Patterns of Early Life Weight Gain and Female Onset of Puberty

Abstract

Abstract Context Prepubertal obesity is a well-established predictor of earlier pubertal onset, itself a risk factor for poor health and well-being. Identifying specific patterns of weight gain in early life may help explain differential risk for earlier pubertal onset. Objective The objective of the study was to examine patterns of weight gain across infancy and early childhood in relation to pubertal onset outcomes. Design, Setting, & Participants Participants were 426 girls in the NICHD Study of Early Child Care and Youth Development (SECCYD), a longitudinal birth cohort of children and their families followed between birth and adolescence. Main Outcome Measures Three pubertal onset outcomes were examined, including age at menarche and ages at Tanner stage II for dimensions of breast and pubic hair development. Results In infancy (birth to 15 months), greater percent weight gain and higher birthweight predicted earlier pubertal onset for all outcomes (ps<.05). In early childhood (24 months to Grade 1), BMI trajectories reflecting BMI values that were persistently high or changed from low to high over time (vs. BMI values that were stable at median or low levels), predicted younger ages at menarche and the onset of breast (ps<.05), but not pubic hair (ps>.05), development. All associations were independent of breastfeeding, maternal menarcheal age, and race/ethnicity. Conclusions Distinct patterns of early life weight gain predict differential risk for earlier onset puberty. Focusing on these patterns for earlier and more targeted intervention may help lessen life course linkages between prepubertal obesity, accelerated pubertal development, and negative post-pubertal outcomes.