ArticleInternational journal of obesity (2005)2016
State-level estimates of childhood obesity prevalence in the United States corrected for report bias.
Article in International journal of obesity (2005), 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.
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11 citing papers in PubMed.
- Cost-Effectiveness of Installing Water Dispensers in Massachusetts' Schools to Improve Nutrition Environments, Health, and Health Equity.Journal of the Academy of Nutrition and Dietetics · 2026Article
- Cost-Effectiveness and Health Equity Improvements From Excluding Sugar-Sweetened Beverages From the Supplemental Nutrition Assistance Program.American journal of preventive medicine · 2026Article
- Using Electronic Medical Records to Estimate the Prevalence of Pediatric Obesity in Mississippi.Journal of public health in the deep South · 2025Article
- Cost Effectiveness of Calorie Labeling at Large Fast-Food Chains Across the U.S.American journal of preventive medicine · 2024Article
- Impact Of The Healthy, Hunger-Free Kids Act On Obesity Trends.Health affairs (Project Hope) · 2020Article
- Social Determinants of Overweight and Obesity Among Children in the United States.International journal of MCH and AIDS · 2020Article
- WIC Food Package Changes: Trends in Childhood Obesity Prevalence.Pediatrics · 2019Article
- Obese- and allergic-related asthma phenotypes among children across the United States.The Journal of asthma : official journal of the Association for the Care of Asthma · 2019Article
- Microvascular insulin resistance in skeletal muscle and brain occurs early in the development of juvenile obesity in pigs.American journal of physiology. Regulatory, integrative and comparative physiology · 2018Article
- How is weight stigma related to children's health-related quality of life? A model comparison approach.Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation · 2018Article
- Simulation of Growth Trajectories of Childhood Obesity into Adulthood.The New England journal of medicine · 2017Article
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7 authors.
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Abstract
BACKGROUND/
objectivesState-specific obesity prevalence data are critical to public health efforts to address the childhood obesity epidemic. However, few states administer objectively measured body mass index (BMI) surveillance programs. This study reports state-specific childhood obesity prevalence by age and sex correcting for parent-reported child height and weight bias. SUBJECTS/
methodsAs part of the Childhood Obesity Intervention Cost Effectiveness Study (CHOICES), we developed childhood obesity prevalence estimates for states for the period 2005-2010 using data from the 2010 US Census and American Community Survey (ACS), 2003-2004 and 2007-2008 National Survey of Children's Health (NSCH) (n=133 213), and 2005-2010 National Health and Nutrition Examination Surveys (NHANES) (n=9377; ages 2-17). Measured height and weight data from NHANES were used to correct parent-report bias in NSCH using a non-parametric statistical matching algorithm. Model estimates were validated against surveillance data from five states (AR, FL, MA, PA and TN) that conduct censuses of children across a range of grades.
resultsParent-reported height and weight resulted in the largest overestimation of childhood obesity in males ages 2-5 years (NSCH: 42.36% vs NHANES: 11.44%). The CHOICES model estimates for this group (12.81%) and for all age and sex categories were not statistically different from NHANES. Our modeled obesity prevalence aligned closely with measured data from five validation states, with a 0.64 percentage point mean difference (range: 0.23-1.39) and a high correlation coefficient (r=0.96, P=0.009). Estimated state-specific childhood obesity prevalence ranged from 11.0 to 20.4%.
conclusionUncorrected estimates of childhood obesity prevalence from NSCH vary widely from measured national data, from a 278% overestimate among males aged 2-5 years to a 44% underestimate among females aged 14-17 years. This study demonstrates the validity of the CHOICES matching methods to correct the bias of parent-reported BMI data and highlights the need for public release of more recent data from the 2011 to 2012 NSCH.
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