Obesity

Rapid infant weight gain or point‐in‐time weight status: Which is the best predictor of later obesity and body composition?

Obesity (Silver Spring)Published Prospective cohort study

Authors' conclusion

A simple measure of obesity status at a single time point between 6 and 24 months of age appeared a stronger risk factor for later obesity and FMI than RIWG assessed by any indicator, over any time frame.

Study context

Population
Infants with weight and length/height measured at birth, 0.5, 1, 1.5 and 2 years, followed to 11 years
Exposure
Rapid infant weight gain (RIWG) vs obesity status at a single time point as predictors of obesity and body composition at 11 years
Outcome
Obesity (BMI ≥95th percentile) and body fat (fat mass index [FMI], DXA)
Follow-up
11 years

Main finding

As reported in the abstract

GroupSensitivity for obesityPPV for obesity
RIWG1.5% to 62.1%12.5% to 33.3%

RIWG

Sensitivity for obesity1.5% to 62.1%
PPV for obesity12.5% to 33.3%
Obesity at any age during infancy predicted greater FMI at 11 years
around 1.1 to 1.5 kg/m²

Observational data: associations, not effects.

Original publication

Rapid infant weight gain or point‐in‐time weight status: Which is the best predictor of later obesity and body composition? Obesity (Silver Spring). Published 25 August 2023. doi:10.1002/oby.23861

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