title: Characterization of Childhood Obesity and Behavioral Factors.
abstract: Childhood obesity is a major public health threat in the United States. Recent data indicate that 34.2% of children ages 6 to 11 years are overweight or obese. The purpose of this study is to describe childhood obesity levels and identify risk behaviors in two school-based health centers in Michigan, one urban and one rural.
  
  
  
  This study is a secondary data analysis from a multicenter comparative effectiveness trial. Multiple logistic regression was used to examine behavioral factors associated with overweight/obesity in children.
  
  
  
  In this sample (n = 105), 41.9% were obese and 16.2% were overweight. The duration of sleep per night (p = .04) and the frequency of eating breakfast (p = .04) were significant predictors of being overweight/obese.
  
  
  
  Health care providers in school-based health centers must be comfortable assessing, preventing, and treating childhood obesity in this high-risk group of patients. Interventions should encourage children to eat breakfast daily and to get adequate sleep.
authors.forename: Jessica
authors.initials: J
authors.lastname: Olson
authors.forename: Heather
authors.initials: H
authors.lastname: Aldrich
authors.forename: Tiffany J
authors.initials: TJ
authors.lastname: Callahan
authors.forename: Ellyn E
authors.initials: EE
authors.lastname: Matthews
authors.forename: Bonnie
authors.initials: B
authors.lastname: Gance-Cleveland
mesh_terms: D000293:Adolescent; D015992:Body Mass Index; D062408:Breakfast; D002648:Child; D002675:Child, Preschool; D005260:Female; D015438:Health Behavior; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D016015:Logistic Models; D008297:Male; D008824:Michigan / Q000453:epidemiology; D009749:Nutrition Surveys; D063766:Pediatric Obesity / Q000453:epidemiology / Q000517:prevention & control / Q000523:psychology*; D040242:Risk Reduction Behavior; D012424:Rural Population / Q000706:statistics & numerical data; D012572:School Health Services; D012890:Sleep; D014505:Urban Population / Q000706:statistics & numerical data
keywords: Obesity; breakfast; overweight; pediatric; sleep