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Updated: Jun 13, 2026

Assessment of Child Anthropometry in a Large Epidemiologic Study
Published on: February 2, 2017
Early child neglect: does it predict obesity or underweight in later childhood?
David S Bennett1, Margaret Wolan Sullivan, Shanel M Thompson
1Drexel University College of Medicine, Philadelphia, PA, USA. david.bennett@drexelmed.edu
Insights
Child neglect does not directly impact body mass index (BMI) in early childhood. However, chronic neglect was linked to lower BMIs in later childhood, suggesting complex weight-related effects.
Area of Science:
- Pediatrics
- Child Psychology
- Public Health
Background:
- Child neglect is a potential risk factor for abnormal body weight in early childhood.
- Limited research exists on the association between child neglect and Body Mass Index (BMI).
Purpose of the Study:
- To investigate the relationship between child neglect and BMI in children aged 4-9 years.
- To explore if neglect history influences BMI trajectories over time.
Main Methods:
- Longitudinal study of 185 children (91 with a Child Protective Services history of neglect) from ages 4-6 to 7-9 years.
- Comparison of BMI between neglected and non-neglected children against Centers for Disease Control and Prevention (CDC) norms.
Main Results:
- No significant difference in BMI was observed between neglected and comparison children at ages 4-6 and 7-9 years.
- Both groups exhibited BMIs significantly higher than CDC norms.
- Increased chronicity of neglect predicted lower BMIs at ages 8 and 9 years.
Conclusions:
- Child neglect's direct impact on early childhood BMI is not clearly established.
- Chronic neglect may be associated with reduced BMI in later childhood.
- Further research is needed to identify moderators influencing the neglect-weight relationship.
Abstract:
Child neglect has been hypothesized to be a risk factor for both obesity and underweight in early childhood, although little research has examined the relation between neglect and body mass index (BMI). The current study examined the relation between neglect and BMI among 185 children (91 with a Child Protective Services [CPS] history of neglect) who were initially seen at ages 4-6 years and who were followed through ages 7-9 years. Neglected and comparison children were found to have similar BMIs, although both groups had BMIs that were significantly greater than Centers for Disease Control and Prevention (CDC) norms for age, gender, and ethnicity. Neglect chronicity did predict lower BMIs but only at ages 8 and 9 years. The current findings suggest that greater examination of moderators is needed to identify the specific contexts in which neglect is related to children's weight.
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