Literature DB >> 14758342

Predictors of body size in the first 2 y of life: a high-risk study of human obesity.

A J Stunkard1, R I Berkowitz, D Schoeller, G Maislin, V A Stallings.   

Abstract

OBJECTIVE: To ascertain the predictors of body size at 2 y of age.
DESIGN: : Prospective, longitudinal study of risk factors for weight gain of infants at high or low risk of obesity by virtue of their mothers' obesity or leanness.
SUBJECTS: A total of 40 infants of obese mothers and 38 infants of lean mothers, equally divided among boys and girls.
METHODS: Measurement of dependent variables: weight, length and skinfold thicknesses at 3, 6, 9, 12, 18 and 24 months and percent body fat at 3, 12 and 24 months. Measurement of independent variables: average daily caloric consumption at 3, 6, 9, 12, 18 and 24 months; and, at 3 months, nutritive sucking behavior during a test meal, total energy expenditure (TEE), sleeping energy expenditure (SEE), estimation of nonsleeping energy expenditure (TEE-SEE) and socioeconomic status. Parental weights and heights were obtained by self-report at the time of recruitment. Partial correlation and mixed effects linear regression analyses were performed.
RESULTS: Measures of body size (weight, length, skinfold thicknesses) and percent of body fat were almost identical between high- and low-risk groups at all times. Energy intake during six occasions over the 2 y, sucking behavior, family income and TEE predicted weight gain, controlling for body length. Parental body mass index was not associated with the child's body size during the first 2 y. During the first year, there were strong lagged correlations between energy intake and body weight and smaller correlations between protein intake and body weight.
CONCLUSION: Energy intake, and not energy expenditure, was the determinant of body size in these infants at 2 y of age, as it had been at 1 y. Sucking behavior and TEE (positively) and family income (negatively) also contributed to body weight at 2 y. The novel finding of a lagged correlation between energy intake and body weight early in life suggests that energy intake is programmed for future growth and development.

Entities:  

Mesh:

Year:  2004        PMID: 14758342     DOI: 10.1038/sj.ijo.0802517

Source DB:  PubMed          Journal:  Int J Obes Relat Metab Disord


  38 in total

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8.  Energy density at a buffet-style lunch differs for adolescents born at high and low risk of obesity.

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9.  Appetitive traits from infancy to adolescence: using behavioral and neural measures to investigate obesity risk.

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10.  Elevated objectively measured but not self-reported energy intake predicts future weight gain in adolescents.

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