Obesity

Body mass index across development and adolescent hair cortisol: the role of persistence, variability, and timing of exposure

Int J Obes (Lond)Published Prospective cohort study

Authors' conclusion

This study strengthens empirical support for BMI-HCC association and suggests that more attention should be devoted to BMI fluctuations in addition to persistent trajectories of BMI.

Study context

Population
Youth with body mass index (BMI) measured prospectively at twelve occasions between age 5 months and 15 years; hair sampled at age 17565 with hair sampled
Participants
946 / 507 / 128
Exposure
BMI trajectories vs low-stable
  • Low-stablen = 946reference
  • Moderaten = 507
  • High-risingn = 128
Outcome
Hair cortisol concentration (HCC)
Follow-up
Age 17
Methodological detailslongitudinal, latent class analysis
  • Longitudinal
  • Latent class analysis

Main finding

As reported in the abstract

HCC by BMI trajectory

β

0.10

95% CI 0.02–0.40P = 0.03

Moderate · higher hair cortisol concentration (HCC) with moderate

β

−0.02

95% CI −0.47–0.32P = 0.71

High-rising · association not detected

Observational data: associations, not effects.

Further findings

BMI variability across development and HCC

Higher BMI variability predicted higher cortisol (β), additively to BMI trajectories
0.17 (95% CI 0.10-4.91; p = 0.003)
BMI variability in childhood was responsible for that finding, possibly suggesting a timing effect

Original publication

Body mass index across development and adolescent hair cortisol: the role of persistence, variability, and timing of exposure. Int J Obes (Lond). Published 4 October 2024. doi:10.1038/s41366-024-01640-1

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