Norris, Tom, Mansukoski, Liina orcid.org/0000-0001-9481-4352, Gilthorpe, Mark S et al. (8 more authors) (2021) Early childhood weight gain:Latent patterns and body composition outcomes. Paediatric and Perinatal Epidemiology. pp. 557-568. ISSN 0269-5022
Abstract
BACKGROUND: Despite early childhood weight gain being a key indicator of obesity risk, we do not have a good understanding of the different patterns that exist. OBJECTIVES: To identify and characterise distinct groups of children displaying similar early-life weight trajectories. METHODS: A growth mixture model captured heterogeneity in weight trajectories between 0 and 60 months in 1390 children in the Avon Longitudinal Study of Parents and Children. Differences between the classes in characteristics and body size/composition at 9 years were investigated. RESULTS: The best model had five classes. The "Normal" (45%) and "Normal after initial catch-down" (24%) classes were close to the 50th centile of a growth standard between 24 and 60 months. The "High-decreasing" (21%) and "Stable-high" (7%) classes peaked at the ~91st centile at 12-18 months, but while the former declined to the ~75th centile and comprised constitutionally big children, the latter did not. The "Rapidly increasing" (3%) class gained weight from below the 50th centile at 4 months to above the 91st centile at 60 months. By 9 years, their mean body mass index (BMI) placed them at the 98th centile. This class was characterised by the highest maternal BMI; highest parity; highest levels of gestational hypertension and diabetes; and the lowest socio-economic position. At 9 years, the "Rapidly increasing" class was estimated to have 68.2% (95% confidence interval [CI] 48.3, 88.1) more fat mass than the "Normal" class, but only 14.0% (95% CI 9.1, 18.9) more lean mass. CONCLUSIONS: Criteria used in growth monitoring practice are unlikely to consistently distinguish between the different patterns of weight gain reported here.
Metadata
Item Type: | Article |
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Authors/Creators: |
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Copyright, Publisher and Additional Information: | © 2021 The Authors. Paediatric and Perinatal Epidemiology published by John Wiley & Sons Ltd. |
Keywords: | Body Composition,Body Mass Index,Body Weight,Child,Child, Preschool,Female,Humans,Longitudinal Studies,Obesity/epidemiology,Pregnancy,Weight Gain |
Dates: |
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Institution: | The University of York |
Academic Units: | The University of York > Faculty of Sciences (York) > Health Sciences (York) |
Depositing User: | Pure (York) |
Date Deposited: | 27 Feb 2025 00:09 |
Last Modified: | 27 Feb 2025 00:09 |
Published Version: | https://doi.org/10.1111/ppe.12754 |
Status: | Published |
Refereed: | Yes |
Identification Number: | 10.1111/ppe.12754 |
Open Archives Initiative ID (OAI ID): | oai:eprints.whiterose.ac.uk:223843 |
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Description: Paediatric Perinatal Epid - 2021 - Norris - Early childhood weight gain Latent patterns and body composition outcomes
Licence: CC-BY 2.5