Abstract
OBJECTIVE: To investigate the effect of childhood weight and childhood socioeconomic status on the pattern of change in body mass index (BMI) between 20 and 43 years.
METHODS: A British birth cohort study where the survey members have been followed up regularly since their birth in 1946, with the most recent of 19 follow-ups when the cohort were aged 43 years. BMI was available at 20, 26, 36 and 43 years of age and thus multilevel models for repeated outcome measures were used to model the patterns of change in BMI.
RESULTS: The rate of increase in BMI with age was non-linear, with the rate of increase in mean BMI accelerating with increasing age at different rates for men and women. The mean BMI for men was higher than that for women at all ages.
Childhood manual social class, defined in terms of father's occupation, and high relative weight at 14 years of age were associated with higher mean BMI across adult life, and these effects increased with age. The effects of childhood relative weight and social class were independent of educational attainment and adult social class.
CONCLUSION: The study provides evidence of a long-term effect of childhood social and biological circumstances on BMI. The pathways underlying these relationships may be social or biological, but are not yet fully understood.
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References
Hubert HB, Feinleib M, McNamara PM, Castelli WP . Obesity as an independent risk factor for cardiovascular disease: a 26 year follow-up of participants in the Framingham heart study Circulation 1983 67: 968–977.
Garfinkle L . Overweight and cancer Ann Intern Med 1985 103: 1034–1036.
Le Marchand L, Kolonel LN, Earle ME, Mi M-P . Body size at different periods of life and breast cancer risk Am J Epidemiol 1988 128: 137–152.
Manson JE, Colditz GA, Stampfer MJ, Willett WC, Rosner B, Monson RR, Speizer FE, Hennekens CH . A prospective study of obesity and risk of coronary heart disease in women N Engl J Med 1990 322: 882–889.
Colditz GA, Willett WC, Stampfer MJ, Manson JE, Hennekens CH, Arky RA, Speizer FE . Weight as a risk factor for clinical diabetes in women Am J Epidemiol 1990 132: 501–513.
Walker M, Wannamethee G, Whincup PH, Shaper AG . Weight change and risk of heart attack in middle-aged British men Int J Epidemiol 1995 24: 694–703.
Rimm EB, Stampfer MJ, Giovannucci E, Ascherio A, Spiegelman D, Colditz GA, Willett WC . Body size and fat distribution as predictors of coronary heart disease among middle-aged and older US men Am J Epidemiol 1995 141: 1117–1127.
Willett WC, Manson JE, Stampfer MJ, Colditz GA, Rosner B, Speizer FE, Hennekens CH . Weight, weight change, and coronary heart disease in women: risk within the ‘normal’ weight range JAMA 1995 273: 461–465.
Lew EA, Garfinkle L . Variations in mortality by weight among 750,000 men and women J Chronic Dis 1978 32: 563–575.
Wannamethee G, Shaper AG . Body weight and mortality in middle aged British men: impact of smoking BMJ 1989 299: 1497–1502.
Lee I-M, Manson JE, Hennekens CH, Paffenbarger RS . Body weight and mortality. A 27 year follow-up of middle-aged men JAMA 1993 270: 2823–2828.
Kushner RF . Body weight and mortality Nutr Rev 1993 51: 127–136.
Manson JE, Willett WC, Stampfer MJ, Colditz GA, Hunter DJ, Hankinson SE, Hennekens CH, Speizer FE . Body weight and mortality among women N Engl J Med 1995 333:: 677–685.
Gunnell DJ, Frankel SJ, Nanchahal K, Peters TJ, Davey Smith G . Childhood obesity and adult cardiovascular mortality: a 57-y follow-up study based on the Body Orr cohort Am J Clin Nutr 1998 67: 1111–1118.
Stark O, Atkins E, Wolff OH, Douglas JWB . A longitudinal study of obesity in the National Survey of Health and Development BMJ 1981 283: 13–17.
Whitaker RC, Wright JA, Peper MS, Seidel KD, Dietz WH . Predicting obesity in young adulthood from childhood and parental obesity N Engl J Med 1997 337: 869–873.
Braddon FM, Rodgers B, Wadsworth MEJ, Davies JMC . Onset of obesity in a 36 year birth cohort study BMJ 1986 293: 299–303.
Barker DJP, Ed . Fetal and Infant Origins of Adult Disease BMJ Publishing Group: London 1992.
Barker DJP . Mothers, Babies and Disease in Later Life BMJ Publishing Group: London 1994.
Leon DA, Koupilova I, Lithell HO, Berglund L, Mohsen R, Vagero D, Lithell U-B, McKeigue PM . Failure to realise growth potential in utero and adult obesity in relation to blood pressure in 50 year-old Swedish men BMJ 1996 312: 401–406.
Fall CHD, Osmond C, Barker DJP, Clark PMS, Hales CN, Stirling Y, Meade TW . Fetal and infant growth and cardiovascular risk factors in women BMJ 1995 310:: 428–432.
Law CM, Barker DJP, Osmond C, Fall CHD, Simmonds SJ . Early growth and abdominal fatness in early life J Epidemiol Community Health 1992 46: 184–186.
Power C, Moynihan C . Social class and changes in weight-for-height between childhood and early adulthood Int J Obes 1988 12: 445–453.
