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Updated: Mar 28, 2026

Assessment of Child Anthropometry in a Large Epidemiologic Study
Published on: February 2, 2017
Invited Commentary: Troubling Trends in Birth Weight
Insights
Trends in newborn birth weights show a concerning decline, particularly widening the gap between white and African-American infants. This trend may indicate disparities in infant health outcomes.
Area of Science:
- Epidemiology
- Public Health
- Neonatal Health
Background:
- Birth weight is a critical indicator of newborn health.
- Previous studies highlight its predictive power for infant well-being.
Purpose of the Study:
- To analyze trends in birth weights over time.
- To investigate disparities in birth weights between racial groups.
Main Methods:
- Retrospective analysis of hospital birth records.
- Examination of birth weight data from 1997 to 2011.
Main Results:
- Observed a downward trend in average birth weights.
- Documented a widening disparity in birth weights between white and African-American newborns.
Conclusions:
- The declining birth weights and increasing racial gap raise significant public health concerns.
- These trends may reflect or predict divergent health outcomes for different racial groups.
Abstract:
Birth weight is a strong predictor of the health of newborns. Consequently, the report by Catov et al. in this issue of the Journal (Am J Epidemiol. 2016;183(1):15-23), in which they showed downward trends in birth weights in a Pittsburgh, Pennsylvania, hospital from 1997 to 2011, raises concerns. The widening gap reported between birth weights of babies born to white and African-American women could correspond to a widening gap in actual health outcomes. However, if the relation between birth weight and health outcomes is not causal, these trends may be epiphenomena of limited concern.
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