Journal•ISSN: 2168-6203
JAMA Pediatrics
American Medical Association
About: JAMA Pediatrics is an academic journal published by American Medical Association. The journal publishes majorly in the area(s): Population & Poison control. It has an ISSN identifier of 2168-6203. Over the lifetime, 23501 publications have been published receiving 697931 citations. The journal is also known as: American Journal of Diseases of Children & Archives of Pediatrics & Adolescent Medicine.
Topics: Population, Poison control, Medicine, Health care, MEDLINE
Papers published on a yearly basis
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TL;DR: Perhaps 4% of adolescents and nearly 30% of overweight adolescents in the United States meet these criteria for a metabolic syndrome, a constellation of metabolic derangements associated with obesity, which may have significant implications for both public health and clinical interventions directed at this high-risk group of mostly overweight young people.
Abstract: Background In adults the metabolic syndrome imposes a substantial risk for type 2 diabetes mellitus and premature coronary heart disease. Even so, no national estimate is currently available of the prevalence of this syndrome in adolescents. Objective To estimate the prevalence and distribution of a metabolic syndrome among adolescents in the United States. Design and Setting Analyses of cross-sectional data obtained from the Third National Health and Nutrition Examination Survey (1988-1994), which was administered to a representative sample of the noninstitutionalized civilian population of the United States. Participants Male and female respondents aged 12 to 19 years (n = 2430). Main Outcome Measures The prevalence and distribution of a metabolic syndrome among US adolescents, using the National Cholesterol Education Program (Adult Treatment Panel III) definition modified for age. Results The overall prevalence of the metabolic syndrome among adolescents aged 12 to 19 years was 4.2%; 6.1% of males and 2.1% of females were affected ( P = .01). The syndrome was present in 28.7% of overweight adolescents (body mass index [BMI], ≥95th percentile) compared with 6.8% of at-risk adolescents (BMI, 85th to P Conclusions Perhaps 4% of adolescents and nearly 30% of overweight adolescents in the United States meet these criteria for a metabolic syndrome, a constellation of metabolic derangements associated with obesity. These findings may have significant implications for both public health and clinical interventions directed at this high-risk group of mostly overweight young people.
2,288 citations
TL;DR: The dedication of this volume states: "To the physicians and nurses who care for children in many different circumstances throughout the world and who, by their efforts and commitment, make the world a better place for children" as mentioned in this paper.
Abstract: The dedication of this volume states: To the physicians and nurses who care for children in many different circumstances throughout the world and who, by their efforts and commitment, make the world a better place for children. I have used the Nelson Textbook of Pediatrics since its third edition. It remains a source of amazement to me, as I witness the evolution of the book and of the knowledge that dictates its scope. From the days when a textbook was written by 1 or 2 authors, we have progressed to the point where this would be impossible. Three editors preside over this volume; they are also counted among the 212 contributors that lend special expertise to the work, continuing the volume as one of the traditions of pediatrics. The tremendous and rapid explosion in the amount of knowledge in pediatrics made a revision of the total material and even of
1,520 citations
TL;DR: Increasing overweight among youths implies a need to focus on primary prevention, and attempts to increase physical activity may provide a means to address this important public health problem.
Abstract: Objective: To examine prevalence of overweight and trends in overweight for children and adolescents in the US population. Design: Nationally representative cross-sectional surveys with an in-person interview and a medical examination, including measurement of height and weight. Participants: Between 3000 and 14000 youths aged 6 through 17 years examined in each of five separate national surveys during 1963 to 1965, 1966 to 1970, 1971 to 1974, 1976 to 1980, and 1988 to 1991 (Cycles II and III of the National Health Examination Survey, and the first, second, and third National Health and Nutrition Examination Surveys, respectively). Main Outcome Measures: Prevalence of overweight based on body mass index and 85th or 95th percentile cutoff points from Cycles II and III of the National Health Examination Survey. Results: From 1988 to 1991, the prevalence of over-weight was 10.9% based on the 95th percentile and 22% based on the 85th percentile. Overweight prevalence increased during the period examined among all sex and age groups. The increase was greatest since 1976 to 1980, similar to findings previously reported for adults in the United States. Conclusions: Increasing overweight among youths implies a need to focus on primary prevention. Attempts to increase physical activity may provide a means to address this important public health problem. (Arch Pediatr Adolesc Med. 1995;149:1085-1091)
1,437 citations
TL;DR: The risk of reinfection was inversely related to the level of neutralizing antibodies in the serum of the children, and the risk decreased to only 33.3% during year 4.
Abstract: • Respiratory syncytial virus is the most important cause of serious lower respiratory tract infection in children. For children followed up from birth in the Houston Family Study, the infection rate was 68.8/100 children less than 12 months of age and 82.6/100 during the second year of life. Virtually all children had been infected at least once by 24 months of age, and about one half had experienced two infections. Although lower respiratory tract disease (LRD) was common (22.4/100 during year 1 and 13.0/100 during year 2), most children had only one LRD illness. The risk of reinfection was inversely related to the level of neutralizing antibodies in the serum. Reinfection illnesses were generally mild, and risk of reinfection decreased to only 33.3/100 during year 4. Studies of children with LRD and surveys of hospitalizations provide the basis for an estimate of the number of children hospitalized each year during the respiratory syncytial virus epidemics. Almost 100,000 children in the United States experience an illness of sufficient severity to require hospitalization. (AJDC1986;140:543-546)
1,344 citations
TL;DR: Planet Health decreased obesity among female students, indicating a promising school-based approach to reducing obesity among youth.
Abstract: Objective To evaluate the impact of a school-based health behavior intervention known as Planet Health on obesity among boys and girls in grades 6 to 8. Design Randomized, controlled field trial with 5 intervention and 5 control schools. Outcomes were assessed using preintervention (fall 1995) and follow-up measures (spring 1997), including prevalence, incidence, and remission of obesity. Participants A group of 1295 ethnically diverse grade 6 and 7 students from public schools in 4 Massachusetts communities. Intervention Students participated in a school-based interdisciplinary intervention over 2 school years. Planet Health sessions were included within existing curricula using classroom teachers in 4 major subjects and physical education. Sessions focused on decreasing television viewing, decreasing consumption of high-fat foods, increasing fruit and vegetable intake, and increasing moderate and vigorous physical activity. Main Outcome Measures Obesity was defined as a composite indicator based on both a body mass index and a triceps skinfold value greater than or equal to age- and sex-specific 85th percentiles. Because schools were randomized, rather than students, the generalized estimating equation method was used to adjust for individual-level covariates under cluster randomization. Results The prevalence of obesity among girls in intervention schools was reduced compared with controls, controlling for baseline obesity (odds ratio, 0.47; 95% confidence interval, 0.24-0.93; P = .03), with no differences found among boys. There was greater remission of obesity among intervention girls vs control girls (odds ratio, 2.16; 95% confidence interval, 1.07-4.35; P = .04). The intervention reduced television hours among both girls and boys, and increased fruit and vegetable consumption and resulted in a smaller increment in total energy intake among girls. Reductions in television viewing predicted obesity change and mediated the intervention effect. Among girls, each hour of reduction in television viewing predicted reduced obesity prevalence (odds ratio, 0.85; 95% confidence interval, 0.75-0.97; P = .02). Conclusion Planet Health decreased obesity among female students, indicating a promising school-based approach to reducing obesity among youth.
1,299 citations