Prevalence of Overweight and Influence of Out-of-School Seasonal Periods on Body Mass Index Among American Indian Schoolchildren
2009

Overweight and BMI Changes in American Indian Schoolchildren

Sample size: 251 publication 10 minutes Evidence: moderate

Author Information

Author(s): Smith Derek T, Bartee R. Todd, Dorozynski Christopher M, Carr Lucas J

Primary Institution: University of Wyoming

Hypothesis

Does weight gain during out-of-school periods contribute to the prevalence of overweight and obesity among American Indian schoolchildren?

Conclusion

The prevalence of overweight among American Indian schoolchildren is higher than national estimates, with significant increases in BMI during out-of-school periods, particularly among fifth-grade girls.

Supporting Evidence

  • 62.0% of boys and 56.6% of girls were at or above the 85th BMI percentile.
  • Significant increases in BMI were observed among fifth-grade girls over holiday breaks.
  • BMI increased significantly during summer recess for third-grade girls and fourth-grade boys.

Takeaway

This study found that many American Indian schoolchildren are overweight, and they tend to gain weight during school breaks, especially girls in fifth grade.

Methodology

Repeated cross-sectional BMI samples were collected from schoolchildren at the beginning of two school years, during holiday breaks, and summer recess.

Potential Biases

Potential underreporting of overweight prevalence and lack of attention to out-of-school periods may introduce bias.

Limitations

The study only provides a snapshot of weight changes during specific out-of-school periods and does not track long-term weight retention.

Participant Demographics

Participants were Northern Arapaho and Eastern Shoshone schoolchildren in grades 3-8.

Statistical Information

P-Value

P < .001

Statistical Significance

p<0.05

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