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Early Risk Factors of Overweight Developmental Trajectories during Middle Childhood.

Pryor, LE; Brendgen, M; Tremblay, RE; Pingault, J-B; Liu, X; Dubois, L; Touchette, E; ... Côté, SM; + view all (2015) Early Risk Factors of Overweight Developmental Trajectories during Middle Childhood. PLoS One , 10 (6) , Article e0131231. 10.1371/journal.pone.0131231. Green open access

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Abstract

BACKGROUND: Research is needed to identify early life risk factors associated with different developmental paths leading to overweight by adolescence. OBJECTIVES: To model heterogeneity in overweight development during middle childhood and identify factors associated with differing overweight trajectories. METHODS: Data was drawn from the Quebec Longitudinal Study of Child Development (QLSCD; 1998-2010). Trained research assistants measured height and weight according to a standardized protocol and conducted yearly home interviews with the child's caregiver (mother in 98% of cases). Information on several putative early life risk factors for the development of overweight were obtained, including factors related to the child's perinatal, early behavioral family and social environment. Group-based trajectories of the probability of overweight (6-12 years) were identified with a semiparametric method (n=1678). Logistic regression analyses were used to identify early risk factors (5 months- 5 years) associated with each trajectory. RESULTS: Three trajectories of overweight were identified: "early-onset overweight" (11.0 %), "late-onset overweight" (16.6%) and "never overweight" (72.5%). Multinomial analyses indicated that children in the early and late-onset group, compared to the never overweight group, had 3 common types of risk factors: parental overweight, preschool overweight history, and large size for gestational age. Maternal overprotection (OR= 1.12, CI: 1.01-1.25), short nighttime sleep duration (OR=1.66, CI: 1.07-2.57), and immigrant status (OR=2.01, CI: 1.05-3.84) were factors specific to the early-onset group. Finally, family food insufficiency (OR=1.81, CI: 1.00-3.28) was weakly associated with membership in the late-onset trajectory group. CONCLUSIONS: The development of overweight in childhood follows two different trajectories, which have common and distinct risk factors that could be the target of early preventive interventions.

Type: Article
Title: Early Risk Factors of Overweight Developmental Trajectories during Middle Childhood.
Location: United States
Open access status: An open access version is available from UCL Discovery
DOI: 10.1371/journal.pone.0131231
Publisher version: http://dx.doi.org/ 10.1371/journal.pone.0131231
Language: English
Additional information: Copyright: © 2015 Pryor et al. This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
Keywords: Child, Child Development, Demography, Female, Humans, Male, Overweight, Probability, Quebec, Regression Analysis, Risk Factors
UCL classification: UCL
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Brain Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Brain Sciences > Div of Psychology and Lang Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Brain Sciences > Div of Psychology and Lang Sciences > Clinical, Edu and Hlth Psychology
URI: https://discovery-pp.ucl.ac.uk/id/eprint/1477941
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