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Updated: Jul 3, 2026

Assessment of Child Anthropometry in a Large Epidemiologic Study
Published on: February 2, 2017
Taller stature after postnatal rapid weight gain in early infancy predicts overweight status at age 3
Izumi Akaboshi1, Yougo Haraguchi, Yuuji Mizumoto
1Akaboshi Pediatric Clinic, Kumamoto City Medical Association, Kumamoto, Japan. akaboshi@orange.ocn.ne.jp
Insights
Rapid weight gain in early infancy is linked to taller stature and being overweight by age 3. Taller growth after rapid infancy weight gain predicts later overweight status in children.
Area of Science:
- Pediatrics
- Child Health
- Growth and Development
Background:
- Early infancy weight gain patterns can influence long-term health outcomes.
- Understanding the relationship between infant growth and later overweight status is crucial for public health.
Purpose of the Study:
- To investigate the association between rapid postnatal weight gain and subsequent tall stature and overweight status at age 3.
- To determine if taller stature following rapid infant weight gain predicts overweight status at age 3.
Main Methods:
- Retrospective cohort study of 1353 subjects in Kumamoto, Japan (2003-2004).
- Weight gain rate calculated (100 g/month) and categorized as rapid/slow using weight standard deviation (SD).
- Overweight status at 3 years defined by International Obesity Task Force criteria.
Main Results:
- 4.7% of subjects were overweight at age 3.
- Rapid postnatal weight gain was associated with height increases and predicted overweight status at age 3.
- Taller stature at 6-9 and 17-20 months post-rapid weight gain predicted overweight status at age 3.
Conclusions:
- Taller stature following rapid early infancy weight gain is a predictor of overweight status at age 3.
- Rapid infant weight gain may accelerate statural growth in children who become overweight.
Aim:
To evaluate whether postnatal rapid weight gain in early infancy is associated with subsequent tall stature and being overweight at age 3, and taller stature after postnatal rapid weight gain predicts overweight status at age 3.
Methods:
Data from a retrospective cohort study (time period 2003-2004, total number = 1353 subjects in Kumamoto, Japan) were used. The rate of weight gain during the first 3-4 months was calculated as 100 g/month, and postnatal rapid and slow growth were calculated by using weight standard deviation (SD). Overweight status at 3 years of age was determined according to the definition of the International Obesity Task Force.
Results:
In total, 4.7% of subjects were overweight at age 3. Postnatal rapid weight gain, associated with height increases until age 3 (p < 0.0001), and the rate of weight gain were significant risk factors for being overweight in children at age 3. Taller heights at 6-9 months and 17-20 months of age following postnatal rapid weight gain were associated with overweight status at age 3 (p < 0.05).
Conclusion:
Taller stature following postnatal rapid weight gain in early infancy predicts overweight status at age 3; additionally, rapid infancy weight gain contributes to the acceleration of statural growth in overweight children.
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