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fbtwitterlinkedinvimeoflicker grey 14rssslideshare1
Jessica D Jones Nielsen; Anthony A Laverty; Christopher Millett; Arch G Mainous; Azeem Majeed; Sonia Saxena
Publisher: Public Library of Science (PLoS)
Journal: PLoS ONE
Languages: English
Types: Article
Subjects: Child and Adolescent Health Policy, Research Article, Clinical Research Design, Medicine, Health Care Policy, Child Health, Pediatric Epidemiology, Cardiovascular Disease Epidemiology, Epidemiology, Health Services Research, Q, Nutrition, R, Pediatrics, Science, Obesity, Adolescent Medicine, Public Health, Non-Clinical Medicine
Objective: To describe the trends in hospital admissions associated with obesity as a primary diagnosis and comorbidity, and bariatric surgery procedures among children and young people in England.\ud \ud Design: National time trends study of hospital admissions data between 2000 and 2009.\ud \ud Participants: Children and young people aged 5 to 19 years who were admitted to hospital with any diagnosis of obesity.\ud \ud Main outcome measures: Age- and sex-specific admission rates per million children.\ud \ud Results: Between 2000 and 2009, age- and sex-specific hospital admission rates in 5–19 year olds for total obesity-related diagnoses increased more than four-fold from 93.0 (95% CI 86.0 to 100.0) per million children to 414.0 (95% CI 410.7 to 417.5) per million children, largely due to rising admissions where obesity was mentioned as a co-morbidity. The median age of admission to hospital over the study period was 14.0 years; 5,566 (26.7%) admissions were for obesity and 15,319 (73.3%) mentioned obesity as a comorbidity. Admissions were more common in girls than boys (56.2% v 43.8%). The most common reasons for admission where obesity was a comorbid condition were sleep apnoea, asthma, and complications of pregnancy. The number of bariatric surgery procedures has risen from 1 per year in 2000 to 31 in 2009, with the majority were performed in obese girls (75.6%) aged 13–19 years.\ud \ud Conclusions: Hospital admission rates for obesity and related comorbid conditions have increased more than four-fold over the past decade amongst children and young people. Although some of the increase is likely to be due to improved case ascertainment, conditions associated with obesity in children and young people are imposing greater challenges for health care providers in English hospitals. Most inpatient care is directed at dealing with associated conditions rather than primary assessment and management of obesity itself.
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    • 1. Ogden CL, Carroll MD, Kit BK, Flegal KM (2012) Prevalence of Obesity and Trends in Body Mass Index Among US Children and Adolescents, 1999-2010. JAMA: The Journal of the American Medical Association 307: 483-490.
    • 2. Cattaneo A, Monasta L, Stamatakis E, Lioret S, Castetbon K, et al. (2010) Overweight and obesity in infants and pre-school children in the European Union: a review of existing data. Obes Rev 11: 389-398.
    • 3. Stamatakis E, Wardle J, Cole TJ (2010) Childhood obesity and overweight prevalence trends in England: evidence for growing socioeconomic disparities. Int J Obes (Lond) 34: 41-47.
    • 4. Wang Y, Lobstein T (2006) Worldwide trends in childhood overweight and obesity. Int J Pediatr Obes 1: 11-25.
    • 5. The NHS Information Centre Statistics on Obesity, Physical Activity and Diet: England, February 2012. Available: http://www.ic.nhs.uk/webfiles/ publications/003_Health_Lifestyles/OPAD12/Statistics_on_Obesity_Physical_ Activity_and_Diet_England_2012.pdf. Accessed 2013 Jan 15.
    • 6. The NHS Information Centre National Child Measurement Programme (NCMP) for England, 2008/09 school year. Available: http://www.ic.nhs.uk/ webfiles/publications/ncmp/ncmp0809/NCMP_England_2008_09_school_ year_report_2.pdf. Accessed 2013 Jan 15.
    • 7. Wijga AH, Scholtens S, Bemelmans WJ, de Jongste JC, Kerkhof M, et al. (2010) Comorbidities of obesity in school children: a cross-sectional study in the PIAMA birth cohort. BMC Public Health 10: 184.
    • 8. Viner RM, Cole TJ (2005) Adult socioeconomic, educational, social, and psychological outcomes of childhood obesity: a national birth cohort study. BMJ 330: 1354.
    • 9. Reilly JJ, Armstrong J, Dorosty AR, Emmett PM, Ness A, et al. (2005) Early life risk factors for obesity in childhood: cohort study. BMJ 330: 1357.
    • 10. Fagot-Campagna A (2000) Emergence of type 2 diabetes mellitus in children: epidemiological evidence. J Pediatr Endocrinol Metab 13 Suppl 6: 1395-1402.
    • 11. von Mutius E, Schwartz J, Neas LM, Dockery D, Weiss ST (2001) Relation of body mass index to asthma and atopy in children: the National Health and Nutrition Examination Study III. Thorax 56: 835-838.
    • 12. Guo SS, Huang C, Maynard LM, Demerath E, Towne B, et al. (2000) Body mass index during childhood, adolescence and young adulthood in relation to adult overweight and adiposity: the Fels Longitudinal Study. Int J Obes Relat Metab Disord 24: 1628-1635.
    • 13. Lobstein T, Baur L, Uauy R (2004) Obesity in children and young people: a crisis in public health. Obes Rev 5 Suppl 1: 4-104.
    • 14. van Emmerik NMA, Renders CM, van de Veer M, van Buuren S, van der Baan-Slootweg OH, et al. (2012) High cardiovascular risk in severely obese young children and adolescents. Arch Dis Child.
