Zakia Shariff, Jeremy Dale, Rachel Spencer
General practice management after transition events: protocol for an experience-based co-design study
BJGP open
although studies shown childhood obesity overall decline among new york city nyc public school children prevalence severe childhood obesity studied used height weight measurements 947765 nyc public school students aged 5 14 years kindergarten 8th grade k8 school years 200607 201011 used age sexspecific body mass index bmi percentiles according centers disease control prevention growth charts define childhood obesity bmi 95th percentile severe childhood obesity bmi 120 95th percentile identify biologically implausible values biv multivariable logistic models tested trends obesity severe obesity prevalence evaluate misclassification recalculated prevalence estimates recent school year 201011 including student records identified biv also declared severely obese bmi 120 95th percentile refer subgroup bivs high biv severe obesity among nyc public school students grades k8 decreased 95 200607 school year 63 201011 school year 57 obesity decreased 55 219 207 prevalence severe obesity obesity highest among minority poor male children severe obesity declined prevalence among every subgroup greatest effect among white students wealthy students severe obesity prevalence increased age obesity prevalence peaked among aged 7 10 years 201011 school year including high bivs increased severe obesity prevalence 57 66 increased obesity prevalence 207 215 among subgroups nyc public school children grades k8 reduction severe obesity greater reduction overall obesity efforts decrease obesity nyc affected severely obese however monitoring specific subgroup continue differences trends greater health risks