Weight Development Between Age 5 And 10 Years And Its Associations With Dietary Patterns At Age 5 In The Abcd Cohort
Open Access
- 5 December 2019
- preprint content
- Published by Research Square Platform LLC
Abstract
Background Social inequalities in bodyweight start early in life and track into adulthood. Dietary patterns are an important determinant of weight development in children, towards both overweight and underweight. Therefore, we aimed to examine weight development between age 5 and 10 years by ethnicity, SES and thereafter by BMI category at age 5, to explore its association with dietary patterns at age 5.Methods Participants were 1 765 children from the Amsterdam Born Children and their Development (ABCD) cohort that had valid data on BMI at age 5 and 10 and diet at age 5. Linear mixed model analysis was used to examine weight development between age 5 and 10 years and to assess if four previously identified dietary patterns at age 5 (snacking, full-fat, meat and healthy) were associated with weight development. Analyses were adjusted for relevant confounders, stratified by ethnicity and SES and thereafter stratified per BMI category at age 5.Results Overall, weight development decreased in Dutch and high SES children and increased in non-Dutch and low/middle SES children. Across the range of BMI categories at age 5, we observed a conversion to normal weight; despite Dutch and high SES children were more often underweight or normal weight at both ages, and less often overweight/obese compared to non-Dutch and low/middle SES children. Overall, the observed associations between weight development and dietary patterns were mixed with some unexpected findings: a healthy dietary pattern was associated with increased weight development in most groups, regardless of ethnicity and SES (e.g. Dutch B 0.084, 95% CI 0.038;0.130 and high SES B 0.096, 95% CI 0.047;0.143) whereas the full-fat pattern was associated with decreased weight development (e.g. Dutch B -0.069, 95% CI -0.114;-0.024 and high SES B -0.072, 95% CI -0.119;-0.026).Conclusions We observed differential weight development per ethnic and SES group. Our results indicate that each ethnic and SES group follows its own path of weight development. Associations between dietary patterns and weight development showed some unexpected findings; we suggest to do follow-up research to the possible association between dietary patterns and weight development.Keywords
This publication has 35 references indexed in Scilit:
- Diet quality in early and mid-childhood in relation to trajectories of growth and body compositionClinical Nutrition, 2019
- Dietary patterns and body adiposity in children in Brazil: a cross-sectional studyPublic Health, 2019
- Does the association between early life growth and later obesity differ by race/ethnicity or socioeconomic status? A systematic reviewAnnals of Epidemiology, 2017
- Association between dietary patterns and adiposity from 4 to 7 years of agePublic Health Nutrition, 2017
- Identification of a dietary pattern prospectively associated with increased adiposity during childhood and adolescenceInternational Journal of Obesity, 2012
- Socio-demographic and lifestyle determinants of ‘Western-like’ and ‘Health conscious’ dietary patterns in toddlersBritish Journal of Nutrition, 2012
- Influences on the quality of young children's diets: the importance of maternal food choicesBritish Journal of Nutrition, 2010
- Long-term impact of overweight and obesity in childhood and adolescence on morbidity and premature mortality in adulthood: systematic reviewInternational Journal of Obesity, 2010
- Eating patterns and overweight in 9- to 10-year-old children in Telemark County, Norway: a cross-sectional studyEuropean Journal of Clinical Nutrition, 2010
- Validation of an FFQ and options for data processing using the doubly labelled water method in childrenPublic Health Nutrition, 2010