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Updated: May 28, 2026

Assessment of Child Anthropometry in a Large Epidemiologic Study
Published on: February 2, 2017
The intergenerational transmission of thinness
Katriina L Whitaker1, Martin J Jarvis, David Boniface
1Health Behaviour Research Centre, Department of Epidemiology and Public Health, University College London, Gower Street, London, United Kingdom.
Parental weight status strongly predicts child thinness, with similar maternal and paternal influences. These findings suggest genetic factors may play a significant role in the distribution of healthy body weight.
Area of Science:
- Pediatric Health
- Genetics and Human Development
- Public Health and Epidemiology
Background:
- Understanding intergenerational influences on body weight is crucial for public health.
- Thinness, like obesity, can have significant health implications.
- Previous research has explored familial links in obesity, but less so in thinness.
Purpose of the Study:
- To investigate the association between parental and child thinness.
- To compare the influence of maternal versus paternal weight status on child thinness.
- To explore demographic factors associated with childhood thinness.
Main Methods:
- Utilized a population-based, cross-sectional design with data from the Health Survey for England (2001-2006).
- Included 4,423 families with anthropometric data for children/adolescents (aged 2-15) and two parents.
- Child/adolescent thinness was categorized using International Obesity Task Force criteria; height and weight were measured by trained interviewers.
Main Results:
- Childhood thinness was observed in 5.7% of participants, more prevalent in younger children (2-5 years) and those from Black and Asian ethnic minority backgrounds.
- Parental weight status was the strongest predictor of child thinness, with the highest prevalence when both parents were thin.
- No significant differences were found in the magnitude of maternal versus paternal influence on child thinness.
Conclusions:
- The strong intergenerational association suggests that childhood thinness often represents the lower end of the healthy weight distribution.
- Findings support the hypothesis that genetic factors are a primary determinant of variations in healthy body weight.
- Further research into the genetic underpinnings of weight distribution is warranted.
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