Early Life Risk Factors For Obesity In Childhood Cohort Study Kevin 
Cite this article as: BMJ, doi:10.1136/bmj.38470.670903.E0 (published 20 May 2005)
Papers
Early life risk factors for obesity in childhood: cohort study
John J Reilly, Julie Armstrong, Ahmad R Dorosty, Pauline M Emmett, A Ness, I Rogers, Colin Steer, Andrea Sherriff for the Avon Longitudinal Study of Parents and Children Study Team
Abstract
Methods
Objective To identify risk factors in early life (up to 3 years of age) for obesity in children in the United Kingdom.
Design Prospective cohort study.
Setting Avon longitudinal study of parents and children, United
Kingdom.
Participants 8234 children in cohort aged 7 years and a subsample of 909 children (children in focus) with data on additional early growth related risk factors for obesity.
Main outcome measures Obesity at age 7 years, defined as a body mass index ≥ 95th centile relative to reference data for the
UK population in 1990.
Results Eight of 25 putative risk factors were associated with a risk of obesity in the final models: parental obesity (both parents: adjusted odds ratio, 10.44, 95% confidence interval
5.11 to 21.32), very early (by 43 months) body mass index or adiposity rebound (15.00, 5.32 to 42.30), more than eight hours spent watching television per week at age 3 years (1.55, 1.13 to
2.12), catch-up growth (2.60, 1.09 to 6.16), standard deviation score for weight at age 8 months (3.13, 1.43 to 6.85) and 18 months (2.65, 1.25 to 5.59); weight gain in first year (1.06, 1.02 to 1.10 per 100 g increase); birth weight, per 100 g (1.05, 1.03 to
1.07); and short ( < 10.5 hours) sleep duration at age 3 years
(1.45, 1.10 to 1.89).
Conclusion Eight factors in early life are associated with an increased risk of obesity in childhood.
The Avon longitudinal study of parents and children is a longitudinal birth cohort study of the determinants of development, health, and disease during childhood and beyond. This study is described in detail elsewhere.6 Briefly, 14 541 pregnant women with an expected date
Papers
Early life risk factors for obesity in childhood: cohort study
John J Reilly, Julie Armstrong, Ahmad R Dorosty, Pauline M Emmett, A Ness, I Rogers, Colin Steer, Andrea Sherriff for the Avon Longitudinal Study of Parents and Children Study Team
Abstract
Methods
Objective To identify risk factors in early life (up to 3 years of age) for obesity in children in the United Kingdom.
Design Prospective cohort study.
Setting Avon longitudinal study of parents and children, United
Kingdom.
Participants 8234 children in cohort aged 7 years and a subsample of 909 children (children in focus) with data on additional early growth related risk factors for obesity.
Main outcome measures Obesity at age 7 years, defined as a body mass index ≥ 95th centile relative to reference data for the
UK population in 1990.
Results Eight of 25 putative risk factors were associated with a risk of obesity in the final models: parental obesity (both parents: adjusted odds ratio, 10.44, 95% confidence interval
5.11 to 21.32), very early (by 43 months) body mass index or adiposity rebound (15.00, 5.32 to 42.30), more than eight hours spent watching television per week at age 3 years (1.55, 1.13 to
2.12), catch-up growth (2.60, 1.09 to 6.16), standard deviation score for weight at age 8 months (3.13, 1.43 to 6.85) and 18 months (2.65, 1.25 to 5.59); weight gain in first year (1.06, 1.02 to 1.10 per 100 g increase); birth weight, per 100 g (1.05, 1.03 to
1.07); and short ( < 10.5 hours) sleep duration at age 3 years
(1.45, 1.10 to 1.89).
Conclusion Eight factors in early life are associated with an increased risk of obesity in childhood.
The Avon longitudinal study of parents and children is a longitudinal birth cohort study of the determinants of development, health, and disease during childhood and beyond. This study is described in detail elsewhere.6 Briefly, 14 541 pregnant women with an expected date