1 Citation (Scopus)

Abstract

Objective: To fully explain the dynamic and comprehensive etiology of the trajectory associated with adiposity indices. Methods: This study involved data of 5572 children, aged 6–11 years, as part of the Taiwan Children Health Study (TCHS). The present study introduced four distinct BMI trajectories, identified previously among children: persistently healthy weight; late-onset overweight or obesity; persistent overweight or obesity; and declining BMI class. Logistic regression was used to examine the effect of non-modifiable factors on BMI trajectory classes. Generalized estimating equations were used to examine the effect of dynamically modifiable factors on either BMI trajectory classes or adiposity indices. Results: Compared with class 1 (persistently healthy weight), class 2 exhibited a significantly increased risk of weight gain and fat mass, affected by lower family incomes and poor-quality sleep. Class 3 had a higher risk of persistent obesity and abdominal obesity, affected by higher birthweight and sedentary lifestyle. Class 4 approached a healthy weight due to increased physical activity, which was associated with a decrease in body fat and central obesity. Conclusions: We found crucially non-modifiable and modifiable factors that could describe each high BMI growth pattern, and calculated their modifiable contributions to adiposity indices. Modifiable factors that focus on those crucially dynamic factors are recommended for preventing obese growth trajectories.

Original languageEnglish
JournalObesity Research and Clinical Practice
DOIs
Publication statusAccepted/In press - Jan 1 2018

Fingerprint

Adiposity
Body Composition
Longitudinal Studies
Cohort Studies
Abdominal Obesity
Obesity
Weights and Measures
Growth
Sedentary Lifestyle
Taiwan
Weight Gain
Adipose Tissue
Sleep
Logistic Models
Fats
Exercise

Keywords

  • Children
  • Genetic determinant
  • Modifiable factors
  • Obesity index
  • Trajectory

ASJC Scopus subject areas

  • Endocrinology, Diabetes and Metabolism
  • Nutrition and Dietetics

Cite this

@article{da002383700b4c78a7777c86c2758865,
title = "Comprehensive determinants of growth trajectories and body composition in school children: A longitudinal cohort study",
abstract = "Objective: To fully explain the dynamic and comprehensive etiology of the trajectory associated with adiposity indices. Methods: This study involved data of 5572 children, aged 6–11 years, as part of the Taiwan Children Health Study (TCHS). The present study introduced four distinct BMI trajectories, identified previously among children: persistently healthy weight; late-onset overweight or obesity; persistent overweight or obesity; and declining BMI class. Logistic regression was used to examine the effect of non-modifiable factors on BMI trajectory classes. Generalized estimating equations were used to examine the effect of dynamically modifiable factors on either BMI trajectory classes or adiposity indices. Results: Compared with class 1 (persistently healthy weight), class 2 exhibited a significantly increased risk of weight gain and fat mass, affected by lower family incomes and poor-quality sleep. Class 3 had a higher risk of persistent obesity and abdominal obesity, affected by higher birthweight and sedentary lifestyle. Class 4 approached a healthy weight due to increased physical activity, which was associated with a decrease in body fat and central obesity. Conclusions: We found crucially non-modifiable and modifiable factors that could describe each high BMI growth pattern, and calculated their modifiable contributions to adiposity indices. Modifiable factors that focus on those crucially dynamic factors are recommended for preventing obese growth trajectories.",
keywords = "Children, Genetic determinant, Modifiable factors, Obesity index, Trajectory",
author = "Fan, {Hsien Yu} and Lee, {Yungling Leo} and Yang, {Shwu Huey} and Chien, {Yi Wen} and Chao, {Jane C.J.} and Chen, {Yang Ching}",
year = "2018",
month = "1",
day = "1",
doi = "10.1016/j.orcp.2017.11.006",
language = "English",
journal = "Obesity Research and Clinical Practice",
issn = "1871-403X",
publisher = "Elsevier BV",

}

TY - JOUR

T1 - Comprehensive determinants of growth trajectories and body composition in school children

T2 - A longitudinal cohort study

AU - Fan, Hsien Yu

AU - Lee, Yungling Leo

AU - Yang, Shwu Huey

AU - Chien, Yi Wen

AU - Chao, Jane C.J.

AU - Chen, Yang Ching

PY - 2018/1/1

Y1 - 2018/1/1

N2 - Objective: To fully explain the dynamic and comprehensive etiology of the trajectory associated with adiposity indices. Methods: This study involved data of 5572 children, aged 6–11 years, as part of the Taiwan Children Health Study (TCHS). The present study introduced four distinct BMI trajectories, identified previously among children: persistently healthy weight; late-onset overweight or obesity; persistent overweight or obesity; and declining BMI class. Logistic regression was used to examine the effect of non-modifiable factors on BMI trajectory classes. Generalized estimating equations were used to examine the effect of dynamically modifiable factors on either BMI trajectory classes or adiposity indices. Results: Compared with class 1 (persistently healthy weight), class 2 exhibited a significantly increased risk of weight gain and fat mass, affected by lower family incomes and poor-quality sleep. Class 3 had a higher risk of persistent obesity and abdominal obesity, affected by higher birthweight and sedentary lifestyle. Class 4 approached a healthy weight due to increased physical activity, which was associated with a decrease in body fat and central obesity. Conclusions: We found crucially non-modifiable and modifiable factors that could describe each high BMI growth pattern, and calculated their modifiable contributions to adiposity indices. Modifiable factors that focus on those crucially dynamic factors are recommended for preventing obese growth trajectories.

AB - Objective: To fully explain the dynamic and comprehensive etiology of the trajectory associated with adiposity indices. Methods: This study involved data of 5572 children, aged 6–11 years, as part of the Taiwan Children Health Study (TCHS). The present study introduced four distinct BMI trajectories, identified previously among children: persistently healthy weight; late-onset overweight or obesity; persistent overweight or obesity; and declining BMI class. Logistic regression was used to examine the effect of non-modifiable factors on BMI trajectory classes. Generalized estimating equations were used to examine the effect of dynamically modifiable factors on either BMI trajectory classes or adiposity indices. Results: Compared with class 1 (persistently healthy weight), class 2 exhibited a significantly increased risk of weight gain and fat mass, affected by lower family incomes and poor-quality sleep. Class 3 had a higher risk of persistent obesity and abdominal obesity, affected by higher birthweight and sedentary lifestyle. Class 4 approached a healthy weight due to increased physical activity, which was associated with a decrease in body fat and central obesity. Conclusions: We found crucially non-modifiable and modifiable factors that could describe each high BMI growth pattern, and calculated their modifiable contributions to adiposity indices. Modifiable factors that focus on those crucially dynamic factors are recommended for preventing obese growth trajectories.

KW - Children

KW - Genetic determinant

KW - Modifiable factors

KW - Obesity index

KW - Trajectory

UR - http://www.scopus.com/inward/record.url?scp=85044657515&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=85044657515&partnerID=8YFLogxK

U2 - 10.1016/j.orcp.2017.11.006

DO - 10.1016/j.orcp.2017.11.006

M3 - Article

AN - SCOPUS:85044657515

JO - Obesity Research and Clinical Practice

JF - Obesity Research and Clinical Practice

SN - 1871-403X

ER -