Life Years Lost Associated with Obesity-Related Diseases for U.S. Non-Smoking Adults

The objectives of this paper are to predict life years lost associated with obesity-related diseases (ORDs) for U.S. non-smoking adults, and to examine the relationship between those ORDs and mortality. Data from the National Health Interview Survey, 1997–2000, were used. We employed mixed proportional hazard models to estimate the association between those ORDs and mortality and used simulations to project life years lost associated with the ORDs. We found that obesity-attributable comorbidities are associated with large decreases in life years and increases in mortality rates. The life years lost associated with ORDs is more marked for younger adults than older adults, for blacks than whites, for males than females, and for the more obese than the less obese. Using U.S. non-smoking adults aged 40 to 49 years as an example to illustrate percentage of the life years lost associated with ORDs, we found that the mean life years lost associated with ORDs for U.S. non-smoking black males aged 40 to 49 years with a body mass index above 40 kg/m² was 5.43 years, which translates to a 7.5% reduction in total life years. White males of the same age range and same degree of obesity lost 5.23 life years on average – a 6.8% reduction in total life years, followed by black females (5.04 years, a 6.5% reduction in life years), and white females (4.7 years, a 5.8% reduction in life years). Overall, ORDs increased chances of dying and lessened life years by 0.2 to 11.7 years depending on gender, race, BMI classification, and age.     

What money can buy: Family income and childhood obesity

This paper investigates the relationship between family income and childhood obesity. Using the Early Childhood Longitudinal Study, Kindergarten Class of 1998-99 (ECLS-K), I report three new findings. First, family income and childhood obesity are generally negatively correlated, but for children in very low-income families, they are positively correlated. Second, the negative association between family income and Body Mass Index (BMI) is especially strong and significant among high-BMI children. Third, the difference in obesity rates between children from low- and high-income families increases as children age. This study further investigates potential factors that might contribute to a rapid increase in the obesity rate among low-income children. I find that their faster weight gain, rather than slower height growth, is a greater contributor to the rapid increase in their BMI over time. On the other hand, I also find that the faster weight gain by low-income children cannot be attributed to any single factor, such as participation in school meal programs, parental characteristics, or individual characteristics. These findings add to the current obesity debate by demonstrating that the key to curbing childhood obesity may lie in factors generating different obesity rates across income levels.     

Nutritional status of adults in rural Mali.

An anthropometric assessment was conducted of 441 adults from six rural villages in southern Mali. As is typical for human populations, females are shorter and lighter than males. Both females (N = 320) and males (N = 121) are shorter and lighter than their U.S. counterparts. Mean weight in the sample is 53.4 +/- 8.5 kilos for females and 58.8 +/- 6.5 kilos for males. Mean height is 160.4 +/- 5.7 cm for females and 171.3 +/- 6.6 cm for males. The data for height in males are very similar to those reported from other surveys in Mali, and show no evidence for a positive secular trend in height. Mean body mass index (BMI) is 20.8 for females and 20.0 for males. These are lower than U.S. averages, but well above suggested cutoff points for malnutrition in adults. Average arm circumference is 26.5 cm for females and 26.4 cm for males. Females have relatively large arm circumferences due, in part, to the heavy manual labor they perform. Average head circumference is 53.0 cm for females and 54.8 cm for males. For both sexes, these values are more than 1 standard deviation (SD) below the U.S. means. Adult values for anthropometric measurements reflect childhood stresses of malnutrition and disease, and a lifetime of accommodation to a high-carbohydrate, low-protein diet, and hard physical labor. Females are significantly closer to the U.S. standards than males for weight, height, BMI, and arm circumference; these findings support the idea that females are buffered from environmental stresses relative to males. In addition, females exhibit significantly more variability than males for weight, arm circumference, and head circumference, but not for height, suggesting that variability in adult height does not reflect the presence or absence of female buffering or the level of environmental adversity.     

Associations between household income,height, and BMI in contemporary US schoolchildren

This paper evaluates the association between income and physical development in a nationally representative sample of contemporary US schoolchildren followed from kindergarten to eighth grade (average ages of 6–14). A generalized linear mixed modeling framework is used to evaluate height and body mass index (BMI) as both levels and annualized growth in a pooled sample. Contemporary US schoolchildren show income variation in height that is significant but modest at around .1 cm (in kindergarten) to .4 cm (eighth grade) increases per doubling of income. An exception is found for Hispanic children who show faster height velocity associated with higher income through childhood yielding a 1.0 cm increase per doubling of income by the eighth grade. All groups except black males show a negative relationship between income and BMI that becomes stronger with age with an average .8 kg/m² lower BMI per doubling of income by the eighth grade. These results are robust to the inclusion of baseline anthropometric controls. The analysis suggests that higher-income US schoolchildren enter mid-adolescence as taller but with lower proportional body mass relative to their lower-income counterparts.     

