The relationship between obesity and seasonal variation in body weight among elementary school children in Tokyo.

Typical patterns of seasonal variation in body weight among Japanese children involve increases during the fall and/or winter and decreases during the summer. However, atypical variations, namely, increases in weight during the summer, have been reported for obese children. The present study examines whether weight gain during the summer (i.e., July through September) is a possible cause of obesity. We examined seasonal changes in weight for 446 elementary school children in Tokyo in six waves between 1972 and 2004. Weight was measured monthly for 6 years in each child and was evaluated by means of time-series analysis. Overall, significant seasonal variations in weight were found in 86% of the children, most of which were typical (i.e., decreases during the summer and increases during the fall, winter, and/or early spring). On the other hand, weight gain in the summer was observed exclusively among obese children. Children whose weight increased during the summer holiday spent most of their time comfortably indoors because of air conditioners, which became popular in 1970s. A possible explanation of the observed weight gain during the summer seems to be changes in life style associated with the use of air conditioning, concomitant with insufficient physical exercise and excessive consumption of food and drink, which could disturb the rhythms of seasonal weight changes and lead to obesity.