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Published on: June 4, 2020
Grip strength at four years in relation to birth weight
R Dodds1, C Macdonald-Wallis, T Kapasi
1MRC Lifecourse Epidemiology Unit, University of Southampton.
Insights
Higher birth weight is linked to greater grip strength in children, but this association diminishes with current body size. Early development influences childhood muscle strength.
Area of Science:
- Pediatrics
- Human Development
- Public Health
Background:
- Positive associations between birth weight and adult grip strength are established.
- Limited evidence exists regarding this relationship in pediatric populations.
- Childhood muscle development is crucial for long-term physical function.
Purpose of the Study:
- To investigate the relationship between birth weight and grip strength in 4-year-old children.
- To determine if current body size mediates the association between birth weight and grip strength.
- To explore early life influences on pediatric muscle development.
Main Methods:
- Prospective birth cohort study (Southampton Women's Survey).
- Grip strength and anthropometric measurements (height, weight) in 968 children at age 4.
- Statistical analysis using regression models, adjusting for sex and gestational age.
Main Results:
- Adjusted birth weight positively correlated with grip strength in children (β = 0.22).
- This association became non-significant after adjusting for current height and weight (β = 0.03).
- Body size appears to be a significant factor on the causal pathway.
Conclusions:
- Early life factors, including birth weight, influence childhood grip strength.
- The impact of birth weight on grip strength is mediated by current body size.
- Understanding these early influences can inform strategies for promoting muscle development in children.
Abstract:
Consistent positive relationships have been found between birth weight and grip strength in adults but evidence in children is limited. In a prospective general population birth cohort (Southampton Women's Survey) grip strength and anthropometry (height and weight) were measured in 968 children at age 4 years. Mean (standard deviation (S.D.)) birth weight was 3.48 (0.52) kg. Birth weight, adjusted for sex and gestational age, was positively associated with grip strength (β = 0.22 kg/S.D. increase in adjusted birth weight; 95% CI 0.11, 0.34). The relationship was attenuated after adjustment for current height and weight such that it became non-significant (β = 0.03 kg/S.D. increase in adjusted birth weight; 95% CI -0.08, 0.14), suggesting that body size may be on the causal pathway. Early influences on muscle development appear to impact on grip strength in children as well as adults.

