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Retrospective tracking of young obese children back to birth in Japan: special attention to the relationship with parental obesity.
OBJECTIVE: Childhood obesity is tracked to adulthood at a high rate. However, longitudinal studies of obesity in early childhood remain limited. This study aimed at tracking young obese children back to birth in comparison with normal-weight children, and investigating the relationship with parental obesity.
METHODS: A total of 2,678 (1,353 boys) young children attending kindergarten or nursery school in Nara Prefecture, Japan, were enrolled. The present heights and weights of children and parents were obtained by a questionnaire, and children's heights and weights at birth, 1.5, and 3.5 years were obtained from mother-child health notebooks. Using body mass index (BMI), child and parental obesity were defined as >=90th percentile based on the reference values for Japanese children and >=25 (kg/m²), respectively.
RESULTS: The overall prevalence of obesity at birth was 10.2%, and decreased to 5.6% at 5 years. In the retrospective tracking, obese children at 5 years exhibited significantly higher weight Z-scores and BMI percentiles consistently from birth than in normal-weight children. The increased velocity of weight gain as judged by their Z-score during three periods; birth-1.5, 1.5-3.5, and 3.5-5 years were significantly associated with an increased risk for the obesity at 5 years of age. Only maternal obesity was found to be associated with daughters' obesity in the analysis of association of parents-children obesity.
CONCLUSIONS: It is important to manage body weight from early infancy for reducing the occurrence of obesity at 5 years. Where there is maternal obesity, greater attention may be required, especially for daughters.
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