title: The Association Between Adolescent Obesity and Disability Incidence in Young Adulthood.
abstract: To evaluate the longitudinal relationship between obesity during adolescence and development of disability during young adulthood.
  
  
  
  A cohort of 8,032 individuals aged 11-21 years enrolled in 1994-1995 (Wave I) of the National Longitudinal Study of Adolescent to Adult Health, followed up in 1996 (Wave II) and in 2001-2002 (Wave III). Individuals were divided into four categories based on weight and height of Wave II and Wave III: (1) developing obesity; (2) persistent obesity; (3) no obesity; and (4) obesity reversal. Disability was measured in Wave III using a measure of functional limitations and the Short Form 36 physical functioning scale. Logistic regression was used to predict the probability of disability as a function of weight category.
  
  
  
  Compared with their nonobese peers, adolescents developing obesity (adjusted odds ratio: 1.83 [95% confidence interval: 1.51-2.22]) and with persistent obesity (adjusted odds ratio: 2.09 [95% confidence interval: 1.64-2.67]) had a higher odds of having a functional limitation in Wave III.
  
  
  
  Developing obesity and persistent obesity during adolescence were significantly associated with increased disability in young adulthood.
authors.affiliation: Department of Sociology, University of Washington, Seattle, Washington.
authors.forename: Hedwig
authors.initials: H
authors.lastname: Lee
authors.affiliation: Department of Sociology, University of Washington, Seattle, Washington. Electronic address: apantazi@u.washington.edu.
authors.forename: Athena
authors.initials: A
authors.lastname: Pantazis
authors.affiliation: University of Michigan Medical School, Ann Arbor, Michigan.
authors.forename: Phoebe
authors.initials: P
authors.lastname: Cheng
authors.affiliation: University of Michigan Medical School, Ann Arbor, Michigan.
authors.forename: Lauren
authors.initials: L
authors.lastname: Dennisuk
authors.affiliation: Institute for Social Research, University of Michigan, Ann Arbor, Michigan.
authors.forename: Philippa J
authors.initials: PJ
authors.lastname: Clarke
authors.affiliation: Child Health Evaluation and Research (CHEAR) Unit, Division of General Pediatrics, University of Michigan, Ann Arbor, Michigan; Division of Pediatric Endocrinology, University of Michigan, Ann Arbor, Michigan.
authors.forename: Joyce M
authors.initials: JM
authors.lastname: Lee
mesh_terms: D000293:Adolescent; D000328:Adult; D001835:Body Weight / Q000502:physiology; D002648:Child; D006233:Persons with Disabilities / Q000706:statistics & numerical data*; D018450:Disease Progression; D005260:Female; D006306:Health Surveys; D006801:Humans; D015994:Incidence; D016015:Logistic Models; D008137:Longitudinal Studies; D008297:Male; D016017:Odds Ratio; D063766:Pediatric Obesity / Q000453:epidemiology*; D012307:Risk Factors; D055815:Young Adult
keywords: Adolescent health; Adolescent obesity; Functional disability