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Epidemiology of Obesity in the United States

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Metabolic Syndrome

Abstract

The prevalence of obesity has risen dramatically in the United States over the past several decades, leading to a public health crisis that disproportionately impacts racial/ethnic minorities and Americans of lower socioeconomic status. This chapter examines the historical trends in obesity, as well as the scientific evidence for specific behavioral and environmental correlates of this disease. The chapter also focuses on subpopulations impacted by obesity, including children. The idea of moving beyond body mass index (BMI) as an isolated measure of obesity is presented, along with evidence of the importance of other measures, such as waist circumference, particularly among certain ethnic groups. The obesity paradox – a finding that in observational data, some adults who are overweight or obese have lower mortality than their normal-weight counterparts – is reviewed as well. Finally, the chapter considers the implications of the obesity epidemic in an aging US population and the rising prevalence of more severe degrees of obesity in recent years.

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References

  • Alinia S, Hels O, Tetens I. The potential association between fruit intake and body weight – a review. Obes Rev. 2009;10(6):639-647.

    Article  CAS  PubMed  Google Scholar 

  • An R, Sturm R. School and Residential Neighborhood Food Environment and Diet Among California Youth. Am J Prev Med. 2012 Feb 1;42(2):129–35.

    Google Scholar 

  • Anderson JW, Baird P, Davis RH Jr, et al. Health benefits of dietary fiber. Nutr Rev. 2009;67(4):188–205.

    Article  PubMed  Google Scholar 

  • Andreyeva T, Sturm R, Ringel JS. Moderate and Severe Obesity Have Large Differences in Health Care Costs. Obes Res. 2004;12(12):1936–43.

    Article  PubMed  Google Scholar 

  • Appel LJ. Prevalence of obesity in the united states. JAMA. 2014 Jul 9;312(2):188–9.

    Google Scholar 

  • Armstrong J, Reilly JJ. Breastfeeding and lowering the risk of childhood obesity. The Lancet. 2002 Jun 8;359(9322):2003–4.

    Google Scholar 

  • Barnard ND. Trends in food availability, 1909–2007. Am J Clin Nutr. 2010;91(5):1530S–1536S.

    Google Scholar 

  • Basu S, Seligman H, Gardner C, Bhattacharya J. Ending SNAP Subsidies For Sugar-Sweetened Beverages Could Reduce Obesity And Type 2 Diabetes. Health Aff (Millwood). 2014;33(6):1032–9.

    Article  Google Scholar 

  • Baumgartner RN. Body composition in healthy aging. Ann N Y Acad Sci. 2000;904(1):437–48.

    Article  CAS  PubMed  Google Scholar 

  • Baumgartner RN, Wayne SJ, Waters DL, Janssen I, Gallagher D, Morley JE. Sarcopenic obesity predicts instrumental activities of daily living disability in the elderly. Obes Res. 2004;12(12):1995–2004.

    Article  PubMed  Google Scholar 

  • Berrington de Gonzalez A, Hartge P, Cerhan JR, et al. Body-mass index and mortality among 1.46 million white adults. N Engl J Med. 2010;363(23):2211–2219.

    Google Scholar 

  • Birch LL, Fisher JO. Development of eating behaviors among children and adolescents. Pediatrics. 1998;101(Supplement 2):539–49.

    CAS  PubMed  Google Scholar 

  • Blaum CS, Xue QL, Michelon E, Semba RD, Fried LP. The association between obesity and the frailty syndrome in older women: the Women’s Health and Aging Studies. J Am Geriatr Soc. 2005;53(6):927–34.

    Article  PubMed  Google Scholar 

  • Bleich S, Cutler D, Murray C, Adams A. Why is the developed world obese? Annu Rev Public Health. 2008;29:273–295.

    Article  PubMed  Google Scholar 

  • Block G, Lanza E. Dietary fiber sources in the United States by demographic group. J Natl Cancer Inst. 1987;79(1):83–91.

    CAS  PubMed  Google Scholar 

  • Boone-Heinonen J, Gordon-Larsen P, Guilkey DK, Jacobs DR, Popkin BM. Environment and physical activity dynamics: the role of residential self-selection. Psychol Sport Exerc. 2011;12(1):54–60.

