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Circannual variation in relative weight of children 5 to 16 years of age
S Bhutani1, L P Hanrahan2, J Vanwormer3
1Department of Nutritional Sciences, University of Wisconsin - Madison, Madison, WI, USA.
Insights
Children
Area of Science:
- Pediatric Health
- Obesity Research
- Growth Monitoring
Background:
- Previous studies on childhood weight gain often used limited data points.
- Seasonal variations in children's weight status require detailed investigation.
Purpose of the Study:
- To examine monthly variations in children's weight status.
- To assess the accuracy of using two time points for evaluating circannual weight changes.
Main Methods:
- Analysis of de-identified health records from 70,531 children (ages 5-16) in South Central Wisconsin (2007-2012).
- Cross-sectional analysis of monthly average body mass index (BMI) z-scores.
- Paired analysis for a subset comparing school and summer months.
Main Results:
- BMI z-scores were lower during summer months (June-August) compared to school year months (September-May).
- A significant decrease in BMI z-scores was observed from May to June.
- BMI z-scores increased rapidly between August and September.
Conclusions:
- The observed monthly pattern differs from previous two-point studies.
- Using only two time points (fall and spring) is suboptimal for assessing seasonal weight changes in children.
- Future interventions should incorporate more frequent BMI measures for accurate seasonal analysis.
Background:
Summer weight gain in children has been reported; however, this is usually based on two time points. Our objective was to investigate monthly variation in weight status.
Methods:
Cross-sectional, de-identified health records including height, weight and demographics, collected between 2007 and 2012 from South Central Wisconsin in 70 531 children age 5-16 years were analysed. The monthly averages in body mass index (BMI) z-score were analysed cross-sectionally followed by a paired analysis for a subset with one visit each during school and summer months.
Results:
BMI z-scores during the summer months (June-August) were lower than values during the school year (September-May). Of note, there was a rapid decrease in BMI z-scores from May to June, with June BMI z-score values being 0.065 units less (95% CI 0.046-0.085) than those in May, little change from June to August and a rapid increase between the August and September BMI z-scores.
Conclusion:
The monthly pattern does not fully agree with previous two-point school-based studies. Results raise concern that the use of two time point measures of BMIs (early fall and late spring) is suboptimal for evaluation of circannual variation. We suggest that future evaluation of the effect of school-based or summer interventions utilizes additional measures in those periods so that a seasonal analysis can be performed.
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