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Early life risk factors for obesity in childhood
Early life risk factors for obesity in childhood -- Posted by Sweet Zombie Jesus! on 06-02-05 10:08
OBJECTIVE: To identify risk factors in early life (up to 3 years of
age) for obesity in children in the United Kingdom. DESIGN: Prospective
cohort study.
SETTING: Avon longitudinal study of parents and children, United
Kingdom.
PARTICIPANTS: 8234 children in cohort aged 7 years and a subsample of
909 children (children in focus) with data on additional early growth
related risk factors for obesity. MAIN OUTCOME MEASURES: Obesity at age
7 years, defined as a body mass index >/=95th centile relative to
reference data for the UK population in 1990.
RESULTS: Eight of 25 putative risk factors were associated with a risk
of obesity in the final models: parental obesity (both parents:
adjusted odds ratio, 10.44, 95% confidence interval 5.11 to 21.32),
very early (by 43 months) body mass index or adiposity rebound (15.00,
5.32 to 42.30), more than eight hours spent watching television per
week at age 3 years (1.55, 1.13 to 2.12), catch-up growth (2.60, 1.09
to 6.16), standard deviation score for weight at age 8 months (3.13,
1.43 to 6.85) and 18 months (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 at age 3
years (1.45, 1.10 to 1.89).
CONCLUSION: Eight factors in early life are associated with an
increased risk of obesity in childhood.
BMJ. 2005 May 20 Early life risk factors for obesity in childhood:
cohort study. Reilly JJ, Armstrong J, Dorosty AR, Emmett PM, Ness A,
Rogers I, Steer C, Sherriff A. University of Glasgow Division of
Developmental Medicine, Yorkhill Hospitals, Glasgow G3 8SJ.
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