Risk factors for childhood overweight: a prospective study from birth to 9.5 years

W Stewart Agras1, Lawrence D Hammer, Fiona McNicholas

  • 1Department of Psychiatry, Stanford University School of Medicine, Stanford, California 94305-5733, USA. sagras@stanford.edu

Insights

Parental overweight and child temperament are key factors in childhood overweight development. Other risks include low parental concern, food tantrums, and less sleep, suggesting intervention opportunities.

Area of Science:

  • Pediatrics
  • Child Development
  • Public Health

Background:

  • Childhood overweight is a growing public health concern.
  • Identifying early risk factors is crucial for prevention.

Purpose of the Study:

  • To identify risk factors for childhood overweight at 9.5 years of age.
  • To understand the interplay between parental and child characteristics.

Main Methods:

  • Prospective study of 150 children from birth to 9.5 years.
  • Assessed multiple hypothesized risk factors based on existing research.

Main Results:

  • Five independent risk factors identified: parental overweight (strongest, mediated by child temperament), low parental concern about child's thinness, persistent food tantrums, and reduced sleep time.
  • Two distinct pathways to overweight/obesity identified, influenced by parental overweight severity.

Conclusions:

  • Significant interaction between parental and child factors in overweight development.
  • Identified risk factors are potentially modifiable, supporting early intervention programs.
Abstract

Related Concept Videos

Obesity01:24

Obesity

The Body Mass Index (BMI) is a numerical value derived from a person's weight and height, used to categorize individuals into weight ranges. It is calculated using the formula: weight in kilograms divided by height in meters squared. Obesity is a health condition characterized by excessive accumulation of adipose tissue that poses health risks, often diagnosed with a BMI ≥ 30. This excess fat storage occurs when surplus dietary calories are converted into triglycerides and stored in adipocytes...
Attention-Deficit/Hyperactivity Disorder01:30

Attention-Deficit/Hyperactivity Disorder

Attention-deficit/hyperactivity disorder (ADHD) is a neurodevelopmental disorder characterized by persistent inattention, hyperactivity, and impulsivity. It affects approximately 5-8% of children globally, with around 60-70% of cases persisting into adulthood. ADHD has significant implications for educational attainment, social interactions, and occupational success.
Diagnostic Criteria and Symptoms
To diagnose ADHD, symptoms must manifest before age 12 and be evident across multiple settings.
Type II Diabetes I: Introduction01:26

Type II Diabetes I: Introduction

Type 2 diabetes mellitus (T2DM) is a chronic metabolic disorder characterized by insulin resistance, in which target tissues such as the liver, muscle, and adipose tissue respond poorly to insulin. It is also associated with inadequate compensatory insulin secretion, where pancreatic β-cells fail to produce sufficient insulin. Together, these abnormalities lead to persistent hyperglycemia.EtiologyT2DM develops through a complex interaction of genetic predisposition and environmental or...
Factors Affecting Illness01:18

Factors Affecting Illness

When a person's physical, emotional, intellectual, social development or spiritual functioning is compromised, this deviation from a healthy normal state is called illness. Illness creates stress that in turn harms individuals. Irritation, anger, denial, hopelessness, and fear are behavioral and emotional changes an individual experiences in the phases of illness. A variety of factors influence a person's health and well-being.
For instance, risk factors are connected to illness, disability,...
Stress Prevention and Stress Management Techniques IV01:26

Stress Prevention and Stress Management Techniques IV

Stress often leads to unhealthy habits like smoking, excessive drinking, and overeating, which offer short-term relief but ultimately increase long-term health risks. These behaviors create a cycle that temporarily lowers stress levels but can result in severe long-term health consequences. Breaking these habits is essential to reduce the risk of chronic diseases and improve overall well-being. Three primary changes that support better health include quitting smoking, reducing alcohol intake,...
Bulimia Nervosa01:30

Bulimia Nervosa

Bulimia nervosa is a complex and severe eating disorder characterized by a cyclical pattern of binge-and-purge eating pattern. It generally involves an episode of binge eating, followed by compensatory behaviors such as vomiting, excessive exercise, laxative use, or fasting, to prevent weight gain. Despite often maintaining a normal weight, individuals with bulimia are intensely preoccupied with their body image and harbor an overwhelming fear of gaining weight. This can contribute to the...