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Updated: Jul 4, 2026

Assessment of Child Anthropometry in a Large Epidemiologic Study
Published on: February 2, 2017
Early childhood predictors of adult body composition
1MRC Epidemiology Unit, Institute of Metabolic Science, Addenbrooke's Hospital, Box 285, Cambridge CB2 0QQ, UK. cd403@medschl.ca.ac.uk
Insights
Early life growth, including fetal development and early childhood nutrition, significantly influences adult obesity risk. Genetic factors also play a role in rapid growth and obesity development.
Area of Science:
- Developmental biology
- Pediatric nutrition
- Obesity research
Background:
- Intra-uterine development and early childhood growth are critical periods for obesity risk.
- Fetal growth, indicated by birth weight, may program lean body mass.
- Small for gestational age infants show a predisposition to fat accumulation, especially intra-abdominal fat.
Purpose of the Study:
- To investigate the critical periods influencing obesity risk.
- To explore the roles of prenatal growth restraint and postnatal catch-up growth in fat accumulation.
- To examine the contribution of genetic factors to growth and obesity.
Main Methods:
- Analysis of fetal growth markers (e.g., birth weight).
- Assessment of postnatal growth patterns.
- Investigation of genetic and heritable factors.
Main Results:
- Fetal growth may program lean body mass.
- Small for gestational age infants are prone to increased fat mass.
- Genetic factors influence rapid postnatal growth and obesity risk.
Conclusions:
- Early life growth, encompassing prenatal and postnatal periods, is crucial for long-term obesity risk.
- The interplay between antenatal growth restraint, postnatal catch-up growth, and genetic factors requires further investigation.
- Future research should focus on the timing and interaction of these factors in obesity development.
Abstract:
Intra-uterine life has been identified as a possible critical period for the development of obesity risk in both adults and children; others have highlighted the importance of growth and nutrition in the first few years. It is suggested that fetal growth, as assessed by birth weight, may programme lean body mass later in life. Children who are born small for gestational age also have a predisposition to accumulating fat mass, particularly intra-abdominal fat. It is not yet clear whether this predisposition is due to their prenatal growth restraint, their rapid postnatal catch-up growth or a combination of both. Recently, genetic and heritable factors have been shown to contribute to both rapid postnatal growth and childhood obesity risk in children and adults. Future studies should explore their timing of action and potential interactions with markers of antenatal growth restraint.
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