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POB1 |
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PREVALENCE TRENDS OF
OVERWEIGHT AND OBESITY AND TREATMENT PATTERNS FOR
WEIGHT CONTROL IN THE U.S. POPULATION
Suh DC1, Barone JA1, Choi IS1, Shin HC1,
Park J2, Lee C1, 1Rutgers University, Piscataway,
NJ, USA, 2Inha University, Incheon, South Korea
OBJECTIVE:
To assess epidemiologic trends of
overweight and obesity and to examine treatment
patterns to control weight in children/adolescents
aged 2-19 years and for adults ³20 years old.
METHODS:
The Third National Health and Nutrition
Examination Survey (NHANES III) conducted in
1988-1994 and NHANES 2001-2002 were used.
Children/adolescents were classified as at risk
for overweight if body mass index (BMI) was
³85th-<95th percentile and as overweight if BMI
was at ³95th percentile of the sexspecific BMI for
age growth charts. Adults were categorized as
overweight (BMI 25.0-29.9) or obese (BMI³30.0).
Duration of physical activity was calculated using
leisure-time physical activity to assess
compliance of CDC/ASCM recommendations. SAS and
SUDAAN software were employed to account for the
complex survey design. RESULTS:
The proportions of
children/adolescents at risk for overweight or
overweight increased from 13.1% to 14.5% and from
11.1% to 15.5%, respectively, between 1988-1994
and 2001-2002. The prevalence of overweight and
obesity for adults also increased from 32.8% to
35.2% and from 22.3% to 30.2%. Prevalence of
diabetes in overweight and obese adults slightly
increased between 1988-1994 (5.5%,10.0%
respectively) and 2001-2002(6.1%,10.6%). However,
LDL„d130mg/dL was less prevalent in 2001-2002
(53.4% to 41.8% for overweight and 54.0% to 41.0%
for obesity). Overall, 10.3% of overweight and
14.9% of obese adults used liquid diet formula,
prescription drugs, non-prescription drugs,
laxatives or vomiting to control weight in
2001-2002. Only 1% of overweight and 3% of obese
adults took prescribed diet pills. About 47% of
overweight and 43% of obese adults either took
medications or complied with physical activity
recommended by CDC/ASCM to control weight.
CONLUSIONS:
Overweight and obesity have become
more prevalent in the U.S. population during the
past decade. However, very few patients took
medications prescribed by their physicians to lose
or control their weight.
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POB2 |
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FEASIBILITY AND VALIDITY OF A
GERMAN CHILD-FRIENDLY VERSION OF THE EQ-5D
Greiner W, Bielefeld University, Bielefeld,
Germany OBJECTIVE:
Validating
a German child-friendly version of the EuroQol
(EQ-5D) in different patient samples. METHODS:
After the translation from the original English
version and pretesting in cognitive interviews
with native speakers of the target language, the
questionnaire was tested in two patient groups
(obesity and CF) and a sample of healthy children
between the ages of 8 and 16. For the validation
three validated instruments which measure hrQol in
children and adolescents were utilized (KINDL,
KIDSCREEN and ChildDynHA). T-Tests were conducted
to audit potential differences in the EQ-5D scores
depending on age and sex of the children.
Descriptive statistics were used to summarize
EQ-5D scores as wella s scores of the additional
instruments. RESULTS:
The correlation between the
EQ-5D and the other instruments was quite high
(0.46 - 0.61). The highest correlation was found
in the mobility dimension. The CF groups shows the
highest rates of reported problems (42%), the
rates of children who report no poblems are quite
similar for the obese and the healthy children (25
versus 27). CONLUSIONS:
This pilot study of the
questionaire showed that the German child-friendly
version of the EQ-5D is a valid and feasible
instrument to measure hrQol. |
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