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Author: Perrin, James M.
Resulting in 6 citations.
1. Co, John Patrick T.
Perrin, James M.
Gortmaker, Steven L.
Increasing Co-Morbidity of Obesity and Asthma in Children
Presented: Boston, MA, Pediatric Academies Society Meetings, 2000
Cohort(s): Children of the NLSY79
Publisher: American Pediatric Society
Keyword(s): Asthma; Body Mass Index (BMI); Child Health; Cohort Effects; Obesity; Weight

Permission to reprint the abstract has not been received from the publisher.

OBJECTIVE: To determine the relationship of obesity to a diagnosis of asthma over a six-year period from 1988 to 1994.

DESIGN/METHODS: We used the National Longitudinal Survey of Youth (NLSY), identifying children 5-14 years of NLSY mothers in 1988 and 1994. We initially determined presence of obesity (body mass index (BMI)>85th percentile) and asthma in the child in 1988 and 1994, as well as dichotomized age (5-9 vs. 10-14 years) and maternal BMI (>85% or not). Multiple logistic regression was used to determine the relationship between obesity and asthma over time, controlling for the child's age, gender, race/ethnicity, and maternal BMI and chronic health status.

RESULTS: In 1988, the presence of obesity was not associated with the presence of asthma (p=0.37). In 1994, the presence of obesity was significantly positively associated with the presence of asthma (odds ratio [OR] 1.88; 95% CI 1.29, 2.72; p<0.001). While this relationship in 1994 was found in both age groups and genders, it was more pronounced among children in the older age group (OR 1.66; 95% CI 1.16, 2.38; p<0.01) and less pronounced in females (OR 0.55; 95% CI 0.38, 0.80; p<0.01). Race/ethnicity was not significantly related to the presence of asthma.

CONCLUSIONS: While recent studies suggest that obesity and asthma are positively related, this study implies that this relationship is relatively new. This suggests the possibility of an evolving environmental or biological risk factor common to both obesity and asthma.

Bibliography Citation
Co, John Patrick T., James M. Perrin and Steven L. Gortmaker. "Increasing Co-Morbidity of Obesity and Asthma in Children." Presented: Boston, MA, Pediatric Academies Society Meetings, 2000.
2. Co, John Patrick T.
Perrin, James M.
Gortmaker, Steven L.
Increasing Co-Morbidity of Obesity and Asthma in Children
Pediatric Research 47,4,Supplement_2 (2000): 144A
Cohort(s): Children of the NLSY79
Publisher: Lippincott Williams & Wilkins
Keyword(s): Asthma; Body Mass Index (BMI); Child Health; Cohort Effects; Obesity; Weight

Permission to reprint the abstract has not been received from the publisher.

OBJECTIVE: To determine the relationship of obesity to a diagnosis of asthma over a six-year period from 1988 to 1994.

DESIGN/METHODS: We used the National Longitudinal Survey of Youth (NLSY), identifying children 5-14 years of NLSY mothers in 1988 and 1994. We initially determined presence of obesity (body mass index (BMI)>85th percentile) and asthma in the child in 1988 and 1994, as well as dichotomized age (5-9 vs. 10-14 years) and maternal BMI (>85% or not). Multiple logistic regression was used to determine the relationship between obesity and asthma over time, controlling for the child's age, gender, race/ethnicity, and maternal BMI and chronic health status.

RESULTS: In 1988, the presence of obesity was not associated with the presence of asthma (p=0.37). In 1994, the presence of obesity was significantly positively associated with the presence of asthma (odds ratio [OR] 1.88; 95% CI 1.29, 2.72; p<0.001). While this relationship in 1994 was found in both age groups and genders, it was more pronounced among children in the older age group (OR 1.66; 95% CI 1.16, 2.38; p<0.01) and less pronounced in females (OR 0.55; 95% CI 0.38, 0.80; p<0.01). Race/ethnicity was not significantly related to the presence of asthma.

