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Acceleration of BMI in Early Childhood and Risk of Sustained Obesity

Geserick, Mandy; Vogel, Mandy; Gausche, Ruth; Lipek, Tobias; Spielau, Ulrike; Keller, Eberhard; Pfäffle, Roland; Kiess, Wieland; Körner, Antje

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2018

10/gfdt2r

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ISBN: 0028-4793 1533-4406 PMID: 30281992

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Abstract Background The dynamics of body-mass index (BMI) in children from birth to adolescence are unclear, and whether susceptibility for the development of sustained obesity occurs at a specific age in children is important to determine. Methods To assess the age at onset of obesity, we performed prospective and retrospective analyses of the course of BMI over time in a population-based sample of 51,505 children for whom sequential anthropometric data were available during childhood (0 to 14 years of age) and adolescence (15 to 18 years of age). In addition, we assessed the dynamics of annual BMI increments, defined as the change in BMI standard-deviation score per year, during childhood in 34,196 children. Results In retrospective analyses, we found that most of the adolescents with normal weight had always had a normal weight throughout childhood. Approximately half (53%) of the obese adolescents had been overweight or obese from 5 years of age onward, and the BMI standard-deviation score further inc...

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