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MRC Environmental Epidemiology Unit, University of
Southampton, Southampton General Hospital, Southampton SO16 6YD
Correspondence to: Mary Barker.
OBJECTIVE
To examine the association between
birth weight and body fat distribution in a group of adolescent girls.
DESIGNA total of 216 white girls who were
born in Southampton had their heights, weights, waist and hip
circumferences, and skinfold thicknesses measured when they were aged
between 14 and 16 years.
RESULTSThe girls who were smallest at birth, but
who were fattest at time of measurement were the most centrally obese.
In girls whose body mass index was above the median (21 kg/m2), the subscapular to triceps skinfold ratio rose by
9% for every kilogram decrease in birth weight. Among overweight
girls, with a body mass index over 25, the ratio rose by 27% for every
kilogram decrease in birth weight.
CONCLUSIONIn adolescent girls, the tendency to
store fat on the trunk rather than the limbs, seems to be programmed by
growth in fetal life, and is most evident in those who are overweight.
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