Cited by 1,037Birth, Development, and HealthObesity, Physical Activity, DietDiabetes, Cardiovascular Risks, and Lipoproteins

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Relation of Serial Changes in Childhood Body-Mass Index to Impaired Glucose Tolerance in Young Adulthood

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Bhargava, Santosh K., Sachdev, Harshpal Singh, Fall, Caroline H.D., Osmond, Clive, Lakshmy, Ramakrishnan, Barker, David J.P., Biswas, Sushant K. Dey, Ramji, Siddharth, Prabhakaran, Dorairaj, Reddy, Kolli Srinath·2004·New England Journal of Medicine

DOI 10.1056/nejmoa035698PMC PMC3408694

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Abstract

BACKGROUND: The risk of type 2 diabetes mellitus is increased in people who have low birth weights and who subsequently become obese as adults. Whether their obesity originates in childhood and, if so, at what age are unknown. Understanding the origin of obesity may be especially important in developing countries, where type 2 diabetes is rapidly increasing yet public health messages still focus on reducing childhood "undernutrition." METHODS: We evaluated glucose tolerance and plasma insulin concentrations in 1492 men and women 26 to 32 years of age who had been measured at birth and at intervals of three to six months throughout infancy, childhood, and adolescence in a prospective, population-based study. RESULTS: The prevalence of impaired glucose tolerance was 10.8 percent, and that of diabetes was 4.4 percent. Subjects with impaired glucose tolerance or diabetes typically had a low body-mass index up to the age of two years, followed by an early adiposity rebound (the age after infancy when body mass starts to rise) and an accelerated increase in body-mass index until adulthood. However, despite an increase in body-mass index between the ages of 2 and 12 years, none of these subjects were obese at the age of 12 years. The odds ratio for disease associated with an increase in the body-mass index of 1 SD from 2 to 12 years of age was 1.36 (95 percent confidence interval, 1.18 to 1.57; P<0.001). CONCLUSIONS: There is an association between thinness in infancy and the presence of impaired glucose tolerance or diabetes in young adulthood. Crossing into higher categories of body-mass index after the age of two years is also associated with these disorders.

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Authors: Bhargava, S. K., Sachdev, H. S., Fall, C. H. D., Osmond, C., Lakshmy, R., Barker, D. J. P., Biswas, S. K. D., Ramji, S., Prabhakaran, D., & Reddy, K. S.
Affiliations: Sunder Lal Jain Hospital (IN)
Maulana Azad Medical College (IN)
Southampton General Hospital (GB)
Indian Council of Medical Research (IN)
All India Institute of Medical Sciences (IN)
ORCID: Sachdev, Harshpal Singh
Fall, Caroline H.D.
Osmond, Clive
Prabhakaran, Dorairaj
Venue: New England Journal of Medicine
Publisher: Massachusetts Medical Society
Published: 2004-02-26
Volume: 350
Issue: 9
Pages: 865-875
ISSN: 0028-4793 (ISSN-L)
1533-4406
DOI: 10.1056/nejmoa035698
PMC: PMC3408694
OpenAlex: W1974959407
Cited by: 1,037
References: 18
Citations by year: 2026: 14 · 2025: 20 · 2024: 24 · 2023: 26 · 2022: 28 · 2021: 45 · 2020: 29 · 2019: 37 · 2018: 38 · 2017: 31 · 2016: 44 · 2015: 41 · 2014: 58 · 2013: 57 · 2012: 68
FWCI: 65.40
Type: journal article
Language: en
Open access: bronze
doi.org
Locations: New England Journal of Medicine (publishedVersion)
PubMed (publishedVersion)
ePrints Soton (University of Southampton) (acceptedVersion)
PubMed Central (acceptedVersion)
Funders: British Heart Foundation (PG/05/046/18730)
Topics: Health Sciences › Medicine › Pediatrics, Perinatology and Child Health › Birth, Development, and Health
Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Obesity, Physical Activity, Diet
Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Diabetes, Cardiovascular Risks, and Lipoproteins
Keywords: childhood body mass index, impaired glucose tolerance, type 2 diabetes, low birth weight, adiposity rebound, childhood obesity, plasma insulin, young adults, developmental origins of health and disease
MeSH terms: Adult, Birth Weight, Child, Child, Preschool, Diabetes Mellitus, Type 2, Female, Growth, Humans, India, Infant, Newborn, Insulin, Male, Obesity, Thinness, Cohort Studies, Body Mass Index, Prevalence, Odds Ratio, Glucose Intolerance

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Relation of Serial Changes in Childhood Body-Mass Index to Impaired Glucose Tolerance in Young Adulthood

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