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OBJECTIVE To develop an internationally acceptable definition of child overweight and obesity, specifying the measurement, the reference population, and the age and sex specific cut off points. DESIGN International survey of six large nationally representative cross sectional growth studies. SETTING Brazil, Great Britain, Hong Kong, the Netherlands,(More)
In 1998 the medical costs of obesity were estimated to be as high as $78.5 billion, with roughly half financed by Medicare and Medicaid. This analysis presents updated estimates of the costs of obesity for the United States across payers (Medicare, Medicaid, and private insurers), in separate categories for inpatient, non-inpatient, and prescription drug(More)
CONTEXT The Third Report of the National Cholesterol Education Program Expert Panel on Detection, Evaluation, and Treatment of High Blood Cholesterol in Adults (ATP III) highlights the importance of treating patients with the metabolic syndrome to prevent cardiovascular disease. Limited information is available about the prevalence of the metabolic syndrome(More)
CONTEXT Obesity and diabetes are increasing in the United States. OBJECTIVE To estimate the prevalence of obesity and diabetes among US adults in 2001. DESIGN, SETTING, AND PARTICIPANTS Random-digit telephone survey of 195 005 adults aged 18 years or older residing in all states participating in the Behavioral Risk Factor Surveillance System in 2001. (More)
BACKGROUND Overweight adults are at an increased risk of developing numerous chronic diseases. METHODS Ten-year follow-up (1986-1996) of middle-aged women in the Nurses' Health Study and men in the Health Professionals Follow-up Study to assess the health risks associated with overweight. RESULTS The risk of developing diabetes, gallstones,(More)
Obesity now affects one in five children in the United States. Discrimination against overweight children begins early in childhood and becomes progressively institutionalized. Because obese children tend to be taller than their nonoverweight peers, they are apt to be viewed as more mature. The inappropriate expectations that result may have an adverse(More)
Daily metabolizable energy intake (ME) and total daily energy expenditure (TEE) were measured in 28 nonobese and 27 obese adolescents over a 2-wk period. Reported ME was significantly (p less than 0.001) lower than measured TEE in both the nonobese and the obese groups (2193 +/- 618 vs 2755 +/- 600 kcal/d and 1935 +/- 722 vs 3390 +/- 612 kcal/d,(More)
CONTEXT Overweight and obesity are increasing dramatically in the United States and most likely contribute substantially to the burden of chronic health conditions. OBJECTIVE To describe the relationship between weight status and prevalence of health conditions by severity of overweight and obesity in the US population. DESIGN AND SETTING Nationally(More)
CONTEXT The increasing prevalence of obesity is a major public health concern, since obesity is associated with several chronic diseases. OBJECTIVE To monitor trends in state-specific data and to examine changes in the prevalence of obesity among adults. DESIGN Cross-sectional random-digit telephone survey (Behavioral Risk Factor Surveillance System) of(More)