Childhood Obesity
Conditions
Keywords
children, obesity, emergency medicine
Brief summary
Objective: Obesity amongst children is a public health issue in the United States and is rising at an alarming rate. The purpose of this study is to determine if there is any correlation between At Risk body weight (overweight and obese) and immediate health of the pediatric population. Methodology: As part of routine patient care, we measured length in addition to weight of patients 2 years to 18 years of age presenting to the pediatric emergency department. A report was run monthly to calculate the BMI of all patients for whom data is available. The data were plotted on the year 2000 gender based BMI for age percentile growth charts from CDC. A retrospective electronic chart review was conducted for patients At Risk body weight (BMI ≥ 85%), and were compared to control or healthy (BMI of 25 - 75 %) group for six groups of final ED diagnoses of infectious diseases.
Detailed description
A. Background and Significance: Obesity is a public health issue in the United States. Obesity amongst children is rising at an alarming rate. Thirty percent of US children aged 6 to 19 are over weight and 15 % are obese1. It is estimated that over 18 million US children are over weight. The long-term impact of childhood obesity on such diseases as Diabetes, Asthmaand Hypertension, is well studied. The effects of childhood obesity on the current health status of the pediatric population have not been studied. B. Methodology: As part of routine patient care, we measured length in addition to weight of patients 2 years to 18 years of age presenting to the pediatric emergency department. A report was run monthly to calculate the BMI of all patients for whom data is available. The data were plotted on the year 2000 gender based BMI for age percentile growth charts from CDC. A retrospective electronic chart review was conducted for patients At Risk body weight (BMI ≥ 85%), and were compared to control or healthy (BMI of 25 - 75 %) group for six groups of final ED diagnoses of infectious disease (ID). Data were entered and analyzed via SPSS 14.0 for Windows 2000 software systems.
Interventions
None listed
Sponsors
Antonios Likourezos
Study design
Observational model
COHORT
Time perspective
PROSPECTIVE
Eligibility
Sex/Gender
ALL
Age
2 Years to 18 Years
Healthy volunteers
Yes
Inclusion criteria
Age 2-18 yrs for whom a length and weight is possible -
Exclusion criteria
Under 2 yrs or over 18 yrs of age or inability to weigh and measure pt \-
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Diagnosis of Infectious Disease | 30 minutes | The Children visiting the ED having an infectious disease |
Countries
United States
Participant flow
Recruitment details
Pediatric Emergency Department
Pre-assignment details
No significant events
Participants by arm
| Arm | Count |
|---|---|
| At Risk Body Weight Children with BMI greater adn equal to 85% | 3,031 |
| Normal Body Weight Children with a BMI of 25 to 75% | 2,361 |
| Total | 5,392 |
Baseline characteristics
| Characteristic | Total | At Risk Body Weight | Normal Body Weight |
|---|---|---|---|
| Age, Categorical <=18 years | 5392 Participants | 3031 Participants | 2361 Participants |
| Age, Categorical >=65 years | 0 Participants | 0 Participants | 0 Participants |
| Age, Categorical Between 18 and 65 years | 0 Participants | 0 Participants | 0 Participants |
| Age Continuous | 9.0 years STANDARD_DEVIATION 4.5 | 9.2 years STANDARD_DEVIATION 4.3 | 8.8 years STANDARD_DEVIATION 4.7 |
| Region of Enrollment United States | 5392 participants | 3031 participants | 2361 participants |
| Sex: Female, Male Female | 2260 Participants | 1229 Participants | 1031 Participants |
| Sex: Female, Male Male | 3132 Participants | 1802 Participants | 1330 Participants |
Adverse events
| Event type | EG000 affected / at risk | EG001 affected / at risk |
|---|---|---|
| deaths Total, all-cause mortality | — / — | — / — |
| other Total, other adverse events | 0 / 3,031 | 0 / 2,361 |
| serious Total, serious adverse events | 0 / 3,031 | 0 / 2,361 |
Outcome results
Primary
Diagnosis of Infectious Disease
The Children visiting the ED having an infectious disease
Time frame: 30 minutes
| Arm | Measure | Value (NUMBER) |
|---|---|---|
| At Risk Body Weight | Diagnosis of Infectious Disease | 900 Participants |
| Normal Body Weight | Diagnosis of Infectious Disease | 1067 Participants |
p-value: 0.026Chi-squared