    Google Scholar 

  • Bouchard DR, Dionne IJ, Brochu M. Sarcopenic/obesity and physical capacity in older men and women: data from the Nutrition as a Determinant of Successful Aging (NuAge)—the Quebec Longitudinal Study. Obesity. 2009;17(11):2082–8.

    Article  PubMed  Google Scholar 

  • Bray GA, Popkin BM. Dietary fat intake does affect obesity! Am J Clin Nutr. 1998;68(6):1157–1173.

    CAS  PubMed  Google Scholar 

  • Briefel RR, Johnson CL. Secular trends in dietary intake in the United States. Annu Rev Nutr. 2004;24:401–431.

    Article  CAS  PubMed  Google Scholar 

  • Brownell KD, Farley T, Willett WC, Popkin BM, Chaloupka FJ, Thompson JW, et al. The public health and economic benefits of taxing sugar-sweetened beverages. N Engl J Med. 2009;361(16):1599–605.

    Article  PubMed Central  CAS  PubMed  Google Scholar 

  • Butte NF, Cai G, Cole SA, Wilson TA, Fisher JO, Zakeri IF, et al. Metabolic and behavioral predictors of weight gain in Hispanic children: the Viva la Familia Study. Am J Clin Nutr. 2007;85(6):1478–85.

    CAS  PubMed  Google Scholar 

  • Campbell KJ, Crawford DA, Salmon J, Carver A, Garnett SP, Baur LA. Associations Between the Home Food Environment and Obesity-promoting Eating Behaviors in Adolescence. Obesity. 2007;15(3):719–30.

    Article  PubMed  Google Scholar 

  • Carmienke S, Freitag MH, Pischon T, et al. General and abdominal obesity parameters and their combination in relation to mortality: a systematic review and meta-regression analysis. Eur J Clin Nutr. 2013;67(6):573–585.

    Article  CAS  PubMed  Google Scholar 

  • Catenacci VA, Ogden LG, Stuht J, et al. Physical activity patterns in the National Weight Control Registry. Obesity (Silver Spring). 2008;16(1):153–161.

    Article  Google Scholar 

  • Cawley J, Liu F. Maternal employment and childhood obesity: A search for mechanisms in time use data. National Poverty Center Working Paper Series. 2007(#07–29).

    Google Scholar 

  • Centers for Disease Control and Prevention. About the Behavioral Risk Factor Surveillance System (BRFSS). 2013; http://www.cdc.gov/brfss/about/about_brfss.htm.

    Google Scholar 

  • Centers for Disease Control and Prevention. Behavioral Risk Factor Surveillance System Survey Data. Atlanta: U.S. Department of Health and Human Services; 2015.

    Google Scholar 

  • Centers for Disease Control and Prevention. National Health and Nutrition Examination Survey History. 2011.

    Google Scholar 

  • Chang VW, Lauderdale DS. Income disparities in body mass index and obesity in the United States, 1971–2002. Arch Intern Med. 2005;165(18):2122–8.

    Article  PubMed  Google Scholar 

  • Chaturvedi V, Reddy KS, Prabhakaran D, Jeemon P, Ramakrishnan L, Shah P, et al. Development of a clinical risk score in predicting undiagnosed diabetes in urban Asian Indian adults: a population-based study. CVD Prev Control. 2008 Sep;3(3):141–51.

    Google Scholar 

  • Chiu M, Austin PC, Manuel DG, Shah BR, Tu JV. Deriving ethnic-specific BMI cutoff points for assessing diabetes risk. Diabetes Care. 2011;34(8):1741–8.

    Article  PubMed Central  PubMed  Google Scholar 

  • Cohen-Cole E, Fletcher JM. Is obesity contagious? Social networks vs. environmental factors in the obesity epidemic. J Health Econ. 2008 Sep;27(5):1382–7.

    Google Scholar 

  • Cole TJ. A method for assessing age-standardized weight-for-height in children seen cross-sectionally. Ann Hum Biol. 1979 Jun;6(3):249–68.

    Google Scholar 

  • Cummins S, Flint E, Matthews SA. New Neighborhood Grocery Store Increased Awareness Of Food Access But Did Not Alter Dietary Habits Or Obesity. Health Aff (Millwood). 2014 Feb 1;33(2):283–91.

    Google Scholar 

  • Cummins S, Petticrew M, Higgins C, Findlay A, Sparks L. Large scale food retailing as an intervention for diet and health: quasi-experimental evaluation of a natural experiment. J Epidemiol Community Health. 2005 Dec 1;59(12):1035–40.

