Justin R Ryder1, David R Jacobs2, Alan R Sinaiko3, Annabel P Kornblum3, Julia Steinberger3. 1. Department of Pediatrics, University of Minnesota Medical School, Minneapolis, MN; Center for Pediatric Obesity Medicine, University of Minnesota Medical School, Minneapolis, MN. Electronic address: jrryder@umn.edu. 2. Division of Epidemiology and Community Health, University of Minnesota School of Public Health, Minneapolis, MN. 3. Department of Pediatrics, University of Minnesota Medical School, Minneapolis, MN.
Abstract
OBJECTIVES: To study the change in body mass index (BMI) from childhood and adolescence and development of obesity into adulthood. STUDY DESIGN: We performed a longitudinal study of 480 individuals (49% male; 67% white) with height and weight measures in childhood (mean age 7 years), repeated in adolescence (mean age 16 years) and adulthood (mean age 39 years). Weight status in childhood was defined as low normal weight (0-<50 BMI percentile); high normal weight (50-<85 BMI percentile); overweight (85-<95 BMI percentile); obese (≥95 BMI percentile). Adult weight status was defined as normal weight (18.5-<25 kg/m2); overweight (25-<30 kg/m2); obese (>30 kg/m2). RESULTS: Adult obesity (%) increased with weight status in childhood (low normal weight 17%; high normal weight 40%; overweight 59%; obesity 85%) and similarly with adolescence. Children in a lower category in adolescence than in childhood had lower risk of having adult obesity than did those who maintained their childhood category. Among adults with obesity, 59% (111 out of 187) were normal weight as children, with 75% (83 out of 111) from the high normal weight children; and 50% of adults with obesity were normal weight (n = 94/187) as adolescents, with 84% (81 out of 94) from the high normal weight adolescents. Only 6% of 143 normal weight adults had either overweight (n = 9) or obesity (n = 0) during childhood. CONCLUSIONS: This study shows the high risk for adult obesity in children and adolescents who have overweight or obesity. A majority of adults with obesity had a 50-85 BMI percentile as children. Those who did not move to higher weight status between childhood and adolescence had lower probability of adult obesity.
OBJECTIVES: To study the change in body mass index (BMI) from childhood and adolescence and development of obesity into adulthood. STUDY DESIGN: We performed a longitudinal study of 480 individuals (49% male; 67% white) with height and weight measures in childhood (mean age 7 years), repeated in adolescence (mean age 16 years) and adulthood (mean age 39 years). Weight status in childhood was defined as low normal weight (0-<50 BMI percentile); high normal weight (50-<85 BMI percentile); overweight (85-<95 BMI percentile); obese (≥95 BMI percentile). Adult weight status was defined as normal weight (18.5-<25 kg/m2); overweight (25-<30 kg/m2); obese (>30 kg/m2). RESULTS:Adult obesity (%) increased with weight status in childhood (low normal weight 17%; high normal weight 40%; overweight 59%; obesity 85%) and similarly with adolescence. Children in a lower category in adolescence than in childhood had lower risk of having adult obesity than did those who maintained their childhood category. Among adults with obesity, 59% (111 out of 187) were normal weight as children, with 75% (83 out of 111) from the high normal weight children; and 50% of adults with obesity were normal weight (n = 94/187) as adolescents, with 84% (81 out of 94) from the high normal weight adolescents. Only 6% of 143 normal weight adults had either overweight (n = 9) or obesity (n = 0) during childhood. CONCLUSIONS: This study shows the high risk for adult obesity in children and adolescents who have overweight or obesity. A majority of adults with obesity had a 50-85 BMI percentile as children. Those who did not move to higher weight status between childhood and adolescence had lower probability of adult obesity.
Authors: Juliana Melo; Ana Isabel Ribeiro; Susana Aznar; Andreia Pizarro; Maria Paula Santos Journal: Int J Environ Res Public Health Date: 2021-06-18 Impact factor: 3.390
Authors: Elly Steenbergen; Anne Krijger; Janneke Verkaik-Kloosterman; Liset E M Elstgeest; Sovianne Ter Borg; Koen F M Joosten; Caroline T M van Rossum Journal: Nutrients Date: 2021-05-01 Impact factor: 5.717