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Assessment of Child Anthropometry in a Large Epidemiologic Study
Published on: February 2, 2017
Birth weight and subsequent body mass index in children: an international cross-sectional study
E A Mitchell1, A W Stewart2, I Braithwaite3
1Department of Paediatrics, Child and Youth Health, Faculty of Medicine and Health Sciences, The University of Auckland, Auckland, New Zealand.
Insights
Higher birth weight is linked to increased body mass index (BMI) in children aged 6-7 years. This positive association between birth weight and BMI was observed globally, regardless of country income level.
Area of Science:
- Pediatric Health
- Epidemiology
- Childhood Obesity
Background:
- The relationship between birth weight and subsequent body mass index (BMI) in children has been inconsistently reported.
- Understanding this association is crucial for early identification and prevention of childhood obesity.
Purpose of the Study:
- To investigate the association between birth weight and body mass index (BMI) in children aged 6-7 years.
- To explore potential variations in this association across different socioeconomic contexts.
Main Methods:
- Secondary analysis of data from the International Study of Asthma and Allergies in Childhood (ISAAC) Phase Three.
- Utilized data from 72,111 children across 17 countries, including birth weight, current height, weight, and maternal smoking information.
- Employed a general linear mixed model to assess the association between BMI and birth weight.
Main Results:
- A statistically significant positive linear association was found between birth weight and BMI in 6-7 year old children.
- Each kilogram increase in birth weight correlated with a 0.47 kg/m² increase in BMI (p < 0.0001).
- This association was consistent across different birth weight categories and showed no significant interaction with Gross National Income (GNI).
Conclusions:
- A clear positive linear relationship exists between birth weight and BMI in children aged 6-7 years.
- This relationship is evident in both high-income and low-income countries, highlighting a universal trend.
- Findings underscore the importance of birth weight as an early indicator for childhood BMI and potential obesity risk.
Background:
The reported association between birth weight and subsequent body mass index (BMI) is conflicting.
Objectives:
To examine the relationship between birth weight and BMI in children aged 6-7 years.
Methods:
Secondary analysis of data from a multi-centre, multi-country, cross-sectional study (International Study of Asthma and Allergies in Childhood (ISAAC) Phase Three). Parents/guardians of children aged 6-7 years completed questionnaires about their children's birth weight, current height and weight and whether their mother smoked in the first year of the child's life. A general linear mixed model was used to determine the association between BMI and birth weight.
Results:
A total of 72 111 children (17 countries) were included in the analysis. There was a positive association of birth weight with BMI (for each kg increase in birth weight the BMI at 6-7 increased by 0.47 (SE 0.02) kg/m2 ; p < 0.0001) with a clear gradient by birth weight category. There was no statistically significant interaction between birth weight and Gross National Income (GNI).
Conclusions:
There is a positive linear relationship between birth weight and BMI in 6-7 year old children, which is present in both high and low income countries.
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