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Overweight and obesity of children in Guam (1024.3)

In response to the U.S. federal mandate (P.L. 108‐265) the Government of Guam passed P.L. 28‐87, which established The Healthy Wellness Policy within the Guam Department of Education. The local law allowed for the uniformed collection of BMI from school children in Guam. The objective of this study was to estimate the prevalence of overweight and obesity of children (Head Start to 12th grade) enrolled in the Guam Department of Education in 2010‐2011. Trained school health counselors collected height and weight measures of students from all public school districts on Guam. The SAS Program for the CDC Growth Charts was used to calculate BMI percentiles for each child. A total of 25,501 children (12,309 boys; 12,147 girls) were measured. The overall prevalence of overweight (Confidence Interval) was 15.5% (15.0‐15.9); 16.2% (15.6‐16.9) in males and 14.8% (14.2‐15.4) in females. The overall prevalence of obesity was 23% (22.5‐23.5); 19.6% (18.9‐20.3) in males and 26.2% (25.4‐26.9) in females. This is the first official report of the overweight and obesity status of the public school children in Guam. Continued collection and surveillance of child overweight and obesity in the Guam Department of Education is needed to evaluate the effectiveness of activities pursuant to the Healthy Wellness Policy, and to inform future plans to address childhood obesity in Guam.