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Society Class, Teenage
Size Tied to Adult Obesity


NEW YORK (Reuters Health) - Some children born to overweight mothers and into less well-off families may be destined for a life of obesity, researchers suggest.

By the age of 1 year, children born to families in higher social classes were already leaner than their peers born into families that were less well off, and remained thinner into their 30s. Similarly, the children of mothers in all social classes with a higher pre-pregnancy body mass index (BMI) remained heavier than children born to thinner moms.

A BMI of at least 25 is considered overweight and 30 and above is obese. BMI is the ratio of weight in kilograms divided by the height in meters squared.

``During childhood and adolescence, the manner of living and concerns of suitable body image are learned in a societal context,'' according to Dr. Jaana Laitinen from the Oulu Regional Institute of Occupational Health in Finland and colleagues. For example, healthy lifestyle habits are more common and societal pressure for thinness more intense in higher social classes, they explain.

Early menarche, or age at first period, and BMI at age 14 were also linked to overweight and obesity in adulthood. Nearly 90% of men who were obese at age 14 were either overweight or obese at age 31, the authors report in the September issue of the American Journal of Clinical Nutrition.

The findings highlight the effect that early childhood can have on a person's weight for years to come, and underscore the need for certain groups of people to take steps to improve their health, the researchers note. Obesity, which is increasing worldwide, is a major risk factor for heart disease, type 2 diabetes and a host of other chronic diseases.

``Differences in BMI and in the prevalence of obesity in adulthood between social classes appear to be formed at least partly during early childhood,'' Laitinen and co-authors conclude. ``Persons with (certain background factors) form specific high-risk groups for obesity prevention.''

The study of nearly 3,000 men and more than 3,400 women born in 1966 found that 40% of the men and 20% of the women were overweight by the age of 31 and 8% of men and 9% of women were obese.

SOURCE: American Journal of Clinical Nutrition 2001;74:287-294.

Reference Source 89

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