Rapid infant weight gain and early childhood obesity in low-income Latinos and non-Latinos.

Abstract:

OBJECTIVE:To examine the growth of infants and toddlers in a population that is both under-represented in the literature and at high risk for childhood obesity. DESIGN:Weight and height measurements were extracted from all visits for a sample of 0-4-year-old, low-income, Latino and non-Latino patients of an urban, academic general paediatric practice. Early growth was characterized as change in weight-for-length Z-score (WLZ) from birth to 3 years. The outcome of interest was BMI Z-score (BMIZ) at age 3 years. Mixed-effects models and multivariate linear regression were used to analyse the association between infant growth and early childhood obesity. SETTING:Baltimore, MD, USA. SUBJECTS:Latino (n 210) and non-Latino (n 253) children, born in 2003-2004. RESULTS:An increase in WLZ from birth to 2 years was observed for this cohort as well as a high incidence of overweight and obesity. WLZ at birth and change in WLZ from birth to 2 years were both significantly and positively associated with increases in BMIZ at 3 years of age. The effect of the change in WLZ was twofold higher than the effect of WLZ at birth. CONCLUSIONS:An increase in WLZ during the first 2 years of life increased the risk of early childhood obesity. Latino children had a higher incidence of early childhood obesity than non-Latino children in this low-income sample.

journal_name

Public Health Nutr

journal_title

Public health nutrition

authors

Polk S,Thornton RJ,Caulfield L,Muñoz A

doi

10.1017/S1368980015003201

subject

Has Abstract

pub_date

2016-07-01 00:00:00

pages

1777-84

issue

10

eissn

1368-9800

issn

1475-2727

pii

S1368980015003201

journal_volume

19

pub_type

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