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a Department of Epidemiology and Public Health, Institute
of Child Health, 30 Guilford Street, London WC1N 1EH, b MRC Dunn Nutrition Unit,
Cambridge
Correspondence to: J K Lake.
OBJECTIVES
To assess relations between the
adiposity of children and their parents and to establish whether
tracking of adiposity from childhood to adulthood varies according to
the parental body mass index (BMI).
METHODSLongitudinal data from the 1958 British birth cohort study were used (6540 men and 6207 women). The
height and weight of the study subjects were measured at 7, 11, 16, 23 (self reported), and 33 years. Parental height and weight were self
reported when their children were 11 years old. The children were
classified into six parental BMI (weight/height2) groups.
RESULTSAt each age of follow up the mean BMI of
the children increased as the parental BMI increased. Higher risks of
adult (33 year) obesity were evident among children with overweight or
obese parents: the odds for sons and daughters with two obese parents
(compared with those with both parents of normal BMI) were 8.4 and 6.8, respectively. The children of two obese parents also showed the strongest child to adult tracking of BMI as indicated by the
correlation between ages 7 and 33 (r = 0.46, 0.54, sons
and daughters, respectively).
CONCLUSIONSThe children of obese and overweight
parents have an increased risk of obesity. Subjects with two obese
parents are fatter in childhood and also show a stronger pattern of
tracking from childhood to adulthood. As the prevalence of parental
obesity increases in the general population the extent of child to
adult tracking of BMI is likely to strengthen.
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