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Published on: January 29, 2018
BMI at 4 years of age is associated with previous and current protein intake and with paternal BMI
I Ohlund1, O Hernell, A Hörnell
1Department of Food and Nutrition, Umeå University, Umeå, Sweden. inger.ohlund@kost.umu.se
Insights
Childhood body mass index (BMI) at 4 years tracks from infancy and is linked to protein intake and parental BMI, especially the father's. These findings highlight early life factors influencing weight status in children.
Area of Science:
- Pediatric Nutrition
- Childhood Obesity
- Growth Monitoring
Background:
- Childhood overweight and obesity are significant public health concerns.
- Understanding early life predictors of body mass index (BMI) is crucial for intervention.
- Parental BMI and early dietary habits may influence a child's long-term weight trajectory.
Purpose of the Study:
- To investigate associations between body mass index (BMI) at 4 years of age.
- To examine the relationship between current and previous dietary intakes and BMI.
- To assess the influence of parental BMI on child's BMI.
Main Methods:
- Follow-up study of 127 children initially assessed at 18 months of age.
- Anthropometric measurements (BMI) and dietary intake assessments were conducted at 4 years.
- Regression analyses were used to identify predictors of BMI.
Main Results:
- Overweight and obesity prevalence at 4 years was 14% for girls and 13% for boys (overweight), and 2% for girls and 3% for boys (obese).
- Parental overweight and obesity rates were substantial (fathers: 34% overweight, 9% obese; mothers: 19% overweight, 7% obese).
- Child's BMI at 6-18 months strongly predicted BMI at 4 years. Protein, energy, and carbohydrate intake at 17/18 months and 4 years, and father's BMI, were independently associated with child's BMI at 4 years.
Conclusions:
- Childhood BMI at 4 years demonstrates tracking from 6-18 months of age.
- Protein intake (current and previous) and parental BMI, particularly the father's, are associated with a child's BMI at 4 years.
- These findings underscore the importance of early nutrition and parental factors in pediatric weight management.
Objectives:
To evaluate possible associations between body mass index (BMI) at 4 years of age, current and previous dietary intakes and parental BMI.
Methods:
A follow-up of dietary intake and anthropometry in 127 4-year-old children corresponding to 54% of children who completed an initial intervention study at 18 months of age.
Results:
Fourteen percent of the girls and 13% of the boys were overweight (age-adjusted BMI> or =25) and 2% of the girls and 3% of the boys were obese (age-adjusted BMI> or =30). Thirty-four percent and 9% of the fathers and 19 and 7% of the mothers were overweight and obese, respectively. BMI at 6-18 months was a strong predictor of BMI at 4 years. Univariate regression analyses revealed that intake of protein in particular, and also of total energy and carbohydrates at 17/18 months and at 4 years, was positively associated with BMI at 4 years. Although BMI at 6-18 months was the strongest predictor of BMI at 4 years, in the final multivariate models of the child's BMI, protein intake at 17-18 months and at 4 years, energy intake at 4 years and the father's-but not the mother's-BMI were also independent contributing factors.
Conclusions:
Among these healthy children, BMI at 4 years of age tracked from 6 to 18 months of age and were associated with previous and current protein intake as well as parental BMI, particularly that of the father.
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