    Google Scholar 

  • Daniels SR, Khoury PR, Morrison JA. The Utility of Body Mass Index as a Measure of Body Fatness in Children and Adolescents: Differences by Race and Gender. Pediatrics. 1997 Jun 1;99(6):804–7.

    Google Scholar 

  • de Ruyter JC, Olthof MR, Seidell JC, Katan MB. A trial of sugar-free or sugar-sweetened beverages and body weight in children. N Engl J Med. 2012;367(15):1397–1406.

    Article  PubMed  Google Scholar 

  • Deurenberg P, Yap M, Van Staveren WA, others. Body mass index and percent body fat: a meta analysis among different ethnic groups. Int J Obes. 1998;22:1164–71.

    Google Scholar 

  • Deurenberg-Yap M, Schmidt G, Van Staveren WA, Deurenberg P. The paradox of low body mass index and high body fat percentage among Chinese, Malays and Indians in Singapore. BODY Compos DIET Chin MALAYS INDIANS Singap. 2000;69.

    Google Scholar 

  • Dietz WH. Health consequences of obesity in youth: childhood predictors of adult disease. Pediatrics. 1998;101(Supplement 2):518–25.

    CAS  PubMed  Google Scholar 

  • Dietz WH, Bellizzi MC. Introduction: the use of body mass index to assess obesity in children. Am J Clin Nutr. 1999;70(1):123s–125s.

    CAS  PubMed  Google Scholar 

  • Doehner W, Clark A, Anker SD. The obesity paradox: weighing the benefit. Eur Heart J. 2010;31(2):146–148.

    Article  PubMed  Google Scholar 

  • Drewnowski A. The cost of US foods as related to their nutritive value. Am J Clin Nutr. 2010 Nov;92(5):1181–8.

    Google Scholar 

  • Drewnowski A, D Rehm C, Solet D. Disparities in obesity rates: analysis by ZIP code area. Soc Sci Med. 2007;65(12):2458–63.

    Google Scholar 

  • Drewnowski A, Specter SE. Poverty and obesity: the role of energy density and energy costs. Am J Clin Nutr. 2004;79(1):6–16.

    CAS  PubMed  Google Scholar 

  • Ebbeling CB, Feldman HA, Chomitz VR, et al. A randomized trial of sugar-sweetened beverages and adolescent body weight. N Engl J Med. 2012;367(15):1407–1416.

    Article  PubMed Central  CAS  PubMed  Google Scholar 

  • Ebrahim S, Beswick A, Burke M, Davey Smith G. Multiple risk factor interventions for primary prevention of coronary heart disease. Cochrane Database Syst Rev. 2006;(4):CD001561.

    Google Scholar 

  • Epstein LH, Valoski A, Wing RR, McCurley J. Ten-year outcomes of behavioral family-based treatment for childhood obesity. Health Psychol. 1994;13(5):373.

    Article  CAS  PubMed  Google Scholar 

  • Flegal KM, Kit BK, Orpana H, Graubard BI. Association of all-cause mortality with overweight and obesity using standard body mass index categories: a systematic review and meta-analysis. JAMA. 2013;309(1):71–82.

    Google Scholar 

  • Fogelholm M, Kukkonen-Harjula K. Does physical activity prevent weight gain – a systematic review. Obes Rev. 2000;1(2):95–111.

    Article  CAS  PubMed  Google Scholar 

  • Ford ES, Maynard LM, Li C. Trends in Mean Waist Circumference and Abdominal Obesity Among US Adults, 1999–2012. JAMA. 2014;312(11):1151–3.

    Article  PubMed  Google Scholar 

  • Fowler JH, Christakis NA. Estimating Peer Effects on Health in Social Networks : A Response to Cohen-Cole and Fletcher; Trogdon, Nonnemaker, Pais. J Health Econ. 2008 Sep;27(5):1400–5.

    Google Scholar 

  • Freedman DS, Khan LK, Serdula MK, Ogden CL, Dietz WH. Racial and ethnic differences in secular trends for childhood BMI, weight, and height. Obesity. 2006;14(2):301–8.

    Article  PubMed  Google Scholar 

  • Gallagher D, Visser M, Sepulveda D, Pierson RN, Harris T, Heymsfield SB. How useful is body mass index for comparison of body fatness across age, sex, and ethnic groups? Am J Epidemiol. 1996;143(3):228–39.

