Affiliation:
1. University of Wisconsin–Madison, Madison, WI, USA
2. Oakland University William Beaumont School of Medicine, Royal Oak, MI, USA
Abstract
Children obese at the age of 5 years are at greater risk of lifelong obesity. Because certain risks of obesity can be identified in early infancy, a tool for obesity risk prediction in early life would be clinically useful. We investigated predictors of obesity risk in a novel, prospectively collected healthy birth cohort recruited for demographic risks to develop iron deficiency at 1 year, a cohort leveraged because risk factors for iron deficiency and obesity overlap. Obesity at the age of 5 years was defined as age- and sex-specific body mass index Z-score ( zBMI) >2SD. For each child, obesity risk factors were summed. Of 10 total risk factors, the following 4 key risks were identified: maternal obesity, maternal diabetes, large for gestational age, or breastfeeding <6 months. Childhood obesity was predicted by either ≥3 total number of risks ( P < .033), any key risk ( P < .002), or summing key risks ( P < .0001). In clinical practice, summing early life risk factors may be a useful strategy for preemptive counseling.
Funder
National Institutes of Health
UW-Madison Department of Pediatrics
Thrasher Research Fund
UW-Madison Hilldale Undergraduate Research Fellowship
UW Education & Research Committee-Wisconsin Partnership Program
UnityPoint Health Meriter Foundation
Subject
Pediatrics, Perinatology and Child Health
Cited by
2 articles.
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