title: Prevalence of obesity and acanthosis nigricans among young children in the children's healthy living program in the United States Affiliated Pacific.
abstract: Estimate prevalence of obesity and acanthosis nigricans (AN) among children in United States Affiliated Pacific (USAP) jurisdictions.Cross-sectional measurement of weight, height, and AN in 5775, 2 to 8 years old in 51 communities-Hawai'i, Alaska, Commonwealth of the Northern Mariana Islands, Guam, American Samoa, Palau, Republic of the Marshall Islands (RMI), 4 Federated States of Micronesia (Pohnpei, Yap, Kosrae, Chuuk). Analyses weighted to jurisdiction-specific sex and age distributions accounting for clustering of communities within jurisdictions.Prevalence of obesity was 14.0%, overweight 14.4%, healthy weight 68.9%, and underweight 2.6%, higher in males (16.3%) than females (11.6%), higher among 6 to 8 years old (16.3%) than 2 to 5 years old (12.9%), highest in American Samoa (21.7%), and absent in RMI. In total, 4.7% of children had AN, with no sex difference, higher in 6 to 8 years old (6.8%) than 2 to 5 years old (3.5%) and highest in Pohnpei (11.9%), and absent in Alaska. Obesity was highly associated with AN (odds ratio = 9.25, 95% confidence interval = 6.69-12.80), with the strongest relationships among Asians, followed by Native Hawaiians and Pacific Islanders (NHPI).Obesity, age, and Asian and NHPI race were positively associated with AN.
authors.affiliation: University of Hawaii at Manoa, Honolulu University of Alaska, Fairbanks Northern Marianas College, Saipan University of Guam, Mangilao.
authors.forename: Rachel
authors.initials: R
authors.lastname: Novotny
authors.forename: Fenfang
authors.initials: F
authors.lastname: Li
authors.forename: Marie Kainoa
authors.initials: MK
authors.lastname: Fialkowski
authors.forename: Andrea
authors.initials: A
authors.lastname: Bersamin
authors.forename: Aifili
authors.initials: A
authors.lastname: Tufa
authors.forename: Jonathan
authors.initials: J
authors.lastname: Deenik
authors.forename: Patricia
authors.initials: P
authors.lastname: Coleman
authors.forename: Rachael Leon
authors.initials: RL
authors.lastname: Guerrero
authors.forename: Lynne R
authors.initials: LR
authors.lastname: Wilkens
mesh_terms: D000052:Acanthosis Nigricans / Q000208:ethnology*; D002648:Child; D000067576:Child Health; D002675:Child, Preschool; D003430:Cross-Sectional Studies; D005260:Female; D006801:Humans; D008297:Male; D009765:Obesity / Q000208:ethnology*; D010139:Pacific Islands / Q000453:epidemiology; D015995:Prevalence