Long‐term changes in <scp>BMI</scp> and adiposity rebound among girls from <scp>K</scp>raków (<scp>P</scp>oland) over the last 30 years (from 1983 to 2010)

Kowal, Małgorzata; Kryst, Łukasz; Woronkowicz, Agnieszka; Sobiecki, Jan; Brudecki, Janusz; Żarów, Ryszard

doi:10.1002/ajhb.22359

Cited by 18 publications

(17 citation statements)

References 42 publications

(57 reference statements)

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“…1,15,16 Early AR reflects excessive positive energy balance in early life 2,5,24,25 ; therefore, influencing health behaviors (eg, toddlers' lifestyles) before the AR has occurred may reduce the risk of early AR and its sequelae. Our findings, together with evidence indicating that the AR occurs earlier n o wt h a ni nt h ep a s t , 2,5,25,27,28 provide a justification to policy makers and clinical practitioners to consider (1) more populationwide public health interventions in early childhood to delay timing of AR, (2) increased growth monitoring in early childhood to identify children at risk of early AR (eg, those with obese parents) or those who experienced early AR and are therefore in greatest need of preventive efforts, and (3) more clinical interventions directed at these "high risk" children and their families.…”

Section: E1358supporting

confidence: 79%

Timing of Adiposity Rebound and Adiposity in Adolescence

2014

PEDIATRICS

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This version is available at https://strathprints.strath.ac.uk/50659/ Strathprints is designed to allow users to access the research output of the University of Strathclyde. Unless otherwise explicitly stated on the manuscript, Copyright © and Moral Rights for the papers on this site are retained by the individual authors and/or other copyright owners. Please check the manuscript for details of any other licences that may have been applied. You may not engage in further distribution of the material for any profitmaking activities or any commercial gain. You may freely distribute both the url (https://strathprints.strath.ac.uk/) and the content of this paper for research or private study, educational, or not-for-profit purposes without prior permission or charge.Any correspondence concerning this service should be sent to the Strathprints administrator: strathprints@strath.ac.ukThe Strathprints institutional repository (https://strathprints.strath.ac.uk) is a digital archive of University of Strathclyde research outputs. It has been developed to disseminate open access research outputs, expose data about those outputs, and enable the management and persistent access to Strathclyde's intellectual output. Timing of Adiposity Rebound and Adiposity in AdolescenceWHAT'S KNOWN ON THIS SUBJECT: Earlier adiposity rebound may increase fatness in later life; however, there is limited evidence from large cohorts of contemporary children with direct measures of fatness in adolescence or adulthood. WHAT THIS STUDY ADDS:Early adiposity rebound is strongly associated with increased BMI and fatness in adolescence. Future preventive interventions should consider targeting early childhood to delay timing of adiposity rebound.abstract OBJECTIVES: To investigate associations between timing of adiposity rebound (AR; the period in childhood where BMI begins to increase from its nadir) and adiposity (BMI, fat mass) at age 15 years in the Avon Longitudinal Study of Parents and Children (ALSPAC). METHODS:The sample consisted of 546 children with AR derived in childhood and BMI and fat mass index (FMI; fat mass measured by dual-energy radiograph absorptiometry/height in m 2 ) measured at 15 years. Multivariable linear regression models were based on standardized residuals of log BMI and log FMI to allow comparison of regression coefficients across outcomes.RESULTS: There were strong dose-response associations between timing of AR and both adiposity outcomes at 15 years independent of confounders. BMI was markedly higher in adolescence for those with very early AR (by 3.5 years; b = 0.70; 95% confidence interval [CI]: 0.33-1.07; P # .001) and was also higher for those with early AR (between 3.5 and 5 years; b = 0.34; 95% CI: 0.08-0.59; P = .009) compared with those with later AR (.5 years) after full adjustment for a range of potential confounders. Similar magnitudes of association were found for FMI after full adjustment for confounders (compared with later AR: very early AR b = 0.74; 95% CI: 0.34-1.15; P # .001; early AR b = 0.35; 95% CI...

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Section: E1358supporting

confidence: 79%

Timing of Adiposity Rebound and Adiposity in Adolescence

2014

PEDIATRICS

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show abstract

“…1,15,16 Early AR reflects excessive positive energy balance in early life 2,5,24,25 ; therefore, influencing health behaviors (eg, toddlers' lifestyles) before the AR has occurred may reduce the risk of early AR and its sequelae. Our findings, together with evidence indicating that the AR occurs earlier now than in the past, 2,5,25,27,28 provide a justification to policy makers and clinical practitioners to consider (1) more populationwide public health interventions in early childhood to delay timing of AR, (2) increased growth monitoring in early childhood to identify children at risk of early AR (eg, those with obese parents) or those who experienced early AR and are therefore in greatest need of preventive efforts, and (3) more clinical interventions directed at these "high risk" children and their families.…”

