High birth weight and overweight or obesity among Chinese children 3-6 years old

Xiaoyan Zhang1, Enqing Liu, Zhen Tian

  • 1Tianjin Women and Children's Health Center, Tianjin, China.

Preventive Medicine
|July 28, 2009
PubMed

Insights

Higher birth weight in Chinese children is linked to increased risk of childhood overweight and obesity. Birth weights over 3000g significantly predict these conditions in children aged 3-6 years.

Area of Science:

  • Pediatric Endocrinology
  • Public Health Nutrition
  • Childhood Obesity Research

Background:

  • Childhood overweight and obesity are significant global health concerns.
  • Birth weight is a potential early life predictor of later health outcomes.
  • Understanding the association between birth weight and childhood obesity is crucial for prevention strategies.

Purpose of the Study:

  • To examine the relationship between various birth weight categories and the risk of overweight and obesity in Chinese children aged 3-6 years.
  • To identify specific birth weight thresholds associated with increased risk of pediatric obesity.

Main Methods:

  • Retrospective longitudinal study involving 15,852 children aged 3-6 years in Tianjin, China.
  • Data collected on birth weight, anthropometrics (height, weight), and various confounding factors.
  • Statistical analysis adjusted for factors including gestational age, parental characteristics, and socioeconomic status.

Main Results:

  • Children born with birth weights below 2500g showed no increased risk of overweight/obesity compared to the reference group (2500-2999g).
  • Significantly increased odds of overweight/obesity were observed for birth weights of 3000-3499g (OR 1.58), 3500-3999g (OR 2.09), and >4000g (OR 3.14).
  • Higher birth weight categories demonstrated a dose-response relationship with elevated risk.

Conclusions:

  • Birth weight exceeding 3000g is a significant predictor of overweight and obesity in Chinese children aged 3-6 years.
  • These findings highlight the importance of monitoring birth weight as an early indicator for potential childhood obesity.
Abstract

Related Concept Videos

Obesity01:24

Obesity

The Body Mass Index (BMI) is a numerical value derived from a person's weight and height, used to categorize individuals into weight ranges. It is calculated using the formula: weight in kilograms divided by height in meters squared. Obesity is a health condition characterized by excessive accumulation of adipose tissue that poses health risks, often diagnosed with a BMI ≥ 30. This excess fat storage occurs when surplus dietary calories are converted into triglycerides and stored in adipocytes...
Drug Dosing: Obese Patients01:21

Drug Dosing: Obese Patients

In the United States, obesity is a prominent concern. It is linked to heightened mortality rates due to increased occurrences of conditions such as hypertension, atherosclerosis, coronary artery disease, and diabetes compared to nonobese individuals. A patient is classified as obese if their actual body weight surpasses the ideal or desirable body weight by 20%, based on Metropolitan Life Insurance Company data. Ideal body weights consider average weights and heights for males and females...
Attention-Deficit/Hyperactivity Disorder01:30

Attention-Deficit/Hyperactivity Disorder

Attention-deficit/hyperactivity disorder (ADHD) is a neurodevelopmental disorder characterized by persistent inattention, hyperactivity, and impulsivity. It affects approximately 5-8% of children globally, with around 60-70% of cases persisting into adulthood. ADHD has significant implications for educational attainment, social interactions, and occupational success.
Diagnostic Criteria and Symptoms
To diagnose ADHD, symptoms must manifest before age 12 and be evident across multiple settings.
Pharmacokinetics in Obese Patients: Drug Absorption and Distribution01:25

Pharmacokinetics in Obese Patients: Drug Absorption and Distribution

Obesity significantly alters the pharmacokinetic processes of drug absorption and distribution, presenting unique challenges in medical treatment. The increased fat tissue and decreased lean muscle in obese individuals can significantly affect how drugs are absorbed into the body and distributed across different tissues. This alteration can lead to variances in the effectiveness and safety of medications, necessitating adjustments in dosing or drug selection for obese patients.One notable...
Nature and Nurture01:10

Nature and Nurture

Many human characteristics, like height, are shaped by both nature—in other words, by our genes—and by nurture, or our environment. For example, chronic stress during childhood inhibits the production of growth hormones and consequently reduces bone growth and height. Scientists estimate that 70-90% of variation in height is due to genetic differences among individuals, and 10-30% of variation in height is due to differences in the environments that individuals experience, such as differences...
Signs of Puberty01:27

Signs of Puberty

Puberty is a critical phase, typically beginning between the ages of 8 and 13 in girls and 9 and 14 in boys, though timing can vary based on genetics, environmental factors, and overall health. This period is characterized by the development of secondary sexual characteristics and the attainment of reproductive potential. Endocrine changes underpin puberty, with hormonal surges of Luteinizing Hormone (LH) and Follicle-Stimulating Hormone (FSH) instigated by Gonadotropin-Releasing Hormone (GnRH)...