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A child's
body mass index (BMI) predicts whether the child will be overweight
or obese as an adult, according to U.S. researchers.
Recently,
BMI-for-age growth charts used by the U.S. Centers for Disease
Control and Prevention were revised for young males and females
ages 2 to 20, due to concern about the high prevalence of overweight
and obesity among children in the United States.
Researchers
used the new guidelines for children and adolescents to estimate
the probability of future overweight or obesity, based on BMI
values from infancy to age 20. They found that the higher the
childhood or adolescent BMI and the older the child, the greater
the risk of being overweight or obese as an adult.
Weight and
stature from ages three to 20 and again from ages 30 to 39 were
measured in 166 white males and 31 white females who were enrolled
in the study shortly following birth. A BMI value for age 35 was
taken as an average of the person's weight between ages 30 and
39.
Overall, the
probability of adult overweight increased with higher childhood
and adolescent BMI values and with the child's age, according
to the study published in the American Journal of Clinical Nutrition.
In the higher
ranges of BMI-for-age, young males had a higher likelihood of
being overweight as adults than young females. The relationships
between rising age, BMI values, and predicted probability of adult
obesity stresses that adolescence is a critical period in establishing
lifetime weight management, wrote the researchers.
The study
recommends that this predictive information be used in clinical
and public health settings to evaluate and monitor children and
teens in the 85th or greater percentile of BMI for their age group.
Other
sources: American Journal of Clinical Nutrition
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