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Assessment of Child Anthropometry in a Large Epidemiologic Study
Published on: February 2, 2017
Longitudinal study of thinness from birth to early childhood: the association with parental thinness
Rena Kato1, Masaru Kubota, Yukie Higashiyama
1Faculty of Human Life and Environment, Nara Women's University, Nara, Japan.
Insights
Tracking childhood thinness from birth is crucial. Paternal thinness is linked to thinness in boys, highlighting the need for early weight monitoring.
Area of Science:
- Pediatric Epidemiology
- Childhood Growth and Development
Background:
- Epidemiological data on childhood thinness, especially in early years, is scarce.
- Understanding the trajectory of thinness from infancy to age five is essential for public health.
Purpose of the Study:
- To investigate the prevalence and developmental patterns of thinness in 5-year-old children.
- To compare thin children with normal-weight peers from birth.
- To explore the association between parental thinness and childhood thinness.
Main Methods:
- A cohort of 2678 Japanese children aged 5 years was studied.
- Childhood thinness was defined as body mass index (BMI) below the fifth percentile.
- Parental thinness was defined as BMI <18.5; anthropometric data were collected from birth.
Main Results:
- The prevalence of thinness at age 5 was 4%, with no gender disparity.
- Thin children consistently exhibited lower weight z-scores and BMI percentiles from birth.
- A lower weight z-score increase between birth and 1.5 years was observed in thin children.
- Paternal thinness was associated with thinness in boys.
Conclusions:
- Early and continuous monitoring of body weight from birth is vital for preventing childhood thinness.
- Paternal thinness may serve as a predictive risk factor for thinness in male children.
Aim:
Epidemiological research on thinness, particularly in early childhood, is limited. This study tracked thin children aged 5 years back to birth, compared them with normal-weight children and investigated the relationship with parental thinness.
Methods:
We enrolled 2678 children (50.5% boys) aged 5 years and attending kindergarten or nursery in the Nara Prefecture of Japan. The children's height and weight at birth, 1.5 years and 3.5 years, were obtained from mother-child health records. Child thinness was defined as having a body mass index (BMI) of less than the fifth percentile of the reference values for Japanese children, and parental thinness was defined as a BMI of <18.5.
Results:
The overall prevalence of thinness at 5 years of age was 4%, with no significant difference between genders. At every age, weight z-scores and BMI percentiles were significantly lower in thin children than normal-weight children. The increment in weight z-scores between birth and the age of 1.5 years was significantly lower in thin children. The only parental link was paternal thinness and thinness in boys.
Conclusion:
Careful observation of body weight from birth is important to reduce thinness at 5 years of age. Paternal thinness may be a risk factor for thinness in boys.
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