Socioeconomic status, height, and obesity in children

The substantial increase in the prevalence of child obesity over recent decades and its association with a number of negative health and economic outcomes suggests its strong potential as an influence on the lifecourse development of health and productivity. This paper evaluates interactive effects between family socioeconomic status (SES) and height on child obesity in the United States. Using the 1999-2006 National Health and Nutrition Examination Surveys (NHANES), the results of this paper confirm previous findings that taller children exhibit greater propensity towards obesity as measured by body mass index (BMI) and that obesity is inversely related to family SES as measured by poverty status. The analysis adds to the existing literature by showing that the magnitude of the SES-obesity association is larger in taller children. Age and sex patterns are evaluated that suggest the SES-height interaction persists through childhood and adolescence in males but is only evident in females during adolescence. Interaction effects are also shown to be most evident in white males and Hispanic females. Policy implications are discussed and directions for future work are suggested.     

Age and growth of the small red scorpionfish, Scorpaena notata Rafinesque, 1810, based on whole and sectioned otolith readings

Age and growth of Scorpaena notata from the northern Adriatic Sea were investigated by annual growth increment counts (annuli). Overall, age and growth were estimated from 538 specimens of S. notata ranging between 47 and 199 mm TL. No clear sexual dimorphism in size was observed. Annual deposition of annuli and location of the first annulus have been validated by edge analysis and daily growth increment counts, respectively. The estimated age range was between 0?C16 years for female and 0?C14 years for males. The estimated values of Von Bertalanffy asymptotic length $ {{\text{L}}_{\infty }} $ (cm) and k (years^?1) were 16.3 and 0.46 for males and 15.6 and 0.35 for females. Thus, males of S. notata appeared to attain a slightly larger size at faster rate than females. The growth performance index ranged between 1.9 and 2.1, which is in the middle of the range observed in other scorpaenids. Comparing ageing data of S. notata with other Mediterranean scorpaenids, a direct relationship between fish size and growth performance was observed.     

Longitudinal analysis of adolescent growth in height,fatness, and fat patterning in rural South African black children

Adolescent growth in height, fatness, and fat patterning was investigated in a sample of 79 rural South African black children studied longitudinally from 6–18 years. Data were analyzed relative to peak height velocity (PHV) to identify the phenomenon of “compensatory” growth in height during adolescence and to describe changes in fatness and fat patterning. Compensatory growth following PHV was clearly observed relative to NHANES data for African-Americans in that Z-scores for height at the start of the adolescent growth spurt were greater than those at the end of the spurt. Statistically significant differences in fatness and centralization between males and females did not occur until about 2 years after PHV was attained. Centralization of fat occurred in both sexes but moreso in males. The lack of centralization in females was due to relatively greater triceps skinfold velocities. The rapid gain in post-PHV fatness in females may represent a physiological adaptation to an energetically sub-optimal environment, buffering the energetic costs of reproduction. © 1994 Wiley-Liss, Inc.     

Height, health, and income in the US, 1984–2005

Height has been associated with better physical health when outcomes such as diabetes, heart disease, and obesity are considered, yet stature is rarely used in predicting comorbidities or as a proxy for physical health when analyzing outcomes such as income. Since height is a more exogenous measure than variables likely to be affected by lifestyle changes, such as obesity, observing labor market outcomes based on height may be revealing. In addition, gender and racial differences must be taken into account when analyzing the effects of height on physical health and labor market outcomes. This study utilizes the 1984--2005 samples of the Behavioral Risk Factor Surveillance System in estimating trends in height over time by gender and race, and in analyzing the relationship between height and physical health and labor market outcomes in the United States. Trends show that height has not changed substantially at a time when physical health, as indicated by the incidence of obesity, Type II diabetes, and cholesterol, has deteriorated, and earnings disparities across racial gaps persist. Results at mean values for males indicate that being 10cm taller is associated with a 14-47% increase in obesity, an 8-13% reduction in cholesterol prevalence, and a $1874-2306 income premium. For females, results indicate that being 10cm taller is associated with an 8-18% reduction in cholesterol, a 14% reduction in diabetes for white females, and an $891-2243 earnings premium.     