    Article  CAS  PubMed  Google Scholar 

  • Giovannucci E, Ascherio A, Rimm EB, Colditz GA, Stampfer MJ, Willett WC. Physical activity, obesity, and risk for colon cancer and adenoma in men. Ann Intern Med. 1995;122(5):327–334.

    Article  CAS  PubMed  Google Scholar 

  • Giovannucci E, Colditz GA, Stampfer MJ, Willett WC. Physical activity, obesity, and risk of colorectal adenoma in women (United States). Cancer Causes Control. 1996;7(2):253–263.

    Article  CAS  PubMed  Google Scholar 

  • Goldhaber-Fiebert JD, Rubinfeld RE, Bhattacharya J, Robinson TN, Wise PH. The Utility of Childhood and Adolescent Obesity Assessment in Relation to Adult Health. Med Decis Making. 2012 May 29;0272989X12447240.

    Google Scholar 

  • Goodman E, Whitaker RC. A prospective study of the role of depression in the development and persistence of adolescent obesity. Pediatrics. 2002;110(3):497–504.

    Article  PubMed  Google Scholar 

  • Gordon-Larsen P, Adair LS, Popkin BM. The relationship of ethnicity, socioeconomic factors, and overweight in US adolescents. Obes Res. 2003 Jan;11(1):121–9.

    Google Scholar 

  • Gordon-Larsen P, Nelson MC, Page P, Popkin BM. Inequality in the built environment underlies key health disparities in physical activity and obesity. Pediatrics. 2006;117(2):417–24.

    Article  PubMed  Google Scholar 

  • Gortner WA. Nutrition in the United States, 1900 to 1974. Cancer Res. 1975;35(11 Pt. 2):3246–3253.

    Google Scholar 

  • Greenberg JA. Obesity and early mortality in the United States. Obesity (Silver Spring). 2013;21(2):405–412.

    Article  Google Scholar 

  • Hall DMB, Cole TJ. What use is the BMI? Arch Dis Child. 2006 Apr 1;91(4):283–6.

    Google Scholar 

  • Hedley AA, Ogden CL, Johnson CL, Carroll MD, Curtin LR, Flegal KM. Prevalence of overweight and obesity among US children, adolescents, and adults, 1999–2002. Jama. 2004;291(23):2847–50.

    Article  CAS  PubMed  Google Scholar 

  • Heini AF, Weinsier RL. Divergent trends in obesity and fat intake patterns: the American paradox. Am J Med. 1997;102(3):259–264.

    Article  CAS  PubMed  Google Scholar 

  • Hill JO, Melanson EL, Wyatt HT. Dietary fat intake and regulation of energy balance: implications for obesity. J Nutr. 2000;130(2S Suppl):284S–288S.

    CAS  PubMed  Google Scholar 

  • Horwich TB, Fonarow GC, Hamilton MA, MacLellan WR, Woo MA, Tillisch JH. The relationship between obesity and mortality in patients with heart failure. J Am Coll Cardiol. 2001;38(3):789–795.

    Article  CAS  PubMed  Google Scholar 

  • Hu FB. Resolved: there is sufficient scientific evidence that decreasing sugar-sweetened beverage consumption will reduce the prevalence of obesity and obesity-related diseases. Obes Rev. 2013;14(8):606–619.

    Article  CAS  PubMed  Google Scholar 

  • Jeffery RW, Utter J. The changing environment and population obesity in the United States. Obes Res. 2003;11 Suppl:12S–22S.

    Article  PubMed  Google Scholar 

  • Johnson NB, Hayes LD, Brown K, et al. CDC National Health Report: leading causes of morbidity and mortality and associated behavioral risk and protective factors – United States, 2005–2013. MMWR Surveill Summ. 2014;63 Suppl 4:3–27.

    PubMed  Google Scholar 

  • Kanaya AM, Wassel CL, Mathur D, Stewart A, Herrington D, Budoff MJ, et al. Prevalence and correlates of diabetes in South Asian Indians in the United States: findings from the metabolic syndrome and atherosclerosis in South Asians living in America study and the multi-ethnic study of atherosclerosis. Metab Syndr Relat Disord. 2010;8(2):157–64.