    • 15. Wang YC, McPherson K, Marsh T, Gortmaker SL, Brown M (2011) Health and economic burden of the projected obesity trends in the USA and the UK. Lancet 378: 815-825.
    • 16. Scarborough P, Bhatnagar P, Wickramasinghe KK, Allender S, Foster C, et al. (2011) The economic burden of ill health due to diet, physical inactivity, smoking, alcohol and obesity in the UK: an update to 2006-07 NHS costs. J Public Health (Oxf) 33: 527-535.
    • 17. Muller-Riemenschneider F, Reinhold T, Berghofer A, Willich SN (2008) Health-economic burden of obesity in Europe. Eur J Epidemiol 23: 499-509.
    • 18. Hampl SE, Carroll CA, Simon SD, Sharma V (2007) Resource Utilization and Expenditures for Overweight and Obese Children. Arch Pediatr Adolesc Med 161: 11-14.
    • 19. Hlaing WMM, Sarah E, Lipshultz SE, Ludwig DA (2011) Obesity and length of hospital stay in children: A retrospective review of Florida Agency for Health Care Administration data. Progress in Pediatric Cardiology 31: 67-72.
    • 20. Woolford SJ, Gebremariam A, Clark SJ, Davis MM (2007) Incremental Hospital Charges Associated With Obesity as a Secondary Diagnosis in Children[ast]. Obesity 15: 1895-1901.
    • 21. Woolford SJ, Gebremariam A, Clark SJ, Davis MM (2009) Persistent gap of incremental charges for obesity as a secondary diagnosis in common pediatric hospitalizations. Journal of Hospital Medicine 4: 149-156.
    • 22. Trasande L, Liu Y, Fryer G, Weitzman M (2009) Effects Of Childhood Obesity On Hospital Care And Costs, 1999-2005. Health Affairs 28: w751-w760.
    • 23. Hospital Episode Statistics. Available: www.hesonline.org.uk. Accessed 2013 Jan 15.
    • 24. WHO International Classification of Diseases (ICD) Version 10. Available: http://www.who.int/classifications/icd/en/. Accessed 2013 Jan 15.
    • 25. The National Obesity Observatory Bariatric Surgery for Obesity. Available: http://www.noo.org.uk/uploads/doc/vid_8774_NOO%20Bariatric%20Surgery %20for%20Obesity%20FINAL%20MG%20011210.pdf. Accessed 2013 Jan 15.
    • 26. AHRQ. Clinical Classifications Software for ICD-10 Data: 2003. Available: http://www.ahrq.gov/data/hcup/icd10usrgd.htm. Accessed 2013 Jan 15.
    • 27. Saxena S, Bottle A, Gilbert R, Sharland M (2009) Increasing Short-Stay Unplanned Hospital Admissions among Children in England; Time Trends Analysis '97-'06. PLoS One 4.
    • 28. Office for National Statistics. 2012. Population Estimates for UK, England and Wales, Scotland and Northern Ireland. Available: http://www.statistics.gov.uk. Accessed 2013 Jan 15.
    • 29. National Collaborating Centre for Primary Care Obesity: the prevention, identification, assessment and management of overweight and obesity in adults and children National Institute for Health and Clinical Excellence. Available: www.nice.org.uk. Accessed 2012 Feb 20.
    • 30. Burns EM, Rigby E, Mamidanna R, Bottle A, Aylin P, et al. (2012) Systematic review of discharge coding accuracy. Journal of Public Health 34: 138-148.
    • 31. Stamatakis E, Primatesta P, Chinn S, Rona R, Falascheti E (2005) Overweight and obesity trends from 1974 to 2003 in English children: what is the role of socioeconomic factors? Arch Dis Child 90: 999-1004.
    • 32. Stamatakis E, Zaninotto P, Falaschetti E, Mindell J, Head J (2010) Time trends in childhood and adolescent obesity in England from 1995 to 2007 and projections of prevalence to 2015. J Epidemiol Community Health 64: 167-174.
    • 33. The NHS Information Centre Statistics on Obesity, Physical Activity and Diet: England, 2011.
    • 34. Wier LM, Encinosa W (2006) Obesity in Children: Hospitalizations from 2000 to 2009: Statistical Brief #138.
    • 35. Langille JLD (2010) Exploring the Influence of a Social Ecological Model on School-Based Physical Activity. Health education & behavior 37: 879-894.
    • 36. Nader PR, O'Brien M, Houts R, Bradley R, Belsky J, et al. (2006) Identifying risk for obesity in early childhood. Pediatrics 118: e594-601.
    • 37. Carroll CL, Stoltz P, Raykov N, Smith SR, Zucker AR (2007) Childhood overweight increases hospital admission rates for asthma. Pediatrics 120: 734- 740.
    • 38. Gupta RS, Meenakshi B, Prosser LA, Finkelstein JA (2006) Predictors of hospital charges for children admitted with asthma. Ambulatory Pediatr 6: 15-20.
    • 39. Lawlor DA (2010) Association between general and central adiposity in childhood, and change in these, with cardiovascular risk factors in adolescence: prospective cohort study. BMJ 341: c6224.
    • 40. Stamatakis E, Hamer M, Mishra GD (2012) Early adulthood television viewing and cardiometabolic risk profiles in early middle age: results from a population, prospective cohort study. Diabetologia 55: 311-320.
    • 41. Trasande L, Elbel B (2012) The economic burden placed on healthcare systems by childhood obesity. Expert Review of Pharmacoeconomics & Outcomes Research 12: 39-45.
    • 42. Oyetunji TA, Franklin AL, Ortega G, Akolkar N, Qureshi FG, et al. (2012) Revisiting childhood obesity: persistent underutilization of surgical intervention? Am Surg 78: 788-793.
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