OBAYA obesity and adverse health outcomes in young adults: feasibility of a population-based multiethnic cohort study using electronic medical recordsReport as inadecuate

OBAYA obesity and adverse health outcomes in young adults: feasibility of a population-based multiethnic cohort study using electronic medical records - Download this document for free, or read online. Document in PDF available to download.

Population Health Metrics

, 10:15

First Online: 21 August 2012Received: 20 October 2011Accepted: 25 July 2012DOI: 10.1186-1478-7954-10-15

Cite this article as: Koebnick, C., Smith, N., Huang, K. et al. Popul Health Metrics 2012 10: 15. doi:10.1186-1478-7954-10-15


BackgroundAlthough obesity is a risk factor for many chronic diseases, we have only limited knowledge of the magnitude of these associations in young adults. A multiethnic cohort of young adults was established to close current knowledge gaps; cohort demographics, cohort retention, and the potential influence of migration bias were investigated.

MethodsFor this population-based cross-sectional study, demographics, and measured weight and height were extracted from electronic medical records of 1,929,470 patients aged 20 to 39 years enrolled in two integrated health plans in California from 2007 to 2009.

ResultsThe cohort included about 84.4% of Kaiser Permanente California members in this age group who had a medical encounter during the study period and represented about 18.2% of the underlying population in the same age group in California. The age distribution of the cohort was relatively comparable to the underlying population in California Census 2010 population, but the proportion of women and ethnic-racial minorities was slightly higher. The three-year retention rate was 68.4%.

ConclusionThese data suggest the feasibility of our study for medium-term follow-up based on sufficient membership retention rates. While nationwide 6% of young adults are extremely obese, we know little to adequately quantify the health burden attributable to obesity, especially extreme obesity, in this age group. This cohort of young adults provides a unique opportunity to investigate associations of obesity-related factors and risk of cancer in a large multiethnic population.

KeywordsYoung adults Obesity Diabetes Metabolic syndrome Cancer Epidemiology Cohort study AbbreviationsBMIBody Mass Index

CRNCancer Research Network

NCINational Cancer Institute

KPNC and KPSCKaiser Permanente Northern and Southern California

KPKaiser Permanente

IRBInstitutional Review Board

NCINational Cancer Institute

SEERNCI Surveillance Epidemiology, and End Research

NAACCRNorth American Associations of Central Cancer Registries

NDINational Death Index.

Electronic supplementary materialThe online version of this article doi:10.1186-1478-7954-10-15 contains supplementary material, which is available to authorized users.

Download fulltext PDF

Author: Corinna Koebnick - Ning Smith - Karl Huang - Mayra P Martinez - Heather A Clancy - Andrew E Williams - Lawrence H Kushi

Source: https://link.springer.com/


Related documents