    Article  CAS  PubMed  Google Scholar 

  • Kass S. Evidence of Progress: New CDC Report Shows Declines in Childhood Obesity Rates Among Low-Income Preschoolers. Washington D.C.: Let’s Move Campaign; 2013.

    Google Scholar 

  • Kennedy LM, Dickstein K, Anker SD, Kristianson K, Willenheimer R, Group OS. The prognostic importance of body mass index after complicated myocardial infarction. J Am Coll Cardiol. 2005;45(1):156–158.

    Article  PubMed  Google Scholar 

  • Kimm SY, Obarzanek E, Barton BA, Aston CE, Similo SL, Morrison JA, et al. Race, socioeconomic status, and obesity in 9- to 10-year-old girls: the NHLBI Growth and Health Study. Ann Epidemiol. 1996 Jul;6(4):266–75.

    Google Scholar 

  • Kissebah AH, Freedman DS, Peiris AN. Health risks of obesity. Med Clin North Am. 1989;73(1):111–38.

    CAS  PubMed  Google Scholar 

  • Kramer MS, Matush L, Vanilovich I, Platt RW, Bogdanovich N, Sevkovskaya Z, et al. Effects of prolonged and exclusive breastfeeding on child height, weight, adiposity, and blood pressure at age 6.5 y: evidence from a large randomized trial. Am J Clin Nutr. 2007 Dec 1;86(6):1717–21.

    Google Scholar 

  • Kriska AM, Saremi A, Hanson RL, et al. Physical activity, obesity, and the incidence of type 2 diabetes in a high-risk population. Am J Epidemiol. 2003;158(7):669–675.

    Article  PubMed  Google Scholar 

  • Kumar GS, Pan L, Park S, et al. Sugar-sweetened beverage consumption among adults – 18 states, 2012. MMWR Morb Mortal Wkly Rep. 2014;63(32):686-690

    PubMed  Google Scholar 

  • Lee H. The role of local food availability in explaining obesity risk among young school-aged children. Soc Sci Med. 2012 Apr;74(8):1193–203.

    Google Scholar 

  • Lim S, Kim JH, Yoon JW, Kang SM, Choi SH, Park YJ, et al. Sarcopenic obesity: prevalence and association with metabolic syndrome in the Korean Longitudinal Study on Health and Aging (KLoSHA). Diabetes Care. 2010;33(7):1652–4.

    Article  PubMed Central  CAS  PubMed  Google Scholar 

  • Lim SS, Vos T, Flaxman AD, Danaei G, Shibuya K, Adair-Rohani H, et al. A comparative risk assessment of burden of disease and injury attributable to 67 risk factors and risk factor clusters in 21 regions, 1990–2010: a systematic analysis for the Global Burden of Disease Study 2010. The Lancet. 2012 Dec;380(9859):2224–60.

    Google Scholar 

  • Macera CA, Ham SA, Yore MM, et al. Prevalence of physical activity in the United States: Behavioral Risk Factor Surveillance System, 2001. Prev Chronic Dis. 2005;2(2):A17.

    PubMed Central  PubMed  Google Scholar 

  • Malik VS, Pan A, Willett WC, Hu FB. Sugar-sweetened beverages and weight gain in children and adults: a systematic review and meta-analysis. Am J Clin Nutr. 2013;98(4):1084–1102.

    Article  PubMed Central  CAS  PubMed  Google Scholar 

  • Marriott BP, Cole N, Lee E. National estimates of dietary fructose intake increased from 1977 to 2004 in the United States. J Nutr. 2009;139(6):1228S–1235S.

    Article  CAS  PubMed  Google Scholar 

  • McAllister EJ, Dhurandhar NV, Keith SW, et al. Ten putative contributors to the obesity epidemic. Crit Rev Food Sci Nutr. 2009;49(10):868–913.

    Article  PubMed Central  PubMed  Google Scholar 

  • Michaud DS, Giovannucci E, Willett WC, Colditz GA, Stampfer MJ, Fuchs CS. Physical activity, obesity, height, and the risk of pancreatic cancer. JAMA. 2001;286(8):921–929.

    Article  CAS  PubMed  Google Scholar 

  • Misra A. Revisions of cutoffs of body mass index to define overweight and obesity are needed for the Asian-ethnic groups. Int J Obes. 2003;27(11):1294–6.

