Objective:
To determine the relation of maternal pre-pregnancy weight with offspring body mass index across adulthood from almost 40 years of follow-up.
Methods:
Body mass index (BMI) was measured in Framingham Heart Study Offspring cohort participants between 1971 and 2008. We tested the association of maternal pre-pregnancy weight category (ascertained via direct measure and questionnaire) with serial offspring BMI, overweight, obesity, and change in BMI over time, adjusted for age, sex, and a BMI genetic risk score; secondary models additionally adjusted for physical activity, dietary factors, smoking, education, and familial relatedness.
Results:
Among 863 participants at initial assessment (83 exposed and 780 controls), mean (SD) age was 33 (10) years, 53% were female, and mean BMI was 24.5 (4.1) kg/m2. Exposed offspring BMI was higher at every examination cycle; ranging from 1.5 (0.5) to 3.0 (0.5) kg/m2 (p<0.001), with larger differences at later assessments. The rate of increase in offspring BMI over time was higher in exposed offspring before the age of 50 years (β [SE]=0.07 [0.02] kg/m2 per year, p=0.004), but not after the age of 50 years (−0.05 [0.04] kg/m2 per year, p=0.2).
Conclusions:
Maternal pre-pregnancy weight is associated with greater offspring body mass index throughout adulthood, with more rapid weight acceleration in early and mid-adulthood.