Characterization of the infant BMI peak: sex differences, birth year cohort effects, association with concurrent adiposity, and heritability
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Updated: May 12, 2026

Assessment of Child Anthropometry in a Large Epidemiologic Study
Published on: February 2, 2017
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.
Objectives:
To characterize an early trait in the BMI-for-age curve, the infant BMI peak.
Methods:
BMI-for-age curves were produced for 747 non-Hispanic, white Fels Longitudinal Study participants, from which individual age (AgePeak ) and BMI (BMIPeak ) at maximum infant BMI were estimated. Multivariable general linear regression was used to examine the effects of sex and birth year cohort (1929-1950, 1951-1970, and 1971-2010) on AgePeak and BMIPeak , with associations between BMIPeak and concurrent sum of four skinfold thicknesses assessed in a subsample (N = 155). Heritability (h(2) ) of AgePeak and BMIPeak was estimated using maximum-likelihood variance components analysis.
Results:
AgePeak occurred at 9 months of age in both sexes, but BMIPeak was 0.4 kg/m(2) higher for boys than for girls (P-value < 0.001). Infants born between 1971 and 2010 experienced a 1.5 month earlier AgePeak and a 0.35 kg/m(2) lower BMIPeak than infants born between 1929 and 1950 (P-values < 0.001). Skinfold thickness explained 37% of the variance in BMIPeak in boys and 20% of the variance in girls (p-values < 0.001). AgePeak and BMIPeak were significantly heritable (h(2) = 0.54 and 0.75, respectively).
Conclusions:
Both AgePeak and BMIPeak decreased over successive birth year cohorts in the Fels Longitudinal Study. Despite a positive association of BMIPeak with concurrent adiposity, AgePeak appears to occur later than does the well-documented peak in infant fat mass and BMIPeak does not capture known sex differences in infant adiposity. Strong heritability of these infant BMI traits suggests investigation of genetic control, and validation of their relationship to body composition is greatly needed.
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