    Article  CAS  Google Scholar 

  • Mokdad AH, Serdula MK, Dietz WH, Bowman BA, Marks JS, Koplan JP. The spread of the obesity epidemic in the United States, 1991–1998. JAMA. 1999;282(16):1519–1522.

    Article  CAS  PubMed  Google Scholar 

  • Nielsen SJ, Siega-Riz AM, Popkin BM. Trends in energy intake in U.S. between 1977 and 1996: similar shifts seen across age groups. Obes Res. 2002;10(5):370–378.

    Article  PubMed  Google Scholar 

  • Ogden CL, Carroll MD, Curtin LR, McDowell MA, Tabak CJ, Flegal KM. Prevalence of overweight and obesity in the United States, 1999–2004. JAMA. 2006 Apr 5;295(13):1549–55.

    Google Scholar 

  • Ogden CL, Carroll MD, Kit BK, Flegal KM. Prevalence of childhood and adult obesity in the United States, 2011–2012. JAMA. 2014;311(8):806–14.

    Article  CAS  PubMed  Google Scholar 

  • Ogden CL, Carroll MD, McDowell MA, Flegal KM. Obesity among adults in the United States–no statistically significant chance since 2003–2004. NCHS Data Brief. 2007;(1):1–8.

    Google Scholar 

  • Ogden C, Carroll M. Prevalence of overweight, obesity and extreme obesity among adults: united states, trends 1960–1962 Through 2007–2008. National Center for Health Statistics; 2010.

    Google Scholar 

  • Ploeg M, Breneman V, Farrigan T, Hamrick K, Hopkins D, Kaufman P, et al. Access to affordable and nutritious food: measuring and understanding food deserts and their consequences. Report to Congress. Access Afford Nutr Food Meas Underst Food Deserts Their Consequences Rep Congr. USDA Economic Research Service; 2009.

    Google Scholar 

  • Powell LM, Chaloupka FJ, Bao Y. The availability of fast-food and full-service restaurants in the United States: associations with neighborhood characteristics. Am J Prev Med. 2007 a;33(4):S240–S245.

    Google Scholar 

  • Powell LM, Chriqui JF, Khan T, Wada R, Chaloupka FJ. Assessing the potential effectiveness of food and beverage taxes and subsidies for improving public health: a systematic review of prices, demand and body weight outcomes. Obes Rev. 2013 Feb 1;14(2):110–28.

    Google Scholar 

  • Powell LM, Slater S, Mirtcheva D, Bao Y, Chaloupka FJ. Food store availability and neighborhood characteristics in the United States. Prev Med. 2007 b;44(3):189–95.

    Google Scholar 

  • Power C, Lake JK, Cole TJ. Measurement and long-term health risks of child and adolescent fatness. Int J Obes Relat Metab Disord J Int Assoc Study Obes. 1997;21(7):507–26.

    Article  CAS  Google Scholar 

  • Preston SH, Stokes A. Obesity paradox: conditioning on disease enhances biases in estimating the mortality risks of obesity. Epidemiology. 2014;25(3):454–461.

    Article  PubMed Central  PubMed  Google Scholar 

  • Rao M, Afshin A, Singh G, Mozaffarian D. Do healthier foods and diet patterns cost more than less healthy options? A systematic review and meta-analysis. BMJ Open. 2013;3:e004277.

    Article  PubMed Central  PubMed  Google Scholar 

  • Rimm A. Prevalence of obesity in the united states. JAMA. 2014 Jul 9;312(2):189–189.

    Google Scholar 

  • Robert SA, Reither EN. A multilevel analysis of race, community disadvantage, and body mass index among adults in the US. Soc Sci Med 1982. 2004 Dec;59(12):2421–34.

    Google Scholar 

  • Robinson TN. Reducing children’s television viewing to prevent obesity: a randomized controlled trial. Jama. 1999;282(16):1561–7.

    Article  CAS  PubMed  Google Scholar 

  • Rolland Y, Lauwers-Cances V, Cristini C, van Kan GA, Janssen I, Morley JE, et al. Difficulties with physical function associated with obesity, sarcopenia, and sarcopenic-obesity in community-dwelling elderly women: the EPIDOS (EPIDemiologie de l’OSteoporose) Study. Am J Clin Nutr. 2009;89(6):1895–900.

