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Assessment of Child Anthropometry in a Large Epidemiologic Study
Published on: February 2, 2017
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.
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.
Objective:
To investigate the association between different levels of birth weight and the risk of overweight and obesity in children aged 3-6 years.
Methods:
A retrospective longitudinal study of 15,852 children aged 3-6 years in Tianjin, China. Body weight and height, and other factors (age, gestational age, past and current health status, father's and mother's education, occupation and health status, family income, and sex) were obtained using standardized methods.
Results:
After adjustment for the above other factors, Chinese children who were born with a birth weight below 2500 g are less likely to become overweight or obese (body mass index more than the 85th percentiles for age and gender specific distribution using the World Health Organization growth reference) during childhood (odd ratio [OR] 0.84, 95% confidence interval [CI] 0.47-1.52) when compared to the reference group (2500-2999 g). However, the odds ratios of becoming overweight or obese during childhood increase significantly when birth weights are 3000-3499 g (OR 1.58, 95% CI 1.33-1.88), 3500-3999 g (OR 2.09, 95% CI 1.76-2.49), and more than 4000 g (OR 3.14, 95% CI 2.60-3.79).
Conclusions:
High levels of birth weight, defined as birth weight >3000 g, were a stronger predictor for overweight and obesity among the Chinese children aged 3-6 years.
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