Jiyeong Kim, Zhuo Ran Cai, Michael L Chen, Sonia Onyeka, Justin M Ko, Eleni Linos
Telehealth Utilization and Associations in the United States During the Third Year of the COVID-19 Pandemic: Population-Based Survey Study in 2022
JMIR public health and surveillance
background childhood obesity recognized public health concern worldwide essential study natural progression obesity interest prevention study aimed describe dynamic changes weight status among elementary school children identify significant factors influencing progression regression weight status methods study involved 928 elementary school children followed annually elementary school years heights weights vital capacity vc measured school year multistate markov model containing three weight states fit longitudinal weight status data results children healthy weight obesity tended stay preceding weight state children overweight contrast likely move two states mean sojourn time obesity overweight states 515 years 95 confidence interval ci 42263 2 years 95 ci 176228 respectively children lower grades lower vc index higher initial bmi higher annual weight increment boys increased risk progression overweight obesity decreased probability regression conclusions children obesity resistant recovery overweight prevention intervention measures adopted early abnormal weight onset occurs multistate markov model advanced tool analyze dynamic changes status identify significant factors progression regression helped develop prevention intervention targeting strategies