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Prevalence of obesity in British children born in 1946 and 1958
Insights
Childhood overweight prevalence nearly doubled in 1958 vs. 1946 British birth cohorts by age 7. This difference diminished by adolescence, suggesting early feeding practices may not have lasting effects on childhood obesity.
Area of Science:
- Pediatrics
- Public Health
- Epidemiology
Background:
- Childhood overweight is a growing public health concern.
- Longitudinal studies are crucial for understanding obesity trends across developmental stages.
- Comparing birth cohorts reveals societal and environmental influences on health outcomes.
Purpose of the Study:
- To compare the prevalence of overweight in two British birth cohorts (1946 and 1958) at ages 7, 11, and adolescence.
- To investigate the persistence of overweight status from childhood to adolescence.
- To examine the relationship between social class and overweight prevalence in different cohorts.
Main Methods:
- Utilized two nationally representative British birth cohorts (1946 and 1958).
- Defined overweight as relative weight >120% of standard for height, age, and sex.
- Assessed overweight prevalence at ages 7, 11, and late adolescence.
Main Results:
- The 1958 cohort showed nearly double the prevalence of overweight at age 7 compared to the 1946 cohort.
- Overweight prevalence increased in both cohorts by adolescence, with the cohort difference diminishing.
- No significant association between social class and overweight in boys; higher prevalence in lower socioeconomic groups for girls.
- Strong correlation between relative weights at different ages, indicating persistence of weight status.
Conclusions:
- Early childhood overweight prevalence significantly increased between the 1946 and 1958 British birth cohorts.
- While early differences in overweight prevalence exist, they may not persist into adolescence.
- Social class is associated with overweight in girls but not boys.
- Childhood relative weight is a strong predictor of adolescent weight status.
Abstract:
The prevalence of overweight at ages 7 and 11 years and in late adolescence was compared in two nationally representative cohorts of British children born in 1946 and 1958. Overweight was defined as weight that exceeded the standard weight for height, age, and sex by more than 20% (relative weight greater than 120%). The prevalence of overweight among 7 year olds born in 1958 was nearly twice that among those born in 1946. Changes in infant feeding practices, food supply, and level of physical activity might be responsible for this difference. By adolescence the prevalence of obesity in both cohorts had increased but the difference between cohorts had almost disappeared. Around 9% of adolescent girls and 7% of adolescent boys were overweight. If infant feeding practices have an influence on prevalence of overweight at 7 years the data from the two cohorts suggest that such an effect does not persist. In neither cohort was there a significant relation between the prevalence of obesity and social class in boys, but in girls the prevalence was higher among those from the lower socioeconomic groups. Correlation coefficients showing the strength of the relation between relative weights at different ages were remarkably similar for both cohorts. The risk of being obese later in childhood for those who had not been obese at the age of 7 was less than one in 10, whereas for those with a relative weight greater than 130% the risk exceeded six in 10.
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