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.
Abstract

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