Early-life weight and weight gain as predictors of obesity in Brazilian adolescents

Fernandes, Maria Teresa Bechere; Ferraro, Alexandre Archanjo; Pires, Adriana Mancini; Santos, Erica; Schvartsman, Cláudio

doi:10.6061/clinics/2013(11)04

Cited by 6 publications

(5 citation statements)

References 23 publications

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“…9, 31–33 In contrast, relatively little is known regarding the influence of adiposity accrual and linear growth during the toddler or preschool years. Our finding that BMIZ gain from 2 to 3 years had a larger influence on mid-childhood BP than did gains in infancy corroborates two recent investigations.…”

Section: Discussionmentioning

confidence: 99%

Early Weight Gain, Linear Growth, and Mid-Childhood Blood Pressure

et al. 2016

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In recent years, the prevalence of hypertension and pre-hypertension increased markedly among children and adolescents, highlighting the importance of identifying determinants of elevated blood pressure early in life. Low birthweight and rapid early childhood weight gain are associated with higher future blood pressure. However, few studies have examined the timing of postnatal weight gain in relation to later blood pressure, and little is known regarding the contribution of linear growth. We studied 957 participants in Project Viva, an ongoing U.S. pre-birth cohort. We examined the relations of gains in body mass index z-score and length/height z-score during four early life age intervals (birth–6mo, 6mo–1y, 1–2y, and 2–3y) with blood pressure during mid-childhood (6–10y), and evaluated whether these relations differed by birth size. After accounting for confounders, each additional z-score gain in body mass index during birth–6mo and 2–3y was associated with 0.81 (0.15, 1.46) and 1.61 (0.33, 2.89) mmHg higher systolic blood pressure, respectively. Length/height gain was unrelated to mid-childhood blood pressure, and there was no evidence of effect modification by birth size for body mass index or length/height z-score gain. Our findings suggest that more rapid gain in body mass index during the first 6 postnatal months and in the preschool years may lead to higher systolic blood pressure in mid-childhood, regardless of size at birth. Strategies to reduce accrual of excess adiposity during early life may reduce mid-childhood blood pressure, which may also impact adult blood pressure and cardiovascular health.

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Section: Discussionmentioning

confidence: 99%

Early Weight Gain, Linear Growth, and Mid-Childhood Blood Pressure

et al. 2016

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“…It is well-documented that the early lifetime is a sensitive period for the promotion of cardiovascular health in children ( 22 – 24 ). Previous studies had shown that weight change in early life was associated with the risks of CVD events, one of which was high BP ( 25 , 26 ).…”

Section: Discussionmentioning

confidence: 99%

Weight status change from birth to childhood and the odds of high blood pressure among Chinese children

Liu

Zhao

et al. 2023

Front. Public Health

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BackgroundIt is well documented that birth weight and childhood weight are associated with the blood pressure (BP) levels in childhood. However, the impact of weight status change from birth to childhood on BP among children is less well described. We aimed to assess the association between changes in weight status from birth to childhood and high BP in childhood.Methods and resultsData were obtained from a cross-sectional survey conducted in Jinan, China, and a total of 5,546 children aged 6–17 years were included in this study. Based on the birth weight status [high weight (> 4,000 g) vs. normal weight (2,500–4,000 g)] and childhood weight status during the survey period [high weight (overweight and obesity) vs. normal weight], children were assigned into four groups: persistently normal weight (normal birth weight and normal childhood weight), resolved high weight (high birth weight but normal childhood weight), incident high weight (normal birth weight but high childhood weight), and persistently high weight (high birth weight and high childhood weight). After adjustment for sex and age, BP in childhood was more responsive to current body mass index (BMI) than birth weight. After adjustment for the potential covariates, compared with children who had persistently normal weight from birth to childhood, those with incident high weight (odds ratio [OR] = 3.88, 95% confidence interval [CI] = 3.29–4.57) and persistently high weight (OR = 3.52, 95% CI = 2.71–4.57) were associated with the increased odds of childhood high BP. However, children who had resolved high weight did not have significantly increased odds of high BP in childhood (OR = 0.86, 95% CI = 0.59–1.25).ConclusionThe association of BP with recent BMI was stronger than with birth weight. Children who had incident or persistently high weight from birth to childhood had increased odds of high BP in childhood, whereas the odds was not significantly increased among those with high birth weight but changed to normal weight in childhood. Our findings highlight the importance of maintaining an appropriate weight in the early lifetime for the prevention of high BP and other related diseases, especially for those with high birth weight.

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“…Fernandes e colaboradores apontaram o ganho de peso nos primeiros seis meses como preditor de excesso de peso na população brasileira aos 10 anos 48 . Em concordância com Taveras e colaboradores que revelam que o rápido ganho de peso nos primeiros seis meses de vida estão associados com um acentuado aumento no risco de obesidade e adiposidade já aos três anos de idade 47 .…”

Section: Discussionunclassified

“…Quando realizada a classificação do peso para o comprimento aos seis meses, 16,76% dessa população estava acima do peso, resultado semelhante às taxas de obesidade (percentil ≥95 do peso para o comprimento), encontrado no estudo de McCormick no Texas que verificou prevalência de 15,96% em bebês de seis meses de idade 26 . Em crianças brasileiras um pouco mais velhas, com um ano de idade, podemos ver uma tendência de aumento dessa categoria nos últimos anos, Fernandes e colaboradores encontraram prevalência de sobrepeso de 7,4% em 1999 e Gonçalves e colaboradores encontraram prevalência de 12,2% em 2015 4,48 . Smego e colaboradores indicaram o sobrepeso (classificado pelo percentil ≥85 do IMC) aos seis, 12 e 18 meses em crianças americanas como forte preditor de obesidade grave aos seis anos de idade, reforçando dados trazidos anteriormente de como o excesso de peso nessa idade pode predispor esses indivíduos à obesidade futuramente 52 .…”

Section: Discussionunclassified

“…A nossa população apresentou mediana de AME de 120 dias, ou seja, dois meses a menos do que o ideal. Ainda assim, nossa população manteve um maior tempo de AME do que outras populações como, por exemplo, a de Paraisópolis-SP, em que os bebês mamaram exclusivamente por 60 dias, ou da Espanha onde a mediana foi de 70 dias48,55 .Quanto à amamentação dos bebês, 31,70% estavam desmamados na época da consulta, no Acre foi encontrado 25% de desmame ao 4º mês de vida e média de AM foi de um ano, sendo que nenhum bebê mamou até os dois anos de idade37 . Das 1874 mães espanholas que iniciaram a amamentação, estudadas por Villar e colaboradores somente duas mantiveram AM até o primeiro ano de vida55 .…”

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Fatores relacionados ao sobrepeso de bebês aos seis meses de vida: estudo da coorte ROC, São Paulo - Brasil

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Early-life weight and weight gain as predictors of obesity in Brazilian adolescents

Cited by 6 publications

References 23 publications

Early Weight Gain, Linear Growth, and Mid-Childhood Blood Pressure

Early Weight Gain, Linear Growth, and Mid-Childhood Blood Pressure

Weight status change from birth to childhood and the odds of high blood pressure among Chinese children

Fatores relacionados ao sobrepeso de bebês aos seis meses de vida: estudo da coorte ROC, São Paulo - Brasil

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