Document Detail

Infant obesity: are we ready to make this diagnosis?
MedLine Citation:
PMID:  20338575     Owner:  NLM     Status:  MEDLINE    
OBJECTIVES: To assess the prevalence, risk factors, diagnosis and treatment of infant obesity (weight-for-length) in a pediatric practice.
STUDY DESIGN: This was a retrospective nested case-control design. The investigators reviewed and abstracted data from the records of the mothers (while pregnant) and their offspring.
RESULTS: The prevalence of infant obesity was 16%. Children who were obese at age 24 months were highly likely to have been obese at age 6 months (odds ratio=13.3, 95% CI=4.50-39.53). Mothers of obese infants gained more weight during pregnancy (+6.9 kg, P<.05) than mothers of healthy weight infants. Obese infants were more likely to have been large for gestational age (Odds ratio=2.81, 95% CI=1.27-6.22). However, only 14% and 23% of obese infants aged 6 and 24 months were diagnosed with obesity.
CONCLUSION: Infant obesity was common in our practice. Infant obesity strongly predicted obesity at age 24 months. Risk factors included excessive intrapartum weight gain or being born large for gestational age. Clinicians diagnosed obesity in only a minority of children. Primary care providers need to diagnose obesity in infants and work to develop effective interventions.
David P McCormick; Kwabena Sarpong; Lindsay Jordan; Laura A Ray; Sunil Jain
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Publication Detail:
Type:  Journal Article; Research Support, N.I.H., Extramural     Date:  2010-03-24
Journal Detail:
Title:  The Journal of pediatrics     Volume:  157     ISSN:  1097-6833     ISO Abbreviation:  J. Pediatr.     Publication Date:  2010 Jul 
Date Detail:
Created Date:  2010-06-15     Completed Date:  2010-09-03     Revised Date:  2011-02-04    
Medline Journal Info:
Nlm Unique ID:  0375410     Medline TA:  J Pediatr     Country:  United States    
Other Details:
Languages:  eng     Pagination:  15-9     Citation Subset:  AIM; IM    
Copyright Information:
Copyright (c) 2010 Mosby, Inc. All rights reserved.
Division of General Academic Pediatrics, Department of Pediatrics, University of Texas Medical Branch at Galveston, Galveston, Texas 77555-1119, USA.
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MeSH Terms
Age Factors
Body Mass Index*
Case-Control Studies
Child Development
Child, Preschool
Gestational Age
Mother-Child Relations*
Obesity / diagnosis*,  epidemiology,  etiology*
Odds Ratio
Retrospective Studies
Risk Factors
Texas / epidemiology
Weight Gain*
Grant Support
K 30 RR 022276/RR/NCRR NIH HHS; M01 RR 00073/RR/NCRR NIH HHS
Comment In:
J Pediatr. 2010 Jul;157(1):3-4   [PMID:  20400109 ]
J Pediatr. 2011 Feb;158(2):344; author reply 344-5   [PMID:  21074179 ]

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