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More U.S. Children Severely Obese, Study Says

Report, which conflicts with recent CDC review, finds growing number of kids likely to suffer serious health problems
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WebMD News from HealthDay

By Steven Reinberg

HealthDay Reporter

MONDAY, April 7, 2014 (HealthDay News) -- Contrary to a recent report with encouraging figures on childhood obesity in the United States, a new study presents a more sobering picture of the nation's pediatric weight problem.

Severe obesity, which sets kids up for a lifetime of health problems, has increased over the past 14 years, North Carolina researchers found. They used the same data that researchers from the U.S. Centers for Disease Control and Prevention mined for their encouraging report in February.

"We found that the number of extremely obese kids seems to be increasing," said lead researcher Asheley Cockrell Skinner, an assistant professor of pediatrics at the University of North Carolina. "This is particularly true for school-age girls and teenage boys."

Severely obese children are the ones most likely to have type 2 diabetes as teens and other problems such as heart disease later in life. They are also the children who will require millions of dollars in health care costs, she added.

Moreover, all obese children are likely to be obese adults, Skinner said.

Categories of obesity are based on a child's height and weight in relation to their peers. A 10-year-old boy who is 4 feet, 6 inches tall and weighs 95 pounds is considered obese, according to Dr. David Katz, director of the Yale University Prevention Research Center. At 130 pounds, that boy would be severely obese.

For the new report, published online April 7 in the journal JAMA Pediatrics, Skinner and a colleague used the same National Health and Nutrition Examination Survey data as the CDC researchers, but extended their research from 1999 to 2012.

In the CDC study, published Feb. 26 in the Journal of the American Medical Association, researchers found a significant decrease in obesity among preschoolers -- from 14 percent in 2003-04 to about 8 percent in 2011-12.

That CDC study also found that obesity rates had stabilized among children overall, and some specialists hailed the report as an indication of a turnaround.

But their excitement may have been premature, Skinner said. She added: "When extending the data out to 14 years, we see there isn't really a decline. We need to be cautious about reports that say obesity is declining and assume things are better."

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