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Is infant growth changing?
A R Tate1, C Dezateux, T J Cole
1Centre for Paediatric Epidemiology and Biostatistics, Institute of Child Health, University College London, London, UK. rosemary.tate@iop.kcl
Insights
Infant weight gain from birth to 9 months varies by ethnicity, with Black infants gaining the most and Asian infants the least. Childhood obesity likely begins after 9 months, not during this early period.
Area of Science:
- Pediatric growth and development
- Public health and epidemiology
- Childhood obesity research
Background:
- Understanding infant growth patterns is crucial for identifying potential health risks.
- Previous studies indicate variations in infant weight gain based on demographic factors.
- The rising prevalence of childhood obesity necessitates investigation into early life factors.
Purpose of the Study:
- To analyze weight gain differences in infants up to 9 months by sex, ethnicity, and country of birth.
- To compare current infant weight gain with a cohort from a decade prior.
- To assess the onset of the childhood obesity epidemic in relation to early infant growth.
Main Methods:
- Analysis of weight and weight gain data from 12,903 term infants in the Millennium Cohort Study.
- Standardized weight and weight gain comparisons between ethnic groups and countries of birth.
- Longitudinal comparison with a historical cohort of infants born 10 years earlier.
Main Results:
- Significant ethnic variations in weight gain were observed; Black infants showed the highest, and Asian infants the lowest.
- White boys in England and Scotland exhibited faster growth than girls; no significant gender differences were found in other groups or locations.
- Minimal difference in weight gain between current and historical white English infant cohorts.
Conclusions:
- Early infant weight gain (0-9 months) shows significant ethnic and geographical variations.
- Current infant growth patterns do not differ substantially from a decade ago, suggesting later onset of obesity.
- The childhood obesity epidemic appears to emerge after the first 9 months of life.
Abstract:
Weight gain between birth and 9 months of 12 903 term Millennium Cohort Study infants was investigated in order to determine differences according to sex, ethnicity and country of birth. The standardised weights and weight gains were also compared with a cohort of mainly white infants born 10 years earlier to determine whether weight gain has changed over the last decade. There were significant differences between ethnic groups, with black infants showing the largest weight gain and Asians the smallest. White boys born in England and Scotland grew relatively faster than girls, but there were no significant gender differences among the other ethnic groups or among infants born in Ireland and Wales. There was very little difference in weight gain between white English Millennium cohort infants and the earlier cohort, suggesting that the current epidemic of childhood obesity starts after 9 months of age.
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