BMI Development and Early Adolescent Psychosocial Well-Being: UK Millennium Cohort Study
2016 (English)In: Pediatrics, ISSN 0031-4005, E-ISSN 1098-4275, Vol. 138, no 6, e20160967Article in journal (Refereed) Published
Background and objectives: The underlying influences on different patterns of BMI development are not well understood, and psychosocial outcomes linked to BMI development have been little investigated. Objectives were to identify BMI developmental trajectories across the first decade of life, examine early life predictors of trajectory membership, and investigate whether being on a particular BMI trajectory is associated with markers of psychosocial well-being.
Methods: We used latent class analysis to derive BMI trajectories by using data collected at ages 3, 5, 7, and 11 years on 16 936 participants from the Millennium Cohort Study. Regression models were used to estimate predictors of BMI trajectory membership and their psychosocial correlates.
Results: Four trajectories were identified: 83.8% had an average "stable" nonoverweight BMI, 0.6% were in a "decreasing" group, 13.1% had "moderate increasing" BMIs, and 2.5% had "high increasing" BMIs. Predictors of "moderate" and "high" increasing group membership were smoking in pregnancy (odds ratios [ORs] = 1.17 and 1.97, respectively), maternal BMI (ORs = 1.10 and 1.14), skipping breakfast (ORs = 1.66 and 1.76), nonregular bedtimes (ORs = 1.22 and 1.55). Children in the "moderate" and "high" increasing groups had worse scores for emotional symptoms, peer problems, happiness, body satisfaction, and self-esteem, and those in the "high increasing" group were more likely to have tried alcohol and cigarettes.
Conclusions: Several potentially modifiable early life factors including smoking in pregnancy, skipping breakfast, and bedtime routines were important predictors of BMI development in the overweight and obese range, and high BMI growth was linked to worse psychosocial well-being.
Place, publisher, year, edition, pages
Elk Grove Village, USA: American Academy of Pediatrics , 2016. Vol. 138, no 6, e20160967
Nutrition and Dietetics Pediatrics
Research subject Pediatrics
IdentifiersURN: urn:nbn:se:oru:diva-54111DOI: 10.1542/peds.2016-0967ISI: 000388924800017PubMedID: 27940679OAI: oai:DiVA.org:oru-54111DiVA: diva2:1058074
FunderNIH (National Institute of Health)
U.S. National Institute on Alcohol Abuse and Alcoholism AA019606
Economic and Social Research Council RES-596-28-00012016-12-202016-12-202017-01-03Bibliographically approved