Author contributions: R.S., J.M, R.G, and W.C designed research; R.S., J.M., and W.C. conducted research; R.S. and W.C. analyzed data; all authors participated in writing the manuscript; and, W.C. had primary responsibility for final content. All authors read and approved the final manuscript.
Early anthropometric indices predict short stature and overweight status in a cohort of peruvians in early adolescence†
Version of Record online: 3 MAY 2012
Copyright © 2012 Wiley Periodicals, Inc.
American Journal of Physical Anthropology
Volume 148, Issue 3, pages 451–461, July 2012
How to Cite
Sterling, R., Miranda, J. J., Gilman, R. H., Cabrera, L., Sterling, C. R., Bern, C. and Checkley, W. (2012), Early anthropometric indices predict short stature and overweight status in a cohort of peruvians in early adolescence. Am. J. Phys. Anthropol., 148: 451–461. doi: 10.1002/ajpa.22073
- Issue online: 18 JUN 2012
- Version of Record online: 3 MAY 2012
- Manuscript Accepted: 9 MAR 2012
- Manuscript Received: 22 JUN 2011
- National Institutes of Allergy and Infectious Diseases. Grant Number: U01-A135894
- National Heart, Lung and Blood Institute, National Institutes of Health. Grant Numbers: HHSN268200900033C, K99HL096955
- National Institutes of Health. Grant Number: T35AI065385
- Johns Hopkins University
- development origins
While childhood malnutrition is associated with increased morbidity and mortality, less well understood is how early childhood growth influences height and body composition later in life. We revisited 152 Peruvian children who participated in a birth cohort study between 1995 and 1998, and obtained anthropometric and bioimpedance measurements 11–14 years later. We used multivariable regression models to study the effects of childhood anthropometric indices on height and body composition in early adolescence. Each standard deviation decrease in length-for-age at birth was associated with a decrease in adolescent height-for-age of 0.7 SD in both boys and girls (all P < 0.001) and 9.7 greater odds of stunting (95% CI 3.3–28.6). Each SD decrease in length-for-age in the first 30 months of life was associated with a decrease in adolescent height-for-age of 0.4 in boys and 0.6 standard deviation in girls (all P < 0.001) and with 5.8 greater odds of stunting (95% CI 2.6–13.5). The effect of weight gain during early childhood on weight in early adolescence was more complex to understand. Weight-for-length at birth and rate of change in weight-for-length in early childhood were positively associated with age- and sex-adjusted body mass index and a greater risk of being overweight in early adolescence. Linear growth retardation in early childhood is a strong determinant of adolescent stature, indicating that, in developing countries, growth failure in height during early childhood persists through early adolescence. Interventions addressing linear growth retardation in childhood are likely to improve adolescent stature and related-health outcomes in adulthood. Am J Phys Anthropol 148:451–461, 2012. © 2012 Wiley Periodicals, Inc.