Literature review for - Flourish Paediatrics

Table 18.4 Studies used to make evidence statement for life course food consumption and rapid growth during childhood
Reference [1] Monteiro 2005 Mamun 2005 Dubois 2006
Type of study [2] Systematic review of 14 cohort Cohort
Cohort
studies and 1 cross-sectional study
Level of I II II
evidence
Intervention/
comparator [4]
Effect of rapid weight gain in
infancy and childhood on obesity
later in life. Measurements of
growth included: weight gain from
birth to age 4 mo-1 yr, variations in
BMI z-score from birth to age 12-
15 yrs, variations or increase in
>0.67 standard deviation in weightfor-age
z-score from birth to age 4
mo-15 yrs, variations or increase in
>0.67 standard deviation in heightfor-age
z-score from age 20 mo to
age 15 yrs, increase in >0.67
standard deviation in weight-forheight
z-scores from age 20 mo to
age 43 mo, change in length-for-age
z-score from age 15 d to age 3 yrs,
weight gain greater than 90 th or 97 th
percentile of standard population
from birth to age 6 mo-1 yr, percent
of final adult height acquired by age
Relationship between rate of weight
gain (nearest gram per day) during the
first 6 mo of life and overweight and
obese status at ages 5 yrs and 14 yrs
(overweight = BMI >17.42 for a boy
and 17.15 for a girl at age 5 yrs, >22.62
for a boy and >23.34 for a girl at age 14
yrs; obese = BMI >19.30 for a boy and
>19.17 for a girl at age 5 yrs, >27.63 for
a boy and >28.57 for a girl at age 14
yrs).
Relationship between monthly weight
gain from 0-5 mo (in quintiles) on
development of child’s overweight (BMI
>95th percentile) by age 4.5yrs.
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