Gender-specific growth patterns for stature,sitting height and limbs length in Croatian children and youth (3 to 18 years of age)

In a cross-sectional study of growth, 5,155 children (2,591 females, 2,564 males) from the town of Zagreb (Croatia) were measured. Four traits of linear dimensionality (stature, sitting height, arm and leg lengths) were studied in the age span of 3 to 18 years. A significant average annual increase of all four anthropometric parameters were observed up to 14 and 15 years of age in girls and 16 years of age in boys, showing that girls had a shorter growing period. In the prepubertal period until 9 years of age, gender differences were negligible. At the age of 10, boys were overgrown by girls in all parameters due to the earlier onset of puberty in girls. The growth gains for girls, when compared with those for boys, show a different pattern across variables. The female growth advantage remained in a two years period for the limbs length, but in a three year period for stature and the longest, for 4 years, for sitting height. The male predominance in size had an onset at the age of 13 for the limbs and in the age of 14 for stature and sitting height. The patterns of sexual dimorphism in stature and sitting height during growing years are similar to those observed in other populations of Europe. Growth of Croatian children and youth is very similar to that of the tallest European populations.     

The physical growth of high altitude Bolivian Aymara children

This study describes the growth characteristics of Aymara children living in Ancoraimes, Bolivia at altitudes between 3800 and 4000 meters. Anthropometric measurements were made on 510 children between the ages of 6. 0 and 20. 9 years, 360 males and 150 females. The growth pattern of Ancoraimes Aymara children is very similar to that of other high altitude Andean populations. They are greatly delayed in height and weight, exhibit little sexual dimorphism in body size and relative to stature, have larger chest dimensions than U.S. children. Compared to Quechua children living at higher altitudes in Peru, Ancoraimes children tend to be taller and heavier but have significantly smaller chest dimensions. Although the causes of the size differences between these two groups are not entirely clear, they may be due to the different altitudes at which the groups reside.     

Validated age and growth estimates for the shortfin mako, Isurus oxyrinchus, in the North Atlantic Ocean

Age and growth estimates for the shortfin mako, Isurus oxyrinchus, derived from vertebral centra of 258 specimens (118 males, 140 females), ranging in size from 64 to 340 cm fork length (FL) were compared with data from 22 tag–recaptured individuals (74–193 cm FL) and length–frequency data from 1822 individuals (1035 males, 787 females; 65–215 cm FL). Annual band-pair deposition, confirmed by a concurrent bomb radiocarbon validation study, was used as the basis for band interpretation. Validation was further confirmed with a tetracycline-injected male shortfin mako recaptured after being at liberty off South Africa for 1 year and aged at 18 years. Growth rates from tag–recapture analysis (GROTAG) were higher than those derived from vertebral annuli and were only available from sharks up to 193 cm FL at recapture. Modal length–frequency data were used to verify the first four age classes. Growth curves were fit using both von Bertalanffy and Gompertz models. The 3-parameter version of the von Bertalanffy growth function produced the most biologically reasonable values for males, based on observed data (L _∞  = 253 cm FL, K = 0.125 year^?1 (estimated longevity = 21 year), and L ₀ = 72 cm). The 3-parameter version of the Gompertz growth function produced the most biologically reasonable estimates, for females (L _∞  = 366 cm FL, K = 0.087 year^?1 (estimated longevity = 38 year) and L ₀ = 88 cm. Males and females were aged to 29 (260 cm FL) and 32 years (335 cm FL), respectively. Both sexes grew similarly to age 11 (207 cm FL, 212 cm FL for males and females, respectively) when the curve leveled in males and continued to rise in females. Age at 50% maturity was estimated at 8 years for males (185 cm FL) and 18 years for females (275 cm FL). The species grows slower, matures later and has a longer life span than previously reported in North Atlantic waters.     

Intergenerational persistence of health: Do immigrants get healthier as they remain in the U.S. for more generations?

It is well known that a substantial part of income and education is passed on from parents to children, generating substantial persistence in socioeconomic status across generations. In this paper, we examine whether another form of human capital, health, is also largely transmitted from generation to generation. Using data from the NLSY, we first present new evidence on intergenerational transmission of health outcomes in the U.S., including weight, height, the body mass index (BMI), asthma and depression for both natives and immigrants. We show that between 50% and 70% of the mothers’ health status persists in both native and immigrant children, and that, on average, immigrants experience higher persistence than natives in BMI. We also find that the longer immigrants remain in the U.S., the less intergenerational persistence there is and the more immigrants look like native children. Unfortunately, the more generations immigrant families remain in the U.S., the more children of immigrants resemble natives’ higher BMI.     

