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Assessment of Child Anthropometry in a Large Epidemiologic Study
Published on: February 2, 2017
U.S. children's preschool weight status trajectories: patterns from 9-month, 2-year, and 4-year Early Childhood
Brian G Moss1, William H Yeaton
1Wayne State University, 7350 Cooley Lake Road, Waterford, MI 48327, USA. Brian.Moss@wayne.edu
Insights
Early childhood weight status, whether normal or obese, strongly predicts later weight categories through preschool years. This highlights the importance of early interventions for childhood obesity prevention and treatment.
Area of Science:
- Pediatric health
- Childhood obesity research
- Developmental pediatrics
Background:
- Childhood obesity is a significant public health concern.
- Understanding weight status trajectories from infancy is crucial for early intervention.
- Early weight status patterns can inform public health strategies.
Purpose of the Study:
- To track changes in U.S. children's weight status from infancy through preschool.
- To identify patterns of weight status development in early childhood.
- To analyze the persistence of normal, at-risk, and obese weight categories.
Main Methods:
- Utilized data from the Early Childhood Longitudinal Study-Birth cohort.
- Analyzed a nationally representative sample of U.S. preschool children (n=8900 at 9 months).
- Determined weight status using Centers for Disease Control and Prevention growth charts and layered categorical data analysis.
Main Results:
- Children with normal early weight status generally maintained normal weight.
- Children identified as obese in early childhood were more likely to remain at-risk or obese.
- Early weight status demonstrated a strong association with subsequent weight status at preschool.
Conclusions:
- Early weight status is a significant predictor of later weight categories.
- Identifying early weight status is vital for timely obesity prevention and treatment.
- Findings support the development of targeted early childhood obesity interventions.
Purpose:
To track changes in U.S. children's early weight status (normal, at-risk, or obese) from infancy through preschool.
Design:
Patterns of change in individual children's weight status are established using three time points from the Early Childhood Longitudinal Study-Birth cohort.
Setting:
United States.
Subjects:
Nationally representative sample of U.S. preschool children surveyed at 9 months (n = 8900), with follow-up at 2 years (n = 7500) and preschool (n = 7000).
Measures:
Individual children's weight status was determined from Centers for Disease Control and Prevention growth charts at multiple time periods.
Analysis:
Layered, categorical data analysis of changes in weight status patterns at three time periods during infancy through preschool.
Results:
Young children whose early weight status was normal tend to retain a normal weight status and not to develop an unfavorable status (at-risk, obese). In contrast, children who were obese at an early age were more likely to have an at-risk or obese weight category at a later age. Overall, both favorable and unfavorable early weight statuses were highly associated with subsequent status at preschool.
Conclusion:
Early weight status can provide important information relevant for early entry point prevention and treatment of childhood obesity.
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