Patterns of linear growth and skeletal maturation from birth to 18 years of age in overweight young adults

OBJECTIVE: To estimate differences in skeletal maturity and stature from birth to age 18 years between individuals who are overweight vs normal weight in young adulthood. PATIENTS AND METHODS: Weight, length and height, and relative skeletal age (skeletal—chronological age) were assessed annually fr...

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Veröffentlicht in:International Journal of Obesity 2012-04, Vol.36 (4), p.535-541
Hauptverfasser: Johnson, W, Stovitz, S D, Choh, A C, Czerwinski, S A, Towne, B, Demerath, E W
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container_end_page 541
container_issue 4
container_start_page 535
container_title International Journal of Obesity
container_volume 36
creator Johnson, W
Stovitz, S D
Choh, A C
Czerwinski, S A
Towne, B
Demerath, E W
description OBJECTIVE: To estimate differences in skeletal maturity and stature from birth to age 18 years between individuals who are overweight vs normal weight in young adulthood. PATIENTS AND METHODS: Weight, length and height, and relative skeletal age (skeletal—chronological age) were assessed annually from birth to age 18 years in 521 subjects (255 women) in the Fels Longitudinal Study who were overweight or obese (body mass index (BMI) >25 kg m –2 , n =131) or normal weight ( n =390) in young adulthood (18–30 years). Generalized estimating equations were used to test for skeletal maturity and stature differences by young adult BMI status. RESULTS: Differences in height increased during puberty, being significant for girls at ages 10 to 12 years, and for boys at ages 11 to 13 years ( P -values
doi_str_mv 10.1038/ijo.2011.238
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PATIENTS AND METHODS: Weight, length and height, and relative skeletal age (skeletal—chronological age) were assessed annually from birth to age 18 years in 521 subjects (255 women) in the Fels Longitudinal Study who were overweight or obese (body mass index (BMI) &gt;25 kg m –2 , n =131) or normal weight ( n =390) in young adulthood (18–30 years). Generalized estimating equations were used to test for skeletal maturity and stature differences by young adult BMI status. RESULTS: Differences in height increased during puberty, being significant for girls at ages 10 to 12 years, and for boys at ages 11 to 13 years ( P -values&lt;0.001), with overweight or obese adults being ∼3 cm taller at those ages than normal weight adults. These differences then diminished so that by age 18 years, overweight or obese adults were not significantly different in stature to their normal weight peers. Differences in skeletal maturity were similar, but more pervasive; overweight or obese adults were more skeletally advanced throughout childhood. Skeletal maturity differences peaked at chronological age 12 in boys and 14 in girls ( P -values&lt;0.001), with overweight or obese adults being ∼1 year more advanced than normal weight adults. CONCLUSIONS: This descriptive study is the first to track advanced skeletal maturity and linear growth acceleration throughout infancy, childhood and adolescence in individuals who become overweight, showing that differences occur primarily around the time of the pubertal growth spurt. Increased BMI in children on a path to becoming overweight adults precedes an advancement in skeletal development and subsequently tall stature during puberty. Further work is required to assess the predictive value of accelerated pubertal height growth for assessing obesity risk in a variety of populations.</description><identifier>ISSN: 0307-0565</identifier><identifier>EISSN: 1476-5497</identifier><identifier>DOI: 10.1038/ijo.2011.238</identifier><identifier>PMID: 22124455</identifier><identifier>CODEN: IJOBDP</identifier><language>eng</language><publisher>London: Nature Publishing Group UK</publisher><subject>Adolescent ; Adolescent Development ; Adolescents ; Adult ; Adults ; Age ; Biological and medical sciences ; Body Height ; Body mass ; Body Mass Index ; Body Weight ; Bone Development ; Child ; Child, Preschool ; Children ; Epidemiology ; Female ; Growth ; Growth and development ; Health Promotion and Disease Prevention ; Height ; Humans ; Infant ; Infant, Newborn ; Internal Medicine ; Longitudinal Studies ; Male ; Maturity ; Medical sciences ; Medicine ; Medicine &amp; Public Health ; Metabolic Diseases ; Obesity ; Obesity in adolescence ; Overweight - epidemiology ; pediatric-original-article ; Physiological aspects ; Predictive Value of Tests ; Puberty ; Public Health ; Risk Assessment ; Skeletal maturity ; United States - epidemiology ; Weight ; Young Adult ; Young adults ; Youth</subject><ispartof>International Journal of Obesity, 2012-04, Vol.36 (4), p.535-541</ispartof><rights>Macmillan Publishers Limited 2012</rights><rights>2015 INIST-CNRS</rights><rights>COPYRIGHT 2012 Nature Publishing Group</rights><rights>Copyright Nature Publishing Group Apr 2012</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c675t-65609fc1f5878aa5ae8b601de1ae5bbb118375c86d02c091352fdea3244d18163</citedby><cites>FETCH-LOGICAL-c675t-65609fc1f5878aa5ae8b601de1ae5bbb118375c86d02c091352fdea3244d18163</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1038/ijo.2011.238$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1038/ijo.2011.238$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>230,314,777,781,882,27905,27906,41469,42538,51300</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&amp;idt=25702538$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/22124455$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Johnson, W</creatorcontrib><creatorcontrib>Stovitz, S