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A long term follow up study has thrown doubt on the assumption that fat
children become fat adults. Wright and colleagues (p 1280) followed up
412 members of a 1947 birth cohort until the age of 50. Although
children with high body mass index aged 9 were more likely to have high
body mass index as adults, they did not have higher percentage body
fat. This suggests that it may be build that tracks to adulthood rather
than obesity. Teenagers with a high body mass index at 13 were twice as
likely to have a high body mass index as adults but did not have higher
risk factors for disease. For every level of adult fatness, those
thinnest in childhood tended to have the highest risk. Being a thin
child and obese adult seems to be the worst
combination.