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Risk factors for rapid weight gain in preschool children: findings from a UK-wide prospective study
L J Griffiths1, S S Hawkins, T J Cole
1MRC Centre of Epidemiology for Child Health, UCL Institute of Child Health, London, UK. l.griffiths@ich.ucl.ac.uk
Insights
Early life factors like parental obesity and smoking increase rapid weight gain risk in children aged 3-5. Prevention programs targeting these modifiable risks are crucial for childhood obesity.
Area of Science:
- Pediatric Health
- Obesity Research
- Public Health
Background:
- Rapid weight gain in early childhood is a significant predictor of future obesity and related health issues.
- Identifying risk factors is essential for developing effective prevention strategies.
Purpose of the Study:
- To investigate biological, social, and environmental risk factors associated with rapid weight gain between 3 and 5 years of age.
Main Methods:
- Utilized data from the UK Millennium Cohort Study, a nationally representative prospective cohort.
- Analyzed anthropometric measurements of 11,653 children at ages 3 and 5 years.
- Calculated weight gain z-scores and identified rapid weight gain in the top quartile.
Main Results:
- Higher body mass index at age 3, specific ethnicities (Bangladeshi, black), and parental overweight status were linked to rapid weight gain.
- Maternal smoking during pregnancy and smoking in the household environment also increased risk.
- Being an only child was associated with a higher likelihood of rapid weight gain.
Conclusions:
- Factors during pregnancy and early childhood significantly influence rapid weight gain.
- Obesity prevention programs should commence before and during pregnancy, focusing on parental weight and smoking cessation.
- Early intervention is key to mitigating childhood obesity risks.
Objective:
To examine risk factors for rapid weight gain between 3 and 5 years of age.
Design:
Nationally representative prospective cohort study.
Participants:
A total of 11 653 preschool children participating in the UK Millennium Cohort Study, with anthropometry at 3 and 5 years.
Measurements:
Weight gain z-scores were calculated from 3 to 5 years. Children in the top quarter of this distribution were classified as gaining weight rapidly. A total of 26 biological and early life, social, psychological, behavioural and environmental risk factors were examined.
Results:
Among the participants, 13% of normal weight, 63% of overweight and 88% of obese 5-year olds had experienced rapid weight gain since 3 years of age. Six biological and early life factors and two social factors were found to be significantly associated with this growth pattern. In a mutually adjusted model, children were more likely to gain weight rapidly if they had a higher body mass index at age 3 (adjusted odds ratio: 1.27, 95% confidence interval: 1.23-1.32), if they were of Bangladeshi (adjusted odds ratio: 1.88, 95% confidence interval: 1.27-2.79) or black (adjusted odds ratio: 1.47, 95% confidence interval: 1.07-2.02) ethnicity, if their mother was overweight (adjusted odds ratio: 1.32, 95% confidence interval: 1.15-1.51) or had been overweight before pregnancy (adjusted odds ratio: 1.56, 95% confidence interval: 1.36-1.79), if their father was overweight (adjusted odds ratio: 1.56, 95% confidence interval: 1.34-1.81) or if their mother smoked during pregnancy (adjusted odds ratio:1.23, 95% confidence interval: 1.09-1.38). Children were also more likely to gain weight rapidly if others smoked in the same room (adjusted odds ratio: 1.31, 95% confidence interval: 1.16-1.49) or if they were a lone child in the household (adjusted odds ratio: 1.14, 95% confidence interval: 1.01-1.30).
Conclusions:
Factors operating during pregnancy and early life increase the risk of rapid weight gain in young children; thus, signalling the importance of obesity prevention programmes before and during pregnancy and for children at an early age. In particular, these programmes should address parental weight status and smoking habits, both modifiable risk factors.
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