The obesity rate among 2- to 5-year-olds dropped by almost half in the U.S. over the past decade, according to a report suggesting a new wave of Americans may avoid the risks of heart disease and diabetes linked to being severely overweight.
Obesity among young children fell to 8.1 percent in 2011 to 2012, from 14 percent in 2003-2004, the study released yesterday in the Journal of the American Medical Association found. The results, by researchers at the Atlanta-based Centers for Disease Control and Prevention, expand on data initially reported by the federal agency in October.
About 78 million adults are obese, or about one-third of the population, according to the CDC. While rates for teenagers and adults have largely remained the same over the last decade, according to the report, the progress seen among the very young offers hope for the future, said Risa Lavizzo-Mourey, head of the Robert Wood Johnson Foundation.
“Progress among the youngest children is especially important because we know that preventing obesity at an early age helps young people maintain a healthy weight into adulthood,” said Lavizzo-Mourey, whose nonprofit group has pledged $500 million to reduce childhood obesity in the U.S.
The CDC report used data from the National Health and Nutrition Examination Survey in drawing its conclusions. The paper’s findings didn’t give a specific reason for the change.
In August, CDC director Thomas Frieden said that a drop in obesity seen among low-income children ages 2 to 4 in 2011 might be due to changes in programs aimed at helping young children and mothers eat healthier, as well as an increase in breast feeding, and nutrition initiatives such as first lady Michelle Obama’s “Let’s Move” campaign. Frieden, referring to the earlier research, said those influences may be spreading among a wider group of children.
“This confirms that at least for kids, we can turn the tide and begin to reverse the obesity epidemic,” he said yesterday in a statement.
The CDC recommends that parents cut the amount of juice drinks their children consume and reduce children’s time in front of television and computer screens.
Toddlers are doing better because their environment has changed, with day care centers and parents listening to the new recommendations, said Robert Lustig, a pediatric endocrinologist and director of the Weight Assessment for Teen and Child Health Program at the University of California at San Francisco. The improvement isn’t seen in other groups and it’s not likely to last, he said.
“There is no question that if toddlers are doing better, something good is happening,” he said in a telephone interview. “But we have a whole lot more to do, and we’re not affecting people who have minds of their own.”
Obesity is measured using body mass index, or BMI, a calculation of weight and height in adults ages 20 and older. For example, a 5-foot, 4-inch woman weighing 175 pounds (80 kilograms) has a BMI of 30. A BMI of 30 or more is considered obese, while a BMI of 25 to 29.9 is considered overweight, according to the National Institutes of Health.
In children 2 to 19, obesity is determined as a BMI at or above the 95th percentile of children who are the same age and sex, the authors said. Overweight children have BMIs that are from the 85th to 95th percentile.
Along with heart disease and diabetes, obesity can raise the risk of some cancers, osteoarthritis, sleep apnea and stroke, according to the CDC. Rates had more than doubled in children and tripled in adolescents from the early 1980s, though researchers say the numbers may now have plateaued.
A study published in January by the New England Journal of Medicine found that 5-year-olds who carry extra weight are four times as likely to become obese during their elementary school years. Almost half of those who developed obesity were overweight when school started, and of the overweight kindergartners, only 13 percent were normal weight in eighth grade.
Older research suggests that obesity develops in the U.S. at a rate of 2.5 percent a year from adolescence to adulthood.
The drop in obesity among children ages 2 to 5 echoes decreases previously seen in some smaller groups. For instance, in August 2013, the CDC reported that obesity rates among low-income children fell in 19 U.S. states and territories in 2011. Among 2- to 4-year-olds, the declines varied from 1.8 percent to 19.1 percent, according to data from 40 states, two U.S. territories, and the District of Columbia.
“After decades of seemingly endless bad news about obesity, our collective efforts over the last several years show that we as a nation are finally moving in the right direction,” Lavizzo-Mourey said in a statement. “Of course we can’t stop now. We must redouble our efforts, and continue to focus on those children and families most at risk for obesity.”
Lustig said the decline in obesity rates among the youngest children may have just delayed the issue temporarily. As soon as the toddlers go to elementary school, the children at risk of obesity probably will gain weight and rates will rise, he said.
“The only thing that’s preventing obesity now is that their environment is controlled and it won’t always be,” he said. “Everyone else continues to have problems. That, as far as I’m concerned, is an unmitigated disaster.”
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