Section: Figuresupporting

confidence: 76%

Timing of Adiposity Rebound and Adiposity in Adolescence

Hughes¹,

Sherriff²,

Ness³

et al. 2014

PEDIATRICS

101

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WHAT'S KNOWN ON THIS SUBJECT: Earlier adiposity rebound may increase fatness in later life; however, there is limited evidence from large cohorts of contemporary children with direct measures of fatness in adolescence or adulthood. WHAT THIS STUDY ADDS:Early adiposity rebound is strongly associated with increased BMI and fatness in adolescence. Future preventive interventions should consider targeting early childhood to delay timing of adiposity rebound. abstract OBJECTIVES: To investigate associations between timing of adiposity rebound (AR; the period in childhood where BMI begins to increase from its nadir) and adiposity (BMI, fat mass) at age 15 years in the Avon Longitudinal Study of Parents and Children (ALSPAC). METHODS:The sample consisted of 546 children with AR derived in childhood and BMI and fat mass index (FMI; fat mass measured by dual-energy radiograph absorptiometry/height in m 2 ) measured at 15 years. Multivariable linear regression models were based on standardized residuals of log BMI and log FMI to allow comparison of regression coefficients across outcomes.RESULTS: There were strong dose-response associations between timing of AR and both adiposity outcomes at 15 years independent of confounders. BMI was markedly higher in adolescence for those with very early AR (by 3.5 years; b = 0.70; 95% confidence interval [CI]: 0.33-1.07; P # .001) and was also higher for those with early AR (between 3.5 and 5 years; b = 0.34; 95% CI: 0.08-0.59; P = .009) compared with those with later AR (.5 years) after full adjustment for a range of potential confounders. Similar magnitudes of association were found for FMI after full adjustment for confounders (compared with later AR: very early AR b = 0.74; 95% CI: 0.34-1.15; P # .001; early AR b = 0.35; 95% CI: 0.07-0.63; P = .02).CONCLUSIONS: Early AR is strongly associated with increased BMI and FMI in adolescence. Preventive interventions should consider targeting modifiable factors in early childhood to delay timing of AR. Pediatrics

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“…Considering that we had insufficient frequency of measured data in this study, the median timing of AR would be between 3.8 years (Exam-V) and 4.8 years (Exam-VI) of age, regardless of birth weight and sex. This is about one year earlier than that seen in the Korean standards, which may coincide with the global shifts in AR timing to an earlier age [12,[17][18][19]. The most recent survey conducted in Poland in 2010 showed AR timing of subjects (with median BMIs) as 5.2 years in boys and 3.0 years in girls, which was 2.3-4.4 years earlier than the values obtained in 1983 [17,18].…”

Section: Discussionmentioning

confidence: 63%

“…Currently, beyond the role of predicting obesity, earlier AR over time may imply the acceleration of growth and development compared to the past. Based on a longitudinal study, shifting of AR timing was observed not only for children with normal weight, overweight, and obesity, but also in underweight children [12,17,18]. Unfortunately, minimum BMI in underweight subjects of the 5 th percentile was not confirmed during this period, because follow-up period (69 months) was short to confirm AR timing of all subjects in this study.…”

Section: Discussionmentioning

confidence: 67%

Body mass index trajectories and adiposity rebound during the first 6 years in Korean children: based on the National Health Information Database, 2008-2015

Hwang

Lee

et al. 2020

Preprint

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PurposeWe analyzed the nationwide longitudinal data to explore body mass index (BMI) growth trajectories and the time of adiposity rebound (AR). MethodsPersonal data of 84,005 subjects born between 2008 and 2012 were obtained from infant health check-ups which were performed at 5, 11, 21, 33, 45, 57, and 69 months. BMI 00trajectories of each subject were made according to sex and birth weight (Bwt) and the timing of AR was defined as the lowest BMI occurred. Subjects were divided according to Bwt and AR timing as follows: very low birth weight (VLBW), 0.5 kg ≤ Bwt ≤ 1.5 kg; low birth weight (LBW), 1.5 kg < Bwt ≤ 2.5 kg; non-LBW, 2.5 kg < Bwt ≤ 5.0 kg; early AR, before 45 months; moderate AR, at 57 months; and late AR, not until 69 months. Main resultsMedian time point of minimum BMI was 45 months, and the prevalence rates of early, moderate, and late AR were 63.0%, 16.6%, and 20.4%, respectively. BMI at the age of 57 months showed a strong correlation with AR timing after controlling for Bwt (P < 0.001).Sugar-sweetened beverage intake at 21 months (P = 0.02) and no-exercise habit at 57 months (P < 0.001) showed correlations with early AR. When VLBW and LBW subjects were analyzed, BMI at 57 months and breastfeeding at 11 months were correlated with rapid weight gain during the first 5 months (both P < 0.001). ConclusionsBased on this first longitudinal study, the majority of children showed AR before 57 months and the degree of obesity at the age of 57 months had a close correlation with early AR or early weight during infancy.

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Long‐term changes in BMI and adiposity rebound among girls from Kraków (Poland) over the last 30 years (from 1983 to 2010)

Abstract: AR cannot be explained only by changes in body adiposity. Early AR could be a marker of acceleration of development already in an early postnatal ontogenesis.

Cited by 18 publications

References 42 publications

Timing of Adiposity Rebound and Adiposity in Adolescence

Timing of Adiposity Rebound and Adiposity in Adolescence

Timing of Adiposity Rebound and Adiposity in Adolescence

Body mass index trajectories and adiposity rebound during the first 6 years in Korean children: based on the National Health Information Database, 2008-2015

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