Characterization of the infant BMI peak: sex differences, birth year cohort effects, association with concurrent

William Johnson1, Audrey C Choh, Miryoung Lee

  • 1MRC Unit for Lifelong Health and Ageing, 33 Bedford Place, London, UK.

Insights

The infant BMI peak (AgePeak and BMIPeak) occurred earlier and was lower in recent birth cohorts. These traits are heritable, but AgePeak timing doesn't align with infant fat mass peaks.

Area of Science:

  • Pediatric endocrinology and growth
  • Human growth and development
  • Body composition analysis

Background:

  • The infant body mass index (BMI)-for-age curve exhibits a peak, a critical early growth trait.
  • Understanding the infant BMI peak's characteristics and influencing factors is essential for assessing healthy growth trajectories.

Purpose of the Study:

  • To characterize the infant BMI peak, specifically AgePeak (age at peak BMI) and BMIPeak (peak BMI value).
  • To examine the influence of sex and birth cohort on AgePeak and BMIPeak.
  • To assess the heritability of these infant BMI peak parameters.

Main Methods:

  • Constructed BMI-for-age curves for 747 participants in the Fels Longitudinal Study.
  • Estimated individual AgePeak and BMIPeak using regression analysis.
  • Analyzed effects of sex and birth cohort (1929-2010) on AgePeak and BMIPeak.
  • Assessed heritability using variance components analysis and related BMIPeak to skinfold thickness.

Main Results:

  • AgePeak occurred at 9 months; BMIPeak was higher in boys (0.4 kg/m²).
  • Recent birth cohorts (1971-2010) showed an earlier AgePeak (1.5 months) and lower BMIPeak (0.35 kg/m²) compared to earlier cohorts (1929-1950).
  • Skinfold thickness explained significant variance in BMIPeak (37% in boys, 20% in girls); both traits were highly heritable (h²=0.54 for AgePeak, h²=0.75 for BMIPeak).

Conclusions:

  • Infant BMI peak parameters (AgePeak, BMIPeak) have decreased over successive birth cohorts.
  • While BMIPeak correlates with adiposity, AgePeak timing is not fully explained by infant fat mass peaks.
  • High heritability suggests a genetic component, necessitating further research into genetic control and body composition validation.
Abstract

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