Blane D, Hart CI, Davey Smith G, Gillis CR, Hole DJ, Hawthorne VM . Association of cardiovascular risk factors with socioeconomic position during childhood and during adulthood BMJ 1996 313: 1434–1438.
Wannamethee SG, Whincup PH, Shaper G, Walker M . Influence of fathers’ social class on cardiovascular disease in middle-aged men Lancet 1996 348: 1259–1263.
Goldstein H . Multilevel Statistical Models (2nd edition) Edward Arnold: London 1995.
Diggle PJ, Liang K-L, Zeger SL . Analysis of Longitudinal Data. Oxford University Press: Oxford 1994.
Wadsworth MEJ . The Imprint of Time: Childhood, History and Adult Life. Oxford University Press: Oxford 1991.
Wadsworth MEJ, Kuh DJL . Childhood influences on adult health: a review of recent work in the British 1946 national cohort study, the MRC National Survey of Health and Development Paediatr Perinat Epidemiol 1997 11: 2–20.
Wadsworth MEJ, Mann SL, Rodgers B, Kuh DJL, Hilder WS, Yusuf EJ . Loss and representativeness in a 43 year follow-up of a national birth cohort J Epidemiol Community Health 1992 46: 300–304.
Stewart AL . The reliability and validity of self-reported weight and height J Chronic Dis 1982 35: 295–309.
Newens EM, Goldstein H . Height, weight, and the assessment of obesity in children Br J Prev Soc Med 1972 26: 33–39.
Cole TJ . A method for assessing age-standardized weight-for-height in children seen cross-sectionally Ann Hum Biol 1979 6: 249–268.
Rasbash J, Woodhouse G . Mln Command Reference, version la. Multilevel Models Project, Institute of Education, University of London: London 1996.
Woodhouse G . Multilevel Modelling Applications: A Guide for Users of Mln. Multilevel Models Project, Institute of Education, University of London: London 1996.
Little RJA, Rubin DB . Statistical Analysis with Missing Data. Wiley: New York 1987.
Sonne-Holme S, Sorensen TIA . Prospective study of attainment of social class of severely obese subjects in relation to parental social class, intelligence, and education BMJ 1986 292: 586–589.
Sorensen TIA . Socio-economic aspects of obesity: causes or effects? Int J Obes 1995 19 (Suppl 6): S6–S8.
Sargent ID, Blanchflower DG . Obesity and stature in adolescence and earnings in young adulthood Arch Pediatr Adolesc Med 1994 148: 681–687.
Bao W, Srinivasan SR, Valdez R, Greenlund KJ, Wattigney WA, Berenson GS . Longitudinal changes in cardiovascular risk from childhood to young adulthood in offspring of parents with coronary artery disease JAMA 1997 278: 1749–1754.
Braddon FEM, Wadsworth MEJ, Davies JMC, Cripps HA . Social and regional differences in food and alcohol consumption and their measurement in a national birth cohort. J Epidemiol Community Health 1988 42: 341–349.
Blaxter M . Health and Lifestyles. Routledge: London 1990.
Kuh DJL, Cooper C . Physical activity at 36 years: patterns and predictors in a longitudinal study J Epidemiol Community Health 1992 46: 114–119.
Office of Population Censuses and Surveys . General Household Survey 1986. Series GHS, No. 16 HMSO: London 1989.
Goldthorpe JH . Social Mobility and Class Structure in Modern Britain Clarendon Press: Oxford 1980.
Halsey AH, Health AF, Ridge JM . Origins and Destinations: Family, Class and Education in Modern Britain. Clarendon Press: Oxford 1980.
Britten N . Models of intergenerational class mobility: findings from the National Survey of Health and Development Br J Social 1981 32: 224–238.
Kuh D, Wadsworth M . Childhood influences on adult male earnings in a longitudinal study Br J Sociol 1991 42: 537–555.
Kuh D, Head J, Hardy R, Wadsworth M . The influence of education and family background on women's earnings in midlife: evidence from a British national cohort study Br J Social Education 1997 18: 385–405.
Douglas JWB . The Home and the School. MacGibbon & Kee: London 1964.
Wald N, Kiryluk S, Barby S, Doll R, Pike M, Peto R . U.K. Smoking Statistics. Oxford University Press: Oxford 1988.
Albanes D, Jones Y, Micozzi MS, Mattson ME . Associations between smoking and body weight in the US population analysis of NHANES II Am J Public Health 1987 77: 439–444.
Ravelli G-P, Stein ZA, Susser MW . Obesity in young men after famine exposure in utero and early infancy New Eng J Med 1976 295: 349–353.
Prynne CJ, Paul AA, Price GM, Wadsworth MEJ . Social class differences in foods eaten by a national sample of four-year old children in 1950 (abstract) Proceedings of the Nutrition Society in press).
Wang-Clow F, Lange M, Laird NM, Ware JH . A simulation study of estimators for rates of change in longitudinal studies with attrition Stat Med 1995 14: 283–297.
Park T, Lee S-Y . A test of missing completely at random for longitudinal data with missing observations Stat Med 1997 16: 1859–1871.
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This research was funded by the UK Medical Research Council.
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Hardy, R., Wadsworth, M. & Kuh, D. The influence of childhood weight and socioeconomic status on change in adult body mass index in a British national birth cohort. Int J Obes 24, 725–734 (2000). https://doi.org/10.1038/sj.ijo.0801238
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DOI: https://doi.org/10.1038/sj.ijo.0801238
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