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Updated: Aug 15, 2026

Assessment of Child Anthropometry in a Large Epidemiologic Study
Published on: February 2, 2017
Being big or growing fast: systematic review of size and growth in infancy and later obesity
Janis Baird1, David Fisher, Patricia Lucas
1MRC Epidemiology Resource Centre, University of Southampton, Southampton General Hospital, Southampton SO16 6YD. jb@mrc.soton.ac.uk
Insights
Infants with higher birth weight or rapid growth are at greater risk of developing obesity later in life. This association between infant size and later obesity has remained consistent over time.
Area of Science:
- Pediatrics
- Public Health
- Epidemiology
Background:
- Childhood obesity is a growing public health concern with long-term health implications.
- Early life factors, including infant size and growth patterns, are increasingly recognized as potential predictors of later obesity.
Purpose of the Study:
- To systematically review the scientific literature on the association between infant size or growth and subsequent obesity.
- To determine if this association has remained consistent over time.
Main Methods:
- A systematic review of studies was conducted.
- Included studies assessed the relationship between infant size or growth in the first two years of life and subsequent obesity at any age.
- Data sources included Medline, Embase, and bibliographies of relevant studies.
Main Results:
- Twenty-four studies met the inclusion criteria, comprising 22 cohort and 2 case-control studies.
- Most studies indicated that infants with higher weight or body mass index (BMI) or rapid growth during infancy had an increased risk of subsequent obesity.
- Odds ratios/relative risks for subsequent obesity ranged from 1.35 to 9.38 for infant obesity and 1.17 to 5.70 for rapid infant growth.
Conclusions:
- Infants who are larger or experience rapid growth in infancy are at a significantly increased risk of developing obesity later in life.
- The observed associations between infant size/growth and subsequent obesity were consistent across different ages and historical periods (1927-1994).
Objectives:
To assess the association between infant size or growth and subsequent obesity and to determine if any association has been stable over time.
Design:
Systematic review.
Data Sources:
Medline, Embase, bibliographies of included studies, contact with first authors of included studies and other experts.
Inclusion Criteria:
Studies that assessed the relation between infant size or growth during the first two years of life and subsequent obesity.
Main Outcome Measure:
Obesity at any age after infancy.
Results:
24 studies met the inclusion criteria (22 cohort and two case-control studies). Of these, 18 assessed the relation between infant size and subsequent obesity, most showing that infants who were defined as "obese" or who were at the highest end of the distribution for weight or body mass index were at increased risk of obesity. Compared with non-obese infants, in those who had been obese odds ratios or relative risks for subsequent obesity ranged from 1.35 to 9.38. Ten studies assessed the relation of infant growth with subsequent obesity and most showed that infants who grew more rapidly were at increased risk of obesity. Compared with other infants, in infants with rapid growth odds ratios and relative risks of later obesity ranged from 1.17 to 5.70. Associations were consistent for obesity at different ages and for people born over a period from 1927 to 1994.
Conclusions:
Infants who are at the highest end of the distribution for weight or body mass index or who grow rapidly during infancy are at increased risk of subsequent obesity.
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