    Article  CAS  PubMed  Google Scholar 

  • Romero-Corral A, Montori VM, Somers VK, et al. Association of bodyweight with total mortality and with cardiovascular events in coronary artery disease: a systematic review of cohort studies. Lancet. 2006;368(9536):666–678.

    Article  PubMed  Google Scholar 

  • Roubenoff R. Sarcopenic obesity: the confluence of two epidemics. Obes Res. 2004;12(6):887–8.

    Article  PubMed  Google Scholar 

  • Sallis JF, Glanz K. The role of built environments in physical activity, eating, and obesity in childhood. Future Child. 2006;16(1):89–108.

    Article  PubMed  Google Scholar 

  • Schrager MA, Metter EJ, Simonsick E, Ble A, Bandinelli S, Lauretani F, et al. Sarcopenic obesity and inflammation in the InCHIANTI study. J Appl Physiol. 2007;102(3):919–25.

    Article  PubMed Central  PubMed  Google Scholar 

  • Schwimmer JB, Burwinkle TM, Varni JW. Health-related quality of life of severely obese children and adolescents. Jama. 2003;289(14):1813–9.

    Article  PubMed  Google Scholar 

  • Serdula MK, Ivery D, Coates RJ, Freedman DS, Williamson DF, Byers T. Do obese children become obese adults? A review of the literature. Prev Med. 1993;22(2):167–77.

    Article  CAS  PubMed  Google Scholar 

  • Singh GK, Kogan MD, van Dyck PC. A multilevel analysis of state and regional disparities in childhood and adolescent obesity in the United States. J Community Health. 2008 a;33(2):90–102.

    Google Scholar 

  • Singh GK, Kogan MD, Van Dyck PC. Changes in state-specific childhood obesity and overweight prevalence in the United States from 2003 to 2007. Arch Pediatr Adolesc Med. 2010;164(7):598–607.

    Article  PubMed  Google Scholar 

  • Singh GK, Kogan MD, Van Dyck PC, Siahpush M. Racial/ethnic, socioeconomic, and behavioral determinants of childhood and adolescent obesity in the United States: analyzing independent and joint associations. Ann Epidemiol. 2008 b;18(9):682–95.

    Google Scholar 

  • Singhal A, Lanigan J. Breastfeeding, early growth and later obesity. Obes Rev. 2007;8:51–4.

    Article  PubMed  Google Scholar 

  • Stenholm S, Harris TB, Rantanen T, Visser M, Kritchevsky SB, Ferrucci L. Sarcopenic obesity-definition, etiology and consequences. Curr Opin Clin Nutr Metab Care. 2008;11(6):693.

    Article  PubMed Central  PubMed  Google Scholar 

  • Stice E, Presnell K, Shaw H, Rohde P. Psychological and behavioral risk factors for obesity onset in adolescent girls: a prospective study. J Consult Clin Psychol. 2005;73(2):195.

    Article  PubMed  Google Scholar 

  • Stuckler D, Siegel K. Sick societies: responding to the global challenge of chronic disease. OUP Oxford; 2011.

    Book  Google Scholar 

  • Swinburn BA, Sacks G, Hall KD, et al. The global obesity pandemic: shaped by global drivers and local environments. Lancet. 2011;378(9793):804–814.

    Google Scholar 

  • Tanofsky-Kraff M, Cohen ML, Yanovski SZ, Cox C, Theim KR, Keil M, et al. A prospective study of psychological predictors of body fat gain among children at high risk for adult obesity. Pediatrics. 2006;117(4):1203–9.

    Article  PubMed Central  PubMed  Google Scholar 

  • Tobias D, Pan A, Hu FB. BMI and mortality among adults with incident type 2 diabetes. N Engl J Med. 2014;370(14):1363–1364.

    CAS  PubMed  Google Scholar 

  • Tohill BC, Seymour J, Serdula M, Kettel-Khan L, Rolls BJ. What epidemiologic studies tell us about the relationship between fruit and vegetable consumption and body weight. Nutr Rev. 2004;62(10):365–374.

    Article  PubMed  Google Scholar 

  • Threapleton DE, Greenwood DC, Evans CE, et al. Dietary fibre intake and risk of cardiovascular disease: systematic review and meta-analysis. BMJ. 2013;347:f6879.

