ArticleThe American journal of clinical nutrition2021
Changes in adiposity among children and adolescents in the United States, 1999-2006 to 2011-2018.
Article in The American journal of clinical nutrition, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 31 papers.
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31 citing papers in PubMed.
- The Role of Parenting in Mitigating Epigenetic Cardiometabolic Risk in a Sample of Predominantly Latino Preschoolers.medRxiv : the preprint server for health sciences · 2026Article
- Body Composition of Children with Type 1 Diabetes: A 20-Year Single-Center Comparative Study.Children (Basel, Switzerland) · 2026Article
- Adiposity Rebound or Fat-Free Mass Anabolism in Children-Challenging a 42-Year-Old BMI Puzzle with Waist-to-Height Ratio: The ASNF-NNF 2025 Inaugural Flemming Quaade Award for Innovation in Childhood Obesity Lecture.The Journal of nutrition · 2026Article
- Evaluating the Effectiveness of the Motivational Interviewing-Based Wellness Coaching for Kids and Families (WC4K) Program in Pediatric Obesity Care: Protocol for a Cluster Randomized Pragmatic Trial.JMIR research protocols · 2026Article
- Assessing Measurement Invariance in Allostatic Load between Black and White Adolescents.Journal of racial and ethnic health disparities · 2026Article
- Body Composition, Fitness, and Mental Health in Preadolescent Children.JAMA network open · 2025Article
- Changes in BMI and Fat Mass and Nutritional Behaviors in Children Between 10 and 14 Years of Age.Nutrients · 2025Article
- 2025 Heart Disease and Stroke Statistics: A Report of US and Global Data From the American Heart Association.Circulation · 2025Review
- Associations between hypovitaminosis D, adiposity indices and insulin resistance in adolescents: mediation analyses from NHANES 2011-2018.Nutrition & diabetes · 2025Article
- The Cross-Sectional Relation of Body Mass Index to Adiposity among 8- to 19-Year-Olds within Several Races and Ethnicities.The Journal of pediatrics · 2025Article
- Role of Adverse Childhood Experiences in the Onset of Overweight/Obesity.Current obesity reports · 2024Review
- Trends in cardiovascular risk factor prevalence, treatment, and control among US adolescents aged 12 to 19 years, 2001 to March 2020.BMC medicine · 2024Article
- Effects of dietary sugar restriction on hepatic fat in youth with obesity.Minerva pediatrics · 2024Review
- Longitudinal associations of screen time, physical activity, and sleep duration with body mass index in U.S. youth.The international journal of behavioral nutrition and physical activity · 2024Article
- Development of a Fitness Surveillance System to Track and Evaluate Obesity in North Idaho.The Journal of school health · 2024Article
- Relative Body Mass Index Improves the BMI Percentile Performance for Detection and Monitoring of Excess Adiposity in Adolescents.Nutrients · 2024Article
- Sex differences in a mouse model of diet-induced obesity: the role of the gut microbiome.Biology of sex differences · 2024Article
- Article
- Multilevel prenatal socioeconomic predictors of Mexican American children's cardiometabolic health in preschool and school age.Health psychology : official journal of the Division of Health Psychology, American Psychological Association · 2023Article
- Sex differences in a mouse model of diet-induced obesity: the role of the gut microbiome.Research square · 2023Article
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Funding
Abstract
backgroundData from the NHANES indicate that BMI has increased in some subgroups of children and adolescents in the United States over the past 20 y; however, BMI is an indirect measure of body fatness.
objectivesWe assessed changes in DXA-derived measures of adiposity in a nationally representative population of US children and adolescents aged 8-19 y from 1999-2006 to 2011-2018.
methodsUsing data from the NHANES, we compared the means and distributions of DXA-derived percentage body fat (%BF) and fat mass index (FMI; fat mass/height2 in kg/m2) between 1999-2006 (n = 10,231) and 2011-2018 (n = 6923) among males and females by age group, race and Hispanic origin, and BMI categories. Estimates were standardized by age and race and Hispanic origin.
resultsFrom 1999-2006 to 2011-2018, mean %BF increased from 25.6% to 26.3% (change in %BF: 0.7%; 95% CI: 0.2%, 1.2%; P < 0.01) among all males, whereas mean %BF increased from 33.0% to 33.7% (change in %BF: 0.7%; 95% CI: 0.2%, 1.2%; P = 0.01) and mean FMI increased from 7.7 to 8.0 fat mass kg/m2 (change in FMI: 0.3 fat mass kg/m2; 95% CI: 0.0, 0.6 fat mass kg/m2; P = 0.02) among all females. Changes were not consistent across all age, race and Hispanic origin, and BMI categories. Both %BF and FMI increased among Mexican-American children and adolescents, but not other race and Hispanic origin groups.
conclusionsAmong US children and adolescents, DXA-derived measures of adiposity increased from 1999-2006 to 2011-2018, albeit not consistently in every age, race and Hispanic origin, and BMI subgroup. These data reinforce the need to consider other measures, besides BMI categories, when studying adiposity in children and adolescents.
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