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Research ArticleORIGINAL RESEARCH
Open Access

Trends in Obesity, Overweight, and Attempted Weight Loss Among United States High School Students

Jack Yang, Emily Krill, Cheila Llorens, Alan Kunz-Lomelin, Charles H. Hennekens and Panagiota Kitsantas
Ochsner Journal March 2026, 26 (1) 9-15; DOI: https://doi.org/10.31486/toj.25.0111
Jack Yang
1Department of Population Health, Charles E. Schmidt College of Medicine, Florida Atlantic University, Boca Raton, FL
BS
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Emily Krill
1Department of Population Health, Charles E. Schmidt College of Medicine, Florida Atlantic University, Boca Raton, FL
BS
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Cheila Llorens
1Department of Population Health, Charles E. Schmidt College of Medicine, Florida Atlantic University, Boca Raton, FL
BS
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Alan Kunz-Lomelin
2Sandler School of Social Work, Florida Atlantic University, Boca Raton, FL
PhD
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Charles H. Hennekens
3Departments of Medicine and Population Health, Charles E. Schmidt College of Medicine, Florida Atlantic University, Boca Raton, FL
MD, FACPM, FACC
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Panagiota Kitsantas
1Department of Population Health, Charles E. Schmidt College of Medicine, Florida Atlantic University, Boca Raton, FL
4Department of Health Administration and Policy, George Mason University, Fairfax, VA
PhD
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  • For correspondence: pkitsant{at}gmu.edu
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  • Figure 1.
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    Figure 1.

    Obesity trends among United States high school students from 2013 to 2023, overall and by sex.

  • Figure 2.
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    Figure 2.

    Overweight trends among United States high school students from 2013 to 2023, overall and by sex.

  • Figure 3.
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    Figure 3.

    Self-reported attempts to lose weight trends among United States high school students from 2013 to 2023, overall and by sex.

Tables

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    Table 1.

    Obesity, Overweight, and Trying to Lose Weight in United States Adolescents by Race/Ethnicity

    Variable / Subgroup2013, n=13,3242015, n=14,3582017, n=13,1462019, n=12,1402021, n=14,8962023, n=17,814
    Obesity
    White13.1 (11.6-14.9)12.4 (10.5-14.6)12.5 (10.9-14.3)13.1 (11.3-15.2)13.7 (12.0-15.6)13.4 (12.4-14.4)
    Black15.7 (13.8-17.8)16.8 (14.2-19.6)18.2 (16.3-20.3)21.1 (17.7-24.8)21.2 (18.5-24.3)20.2 (16.9-24.1)
    Asian5.6 (3.5-9.0)5.5 (3.6-8.4)7.9 (5.1-12.0)6.5 (3.8-10.7)7.7 (5.0-11.7)11.0 (7.5-15.9)
    Hispanic/ Latino15.2 (13.1-17.5)16.4 (14.8-18.2)18.2 (16.9-19.5)19.2 (16.7-21.9)20.2 (17.9-22.8)19.5 (17.9-22.4)
    Overweight
    White15.6 (14.1-17.3)15.2 (14.1-16.5)14.0 (12.8-15.3)14.6 (13.1-16.2)14.6 (13.5-15.7)13.5 (12.3-14.7)
    Black19.1 (17.2-21.3)17.2 (15.1-19.5)17.8 (15.4-20.5)16.4 (13.5-19.6)18.6 (17.0-20.5)17.5 (14.9-20.4)
    Asian13.6 (10.1-18.1)11.9 (9.1-15.5)13.4 (10.4-17.3)11.0 (8.8-13.6)8.3 (4.9-13.6)11.1 (8.6-14.4)
    Hispanic/ Latino18.3 (16.8-19.8)18.4 (17.0-19.9)19.5 (18.0-21.0)19.6 (17.4-22.0)20.9 (19.7-22.1)16.2 (14.5-18.1)
    Trying to lose weight
    White47.1 (44.9-49.3)44.1 (41.8-46.4)45.1 (42.9-47.2)46.6 (43.7-49.6)42.7 (40.7-44.8)41.0 (38.6-43.5)
    Black40.9 (38.5-43.3)39.4 (35.7-43.2)42.3 (39.4-45.3)40.1 (34.6-45.9)45.7 (42.8-48.7)42.3 (37.9-47.3)
    Asian47.8 (43.8-51.8)45.3 (40.2-50.5)48.7 (44.0-53.5)47.5 (39.3-55.8)42.2 (30.4-56.3)41.4 (35.7-47.3)
    Hispanic/ Latino54.5 (51.9-57.0)53.1 (50.2-55.9)55.4 (53.4-57.4)54.9 (52.8-56.9)53.6 (50.5-56.8)52.4 (50.0-54.7)
    • Note: Data are reported as % (95% confidence interval).