CONCLUSIONS: While recent studies suggest that obesity and asthma are positively related, this study implies that this relationship is relatively new. This suggests the possibility of an evolving environmental or biological risk factor common to both obesity and asthma.

Bibliography Citation
Co, John Patrick T., James M. Perrin and Steven L. Gortmaker. "Increasing Co-Morbidity of Obesity and Asthma in Children." Pediatric Research 47,4,Supplement_2 (2000): 144A.
3. Gidwani, Pradeep P.
Sobol, Arthur M.
Dejong, William
Perrin, James M.
Gortmaker, Steven L.
Television Viewing and Initiation of Smoking Among Youth
Pediatrics 110,3 (September 2002): 505-508.
Also: http://pediatrics.aappublications.org/cgi/content/full/110/3/505
Cohort(s): Children of the NLSY79
Publisher: American Academy of Pediatrics
Keyword(s): Alcohol Use; Cigarette Use (see Smoking); Ethnic Groups/Ethnicity; Health/Health Status/SF-12 Scale; Household Structure; I.Q.; Mothers, Education; Poverty; Risk-Taking; Television Viewing; Test Scores/Test theory/IRT

Background. Smoking is the leading preventable cause of death in the United States, and the risk of disease increases the earlier in life smoking begins. The prevalence of smoking among US adolescents has increased since 1991. Despite bans on television tobacco advertising, smoking on television remains widespread.

Objective. To determine whether youth with greater exposure to television viewing exhibit higher rates of smoking initiation.

Methods. We used the National Longitudinal Survey of Youth, Child Cohort to examine longitudinally the association of television viewing in 1990 among youth ages 10 to 15 years with smoking initiation from 1990-1992. Television viewing was based on the average of youth and parent reports. We used multiple logistic regression, taking into account sampling weights, and controlled for ethnicity; maternal education, IQ, and work; household structure; number of children; household poverty; child gender; and child aptitude test scores.

Results. Among these youth, smoking increased from 4.8% in 1990 to 12.3% in 1992. Controlling for baseline characteristics, youth who watched 5 or more hours of TV per day were 5.99 times more likely to initiate smoking behaviors (95% confidence interval: 1.39-25.71) than those youth who watched <2 hours. Similarly, youth who watched >4 to 5 hours per day were 5.24 times more likely to initiate smoking than youth who watched <2 hours (95% confidence interval: 1.19-23.10).

Conclusions. Television viewing is associated in a dose-response relationship with the initiation of youth smoking. Television viewing should be included in adolescent risk behavior research. Interventions to reduce television viewing may also reduce youth smoking initiation.

Bibliography Citation
Gidwani, Pradeep P., Arthur M. Sobol, William Dejong, James M. Perrin and Steven L. Gortmaker. "Television Viewing and Initiation of Smoking Among Youth." Pediatrics 110,3 (September 2002): 505-508.
4. Gortmaker, Steven L.
Must, Aviva
Perrin, James M.
Sobol, Arthur M.
Social and Economic Consequences of Overweight in Adolescence and Young Adulthood
New England Journal of Medicine 329,14 (September 1993): 1036-1037
Cohort(s): NLSY79
Publisher: Massachusetts Medical Society
Keyword(s): Body Mass Index (BMI); Educational Attainment; Health Factors; Household Income; Marital Status; Obesity; Self-Esteem

Permission to reprint the abstract has been denied by the publisher.

Bibliography Citation
Gortmaker, Steven L., Aviva Must, James M. Perrin and Arthur M. Sobol. "Social and Economic Consequences of Overweight in Adolescence and Young Adulthood." New England Journal of Medicine 329,14 (September 1993): 1036-1037.
5. Gortmaker, Steven L.
Perrin, James M.
Weitzman, Michael
Homer, Charles J.
An Unexpected Success Story: Transition to Adulthood in Youth with Chronic Physical Health Conditions. Special Issue: Late Adolescence and the Transition to Adulthood
Journal of Research on Adolescence 3,3 (1993): 317-336
Cohort(s): NLSY79
Publisher: Lawrence Erlbaum Associates ==> Taylor & Francis
Keyword(s): Adolescent Behavior; Educational Attainment; Health Factors; Health/Health Status/SF-12 Scale; Self-Esteem; Unemployment

Permission to reprint the abstract has been denied by the publisher.

