Critical window for obesity prevention

Early childhood is critical for the development of sustained obesity.

It encompasses the ‘adiposity rebound,’ when body mass index (BMI) starts to increase again after having reached a nadir after infancy. The risk for overweight or obesity during adolescence is higher for children with high acceleration in yearly BMI increments during early childhood but not during the school years. Half of those who were overweight at age 2 years or younger returns to a normal weight during adolescence, but for those who were obese at 3 years of age, 90% are likely to be overweight or obese during adolescence. The finding that the risk of adolescent obesity manifests by 3 to 5 years of age suggests that nutritional counseling should be considered when exaggerated weight gain persists or emerges after 2 years of age.

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