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

BMJ (Clinical Research Ed.)
|October 18, 2005
PubMed

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).
Abstract

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