    Article  PubMed Central  PubMed  Google Scholar 

  • Trowbridge FL, Marks JS, Romana GL de, Madrid S, Boutton TW, Klein PD. Body composition of Peruvian children with short stature and high weight-for-height. II. Implications for the interpretation for weight-for-height as an indicator of nutritional status. Am J Clin Nutr. 1987 Sep 1;46(3):411–8.

    Google Scholar 

  • US Department of Agriculture. USDA ERS - Food Availability (Per Capita) Data System. 2014; http://www.ers.usda.gov/data-products/food-availability-(per-capita)-data-system.aspx.

  • Van der Horst K, Oenema A, Ferreira I, Wendel-Vos W, Giskes K, Van Lenthe F, et al. A systematic review of environmental correlates of obesity-related dietary behaviors in youth. Health Educ Res. 2007;22(2):203–26.

    Article  PubMed  Google Scholar 

  • Van Itallie TB. Dietary fiber and obesity. Am J Clin Nutr. 1978;31(10 Suppl):S43–52.

    Google Scholar 

  • Wang Y, Beydoun MA. The obesity epidemic in the United States—gender, age, socioeconomic, racial/ethnic, and geographic characteristics: a systematic review and meta-regression analysis. Epidemiol Rev. 2007;29(1):6–28.

    Article  CAS  PubMed  Google Scholar 

  • Wang Y, Zhang Q. Are American children and adolescents of low socioeconomic status at increased risk of obesity? Changes in the association between overweight and family income between 1971 and 2002. Am J Clin Nutr. 2006 Oct 1;84(4):707–16.

    Google Scholar 

  • Wang YC, Coxson P, Shen Y-M, Goldman L, Bibbins-Domingo K. A penny-per-ounce tax on sugar-sweetened beverages would cut health and cost burdens of diabetes. Health Aff (Millwood). 2012;31(1):199–207.

    Article  Google Scholar 

  • Whitaker RC, Orzol SM. Obesity among US urban preschool children: relationships to race, ethnicity, and socioeconomic status. Arch Pediatr Adolesc Med. 2006 Jun;160(6):578–84.

    Google Scholar 

  • Willett WC. Dietary fat plays a major role in obesity: no. Obes Rev. 2002;3(2):59–68.

    Article  CAS  PubMed  Google Scholar 

  • World Health Organization. Obesity: preventing and managing the global epidemic [Internet]. World Health Organization; 2000 [cited 2015 Jan 6]. Available from: http://books.google.com/books?hl=en&lr=&id=AvnqOsqv9doC&oi=fnd&pg=PA1&dq=health+consequences+of+obesity&ots=6UF09oYR2K&sig=9YFF8tHMlL4SzXDg6PPsEzEgFGo

  • Wright CM, Parker L, Lamont D, Craft AW. Implications of childhood obesity for adult health: findings from thousand families cohort study. Bmj. 2001;323(7324):1280–4.

    Article  PubMed Central  CAS  PubMed  Google Scholar 

  • Wrotniak BH, Epstein LH, Paluch RA, Roemmich JN. Parent weight change as a predictor of child weight change in family-based behavioral obesity treatment. Arch Pediatr Adolesc Med. 2004;158(4):342–7.

    Article  PubMed  Google Scholar 

  • Yanovski JA, Yanovski SZ, Filmer KM, Hubbard VS, Avila N, Lewis B, et al. Differences in body composition of black and white girls. Am J Clin Nutr. 1996 Dec 1;64(6):833–9.

    Google Scholar 

  • Zamboni M, Mazzali G, Zoico E, Harris TB, Meigs JB, Di Francesco V, et al. Health consequences of obesity in the elderly: a review of four unresolved questions. Int J Obes. 2005;29(9):1011–29.

    Article  CAS  Google Scholar 

  • Zhang Q, Wang Y. Socioeconomic inequality of obesity in the United States: do gender, age, and ethnicity matter? Soc Sci Med 1982. 2004 a Mar;58(6):1171–80.

    Google Scholar 

  • Zhang Q, Wang Y. Trends in the association between obesity and socioeconomic status in U.S. adults: 1971 to 2000. Obes Res. 2004 b Oct;12(10):1622–32.

    Google Scholar 

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Lewis, K.H., Basu, S. (2015). Epidemiology of Obesity in the United States. In: Ahima, R. (eds) Metabolic Syndrome. Springer, Cham. https://doi.org/10.1007/978-3-319-12125-3_2-1

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