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Race/Ethnic Differences in Birth Size, Infant Growth, and Body Mass Index at Age Five Years in Children in Hawaii
- Source :
- Childhood obesity (Print). 11(6)
- Publication Year :
- 2015
-
Abstract
- Factors at birth and infancy may increase risk of being overweight in childhood. The aim of this study was to examine the relationship of birth size and infant growth (2-24 months) with BMI at age 5 years in a multiethnic population.This was a retrospective study (using electronic medical records of a health maintenance organization in Hawaii) of singleton children born in 2004-2005, with linked maternal and birth information, infant weights (n = 597) and lengths (n = 473) in the first 2 years, and BMI measures at age 5 years (n = 894). Multiple regression models were used to estimate the association of BMI at age 5 years with birth size and infant growth.Birth weight was positively associated with BMI at age 5 years, adjusting for gestational age, sex, race/ethnicity, and maternal prepregnancy weight, age, education, and smoking. A greater change in infant weight was associated with a higher BMI at age 5 years, though the effect of birth weight on BMI was neither mediated nor modified by infant growth rate. Birth weight, change in infant weight, and BMI at age 5 years varied by race/ethnicity. Change in infant BMI in the first 2 years was higher in other Pacific Islanders and whites (Δ = 0.966; confidence interval [CI] = 0.249-1.684; p = 0.02) than in Asian, other, and part Native Hawaiian race/ethnic groups.Early biological measures of birth weight and infant weight gain varied by race/ethnicity and positively predicted BMI at age 5 years.
- Subjects :
- Male
Pediatrics
medicine.medical_specialty
Asia
Native Hawaiian or Other Pacific Islander
Endocrinology, Diabetes and Metabolism
Birth weight
Ethnic group
Gestational Age
Overweight
Hawaii
White People
Body Mass Index
Ethnicity
Medicine
Birth Weight
Humans
Longitudinal Studies
Retrospective Studies
Nutrition and Dietetics
Singleton
business.industry
Medical record
Gestational age
Retrospective cohort study
Body Height
Child, Preschool
Pediatrics, Perinatology and Child Health
Female
Growth and Development
medicine.symptom
business
Body mass index
Demography
Subjects
Details
- ISSN :
- 21532176
- Volume :
- 11
- Issue :
- 6
- Database :
- OpenAIRE
- Journal :
- Childhood obesity (Print)
- Accession number :
- edsair.doi.dedup.....5dd39b40179dff4de65be0c7474c70a9