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Postnatal BMI changes in children with different birthweights: A trial study for detecting early predictive factors
Yuichi Nakagawa1,2, Toshiki Nakanishi2, Eiichiro Satake2
1Department of Internal Medicine and Pediatrics, Shiraume Toyooka Hospital, Shizuoka, Japan.
Insights
Early postnatal growth, influenced by birthweight, impacts childhood obesity risk. Changes in Body Mass Index (BMI) from birth to age three are key predictors of pediatric obesity.
Area of Science:
- Pediatrics
- Public Health
- Growth and Development
Background:
- Childhood obesity is a growing public health concern.
- Understanding early growth patterns is crucial for identifying at-risk individuals.
- Birthweight is a potential early indicator of future health outcomes.
Purpose of the Study:
- To investigate the relationship between birthweight and early postnatal growth.
- To identify early predictive factors for the development of pediatric obesity.
Main Methods:
- Participants were categorized by birthweight (low, middle, high) and obesity status (obese, non-obese).
- Body Mass Index (BMI) was measured at birth and three years of age.
- Change in BMI (ΔBMI) from birth to three years was analyzed in relation to birthweight and obesity.
Main Results:
- A significant inverse relationship was observed between birthweight and ΔBMI (low > middle > high birthweight groups).
- Obese children exhibited higher ΔBMI and BMI at three years compared to non-obese children.
- ΔBMI and BMI at three years positively correlated with the degree of obesity.
Conclusions:
- Early postnatal growth is significantly influenced by birthweight.
- Higher ΔBMI from birth to three years and BMI at age three are predictive of pediatric obesity.
- Interventions targeting early growth may help prevent childhood obesity.
Abstract:
The purpose of this study was to clarify the degree of early postnatal growth by birthweight and detect early predictive factors for pediatric obesity. Body mass index (BMI) and degree of obesity were examined in children in the fourth year of elementary school and second year of junior high school. Their BMI at birth and three years of age were also examined. Based on birthweight, participants were divided into three groups: low (< 2500 g), middle (2500-3500 g), and high (> 3500 g). Furthermore, according to the degree of obesity, they were divided into two groups: obese (20% ≤) and non-obese (20% >). The change of BMI from birth to three years of age (ΔBMI) showed a strong inverse relationship with birthweight and was significantly different among the three birthweight groups (low > middle > high). The ΔBMI and BMI at three years of age were higher in obese than in non-obese children and showed significant positive correlations with the degree of obesity. Early postnatal growth might be determined by birthweight and was higher in obese than in non-obese children. The ΔBMI from birth to three years of age and BMI at age of three years could be predictive factors for pediatric obesity.
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