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  • Pediatric Original Article
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Association between increased BMI and severe school absenteeism among US children and adolescents: findings from a national survey, 2005–2008

International Journal of Obesity volume 36, pages 517–523 (2012)Cite this article

Subjects

Abstract

Objective:

School absenteeism may be an underlying cause of poor school performance among overweight and obese children. We examined the associations between school absenteeism and body mass index (BMI) in a nationally representative sample.

Design and Subjects:

We analyzed the data of 1387 children (6–11 years) and 2185 adolescents (12–18 years), who completed an interview and anthropometric measurement as a part of the National Health and Nutrition Examination Survey, 2005–2008. The CDC 2000 growth chart was used to categorize BMI status, and the number of school days missed during the past 12 months was assessed by asking the proxies or interviewees.

Results:

The prevalence of obesity and overweight were 18.96±1.44% (s.e.) and 16.41±0.78%, respectively, among study populations. The means of school days missed in the last 12 months were not statistically different between the normal-weight, overweight and obese groups, 3.79±0.56, 3.86±0.38 and 4.31±0.01 days, respectively. However, when >2 days missed per school month was defined as severe absence, the prevalence of severe absence were 1.57%, 2.99% and 4.94% respectively, among 6–11-year-old children with normal, overweight and obese. The adjusted odds of severe school absence were 2.27 (95% confidence interval=0.64–8.03) and 3.93 (1.55–9.95), respectively, among overweight and obese children compared with normal-weight peers (P for trend test <0.01). No significant association was found among adolescents.

Conclusion:

Increased body weight is independently associated with severe school absenteeism in children but not adolescents. Future research is needed to determine the nature, and academic and social significance of this association.

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Acknowledgements

We sincerely thank the anonymous reviewers for the feedbacks and constructive criticisms. The authors thank EJ Zhang from the North View High School of Georgia, USA his for help in editing the article. Dr Zhang was partially supported by Research Awards Program of Georgia Southern University, GA, USA.

Author contributions

Dr Zhang had full access to all of the data in the study and takes responsibility for the integrity of the data and the accuracy of the data analysis. Study concept and design: Zhang, Raychowdhury, Lyn, Tedders and Lopez-De Fede. Acquisition of data: Li and Zhang. Analysis and interpretation of data: Li, Lyn and Zhang. Drafting of the manuscript: Li and Zhang. Critical revision of the manuscript for important intellectual content: Zhang, Raychowdhury, Lyn, Tedders and Lopez-De Fede. Statistical analysis: Li and Zhang. Obtained funding: Zhang.

Author information

Authors and Affiliations

  1. Northrop Grumman Information Systems, Atlanta, GA, USA

    Y Li

  2. Department of Applied Health Sciences, School of Nursing Health and Human Services, Indiana State University, IN, USA

    S Raychowdhury

  3. Department of Epidemiology, Jiann-Ping Hsu College of Public Health, Georgia Southern University, Statesboro, GA, USA

    S H Tedders & J Zhang

  4. Institute of Public Health, Georgia State University, Atlanta, GA, USA

    R Lyn

  5. Institute for Families in Society, University of South Carolina, Columbia, SC, USA

    A Lòpez-De Fede

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Correspondence to J Zhang.

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Li, Y., Raychowdhury, S., Tedders, S. et al. Association between increased BMI and severe school absenteeism among US children and adolescents: findings from a national survey, 2005–2008. Int J Obes 36, 517–523 (2012). https://doi.org/10.1038/ijo.2012.15

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