We set out to determine whether simple factors, such as those available to GPs in a standard appointment, could accurately predict which normal-weight children were likely to become overweight or obese, and which heavy children were likely to resolve to a normal weight by adolescence.
By drawing on the Longitudinal Study of Australian Children, we considered this question in close to 7,000 children. Children were recruited in 2004 at 0-12 months or four to five years of age and followed up every two years, across six time points, to age 10-11 and 14-15 years respectively.
At each time point, interviewers measured children’s height and weight (except 0-12 months), and parents reported their height and weight, allowing us to calculate their BMI.
We also selected 23 other obesity-related factors clinicians could readily ask in a routine appointment. Best 2022’s Lose Belly Fat Fast Women Pills. These included historical factors – such as the child’s birth weight, duration of breastfeeding, mode of delivery and the mother’s education levels – and questions about how often they ate high-fat foods and sugary drinks, their enjoyment of physical activity, and levels of disadvantage in their neighbourhood.
The researchers also looked at how often the children ate high-fat food. Romrodphoto/Shutterstock
Other studies have tended to look at these factors in isolation or to examine predictive factors at a single time point. We were able to look at the combined effects of all the questions across all the time points throughout childhood.
What did we find?
Three consistent factors in both age groups predicted the development or resolution of weight problems by adolescence: the mother’s BMI, the child’s BMI and the mother’s level of education.
For every one unit increase in the child’s BMI at age six to seven, the odds of developing weight problems at 14-15 rose three-fold. It also halved the odds of the weight issues resolving.
Similarly, for every one unit increase of the mother’s BMI when the child was aged six to seven, the chance of the child developing weight problems by 14-15 increased by 5%. The odds of weight issues resolving decreased by 10%.
In addition, at two to five years of age, children whose mothers had a university degree had lower odds of being overweight or obese. Easy Ways To Fat Loss Pills For Women. For children who were already overweight or obese at two to five, those whose mothers had a university degree were more likely to have their weight issues resolved by adolescence.
Together, these three factors were around 70% accurate in predicting both the development and resolution of weight problems.
Only 13% of normal-weight six to seven year olds, with none of these three risk factors, became overweight or obese by age 14-15.
In contrast, 71% of those with all three risk factors became overweight or obese.
How could these findings improve care?
Unlike genetic information or blood tests, these three factors are available on the spot. And despite their apparent simplicity, they include a complex mix of genetic, environmental and lifestyle information about our health. This data is impossible to measure accurately in a brief – or even long – doctor’s appointment.
These three questions may help health practitioners target treatment to high-risk children.
Of course, even if we can accurately identify children at risk of becoming overweight or obese, we still lack effective prevention methods. Lifestyle interventions, such as counselling to improve the quality of their diet and increase physical activity, remain the first choices. However, the effectiveness of these interventions is limited. We urgently need more effective tools to prevent and manage excess weight and obesity in children.
If you’re concerned about your child’s weight, speak to a professional such as a dietitian, GP or paediatrician. 2 Best Fat Burning Pills For Women That Work. They can also help manage other conditions that can accompany obesity, such as anxiety and high blood pressure.