D</creatorcontrib><creatorcontrib>Choh, A C</creatorcontrib><creatorcontrib>Czerwinski, S A</creatorcontrib><creatorcontrib>Towne, B</creatorcontrib><creatorcontrib>Demerath, E W</creatorcontrib><title>Patterns of linear growth and skeletal maturation from birth to 18 years of age in overweight young adults</title><title>International Journal of Obesity</title><addtitle>Int J Obes</addtitle><addtitle>Int J Obes (Lond)</addtitle><description>OBJECTIVE: To estimate differences in skeletal maturity and stature from birth to age 18 years between individuals who are overweight vs normal weight in young adulthood. PATIENTS AND METHODS: Weight, length and height, and relative skeletal age (skeletal—chronological age) were assessed annually from birth to age 18 years in 521 subjects (255 women) in the Fels Longitudinal Study who were overweight or obese (body mass index (BMI) &gt;25 kg m –2 , n =131) or normal weight ( n =390) in young adulthood (18–30 years). Generalized estimating equations were used to test for skeletal maturity and stature differences by young adult BMI status. RESULTS: Differences in height increased during puberty, being significant for girls at ages 10 to 12 years, and for boys at ages 11 to 13 years ( P -values&lt;0.001), with overweight or obese adults being ∼3 cm taller at those ages than normal weight adults. These differences then diminished so that by age 18 years, overweight or obese adults were not significantly different in stature to their normal weight peers. 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Further work is required to assess the predictive value of accelerated pubertal height growth for assessing obesity risk in a variety of populations.</description><subject>Adolescent</subject><subject>Adolescent Development</subject><subject>Adolescents</subject><subject>Adult</subject><subject>Adults</subject><subject>Age</subject><subject>Biological and medical sciences</subject><subject>Body Height</subject><subject>Body mass</subject><subject>Body Mass Index</subject><subject>Body Weight</subject><subject>Bone Development</subject><subject>Child</subject><subject>Child, Preschool</subject><subject>Children</subject><subject>Epidemiology</subject><subject>Female</subject><subject>Growth</subject><subject>Growth and development</subject><subject>Health Promotion and Disease Prevention</subject><subject>Height</subject><subject>Humans</subject><subject>Infant</subject><subject>Infant, Newborn</subject><subject>Internal Medicine</subject><subject>Longitudinal Studies</subject><subject>Male</subject><subject>Maturity</subject><subject>Medical sciences</subject><subject>Medicine</subject><subject>Medicine &amp; 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PATIENTS AND METHODS: Weight, length and height, and relative skeletal age (skeletal—chronological age) were assessed annually from birth to age 18 years in 521 subjects (255 women) in the Fels Longitudinal Study who were overweight or obese (body mass index (BMI) &gt;25 kg m –2 , n =131) or normal weight ( n =390) in young adulthood (18–30 years). Generalized estimating equations were used to test for skeletal maturity and stature differences by young adult BMI status. RESULTS: Differences in height increased during puberty, being significant for girls at ages 10 to 12 years, and for boys at ages 11 to 13 years ( P -values&lt;0.001), with overweight or obese adults being ∼3 cm taller at those ages than normal weight adults. These differences then diminished so that by age 18 years, overweight or obese adults were not significantly different in stature to their normal weight peers. Differences in skeletal maturity were similar, but more pervasive; overweight or obese adults were more skeletally advanced throughout childhood. Skeletal maturity differences peaked at chronological age 12 in boys and 14 in girls ( P -values&lt;0.001), with overweight or obese adults being ∼1 year more advanced than normal weight adults. CONCLUSIONS: This descriptive study is the first to track advanced skeletal maturity and linear growth acceleration throughout infancy, childhood and adolescence in individuals who become overweight, showing that differences occur primarily around the time of the pubertal growth spurt. Increased BMI in children on a path to becoming overweight adults precedes an advancement in skeletal development and subsequently tall stature during puberty. Further work is required to assess the predictive value of accelerated pubertal height growth for assessing obesity risk in a variety of populations.</abstract><cop>London</cop><pub>Nature Publishing Group UK</pub><pmid>22124455</pmid><doi>10.1038/ijo.2011.238</doi><tpages>7</tpages><oa>free_for_read</oa></addata></record>
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subjects Adolescent
Adolescent Development
Adolescents
Adult
Adults
Age
Biological and medical sciences
Body Height
Body mass
Body Mass Index
Body Weight
Bone Development
Child
Child, Preschool
Children
Epidemiology
Female
Growth
Growth and development
Health Promotion and Disease Prevention
Height
Humans
Infant
Infant, Newborn
Internal Medicine
Longitudinal Studies
Male
Maturity
Medical sciences
Medicine
Medicine & Public Health
Metabolic Diseases
Obesity
Obesity in adolescence
Overweight - epidemiology
pediatric-original-article
Physiological aspects
Predictive Value of Tests
Puberty
Public Health
Risk Assessment
Skeletal maturity
United States - epidemiology
Weight
Young Adult
Young adults
Youth
title Patterns of linear growth and skeletal maturation from birth to 18 years of age in overweight young adults
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