. The prevalence of severe obesity was 1.6% overall and somewhat higher for boys compared with girls (1.9 vs. 1.4%, P < 0.01). By race/ethnicity, the highest prevalence of severe obesity was seen in Hispanic boys (3.3%). Among those aged 5 years, 77.9% of obese children had provider diagnosis of obesity or elevated BMI, increasing to 89.0% for the subset with severe obesity.
conclusionsObesity and severe obesity are evident as early as age 3-5 years, with race/ethnic trends similar to older children. This study underscores the need for continued recognition and contextualization of early childhood obesity in order to develop effective strategies for early weight management.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.