Prediction of obesity from infancy to adolescence

Angbratt, Marianne; Ekberg, Joakim; Walter, L. G.; Timpka, Toomas

doi:10.1111/j.1651-2227.2011.02326.x

Cited by 13 publications

(20 citation statements)

References 18 publications

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“…Children who already have a high BMI at the age of 60–64 months are expected to have an earlier age at and a steeper slope of the adiposity rebound. In line with our observation, Angbratt et al 5 also reported that BMI at 5 years was closely associated with BMI at 15 years.…”

Section: Discussionsupporting

confidence: 93%

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Early life risk factors of being overweight at 10 years of age: results of the German birth cohorts GINIplus and LISAplus

et al. 2013

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Objective:To develop a prediction model that quantifies the risk of being overweight at 10 years of age.Subjects/Methods:In total, 3121 participants from the GINIplus (German Infant Nutritional Intervention plus environmental and genetic influences on allergy development) and LISAplus (Influences of Lifestyle-Related Factors on the Immune System and the Development of Allergies in Childhood plus Air Pollution and Genetics) German birth cohorts were recruited. We predicted standardized body mass index (BMI) at 10 years of age using standardized BMIs from birth to 5 years. Parental education, family income and maternal smoking during pregnancy were considered as covariates. Linear and logistic regression models were used to evaluate the impact of risk factors on BMI and on being overweight at 10 years of age, respectively.Results:Birth weight, standardized BMI at 5 years (60–64 months) (β=0.77; 95% confidence interval (CI): 0.73–0.81) and maternal smoking during pregnancy were positively associated with standardized BMI at 10 years of age. Standardized BMI and overweight at 5 years were strongest predictors of being overweight at 10 years. Conversely, high parental education conferred a protective effect (β=−0.15; 95% CI: −0.29 to −0.01). Being overweight at 5 years (60–64 months) increased the risk of being overweight at 10 years of age with odds ratios above 10. Among children who were predicted to be overweight at 10 years, cross-validation results showed that 76.8% of female subjects and 68.1% of male subjects would be overweight at 10 years of age.Conclusion:BMI and being overweight at 5 years of age are strong predictors of being overweight at 10 years of age. The effectiveness of targeted interventions in children who are overweight at 5 years of age should be explored.

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Section: Discussionsupporting

confidence: 93%

“…Similar results are found in other studies. 5, 6 Several studies have also shown that birth weight and maternal smoking during pregnancy are associated with childhood obesity. 7, 8, 9, 10 Familial factors can explain up to 27% of the variance in a child's weight status.…”

Section: Introductionmentioning

confidence: 99%

Early life risk factors of being overweight at 10 years of age: results of the German birth cohorts GINIplus and LISAplus

et al. 2013

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“…Several studies also underline the importance of early obesity prevention [2,5,6,31,32]. Whitaker et al [31] showed that children with obesity under the age of three years are at low risk of obesity in adulthood.…”

Section: Discussionmentioning

confidence: 99%

“…Moreover, obesity in preschool children correlates strongly with increased risk for obesity in adolescence [2]. This and many other well-documented associated health consequences of obesity [3] call for preventive interventions in early childhood.…”

Section: Introductionmentioning

confidence: 99%

Barriers to and facilitators of nurse-parent interaction intended to promote healthy weight gain and prevent childhood obesity at Swedish child health centers

2013

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BackgroundOverweight and obesity in preschool children have increased worldwide in the past two to three decades. Child Health Centers provide a key setting for monitoring growth in preschool children and preventing childhood obesity.MethodsWe conducted semi-structured interviews with 15 nurses working at Child Health Centers in southwest Sweden in 2011 and 2012. All interviews were tape recorded and transcribed verbatim and imported to QSR N’Vivo 9 software. Data were analyzed deductively according to predefined themes using content analysis.ResultsFindings resulted in 332 codes, 16 subthemes and six main themes. The subthemes identified and described barriers and facilitators for the prevention of childhood obesity at Child Health Centers. Main themes included assessment of child’s weight status, the initiative, a sensitive topic, parental responses, actions and lifestyle patterns. Although a body mass index (BMI) chart facilitated greater recognition of a child’s deviant weight status than the traditional weight-for-height chart, nurses used it inconsistently. Obesity was a sensitive topic. For the most part, nurses initiated discussions of a child’s overweight or obesity.ConclusionCHCs in Sweden provide a favorable opportunity to prevent childhood obesity because of a systematic organization, which by default conducts growth measurements at all health visits. The BMI chart yields greater recognition of overweight and obesity in children and facilitates prevention of obesity. In addition, visualization and explanation of the BMI chart helps nurses as they communicate with parents about a child’s weight status. On the other hand, inconsistent use and lack of quality assurance regarding the recommended BMI chart was a barrier to prevention, possibly delaying identification of overweight or obesity. Other barriers included emotional difficulties in raising the issue of obesity because it was perceived as a sensitive topic. Some parents deliberately wanted overweight children, which was another specific barrier. Concerned parents who took the initiative or responded positively to the information about obesity facilitated prevention activities.

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“…Nevertheless, we did not find evidence to suggest that exposure to atole during the first 1000 d was associated with BMI latent class membership. Studies in high-income countries have shown an association between rapid growth before age 2 y and obesity risk (25)(26)(27); however, others found no increased risk when weight gain was appropriate for linear growth (28,29). A study of infant BMI trajectories in the Philippines found that accelerated infant BMI did not have longterm consequences on young-adult BMI (30).…”

Section: Discussionmentioning

confidence: 99%

Life-Course Body Mass Index Trajectories Are Predicted by Childhood Socioeconomic Status but Not Exposure to Improved Nutrition during the First 1000 Days after Conception in Guatemalan Adults

Ford

Martorell

Mehta

et al. 2016

The Journal of Nutrition

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Prediction of obesity from infancy to adolescence

Abstract: From 5 years of age, point estimates of body mass using only weight and height data are strongly associated with BMI at the age of 15. More data sources are needed to predict weight trajectories in younger children.

Cited by 13 publications

References 18 publications

Early life risk factors of being overweight at 10 years of age: results of the German birth cohorts GINIplus and LISAplus

Early life risk factors of being overweight at 10 years of age: results of the German birth cohorts GINIplus and LISAplus

Barriers to and facilitators of nurse-parent interaction intended to promote healthy weight gain and prevent childhood obesity at Swedish child health centers

Life-Course Body Mass Index Trajectories Are Predicted by Childhood Socioeconomic Status but Not Exposure to Improved Nutrition during the First 1000 Days after Conception in Guatemalan Adults

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