PMID- 15321794 OWN - NLM STAT- MEDLINE DCOM- 20040921 LR - 20230318 IS - 0002-9165 (Print) IS - 0002-9165 (Linking) VI - 80 IP - 3 DP - 2004 Sep TI - Five-year obesity incidence in the transition period between adolescence and adulthood: the National Longitudinal Study of Adolescent Health. PG - 569-75 AB - BACKGROUND: No nationally representative longitudinal data have been analyzed to evaluate the incidence of obesity in the transition between adolescence and adulthood. OBJECTIVE: The objective was to examine dynamic patterns of change in obesity among white, black, Hispanic, and Asian US teens as they transitioned to young adulthood. DESIGN: We used nationally representative, longitudinally measured height and weight data collected from US adolescents enrolled in wave II (1996; ages 13-20 y) and wave III (2001; 19-26 y) of the National Longitudinal Study of Adolescent Health (n = 9795). Obesity incidence was defined on the basis of International Obesity Task Force (IOTF) cutoffs (wave II), which link childhood body mass index (BMI) centiles to adult cutoffs (BMI > or = 30; wave III), for comparability between adolescence and adulthood. In addition, the more commonly used cutoff of BMI > or = 95th percentile for age- and sex-specific cutoffs from the 2000 Centers for Disease Control and Prevention growth charts for adolescents (wave II) were compared with adult cutoffs (BMI > or = 30; wave III). RESULTS: On the basis of the IOTF cutoffs, obesity incidence over the 5-y study period was 12.7%; 9.4% of the population remained obese and 1.6% shifted from obese to nonobese. Obesity incidence was especially high in non-Hispanic black (18.4%) females relative to white females. The prevalence of obesity increased from 10.9% in wave II to 22.1% in wave III, and extreme obesity was 4.3% at wave III on the basis of a BMI > or = 40. CONCLUSIONS: During a 5-y transitional period between adolescence and young adulthood, the proportion of adolescents becoming and remaining obese into adulthood was very high. This upward trend is likely to continue. Effective preventive and treatment efforts are critically needed. FAU - Gordon-Larsen, Penny AU - Gordon-Larsen P AD - Carolina Population Center, Department of Nutrition, University of North Carolina, School of Public Health, University of North Carolina at Chapel Hill. FAU - Adair, Linda S AU - Adair LS FAU - Nelson, Melissa C AU - Nelson MC FAU - Popkin, Barry M AU - Popkin BM LA - eng GR - DK 56350/DK/NIDDK NIH HHS/United States GR - K01 HD 044263-01/HD/NICHD NIH HHS/United States GR - R01 HD 041375-01/HD/NICHD NIH HHS/United States GR - R01 HD 39183-01/HD/NICHD NIH HHS/United States PT - Journal Article PT - Research Support, U.S. Gov't, P.H.S. PL - United States TA - Am J Clin Nutr JT - The American journal of clinical nutrition JID - 0376027 SB - IM MH - Adolescent MH - *Adolescent Nutritional Physiological Phenomena MH - Adult MH - Age Distribution MH - Asian/statistics & numerical data MH - Black People/statistics & numerical data MH - *Body Mass Index MH - *Ethnicity/statistics & numerical data MH - Female MH - Hispanic or Latino/statistics & numerical data MH - Humans MH - Incidence MH - Longitudinal Studies MH - Male MH - Nutrition Surveys MH - Obesity/*epidemiology/prevention & control MH - Obesity, Morbid/epidemiology MH - Public Health MH - Sex Distribution MH - United States/epidemiology MH - White People/statistics & numerical data EDAT- 2004/08/24 05:00 MHDA- 2004/09/24 05:00 CRDT- 2004/08/24 05:00 PHST- 2004/08/24 05:00 [pubmed] PHST- 2004/09/24 05:00 [medline] PHST- 2004/08/24 05:00 [entrez] AID - S0002-9165(22)03563-8 [pii] AID - 10.1093/ajcn/80.3.569 [doi] PST - ppublish SO - Am J Clin Nutr. 2004 Sep;80(3):569-75. doi: 10.1093/ajcn/80.3.569.