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Assessment of Child Anthropometry in a Large Epidemiologic Study
Published on: February 2, 2017
Determinants of overweight in a cohort of Dutch children
Neeltje Vogels1, Danielle L A Posthumus, Edwin C M Mariman
1Departments of Human Biology and Methodology and Statistics, Maastricht University, Maastricht, Netherlands. n.vogels@hb.unimaas.nl
Insights
Childhood overweight is linked to rapid early weight gain and parental factors. High dietary restraint and low physical activity in children may also contribute to maintaining overweight status.
Area of Science:
- Pediatrics
- Obesity Research
- Child Development
Background:
- Effective prevention and treatment of childhood obesity require understanding body weight (BW) development and its determinants.
- Focusing on early life factors is crucial for managing pediatric overweight.
Purpose of the Study:
- To investigate the impact of early development, parental, genetic, and behavioral factors on overweight status at age 12 years.
- To identify predictors of overweight in children.
Main Methods:
- Longitudinal study of 105 children from birth to 12 years with anthropometric measurements.
- Assessed body composition, leptin, genetic polymorphisms, physical activity, and eating behaviors at age 12.
- Collected parental BMI and Three-Factor Eating Questionnaire data.
Main Results:
- 15.2% of children were overweight at age 12 years; mean BMI was 19.0 +/- 2.6.
- Early rapid BW increase, paternal BMI, and maternal dietary restraint predicted overweight at 12 years.
- Childhood dietary restraint correlated with overweight, while physical activity correlated with lower body fat percentage.
Conclusions:
- Body Mass Index (BMI) tracking from the first year of life predicts childhood overweight.
- Early BW gain and parental influences are significant predictors of overweight at age 12.
- Childhood overweight may be exacerbated by high dietary restraint and low physical activity.
Background:
To improve the effective prevention and treatment of obesity, it is important to focus on body weight (BW) development and its determinants during childhood.
Objective:
The aim of the present study was to investigate the effects of early development, parental and genetic variables, and behavioral determinants on overweight at 12 y.
Design:
In a Dutch cohort of 105 children, anthropometric measurements were conducted from birth until age 7 y. At age 12 y, anthropometric measurements were obtained again, as were measurements of body composition, leptin concentration, 3 polymorphisms, and physical activity, and the Three-Factor Eating Questionnaire was conducted. In addition, parental body mass indexes (BMIs, in kg/m2) and Three-Factor Eating Questionnaire scores were determined.
Results:
The children's mean (+/-SD) BMI at 12 y was 19.0 +/- 2.6, and 15.2% were classified as overweight. From the first year of life, BMI tracked significantly with BMI at age 12 y (r = 0.24, P < 0.05). Linear regression analyses showed that a rapid increase in BW during the first year of life, a high BMI of the father, and a high dietary restraint score of the mother were significantly associated with overweight at age 12 y (P < 0.05). No significant genetic relation was observed. In addition, overweight was positively associated with dietary restraint of the child, and percentage body fat was negatively associated with the child's activity score (P < 0.05).
Conclusions:
In this homogeneous cohort of normal-weight to moderately overweight children, tracking of BMI during childhood took place from the first year of life. Overweight at age 12 y was predicted by an early rapid increase in BW and parental influences. Overweight during childhood may be maintained or even promoted by a high dietary restraint score and low physical activity.
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