CMHC Pulse Blog

Childhood obesity in America is on the rise, and at rates higher than previous studies suggested, according to a study published Monday in the journal Pediatrics. The findings emerged after researchers analyzed federal data from the latestย National Health and Nutrition Examination Survey, the โ€œgold standardโ€ in childhood and fitness research which every two years collects data about adult and children obesity across the country.

In 1999, according to the survey, about 29 percentโ€”more than a quarterโ€”of children ages 2 to 19 were overweight. By 2016, that figure rose to 35 percent, according to the latest analysis, and about one in five children are obese.

Asheley Cockrell Skinner, an associate professor at Duke University and lead study author who has worked with these data for more than a decade, said she has seen in her research that โ€œonce a kid has developed obesity, itโ€™s a lot harder to change it. Itโ€™s much easier to prevent obesity than it is to reverse it.โ€

What distressed Skinner most in her research, she said, was the fact that she couldnโ€™t โ€œeven find a subgroup of age or gender or race where there seemed to be real improvement.โ€ The largest increases in obesity were seen among children ages 2 to 5. And the risk was highest among teens age 16 to 19 and the Hispanic population. In these groups, four out of 10 children were at risk of being overweight, the most recent survey results showed.

Inย an editorial that appeared in Pediatrics with the study, David Ludwig, who studies nutrition and obesity at Childrenโ€™s Hospital in Boston, said cautioned against โ€œover-interpreting short-term trends for complex chronic diseases,โ€ but wrote that public health solutions to obesity โ€œhave largely failed so far.โ€

One positive step from lawmakers in Washington, Ludwig wrote, would be forming โ€œan interagency commission on obesity to align food policy with public health and current science.โ€ He also recommended re-evaluating school lunch standards and the Supplemental Nutrition Assistance Program (SNAP) to put more emphasis on โ€˜nutritional quality, not just quantity.โ€

โ€œThe battle against childhood obesity faces many obstacles, most notably entrenched special interests and a โ€˜business as usualโ€™ mindset,โ€ Ludwig wrote. โ€œBut with political will and collaboration across key sectors of society, we can hopefully, soon, begin to end this worsening epidemic.โ€

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