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APHA Scientific Session and Event Listing

Saberi Rana Ali, MBBS, MS, MPH¹, Sabrina Jaar Marzouka, JD, MPH¹, and Jennifer E. Lutomski, BA, MS (Std)². (1) Department of Health, Dutchess County, 387 Main Street, Poughkeepsie, NY 12601, 845-486-3735, rali@co.dutchess.ny.us, (2) Department of Epidemiology, SUNY, School of Public Health, 273 Hudson Ave, Basement, Albany, NY 12210

Objective: Childhood obesity has reached an epidemic proportions. Few counties have true estimates of prevalence and risk factors specific to their locale, making interventions extremely difficult. This study sought to assess the prevalence and risk factors of obesity among children ages 2 to 19 years in Dutchess County.

Methodology: About 11000 patient charts from a pediatric provider were reviewed. The sample was representative of the county. Following information was recorded: demographics, health insurance, parents' employment, height, weight, medical history and family history. Data was analyzed using SAS 9.1.3. Body Mass Index (BMI) was calculated using the Center for Diseases Control and Prevention recommended formula. Patient BMI was compared with the reference age & gender specific BMI used in the US Growth Charts. Classification: BMI 85th to < 95th percentile -'At risk for Overweight'; BMI ≥ 95th percentile - 'Obese'.¯ Prevalence ratios were calculated. Risk factors were analyzed for correlation. Using ArcGIS obesity prevalence map was created by zipcode.

Results: About 19% of the children were found to be 'obese', more males than females and 17% were 'at risk for overweight'. The problem seems to begin early and increase with age. Risk factors analyses showed significant (p<0.005) association between obesity and low socioeconomic status, family history of diabetes, hypertension and comorbidities.

Conclusion: Childhood obesity prevalence in Dutchess County is higher than the national prevalence. The study provides insight into the magnitude and issues specific to geographic location of the problem. The authors recommend specific interventions focused on increasing awareness and health education.

Learning Objectives: At the conclusion of the session, the participant will be able to

• Define the growing problem of childhood obesity and the predisposing risk factors specific to a locality.
• Assess the magnitude of the childhood obesity issue in terms of age, gender, geographic location and its implications on the future health of the county.
• Develop an evidence based plan of action geared towards this particular community to address the problem of childhood obesity.

Keywords: Children's Health, Emerging Health Issues

Presenting author's disclosure statement:

Not Answered