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Updated: Jun 26, 2026

Assessment of Child Anthropometry in a Large Epidemiologic Study
Published on: February 2, 2017
Overweight and obesity in 3- and 5-year-old children with and without developmental delay
1Centre for Disability Research, Lancaster University, Lancaster LA14YT, UK. eric.emerson@lancaster.ac.uk
Insights
Young children with developmental delay face a higher risk of obesity. This risk increases significantly between ages 3 and 5, highlighting a critical need for early intervention strategies.
Area of Science:
- Pediatric Health
- Developmental Pediatrics
- Public Health
Background:
- Childhood obesity is a growing public health concern.
- Developmental delay affects a significant number of young children.
- Understanding the intersection of developmental delay and obesity is crucial for early intervention.
Purpose of the Study:
- To investigate obesity rates in UK children aged 3 and 5.
- To compare obesity prevalence in children with and without developmental delay.
- To identify risk factors for obesity in this population.
Main Methods:
- Utilized a longitudinal birth cohort study design.
- Conducted secondary data analysis from the UK's Millennium Cohort Study (Waves 1-3).
- Examined nationally representative samples of 3- and 5-year-old children.
Main Results:
- Children with developmental delay showed a significantly higher likelihood of obesity by age 3 (OR 1.30).
- The risk of obesity and overweight associated with developmental delay escalated between ages 3 and 5 (OR 1.80 at 5 years).
- Traditional obesity risk factors (socioeconomic status, neighborhood deprivation, gender) were not significant predictors in children with developmental delay.
Conclusions:
- Young children at risk for intellectual disabilities exhibit an elevated risk for obesity.
- Findings underscore the need for tailored public health policies and clinical practices.
- Early identification and intervention are critical for managing obesity in children with developmental delays.
Objectives:
To determine rates of obesity in nationally representative samples of 3- and 5-year-old children with and without developmental delay in the UK.
Study Design:
Longitudinal birth cohort study.
Methods:
Secondary analysis of data extracted from Waves 1-3 of the UK's Millennium Cohort Study.
Results:
By 3 years of age, children with developmental delay are significantly more likely to be obese than their typically developing peers [odds ratio (OR) 1.30, 95% confidence interval (CI) 1.01-1.67]. The risk of obesity and overweight associated with developmental delay increased between 3 and 5 years of age (obesity OR at 5 years of age 1.80, 95% CI 1.23-2.54). Risk factors associated with obesity at 5 years of age among typically developing children (greater material hardship, living in more deprived neighbourhoods, female gender) were not apparent among children with developmental delay.
Conclusions:
Increased risk for obesity is apparent in young children at risk of intellectual disabilities. Implications for policy and practice are discussed.
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