4.2 Article

A Pilot Study: Does Obesity Begin in the First Year of Life?

Journal

CLINICAL PEDIATRICS
Volume 52, Issue 6, Pages 507-512

Publisher

SAGE PUBLICATIONS INC
DOI: 10.1177/0009922813482750

Keywords

pediatric obesity; body mass index; infant growth

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Aim. To determine if growth patterns in healthy infants can identify associations with obesity at age 5 years. Method. Body mass index growth patterns from birth to 1 year were described for cohorts of children who were classified at 5 years as normal weight (n = 61), overweight (n = 47), obese (n = 41), and morbidly obese (n = 72). A longitudinal analysis of body mass index means based on the age postbirth was conducted and graphed. Results. Distinctions in growth patterns were evident before 1 year postbirth. Children who were normal weight at 5 years demonstrated a growth pattern in the first year that differed from children who were overweight, obese, or morbidly obese at 5 years. Conclusions. Obesity growth patterns were seen in infancy and are clinically important because identification of infants who do not fit a normal weight pattern can occur and thus guide individualized interventions in the first year postbirth while precursors of later health are still forming.

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