Relationship between overweight, obesity and socioeconomic factors of adolescents in Vojvodina, Serbia

Obesity is a very important issue in developed societies and depends on many factors. The aim of this paper was to determine a possible relationship between overweight, obesity and socioeconomic factors among adolescents in Vojvodina. A cross-sectional anthropometric study was carried out from 2001 to 2004 in towns of Vojvodina, northern Serbia. The research included height and body weight measurements as well as body mass index (BMI) of 1236 schoolboys and 1414 schoolgirls aged 15–18 years. The socioeconomic factors (SES) included parents’ level of education and monthly income per family member. The overweight prevalence of about 10% (85 < P < 95) and the prevalence of obesity of 5% (P > 95) were recorded in both male and female adolescents. A significant correlation (p < 0.01) between all socioeconomic factors was observed in male subjects, although there were no significant differences in the prevalence of overweight and obesity when different categories of subjects set by SES were compared. In females lower rates of the prevalence of overweight and obesity were detected in the subjects whose parents had a university education, but the difference was not significant. Regarding the prevalence of obesity, a significant difference was recorded between females with high and low incomes, those with a high income showing significantly greater prevalence of obesity than females coming from low income families. The results of the research indicate that in Vojvodina the family income is the only factor that significantly correlates with female obesity.     

Age and growth of the round stingray Urobatis halleri at Seal Beach, California

The age and growth of the round stingray Urobatis halleri was determined using vertebral sections from animals collected at Seal Beach, California from 2002 to 2005. Annual periodicity was validated from U. halleri injected with oxytetracycline and maintained in captivity over a 2 year period ( n = 7). The coefficients estimated by the von Bertalanffy growth model were the disc width asymptote ( W _D∞) (286 mm for males and 224 mm for females) and K (0·09 year⁻¹ for males and 0·15 year⁻¹ for females). The age structure of the population consisted of mostly older, mature males and females. Age at maturity was estimated at 3·80 years for females and 3·75 years for males, and the maximum assessed age was 14 years old. Males were more numerous than females throughout the year; however, from May to September, females outnumbered males. The U. halleri age and growth coefficients were comparable to other species in the family Urolophidae. Based on the seasonality and age structure of this population, Seal Beach offers warm-water refuge for U. halleri of reproductive maturity, and the U. halleri at Seal Beach may garner some behavioural thermoregulation benefit.     

Establishing a standard definition for child overweight and obesity worldwide: international survey

This study aimed to develop an internationally acceptable definition of child overweight and obesity, specifying the measurement, reference population, and age and sex specific cut off points. Data on body mass index (weight/height) were obtained from 6 large nationally representative cross sectional surveys on growth from Brazil, Great Britain, Hong Kong, the Netherlands, Singapore, and the US. The study included 97,876 males and 94,851 females from birth to 25 years of age. For each of the surveys, centile curves were drawn that at age 18 years passed through the widely used cut-off points of 25 and 30 kg/sq. m for adult weight and obesity. The resulting curves were averaged to provide age- and sex-specific cut-off points from 2 to 18 years. The proposed cut off points, which are less arbitrary and more internationally based than current alternatives, should help to provide internationally comparable prevalence rates of overweight and obesity in children.     

Age,growth, and reproductive biology of blacktail snapper,Lutjanus fulvus,around the Yaeyama Islands,Okinawa, Japan

Age, growth, and reproductive characteristics of blacktail snapper, Lutjanus fulvus, which is a commercial fish species, were investigated using 322 specimens (40–332 mm in fork length) caught around the Yaeyama Islands, Okinawa, Japan. Spawning season was estimated to be from April to October, and spawning was confirmed around the full moon and the last quarter moon. Age determination using sectioned otoliths revealed that ages ranged from 0 to 34 years and the majority was ≥ 3 years. Parameters of the von Bertalanffy growth function were estimated to be L _∞  = 270 mm, k = 0.40, and t ₀  = ?0.48 years for females, and 257 mm, 0.44, and ?0.42 years for males. Initial growth was rapid during the first 3 years, attaining over 200 mm for both sexes, and then females grew larger than males. Sizes (ages) at the first sexual maturity were 225 mm (4 years) for females and 207 mm (3 years) for males. The wide range of age composition in catch with majority of ≥3 years old implied that the current fishing effort to harvest was not sufficiently large enough to collapse the stock immediately.     

Physical growth of St. Lawrence Island Eskimos: Body size,proportion, and composition

Growth patterns of body size, proportion, and composition were analyzed in 57 male and 56 female Eskimos from St. Lawrence Island in the Bering Sea, ranging in age from 1.23 through 19.82 years. Age-groups means for whites and blacks of the U.S. Health Examination Survey served as reference data. Relative to HES data, the Eskimo sample were shorter with lower values for leg length, while there were no differences from the reference values for sitting height. The Eskimos also had higher values of Quetelet's Index, the sitting height/height ratio, and the upper arm muscle circumference, while there were no differences in body weight or triceps skinfold thickness. Differences from the reference data were more pronounced in males than in females. The growth patterns for size and body proportion are in conformity with known relationships between morphology and climate.