OBJECTIVE: To examine determinants of moderate and severe obesity in children at 5 years of age. METHODOLOGY: A prospective cohort of mothers were enrolled at first antenatal visit, and interviewed shortly after delivery, at 6 months and 5 years. Detailed health, psychological and social questionnaires were completed at each phase by mothers, and child health questionnaires at 6 months and 5 years. At 5 years 4062 children were assessed physically, the Peabody Picture Vocabulary Test administered and mothers completed a modified Child Behaviour Checklist. Moderate obesity was defined as BMI between 85th and 94th percentiles inclusively, and severe obesity as a BMI greater than the 94th percentile. RESULTS: Independent predictors of severe obesity at 5 years were birthweight, female gender, maternal BMI and paternal BMI. Moderate obesity at 5 years was predicted by birthweight, paternal BMI and sleeplessness at 6 months, while small for gestational age (SGA) status and feeding problems at 6 months were protective factors for moderate obesity. Obesity was not associated with problems of language comprehension or behaviour. CONCLUSIONS: Findings of this study suggest that biological rather than psychosocial factors are the major determinants of obesity at 5 years.
OBJECTIVE: To examine determinants of moderate and severe obesity in children at 5 years of age. METHODOLOGY: A prospective cohort of mothers were enrolled at first antenatal visit, and interviewed shortly after delivery, at 6 months and 5 years. Detailed health, psychological and social questionnaires were completed at each phase by mothers, and child health questionnaires at 6 months and 5 years. At 5 years 4062 children were assessed physically, the Peabody Picture Vocabulary Test administered and mothers completed a modified Child Behaviour Checklist. Moderate obesity was defined as BMI between 85th and 94th percentiles inclusively, and severe obesity as a BMI greater than the 94th percentile. RESULTS: Independent predictors of severe obesity at 5 years were birthweight, female gender, maternal BMI and paternal BMI. Moderate obesity at 5 years was predicted by birthweight, paternal BMI and sleeplessness at 6 months, while small for gestational age (SGA) status and feeding problems at 6 months were protective factors for moderate obesity. Obesity was not associated with problems of language comprehension or behaviour. CONCLUSIONS: Findings of this study suggest that biological rather than psychosocial factors are the major determinants of obesity at 5 years.
Authors: Margaret Parker; Sheryl L Rifas-Shiman; Emily Oken; Mandy B Belfort; Vincent W V Jaddoe; Matthew W Gillman Journal: J Pediatr Date: 2012-06-07 Impact factor: 4.406
Authors: Wendy H Oddy; Jill L Sherriff; Nicholas H de Klerk; Garth E Kendall; Peter D Sly; Lawrence J Beilin; Kevin B Blake; Louis I Landau; Fiona J Stanley Journal: Am J Public Health Date: 2004-09 Impact factor: 9.308
Authors: Anne P Starling; John T Brinton; Deborah H Glueck; Allison L Shapiro; Curtis S Harrod; Anne M Lynch; Anna Maria Siega-Riz; Dana Dabelea Journal: Am J Clin Nutr Date: 2014-12-03 Impact factor: 7.045