Article ; Online: Adolescent BMI trajectory and associations with adult metabolic syndrome and offspring obesity.
2023 Volume 31, Issue 7, Page(s) 1924–1932
Abstract: Objective: This study examined the association of adolescent BMI trajectory with adult metabolic syndrome (MetSyn) and with intergenerational obesity.: Methods: This study used data from the National Heart, Lung, and Blood Institute (NHLBI) Growth ... ...
Abstract | Objective: This study examined the association of adolescent BMI trajectory with adult metabolic syndrome (MetSyn) and with intergenerational obesity. Methods: This study used data from the National Heart, Lung, and Blood Institute (NHLBI) Growth and Health Study (1987-1997). Data from the 20-year follow-up (2016-2019) study were included from the original participants (N = 624) and their children (N = 645). Adolescent BMI trajectories were identified using latent trajectory modeling. Mediation analysis using logistic regression models was performed to estimate confounder-adjusted odds ratios (OR) and 95% CI between adolescent BMI trajectory and adult MetSyn. Using similar methods, the association between BMI trajectory and offspring obesity was examined. Results: Latent trajectory modeling identified four patterns: "weight loss then gain" (N = 62); "persistently normal" (N = 374); "persistently high BMI" (N = 127); and "weight gain then loss" (N = 61). Women who had a persistently high BMI trajectory had twice the odds of having children who met the definition for obesity compared with the persistently normal group, adjusting for adult BMI (OR: 2.76; 95% CI: 1.39-5.46). None of the trajectory groups was associated with adult MetSyn compared with the persistently normal group. Conclusions: Intermittent adolescent obesity may not confer MetSyn risk during adulthood. However, maternal adolescent BMI trajectories that are persistently high may increase the odds of intergenerational obesity among offspring. |
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MeSH term(s) | Child ; Adult ; Adolescent ; Humans ; Female ; Metabolic Syndrome/epidemiology ; Pediatric Obesity/epidemiology ; Body Mass Index ; Longitudinal Studies ; Weight Gain ; Risk Factors |
Language | English |
Publishing date | 2023-05-25 |
Publishing country | United States |
Document type | Journal Article ; Research Support, Non-U.S. Gov't ; Research Support, N.I.H., Extramural |
ZDB-ID | 2230457-5 |
ISSN | 1930-739X ; 1071-7323 ; 1930-7381 |
ISSN (online) | 1930-739X |
ISSN | 1071-7323 ; 1930-7381 |
DOI | 10.1002/oby.23769 |
Database | MEDical Literature Analysis and Retrieval System OnLINE |
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