title: Prevalence of childhood and adolescent overweight and obesity from 2003 to 2010 in an integrated health care delivery system.
abstract: An observational study of the Kaiser Permanente Northern California (KPNC) BMI coding distributions was conducted to ascertain the trends in overweight and obesity prevalence among KPNC members aged 2-19 between the periods of 2003-2005 and 2009-2010. A decrease in the prevalence of overweight (-11.1% change) and obesity (-3.6% change) and an increase in the prevalence of healthy weight (+2.7% change) were demonstrated. Children aged 2-5 had the greatest improvement in obesity prevalence (-11.5% change). Adolescents aged 12-19 were the only age group to not show a decrease in obesity prevalence. Of the racial and ethnic groups, Hispanics/Latinos had the highest prevalence of obesity across all age groups. The KPNC prevalence of overweight and obesity compares favorably to external benchmarks, although differences in methodologies limit our ability to draw conclusions. Physician counseling as well as weight management programs and sociodemographic factors may have contributed to the overall improvements in BMI in the KPNC population. Physician training, practice tools, automated BMI reminders and performance feedback improved the frequency and quality of physician counseling. BMI screening and counseling at urgent visits, in addition to well-child care visits, increased the reach and dose of physician counseling.
authors: Prevention & Health Information, Regional Health Education, The Permanente Medical Group, Inc., 1950 Franklin Street, 13th Floor, Oakland, CA 94612, USA. scott.gee@kp.org
authors: Scott
authors: S
authors: Gee
authors: Debbie
authors: D
authors: Chin
authors: Lynn
authors: L
authors: Ackerson
authors: Dewey
authors: D
authors: Woo
authors: Amanda
authors: A
authors: Howell
mesh_terms: D000293:Adolescent; D017677:Age Distribution; D000367:Age Factors; D015992:Body Mass Index; D002140:California / Q000453:epidemiology; D002648:Child; D002662:Child Health Services; D002675:Child, Preschool; D003376:Counseling; D003430:Cross-Sectional Studies; D003695:Delivery of Health Care / Q000706:statistics & numerical data*; D019033:Delivery of Health Care, Integrated / Q000706:statistics & numerical data*; D005260:Female; D006293:Health Promotion; D006801:Humans; D016015:Logistic Models; D008297:Male; D016017:Odds Ratio; D050177:Overweight / Q000175:diagnosis / Q000453:epidemiology* / Q000208:ethnology / Q000628:therapy; D063766:Pediatric Obesity / Q000175:diagnosis / Q000453:epidemiology* / Q000208:ethnology / Q000628:therapy; D015995:Prevalence; D013997:Time Factors; D055815:Young Adult
references: Prev Med. 1999 Mar;28(3):293-6
references: 10072748
references: Pediatrics. 2010 Feb;125(2):e396-418
references: 20083531
references: J Health Econ. 2003 May;22(3):477-504
references: 12683963
references: Pediatrics. 2009 Jun;123 Suppl 5:S277-86
references: 19470604
references: JAMA. 2012 Dec 26;308(24):2563-5
references: 23268509
references: JAMA. 2012 Feb 1;307(5):483-90
references: 22253364
references: Pediatrics. 2005 Jul;116(1):e94-101
references: 15995022
references: Clin Pediatr (Phila). 2010 Oct;49(10):964-9
references: 20837628
references: BMC Public Health. 2009 Dec 16;9:467
references: 20015353
references: J Hosp Med. 2009 Mar;4(3):149-56
references: 19301381
references: Pediatrics. 2007 Dec;120 Suppl 4:S164-92
references: 18055651
references: Clin Pediatr (Phila). 2005 Apr;44(3):221-7
references: 15821846
references: Arch Pediatr Adolesc Med. 2010 Jul;164(7):598-607
references: 20603458
references: BMC Public Health. 2008 Dec 23;8:421
references: 19105812
references: Health Aff (Millwood). 2007 Mar-Apr;26(2):430-40
references: 17339670
references: Pediatrics. 1999 Jun;103(6 Pt 1):1175-82
references: 10353925
references: Am J Clin Nutr. 2002 Sep;76(3):653-8
references: 12198014
references: N Engl J Med. 2005 Mar 17;352(11):1138-45
references: 15784668
references: Clin Pediatr (Phila). 2010 Aug;49(8):790-8
references: 20522610
references: J Pediatr. 2012 Jun;160(6):918-22.e1
references: 22240108
references: Pediatrics. 2010 Sep;126(3):434-42
references: 20713482
references: JAMA. 2006 May 24;295(20):2385-93
references: 16720824
references: Health Aff (Millwood). 2009 Sep-Oct;28(5):w822-31
references: 19635784
references: Clin Pediatr (Phila). 2011 Jul;50(7):630-5
references: 21317197
references: Arch Pediatr Adolesc Med. 2007 May;161(5):495-501
references: 17485627
references: Clin Pediatr (Phila). 2003 Apr;42(3):235-45
references: 12739922
references: Pediatrics. 2005 Jul;116(1):112-6
references: 15995040
references: BMC Pediatr. 2011 May 15;11:36
references: 21575161