Early individual and family predictors of weight trajectories from early childhood to adolescence

Detalhes bibliográficos
Autor(a) principal: Santos, Constança Soares dos
Data de Publicação: 2020
Outros Autores: Picoito, João, Nunes, Carla, Loureiro, Isabel
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
Texto Completo: http://hdl.handle.net/10362/107735
Resumo: Background: Early infancy and childhood are critical periods in the establishment of lifelong weight trajectories. Parents and early family environment have a strong effect on children's health behaviors that track into adolescence, influencing lifelong risk of obesity. Objective: We aimed to identify developmental trajectories of body mass index (BMI) from early childhood to adolescence and to assess their early individual and family predictors. Methods: This was a secondary analysis of the Millennium Cohort Study and included 17,165 children. Weight trajectories were estimated using growth mixture modeling based on age- and gender-specific BMI Z-scores, followed by a bias-adjusted regression analysis. Results: We found four BMI trajectories: Weight Loss (69%), Early Weight Gain (24%), Early Obesity (3.7%), and Late Weight Gain (3.3%). Weight trajectories were mainly settled by early adolescence. Lack of sleep and eating routines, low emotional self-regulation, child-parent conflict, and low child-parent closeness in early childhood were significantly associated with unhealthy weight trajectories, alongside poverty, low maternal education, maternal obesity, and prematurity. Conclusions: Unhealthy BMI trajectories were defined in early and middle-childhood, and disproportionally affected children from disadvantaged families. This study further points out that household routines, self-regulation, and child-parent relationship are possible areas for family-based obesity prevention interventions.
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spelling Early individual and family predictors of weight trajectories from early childhood to adolescenceresults from the Millennium Cohort Studyearly childhoodfamily contextgrowth mixture modelingMillennium Cohort Studyweight trajectoriesPediatrics, Perinatology, and Child HealthSDG 3 - Good Health and Well-beingBackground: Early infancy and childhood are critical periods in the establishment of lifelong weight trajectories. Parents and early family environment have a strong effect on children's health behaviors that track into adolescence, influencing lifelong risk of obesity. Objective: We aimed to identify developmental trajectories of body mass index (BMI) from early childhood to adolescence and to assess their early individual and family predictors. Methods: This was a secondary analysis of the Millennium Cohort Study and included 17,165 children. Weight trajectories were estimated using growth mixture modeling based on age- and gender-specific BMI Z-scores, followed by a bias-adjusted regression analysis. Results: We found four BMI trajectories: Weight Loss (69%), Early Weight Gain (24%), Early Obesity (3.7%), and Late Weight Gain (3.3%). Weight trajectories were mainly settled by early adolescence. Lack of sleep and eating routines, low emotional self-regulation, child-parent conflict, and low child-parent closeness in early childhood were significantly associated with unhealthy weight trajectories, alongside poverty, low maternal education, maternal obesity, and prematurity. Conclusions: Unhealthy BMI trajectories were defined in early and middle-childhood, and disproportionally affected children from disadvantaged families. This study further points out that household routines, self-regulation, and child-parent relationship are possible areas for family-based obesity prevention interventions.Escola Nacional de Saúde Pública (ENSP)Centro de Investigação em Saúde Pública (CISP/PHRC)RUNSantos, Constança Soares dosPicoito, JoãoNunes, CarlaLoureiro, Isabel2020-11-24T23:59:03Z2020-08-112020-08-11T00:00:00Zinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleapplication/pdfhttp://hdl.handle.net/10362/107735eng2296-2360PURE: 26549039https://doi.org/10.3389/fped.2020.00417info:eu-repo/semantics/openAccessreponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãoinstacron:RCAAP2024-03-11T04:52:25Zoai:run.unl.pt:10362/107735Portal AgregadorONGhttps://www.rcaap.pt/oai/openaireopendoar:71602024-03-20T03:41:02.690652Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãofalse
dc.title.none.fl_str_mv Early individual and family predictors of weight trajectories from early childhood to adolescence
results from the Millennium Cohort Study
title Early individual and family predictors of weight trajectories from early childhood to adolescence
spellingShingle Early individual and family predictors of weight trajectories from early childhood to adolescence
Santos, Constança Soares dos
early childhood
family context
growth mixture modeling
Millennium Cohort Study
weight trajectories
Pediatrics, Perinatology, and Child Health
SDG 3 - Good Health and Well-being
title_short Early individual and family predictors of weight trajectories from early childhood to adolescence
title_full Early individual and family predictors of weight trajectories from early childhood to adolescence
title_fullStr Early individual and family predictors of weight trajectories from early childhood to adolescence
title_full_unstemmed Early individual and family predictors of weight trajectories from early childhood to adolescence
title_sort Early individual and family predictors of weight trajectories from early childhood to adolescence
author Santos, Constança Soares dos
author_facet Santos, Constança Soares dos
Picoito, João
Nunes, Carla
Loureiro, Isabel
author_role author
author2 Picoito, João
Nunes, Carla
Loureiro, Isabel
author2_role author
author
author
dc.contributor.none.fl_str_mv Escola Nacional de Saúde Pública (ENSP)
Centro de Investigação em Saúde Pública (CISP/PHRC)
RUN
dc.contributor.author.fl_str_mv Santos, Constança Soares dos
Picoito, João
Nunes, Carla
Loureiro, Isabel
dc.subject.por.fl_str_mv early childhood
family context
growth mixture modeling
Millennium Cohort Study
weight trajectories
Pediatrics, Perinatology, and Child Health
SDG 3 - Good Health and Well-being
topic early childhood
family context
growth mixture modeling
Millennium Cohort Study
weight trajectories
Pediatrics, Perinatology, and Child Health
SDG 3 - Good Health and Well-being
description Background: Early infancy and childhood are critical periods in the establishment of lifelong weight trajectories. Parents and early family environment have a strong effect on children's health behaviors that track into adolescence, influencing lifelong risk of obesity. Objective: We aimed to identify developmental trajectories of body mass index (BMI) from early childhood to adolescence and to assess their early individual and family predictors. Methods: This was a secondary analysis of the Millennium Cohort Study and included 17,165 children. Weight trajectories were estimated using growth mixture modeling based on age- and gender-specific BMI Z-scores, followed by a bias-adjusted regression analysis. Results: We found four BMI trajectories: Weight Loss (69%), Early Weight Gain (24%), Early Obesity (3.7%), and Late Weight Gain (3.3%). Weight trajectories were mainly settled by early adolescence. Lack of sleep and eating routines, low emotional self-regulation, child-parent conflict, and low child-parent closeness in early childhood were significantly associated with unhealthy weight trajectories, alongside poverty, low maternal education, maternal obesity, and prematurity. Conclusions: Unhealthy BMI trajectories were defined in early and middle-childhood, and disproportionally affected children from disadvantaged families. This study further points out that household routines, self-regulation, and child-parent relationship are possible areas for family-based obesity prevention interventions.
publishDate 2020
dc.date.none.fl_str_mv 2020-11-24T23:59:03Z
2020-08-11
2020-08-11T00:00:00Z
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
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format article
status_str publishedVersion
dc.identifier.uri.fl_str_mv http://hdl.handle.net/10362/107735
url http://hdl.handle.net/10362/107735
dc.language.iso.fl_str_mv eng
language eng
dc.relation.none.fl_str_mv 2296-2360
PURE: 26549039
https://doi.org/10.3389/fped.2020.00417
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eu_rights_str_mv openAccess
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instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação
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reponame_str Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
collection Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
repository.name.fl_str_mv Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação
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