Abstract
Objectives:
To evaluate possible associations between body mass index (BMI) at 4 years of age, current and previous dietary intakes and parental BMI.
Methods:
A follow-up of dietary intake and anthropometry in 127 4-year-old children corresponding to 54% of children who completed an initial intervention study at 18 months of age.
Results:
Fourteen percent of the girls and 13% of the boys were overweight (age-adjusted BMI⩾25) and 2% of the girls and 3% of the boys were obese (age-adjusted BMI⩾30). Thirty-four percent and 9% of the fathers and 19 and 7% of the mothers were overweight and obese, respectively. BMI at 6–18 months was a strong predictor of BMI at 4 years. Univariate regression analyses revealed that intake of protein in particular, and also of total energy and carbohydrates at 17/18 months and at 4 years, was positively associated with BMI at 4 years. Although BMI at 6–18 months was the strongest predictor of BMI at 4 years, in the final multivariate models of the child's BMI, protein intake at 17–18 months and at 4 years, energy intake at 4 years and the father's—but not the mother's—BMI were also independent contributing factors.
Conclusions:
Among these healthy children, BMI at 4 years of age tracked from 6 to 18 months of age and were associated with previous and current protein intake as well as parental BMI, particularly that of the father.
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Acknowledgements
We are most grateful to all of the participating children and their parents, and to research nurse Margareta Henriksson for invaluable assistance in collecting the data. We are also grateful to the dieticians Maria Sehlstedt, Anna Karlsson and Agneta Frängsmyr for tabulating the dietary data. This study was supported by grants from the Goljes Memory Foundation, the Oskar Foundation, the Axel Adlers Foundation and the Mayflower Charity Foundation.
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Contributors: IÖ is the main author of this paper; she has also participated in the planning of the study, food data collection and analyses. OH and TL contributed to the planning and data analyses and in writing the manuscript. AH took part in the data analyses and in writing of the manuscript. HS took part in the statistical analyses.
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Öhlund, I., Hernell, O., Hörnell, A. et al. BMI at 4 years of age is associated with previous and current protein intake and with paternal BMI. Eur J Clin Nutr 64, 138–145 (2010). https://doi.org/10.1038/ejcn.2009.132
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DOI: https://doi.org/10.1038/ejcn.2009.132
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