Obesity

Capturing infant and child growth dynamics with P-splines mixed effects models

Int J Obes (Lond)Published Methodological study

Authors' conclusion

P-splines simplify knot selection, making them a valuable approach for growth modelling.

Study context

Population
Southeast Asian birth cohort with repeated height, weight and body mass index (BMI) measures up to age 10 years
Participants
1,014 participants
Exposure
Boys vs girls
Outcome
Infant peak growth features by sex
Methodological detailsbirth cohort analysis, P-spline linear mixed effects models
  • Birth cohort analysis
  • P-spline linear mixed effects models

Main finding

As reported in the abstract

GroupValuePeak weight velocity (grams/month)Infancy peak BMI (kg/m²)Childhood rebound BMI (kg/m²)Age at peak BMI (months)
Boysmean 4.4 cm/month112117.415.15.8
Girlsmean 3.9 cm/month89016.814.96.4

Value

Boysmean 4.4 cm/month
Girlsmean 3.9 cm/month

Peak weight velocity (grams/month)

Boys1121
Girls890

Infancy peak BMI (kg/m²)

Boys17.4
Girls16.8

Childhood rebound BMI (kg/m²)

Boys15.1
Girls14.9

Age at peak BMI (months)

Boys5.8
Girls6.4
Age at rebound BMI
5.4 years

Observational data: associations, not effects.

Further findings

Intercorrelations and associations with prenatal factors

Ages of peak and rebound BMI had a negligible correlation
Higher maternal height associated with higher peak growth velocity
Higher maternal early-pregnancy weight associated with higher and earlier rebound BMI
Higher birth weight associated with higher and earlier peak BMI

Original publication

Capturing infant and child growth dynamics with P-splines mixed effects models. Int J Obes (Lond). Published 12 June 2026. doi:10.1038/s41366-026-02112-4

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