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A rapid growth rate in early childhood is a risk factor for becoming overweight in late adolescence.
Umeå universitet, Medicinska fakulteten, Institutionen för klinisk vetenskap, Pediatrik.
Umeå universitet, Medicinska fakulteten, Institutionen för folkhälsa och klinisk medicin, Yrkes- och miljömedicin.
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2015 (Engelska)Ingår i: Acta Paediatrica, ISSN 0803-5253, E-ISSN 1651-2227, Vol. 104, nr 11Artikel i tidskrift (Refereegranskat) Published
Abstract [en]

AIM: We evaluated whether body mass index (BMI) and rapid growth in early life were associated with an increased risk of becoming overweight at 16 and 18 years of age.

METHODS: The study population comprised all children born in Sweden on the 15th of each month in 1981. Individuals born on the 5th, 10th and 20th of every month were added for counties with low population densities. Information on weight and height was collected from birth up to 18 years of age for 98.6% of the 3537 children identified.

RESULTS: Weight at 12 months of age was associated with being overweight at both 16 and 18 years of age. Rapid weight gain from birth to 12 months was associated with higher odds for being overweight later in life, and the weight gain between 18 months and four years of age was the strongest risk factor for being overweight in late adolescence in both sexes. There was no association between a birthweight of <2500 g or >4500 g and being overweight at 16 or 18 years of age.

CONCLUSION: Fast growth during early childhood was associated with an increased risk of being overweight later in life, emphasising the importance of early prevention.

Ort, förlag, år, upplaga, sidor
2015. Vol. 104, nr 11
Nyckelord [en]
Adolescent, Body mass index, Child; Overweight, Weight gain
Nationell ämneskategori
Folkhälsovetenskap, global hälsa, socialmedicin och epidemiologi
Identifikatorer
URN: urn:nbn:se:umu:diva-111612DOI: 10.1111/apa.13106ISI: 000363866200028PubMedID: 26173008Scopus ID: 2-s2.0-84945439611OAI: oai:DiVA.org:umu-111612DiVA, id: diva2:872137
Tillgänglig från: 2015-11-18 Skapad: 2015-11-18 Senast uppdaterad: 2023-03-24Bibliografiskt granskad
Ingår i avhandling
1. Childhood obesity: early intervention and web-based treatment
Öppna denna publikation i ny flik eller fönster >>Childhood obesity: early intervention and web-based treatment
2022 (Engelska)Doktorsavhandling, sammanläggning (Övrigt vetenskapligt)
Alternativ titel[sv]
Barnfetma: tidig intervention och web-baserad behandling
Abstract [en]

Childhood obesity is a threat to public health worldwide. In Sweden around 15% of children 5-19 years of age are overweight and 3-4 % have obesity. Early prevention is crucial as are effective treatments for children and adolescents who have already developed obesity. The use of web-based treatment programs in childhood obesity are not yet established, this technology has been suggested to be a promising method for children and adolescents. The overall aim of this thesis was to examine whether rapid growth at an early age was associated with overweight later in life and to study the feasibility, parental experience, and effectiveness of web-based treatment of obesity in children.

Study I: The study population comprised all children born in Sweden on the 15th of each month in 1981. Information on weight and height was collected for 3537 children. Results showed that weight at 12 months of age was associated with being overweight at both 16 and 18 years of age. Weight gain between 18 months and four years of age was the strongest risk factor for being overweight in late adolescence.

Study II: Web-Childhood Obesity Prevention (Web-COP) was a prospective feasibility study with a pre-post design, offered to children with obesity 5-13 years of age. The intervention consisted of four group-based education sessions, physical activity on prescription, and a 12-week web-based program. Using a continuous algorithm, 42/51 (81%) of the children lowered their BMI-SDS.

Study III: This was an interview study with an inductive qualitative approach. Data were collected from individual interviews with 14 parents to children with obesity. The overarching theme “A transformative journey of lifestyle changes for the whole family” described how the participation impacted the lifestyle of the whole family. The parents shared predominantly positive experiences of the intervention but also expressed feelings of guilt and struggled to address their child´s obesity.

Study IV: The Web-COP RCT was a randomized controlled trial conducted in four cities and compared group sessions, physical activity on prescription, and a web-based program to standard care treatment for children with obesity. A total of 80 children were included in the analysis. BMI-SDS was significantly reduced in the intervention group compared to the control group six months after baseline. Rapid growth rate during early childhood was associated with an increased risk of having overweight later in life, emphasising the importance of early prevention. In treating young children with obesity, we added group sessions and a web-based programme (Web-COP) to standard care. Web-COP was feasible, and two thirds of included children reduced their BMI. Parents who participated in Web-COP found the program helpful for achieving healthier lifestyles for the whole family. When Web-COP was studied in a randomized controlled trial, the program had significant effect on BMI-SDS in children with obesity.

Ort, förlag, år, upplaga, sidor
Umeå: Umeå universitet, 2022. s. 87
Serie
Umeå University medical dissertations, ISSN 0346-6612 ; 2165
Nyckelord
weight gain, body mass index, BMI, childhood obesity, treatment, intervention
Nationell ämneskategori
Pediatrik Folkhälsovetenskap, global hälsa, socialmedicin och epidemiologi
Forskningsämne
pediatrik
Identifikatorer
urn:nbn:se:umu:diva-191014 (URN)978-91-7855-707-3 (ISBN)978-91-7855-708-0 (ISBN)
Disputation
2022-02-11, Aulan, Sundsvalls sjukhus, Sundsvall, 09:00 (Svenska)
Opponent
Handledare
Tillgänglig från: 2022-01-21 Skapad: 2022-01-05 Senast uppdaterad: 2022-01-10Bibliografiskt granskad

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Thorén, AnnelieBråbäck, LennartSilfverdal, Sven-Arne

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Acta Paediatrica
Folkhälsovetenskap, global hälsa, socialmedicin och epidemiologi

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