    • View popup
    Table 2.

    Obesity, Overweight, and Trying to Lose Weight in United States Adolescents by Grade Level

    Variable / Subgroup2013, n=13,3242015, n=14,3582017, n=13,1462019, n=12,1402021, n=14,8962023, n=17,814
    Obesity
    9th grade13.2 (11.8-14.9)13.0 (11.7-14.4)13.1 (11.5-14.9)14.8 (12.8-17.1)16.1 (14.4-17.9)16.3 (14.1-18.7)
    10th grade13.6 (11.8-15.7)15.2 (13.0-17.6)14.9 (13.0-17.0)15.9 (13.3-18.8)16.6 (14.8-18.5)14.8 (13.2-16.5)
    11th grade14.5 (12.9-16.4)14.5 (12.6-16.6)16.9 (15.3-18.7)15.7 (13.6-18.1)15.3 (13.6-17.2)17.3 (15.4-19.5)
    12th grade13.5 (11.7-15.5)12.7 (10.7-15.1)14.2 (12.4-16.2)15.5 (13.6-17.7)17.3 (15.5-19.3)15.3 (13.7-17.0)
    Overweight
    9th grade18.2 (16.2-20.5)16.8 (14.8-19.0)15.7 (14.3-17.2)15.7 (13.7-17.8)17.4 (15.8-19.2)14.4 (12.8-16.2)
    10th grade16.1 (14.7-17.6)15.5 (13.8-17.4)16.2 (14.3-18.3)16.6 (14.9-18.5)15.6 (13.9-17.4)15.8 (14.4-17.2)
    11th grade15.6 (14.1-17.3)15.9 (14.5-17.4)16.5 (14.8-18.2)16.6 (14.4-19.2)16.8 (15.3-18.4)15.5 (14.1-17.1)
    12th grade16.2 (14.4-18.1)16.0 (13.8-18.4)14.0 (12.0-16.3)15.5 (13.6-17.7)14.2 (12.7-15.7)12.9 (10.9-15.2)
    Trying to lose weight
    9th grade48.7 (45.9-51.6)44.3 (41.7-47.0)46.2 (44.1-48.4)47.2 (44.3-50.2)47.4 (44.4-50.4)44.9 (41.7-48.1)
    10th grade46.7 (43.6-50.0)45.7 (43.1-48.4)46.3 (44.4-48.3)50.7 (47.7-53.7)43.1 (39.7-46.6)42.7 (40.2-45.3)
    11th grade48.6 (46.3-50.9)45.7 (42.3-49.2)48.6 (45.9-51.3)48.2 (45.8-50.6)46.1 (42.8-49.5)46.4 (43.3-49.5)
    12th grade47.0 (44.9-49.1)47.3 (44.6-50.0)47.8 (45.2-50.5)47.1 (43.7-50.4)46.4 (44.3-48.6)43.9 (41.0-46.9)
    • Note: Data are reported as % (95% confidence interval).

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Trends in Obesity, Overweight, and Attempted Weight Loss Among United States High School Students
Jack Yang, Emily Krill, Cheila Llorens, Alan Kunz-Lomelin, Charles H. Hennekens, Panagiota Kitsantas
Ochsner Journal Mar 2026, 26 (1) 9-15; DOI: 10.31486/toj.25.0111

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Trends in Obesity, Overweight, and Attempted Weight Loss Among United States High School Students
Jack Yang, Emily Krill, Cheila Llorens, Alan Kunz-Lomelin, Charles H. Hennekens, Panagiota Kitsantas
Ochsner Journal Mar 2026, 26 (1) 9-15; DOI: 10.31486/toj.25.0111
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Keywords

  • Adolescent
  • body image
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  • diet–healthy
  • health risk behaviors
  • overweight
  • pediatric obesity
  • students
  • weight loss

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