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Updated: May 17, 2026

Assessment of Child Anthropometry in a Large Epidemiologic Study
Published on: February 2, 2017
Parental, fetal, and infant risk factors for preschool overweight: the Generation R Study
Denise H M Heppe1, Jessica C Kiefte-de Jong, Büşra Durmuş
1The Generation R Study Group, Erasmus Medical Center, Rotterdam, The Netherlands.
Insights
Parental weight, low income, and accelerated growth in pregnancy and infancy are key risks for preschool overweight. Higher intake of polyunsaturated fats in infancy may reduce this risk.
Area of Science:
- Pediatrics
- Public Health
- Nutrition Science
Background:
- Childhood overweight is a growing concern with origins in early life.
- Identifying early risk factors is crucial for prevention strategies.
Purpose of the Study:
- To identify key parental, fetal, and infant risk factors for preschool overweight.
- To inform potential preventive interventions for childhood obesity.
Main Methods:
- Prospective cohort study of 3,610 Caucasian preschool children.
- Assessment of 34 potential risk factors including parental anthropometrics, fetal growth, infant growth, and diet.
Main Results:
- Maternal and paternal BMI, birth weight, low household income, female sex, and accelerated fetal/infant growth were associated with increased overweight risk.
- Accelerated postnatal growth showed a particularly strong association (OR: 6.39).
- Higher infant polyunsaturated fat intake was linked to a reduced risk of overweight (OR: 0.77).
Conclusions:
- Parental factors, socioeconomic status, growth patterns, and infant diet significantly influence preschool overweight development.
- These identified risk factors warrant further investigation as targets for early intervention programs.
Background:
Overweight has its origins largely in early life. We aimed to identify the most important parental, fetal, and infant risk factors of preschool overweight.
Methods:
In a prospective cohort study, among 3,610 Caucasian preschool children, we assessed the associations of 34 putative parental, fetal, and infant factors with overweight risk.
Results:
Higher maternal BMI, paternal BMI, and birth weight were associated with higher risk of preschool overweight (odds ratio (OR): 1.23, 95% confidence interval (CI): 1.10, 1.39; OR: 1.35, 95% CI: 1.19, 1.53; and OR: 2.71, 95% CI: 2.27, 3.25, respectively, per SD increase). The same model identified low household income (OR: 1.74, 95% CI: 1.24, 2.45), being female (OR: 1.55, 95% CI: 1.20, 2.01), and experiencing third-trimester accelerated growth (OR: 1.73, 95% CI: 1.24, 2.40) or postnatal accelerated growth (OR: 6.39, 95% CI: 4.54, 8.99) as risk factors for preschool overweight. Higher polyunsaturated fat intake at 14 mo was associated with a lower risk of preschool overweight (OR: 0.77, 95% CI: 0.62, 0.96 per SD).
Conclusion:
Parental anthropometrics and household income, fetal and infant accelerated growth, and infant dietary fat intake are the major risk factors for the development of preschool overweight. Further studies need to explore whether these risk factors could be potential targets for preventive interventions.
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