{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,5]],"date-time":"2026-01-05T03:56:13Z","timestamp":1767585373886,"version":"3.40.5"},"reference-count":15,"publisher":"Wiley","issue":"7","license":[{"start":{"date-parts":[[2021,6,5]],"date-time":"2021-06-05T00:00:00Z","timestamp":1622851200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/501100001691","name":"Japan Society for the Promotion of Science","doi-asserted-by":"publisher","award":["Grant\u2010in\u2010Aid for Young Scientists (B)"],"award-info":[{"award-number":["Grant\u2010in\u2010Aid for Young Scientists (B)"]}],"id":[{"id":"10.13039\/501100001691","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Pediatrics International"],"published-print":{"date-parts":[[2021,7]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Obesity in children is a public health concern in Japan. To evaluate the current state of the obesity problem and inform future directions, we aimed to provide an updated account of secular trends in the percentage of overweight (POW) children by gender and school grade, and evaluate changes in POW after participation in the obesity health screening.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>The current study utilized aggregated data from the Setagaya Ward, Tokyo, public elementary and middle school populations from 2009 to 2018. Data on the percentage of overweight \u2265 30% (POW\u201030) and percentage of abnormal blood test results were examined by year, gender, and school grade level. Individual\u2010level data from 2015 to 2017 in children who participated in a follow\u2010up obesity health screening were evaluated for changes in median POW.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>A decreasing trend in students with a POW\u201030 was observed from 2009 to 2011, with rates stabilizing thereafter. The highest proportions of POW\u201030 were observed in 2010 (4.8% in middle school boys; 2.8% in middle school girls). From third grade, the difference in percentage by gender appeared to get increasingly larger until the beginning of middle school. Among obesity health screening participants, abnormal blood tests for total cholesterol and triglycerides showed a slightly increasing trend over time, and changes in POW after screening were greatest for middle school students.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Increases in obesity were not observed in Setagaya Ward public school students since 2010, but disparities exist by gender and grade level, suggesting that tailored intervention strategies may be useful to optimize aspects of the obesity health screening program.<\/jats:p><\/jats:sec>","DOI":"10.1111\/ped.14544","type":"journal-article","created":{"date-parts":[[2020,11,14]],"date-time":"2020-11-14T17:09:21Z","timestamp":1605373761000},"page":"825-832","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":4,"title":["Trends in obesity and blood lipid abnormalities in school\u2010age children in Japan"],"prefix":"10.1111","volume":"63","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-7273-7958","authenticated-orcid":false,"given":"Hisako","family":"Tanaka","sequence":"first","affiliation":[{"name":"Department of Social Medicine National Center for Child Health and Development Tokyo Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6151-4513","authenticated-orcid":false,"given":"Naho","family":"Morisaki","sequence":"additional","affiliation":[{"name":"Department of Social Medicine National Center for Child Health and Development Tokyo Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Aurelie","family":"Piedvache","sequence":"additional","affiliation":[{"name":"Department of Social Medicine National Center for Child Health and Development Tokyo Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Shohei","family":"Harada","sequence":"additional","affiliation":[{"name":"Department of Social Medicine National Center for Child Health and Development Tokyo Japan"},{"name":"Faculty of Child Studies Seitoku University Chiba Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1360-9531","authenticated-orcid":false,"given":"Kevin Y.","family":"Urayama","sequence":"additional","affiliation":[{"name":"Department of Social Medicine National Center for Child Health and Development Tokyo Japan"},{"name":"Graduate School of Public Health St. Luke\u2019s International University Tokyo Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2021,6,5]]},"reference":[{"volume-title":"Annual Report of School Health Statistics Survey in 2018","author":"Ministry of Education, Culture, Sports, Science and Technology","key":"e_1_2_8_2_1"},{"volume-title":"The General Situation of Demographic Statistics in 2017","author":"Ministry of Health, Labour and Welfare","key":"e_1_2_8_3_1"},{"issue":"10","key":"e_1_2_8_4_1","first-page":"1438","article-title":"Current Status of lifestyle\u2010related diseases including epidemiology","volume":"49","author":"Etani Y","year":"2017","journal-title":"Jpn. J. Pediatr. Med."},{"issue":"3","key":"e_1_2_8_5_1","first-page":"12","article-title":"The annual school check\u2010up(screening for lifestyle\u2010related diseases)_Method of utilization of health checkups, and provision of follow\u2010up guidance","volume":"20","author":"Hara M","year":"2017","journal-title":"Child Health"},{"key":"e_1_2_8_6_1","first-page":"37","article-title":"A study of screening for obese children during 9 years experience in elementary and junior high schools in Setagaya\u2010ku, Tokyo, Japan","volume":"53","author":"Kishi M","year":"1994","journal-title":"J. Child Health"},{"key":"e_1_2_8_7_1","doi-asserted-by":"publisher","DOI":"10.1297\/cpe.9.83"},{"key":"e_1_2_8_8_1","first-page":"51","article-title":"The percentage of overweight, BMI, height and weight growth chart and childhood obesityy: BMI has questionable validity in puberty","volume":"20","author":"Murata M","year":"2014","journal-title":"J. Jpn. Ass. Hum. Auxo."},{"key":"e_1_2_8_9_1","doi-asserted-by":"publisher","DOI":"10.5551\/jat.29397"},{"key":"e_1_2_8_10_1","doi-asserted-by":"publisher","DOI":"10.1080\/03014460.2019.1643404"},{"issue":"11","key":"e_1_2_8_11_1","first-page":"1423","article-title":"The origin and purpose of the annual school check\u2010up","volume":"79","author":"Yukiishita K","year":"2016","journal-title":"Pediatr. Pract."},{"key":"e_1_2_8_12_1","first-page":"88","volume-title":"Nutrition Education","author":"Adachi M","year":"2015"},{"key":"e_1_2_8_13_1","first-page":"560","article-title":"Childhood obesity and clinical practice guidelines","volume":"77","author":"Hara M","year":"2018","journal-title":"J. Child Health."},{"key":"e_1_2_8_14_1","first-page":"204","article-title":"Criteria for childhood obesity\u2010recommendations from the pediatric obesity review committee","volume":"8","author":"Asayama K","year":"2002","journal-title":"Journal of Japan Society for the Study of Obesity"},{"key":"e_1_2_8_15_1","first-page":"1","volume-title":"Childhood Obesity Practice Guidelines 2017","author":"Japan Society for the Study of Obesity","year":"2017"},{"volume-title":"Infant Obesity Guide","year":"2020","author":"Japan Pediatric Society","key":"e_1_2_8_16_1"}],"container-title":["Pediatrics International"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/ped.14544","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1111\/ped.14544","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/ped.14544","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,8,30]],"date-time":"2023-08-30T14:35:05Z","timestamp":1693406105000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/ped.14544"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,6,5]]},"references-count":15,"journal-issue":{"issue":"7","published-print":{"date-parts":[[2021,7]]}},"alternative-id":["10.1111\/ped.14544"],"URL":"https:\/\/doi.org\/10.1111\/ped.14544","archive":["Portico"],"relation":{},"ISSN":["1328-8067","1442-200X"],"issn-type":[{"type":"print","value":"1328-8067"},{"type":"electronic","value":"1442-200X"}],"subject":[],"published":{"date-parts":[[2021,6,5]]},"assertion":[{"value":"2020-01-29","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2020-11-09","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2021-06-05","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}