Adolescents with a history of incarceration face a disproportionate number of health issues compared with their peers in virtually all areas, including perceived well-being; self-esteem; acute, chronic, and psychosocial disorders; and physical activity. Some studies have shown correlates of weight status and incarceration; however, the literature is conflicting. The current study sought to assess weight patterns of primarily minority urban youth (N = 548) entering a juvenile justice facility as well as associations between medications and weight status. Results indicate incarcerated adolescents have higher rates of overweight and obesity (40%) in comparison with nonincarcerated adolescents in the state (20 to 30%) or surrounding community (30 to 34%). Of interest, incarcerated adolescents taking asthma medications have significantly higher rates of overweight and obesity when compared with those not taking asthma medications. The clinical implications of these findings are discussed and implications for future research explored.

Incarceration is associated with health risks including overweight and obesity. This study explored obesity rates and weight gain in incarcerated youth by tracking weight trajectory during continuous stays in juvenile justice facilities. Among 65 youth, mean weight gain was 17.8 pounds and significant, F(2, 12) = 25.44, p = .03. Youth gained an average of 15.6 pounds (standard deviation [ SD] = 3.6) during the initial incarceration period (mean = 71 days). From the assessment to treatment period (mean = 46 days), mean weight gain was 4.1 pounds ( SD = 4.3), which also was significant, F(2, 12) = 28.57, p = .03. Body mass index z-scores increased significantly for each monthly weight observation. Being incarcerated is associated with significant weight gain and should influence policy and planning in this setting.