Obesity

Adolescent BMI trajectory and associations with adult metabolic syndrome and offspring obesity

Obesity (Silver Spring)Published Prospective cohort study

Main finding · Offspring obesityResult — go to the resultOdds ratio 2.76 95% CI 1.39–5.46

Authors' conclusion

Intermittent adolescent obesity may not confer MetSyn risk during adulthood. However, maternal adolescent BMI trajectories that are persistently high may increase the odds of intergenerational obesity among offspring.

Study context

Population
Original participants of the National Heart, Lung, and Blood Institute (NHLBI) Growth and Health Study (1987–1997) and their children, 20-year follow-up (2016–2019)645 children
Participants
624 participants
Exposure
Adolescent BMI trajectories vs persistently normal BMI trajectory
  • Weight loss then gainn = 62
  • Persistently normaln = 374reference
  • Persistently high BMIn = 127
  • Weight gain then lossn = 61
Outcome
Adult metabolic syndrome (MetSyn) and offspring obesity
Follow-up
20-year follow-up
Methodological detailslatent trajectory modeling, mediation analysis, confounder-adjusted
  • Latent trajectory modeling
  • Mediation analysis
  • Confounder-adjusted

Main finding

Offspring obesity

Odds ratio

2.76

95% CI 1.39–5.46

Persistently high BMIvs Persistently normal
OR 2.76 (95% CI 1.39–5.46)

As reported in the abstract

Observational data: associations, not effects.

Original publication

Adolescent BMI trajectory and associations with adult metabolic syndrome and offspring obesity. Obesity (Silver Spring). Published 25 May 2023. doi:10.1002/oby.23769

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