title: Ten-year trends in overweight/obesity among Ontario middle and high school students and their use in establishing baseline measures for government reduction targets.
abstract: OBJECTIVE
  Public health concern about increasing levels of child/youth overweight and obesity has resulted in initiatives to address this issue. In 2012, the Ontario Ministry of Health and Long-Term Care (MOHLTC) established a target to reduce childhood obesity by 20% within five years. In this paper, we examine trends and establish baseline levels of overweight/obesity to assess the impacts of population-level interventions.
  
  
  METHODS
  We analyzed 10 years (2003-2013) of data accumulated from six cycles of the Ontario Student Drug Use and Health Survey using logistic regression to assess trends in the prevalence of overweight/obesity among middle and high school students. The 2013 data are used to begin monitoring progress toward achieving the MOHLTC target.
  
  
  RESULTS
  From 2003 through 2013, the prevalence of overweight/obesity among middle school students in the province remained stable overall and among all subgroups except 7th-grade females, who showed a significant linear decline. Among high school students, the prevalence of overweight/obesity showed a significant linear increase and an increase among 11th graders, females, and 10th- and 11th-grade females specifically. The prevalence remained stable but elevated among 9th- and 12th-grade females as well as among males in all grades. In 2013 (baseline for the MOHLTC target), 25.1% of students in grades 7-12 were overweight or obese, implying a presumed 2018 target of 20.1%.
  
  
  CONCLUSIONS
  Ten-year trends in overweight/obesity indicate stability among males and significant linear increases in some female subgroups. Also, baseline data (2013) will facilitate the monitoring of future interventions aimed at achieving the 2018 MOHLTC target.
authors.affiliation: 1. Public Health Ontario 2. Dalla Lana School of Public Health, University of Toronto. k.allison@utoronto.ca.
authors.forename: Kenneth R
authors.initials: KR
authors.lastname: Allison
authors.forename: Hyacinth M
authors.initials: HM
authors.lastname: Irving
authors.forename: Edward M
authors.initials: EM
authors.lastname: Adlaf
authors.forename: Guy E J
authors.initials: GE
authors.lastname: Faulkner
authors.forename: Angela
authors.initials: A
authors.lastname: Boak
authors.forename: Heather E
authors.initials: HE
authors.lastname: Manson
authors.forename: Hayley A
authors.initials: HA
authors.lastname: Hamilton
authors.forename: Bessie
authors.initials: B
authors.lastname: Ng
mesh_terms: D000293:Adolescent; D002648:Child; D005260:Female; D006040:Goals; D006076:Government; D006306:Health Surveys; D006801:Humans; D008297:Male; D009864:Ontario / Q000453:epidemiology; D050177:Overweight / Q000453:epidemiology* / Q000517:prevention & control*; D063766:Pediatric Obesity / Q000453:epidemiology* / Q000517:prevention & control*; D013334:Students / Q000706:statistics & numerical data*