Bibliography Citation
Gortmaker, Steven L., James M. Perrin, Michael Weitzman and Charles J. Homer. "An Unexpected Success Story: Transition to Adulthood in Youth with Chronic Physical Health Conditions. Special Issue: Late Adolescence and the Transition to Adulthood." Journal of Research on Adolescence 3,3 (1993): 317-336.
6. Van Cleave, Jeanne
Gortmaker, Steven L.
Perrin, James M.
Dynamics of Obesity and Chronic Health Conditions Among Children and Youth
Journal of the American Medical Association 303,7 (February 2010): 623-630.
Also: http://jama.ama-assn.org/cgi/content/short/303/7/623
Cohort(s): Children of the NLSY79
Publisher: American Medical Association
Keyword(s): Asthma; Behavioral Problems; Body Mass Index (BMI); Child Health; Children, Illness; Cohort Effects; Health, Chronic Conditions; Health/Health Status/SF-12 Scale; Illnesses; Life Course; Obesity; Weight

Permission to reprint the abstract has not been received from the publisher.

Context: Rates of obesity and other childhood chronic conditions have increased over recent decades. Patterns of how conditions change over time have not been widely examined.

Objective: To evaluate change in prevalence of obesity and other chronic conditions in US children, including incidence, remission, and prevalence.

Design, Setting, and Participants: Prospective study using the National Longitudinal Survey of Youth–Child Cohort (1988-2006) of 3 nationally representative cohorts of children. Children were aged 2 through 8 years at the beginning of each study period, and cohorts were followed up for 6 years, from 1988 to 1994 (cohort 1, n=2337), 1994 to 2000 (cohort 2, n=1759), and 2000 to 2006 (n=905).

Main Outcome Measures: Parent report of a child having a health condition that limited activities or schooling or required medicine, special equipment, or specialized health services and that lasted at least 12 months. Obesity was defined as a body mass index at or above the 95th percentile for age. Chronic conditions were grouped into 4 categories: obesity, asthma, other physical conditions, and behavior/learning problems.

Results: The end-study prevalence of any chronic health condition was 12.8% (95% confidence interval [CI], 11.2%-14.5%) for cohort 1 in 1994, 25.1% (95% CI, 22.7%-27.6%) for cohort 2 in 2000, and 26.6% (95% CI, 23.5%-29.9%) for cohort 3 in2006. There was substantial turnover in chronic conditions: 7.4% (95% CI, 6.5%-8.3%) of participants in all cohorts had a chronic condition at the beginning of the study that persisted to the end, 9.3% (95% CI, 8.3%-10.3%) reported conditions at the beginning that resolved within 6 years, and 13.4% (95% CI, 12.3%-14.6%) had new conditions that arose during the 6-year study period. The prevalence of having a chronic condition during any part of the 6-year study period was highest for cohort 3 (51.5%; 95% CI, 47.3%-55.0%), and there were higher rates among male (adjusted odds ratio [AOR], 1.24; 95% CI, 1.07-1.42), Hispanic (AOR, 1.36; 95% CI, 1.11-1.67), and black (AOR, 1.60; 95% CI, 1.35-1.90) youth.

Conclusions: Prevalence of chronic conditions among children and youth increased from 1988 to 2006. However, presence of these conditions was dynamic over each 6-year cohort.

Bibliography Citation
Van Cleave, Jeanne, Steven L. Gortmaker and James M. Perrin. "Dynamics of Obesity and Chronic Health Conditions Among Children and Youth." Journal of the American Medical Association 303,7 (February 2010): 623-630.