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Updated: May 28, 2026

Assessment of Child Anthropometry in a Large Epidemiologic Study
Published on: February 2, 2017
The Weight of Summer: Children's Fat and Body Mass Index Gain Accelerate during Summer
R GlennWeaver1, Olivia Finnegan1, James W White1
1University of South Carolina, Columbia, South Carolina, USA.
Insights
Summer is a critical period for childhood obesity prevention, as children gain significant body fat during this time. This study found that summer months account for 93% of annual percent body fat gain in children.
Area of Science:
- Pediatric obesity
- Childhood growth and development
- Public health and nutrition
Background:
- Accelerated summer body mass index (BMI) gain in children is a known phenomenon.
- Previous research has not investigated whether this BMI increase is associated with changes in body composition, specifically percent body fat (%BF).
Purpose of the Study:
- To determine if accelerated summer BMI gain in children is accompanied by increased percent body fat (%BF).
- To identify critical periods for childhood obesity prevention efforts.
Main Methods:
- Utilized data from the Healthy Seasons observational cohort (N = 418, mean age = 7.1 years).
- Measured children's height, weight, and %BF at four time points (January, May, August, December) over three years (2023-2025).
- Analyzed monthly changes in BMI and %BF during school and summer periods.
Main Results:
- Children exhibited significantly higher monthly BMI gain during summer (0.119) compared to the school year (0.067).
- Summer months accounted for 36% of annual BMI gain.
- Monthly %BF gain was substantially higher in summer (0.456) versus the school year (0.009).
- Summer months represented 93% of the total annual %BF gain.
Conclusions:
- Summer-related BMI increases in children are strongly associated with significant gains in percent body fat.
- Summer emerges as a critical window for implementing targeted obesity prevention strategies in children.
Abstract:
Accelerated summer body mass index (BMI) gain in children is well documented, but no studies have examined if these increases are accompanied by increases in percent body fat (%BF). Data from the Healthy Seasons (N = 418; mean age = 7.1 years) observational cohort was examined. Children's height, weight, and %BF were measured during January, May, August, and December from 2023 to 2025. Monthly BMI gain was 0.067 during the school year and 0.119 during the summer (difference in change = 0.052, 95% confidence interval [CI] = 0.025, 0.079), indicating that the 3 months of summer represent 36% of annual BMI gain. Monthly %BF gain was 0.009 during the school year and 0.456 during the summer (difference in change = 0.446, 95% CI = 0.355, 0.538), indicating that the 3 months of summer represent 93% of annual %BF gain. This study suggests that summer BMI gain is accompanied by increases in %BF, suggesting summer is a critical period for obesity prevention efforts.
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