Obesity

Birth Weight Percentiles and Infant and Child Growth Dynamics

JAMA Netw OpenPublished Prospective cohort study

An erratum to this article was published (JAMA Netw Open, 3 Aug 2026 ↗)

Authors' conclusion

In this cohort study of 38 535 singletons, birth weight decile was associated with early-life growth patterns.

Study context

Population
Singletons born 1991–2011 in 7 birth cohorts in Europe, Singapore and the US, followed with repeated growth measurements for 10 years; 5 European cohorts for discovery, Singapore and US cohorts for replication36,018 discovery, 2517 replication
Participants
38,535 singletons
Exposure
Birth weight decile groups vs fifth to sixth decile groups
Outcome
Infant height (cm/month) and weight (g/month) growth velocity at 1, 6, 12, 24 months; BMI; age at infant BMI peak and childhood BMI rebound; overweight or obesity at 10 years
Methodological detailsmulticohort (7 birth cohorts), discovery and replication analyses, adjusted for sex and birth cohort
  • Multicohort (7 birth cohorts)
  • Discovery and replication analyses
  • Adjusted for sex and birth cohort

Main finding

As reported in the abstract

Infant peak BMI
Each group vs fifth to sixth decileMean difference (95% CI)
Second decile
−0.38(−0.43 to −0.33)
Ninth decile
0.33(0.29–0.38)

Observational data: associations, not effects.

Further findings

OutcomeMean difference (months) (95% CI)
Age at peak BMISecond decilevs Fifth to sixth decile0.22 (0.12–0.33)
Age at peak BMINinth decilevs Fifth to sixth decile−0.21 (−0.30 to −0.11)
OutcomeRR (95% CI)
Overweight or obesity · 10 yearsSecond decilevs Fifth to sixth decile0.86 (0.76–0.97)
Overweight or obesity · 10 yearsNinth decilevs Fifth to sixth decile1.25 (1.13–1.38)

Age at rebound body mass index (BMI)

Birth weight was not associated with age at rebound BMI

Replication, sex and decile vs conventional categories

Replication analyses (2517 children) supported these findings
Associations were typically linear and similar in boys and girls
Deciles provided only modest estimation gains over conventional categories

Original publication

Birth Weight Percentiles and Infant and Child Growth Dynamics. JAMA Netw Open. Published 1 July 2026. doi:10.1001/jamanetworkopen.2026.22218

Composed by AI from the published abstract and checked against it. How Briefs are made →

Get them every week

New studies on this topic in My Week and in your Monday e-mail.

We e-mail you a sign-in link and a code. No password, no spam.