Early life risk factors for obesity in childhood: cohort study

doi:10.1136/bmj.38470.670903.E0

BMJ 2005;330:1357 (11 June), doi:10.1136/bmj.38470.670903.E0 (published 20 May 2005)

Paper

Early life risk factors for obesity in childhood: cohort study

John J Reilly, reader in paediatric energy metabolism¹, Julie Armstrong, senior lecturer in nutrition¹, Ahmad R Dorosty, assistant professor³, Pauline M Emmett, senior research fellow in nutrition², A Ness, senior lecturer in epidemiology², I Rogers, research fellow in nutrition², Colin Steer, research fellow in statistics², Andrea Sherriff, research fellow in medical statistics², for the Avon Longitudinal Study of Parents and Children Study Team

¹ University of Glasgow Division of Developmental Medicine, Yorkhill Hospitals, Glasgow G3 8SJ, ² Unit of Paediatric and Perinatal Epidemiology, Institute of Child Health, University of Bristol, ³ School of Public Health, Tehran University of Medical Sciences, Islamic Republic of Iran

Correspondence to: J J Reilly jjr2y{at}clinmed.gla.ac.uk

Objective To identify risk factors in early life (up to 3 yearsof age) for obesity in children in the United Kingdom.

Design Prospective cohort study.

Setting Avon longitudinal study of parents and children, UnitedKingdom.

Participants 8234 children in cohort aged 7 years and a subsampleof 909 children (children in focus) with data on additionalearly growth related risk factors for obesity.

Main outcome measures Obesity at age 7 years, defined as a bodymass index ³ 95th centile relative to reference data for theUK population in 1990.

Results Eight of 25 putative risk factors were associated witha risk of obesity in the final models: parental obesity (bothparents: adjusted odds ratio, 10.44, 95% confidence interval5.11 to 21.32), very early (by 43 months) body mass index oradiposity rebound (15.00, 5.32 to 42.30), more than eight hoursspent watching television per week at age 3 years (1.55, 1.13to 2.12), catch-up growth (2.60, 1.09 to 6.16), standard deviationscore for weight at age 8 months (3.13, 1.43 to 6.85) and 18months (2.65, 1.25 to 5.59); weight gain in first year (1.06,1.02 to 1.10 per 100 g increase); birth weight, per 100 g (1.05,1.03 to 1.07); and short (< 10.5 hours) sleep duration atage 3 years (1.45, 1.10 to 1.89).

Conclusion Eight factors in early life are associated with anincreased risk of obesity in childhood.

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Rapid Responses:

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