From the fattest to the tallest?
The association patterns between childhood obesity and body height during adolescence
Background: Growth and finally body height are influenced by various intrinsic and extrinsic factors. During the last decades the well documented secular trend of increase in body height slowed down. Overweight and obesity rates increased worldwide from childhood onwards. An association between rising obesity rates and the slowdown of the secular trend in body height might be assumed.
Aims: This study focuses on patterns of associations between childhood weight status, socioenvironmental factors, and adolescent body height. It is hypothesized that higher weight during childhood enhances developmental tempo and linear growth, and results in higher body height during adolescence.
Sample and methods: In a longitudinal study, the body height, body weight, and Body mass index (BMI) of 1506 randomly selected Viennese children were documented at the age of six, ten, and fifteen years. Weight status according to sex and age and age-specific BMI percentiles were determined. The association between weight status and body height was analyzed. A history of migration and the socioenvironmental background, based on specific characteristics of the residential area, have been included in the analysis.
Results: A marked positive association between weight status during childhood, male sex, socioenvironmental factor, the background of migration, and body height at the age of six and ten years could be documented. At the age of fifteen years, however, only male sex and BMI at age ten years were significantly positively associated with height.
Conclusion: High weight or obesity during childhood enhances growth during childhood, but no significant associations between weight status and height were observable during adolescence.
Alter, G./Neven, M./Oris, M. (2004). Stature in transition. Social Science History 28 (2), 231–247. https://doi.org/10.1017/S0145553200013146.
Benyi, E./Sävendahl, L. (2017). The Physiology of Childhood Growth: Hormonal Regulation. Hormone Research in Paediatrics 88 (1), 6–14. https://doi.org/10.1159/000471876.
Bogin, B. (2021a). Patterns of human growth. Cambridge, Cambridge University Press.
Bogin, B. (2021b). Social-Economic-Political-Emotional (SEPE) factors regulate human growth. Human Biology and Public Health 1. https://doi.org/10.52905/hbph.v1.10.
Bosy-Westphal, A./Plachta-Danielzik, S./Dörhöfer, R./Müller, M. (2009). Short stature and obesity: positive association in adults but inverse association in children and adolescents. The British Journal of Nutrition 102 (3), 453–461. https://doi.org/10.1017/S0007114508190304.
Bouhours-Nouet, N./Gatelais, F./Boux de Casson, F./Rouleau, S./Coutant, R. (2007). The insulin-like growth factor-I response to growth hormone is increased in prepubertal children with obesity and tall stature. The Journal of Clinical Endocrinology and Metabolism 92 (2), 629–635. https://doi.org/10.1210/jc.2005-2631.
Bruch, H. (1939). Obesity in Childhood. American Journal of Diseases of Children 58 (3). https://doi.org/10.1001/archpedi.1939.01990090013001.
Buchan, I. E./Bundred, P. E./Kitchiner, D. J./Cole, T. J. (2007). Body mass index has risen more steeply in tall than in short 3-year olds: serial cross-sectional surveys 1988-2003. International Journal of Obesity 31 (1), 23–29. https://doi.org/10.1038/sj.ijo.0803435.
Chung, S. (2017). Growth and Puberty in Obese Children and Implications of Body Composition. Journal of Obesity & Metabolic Syndrome 26 (4), 243–250. https://doi.org/10.7570/jomes.2017.26.4.243.
Cole, T. J. (2003). The secular trend in human physical growth: a biological view. Economics & Human Biology 1 (2), 161–168. https://doi.org/10.1016/S1570-677X(02)00033-3.
Cole, T. J./Bellizzi, M. C./Flegal, K. M./Dietz, W. H. (2000). Establishing a standard definition for child overweight and obesity worldwide: international survey. British Medical Journal 320 (7244), 1240–1243. https://doi.org/10.1136/bmj.320.7244.1240.
Dehghan, M./Akhtar-Danesh, N./Merchant, A. T. (2005). Childhood obesity, prevalence and prevention. Nutrition Journal 4, 24. https://doi.org/10.1186/1475-2891-4-24.
Eiholzer, U./Fritz, C./Stephan, A. (2021). The increase in child obesity in Switzerland is mainly due to migration from Southern Europe - a cross-sectional study. BMC Public Health 21 (1), 243. https://doi.org/10.1186/s12889-021-10213-0.
Eveleth, P. B./Tanner, J. M. (1990). Worldwide variation in human growth. 2nd ed. Cambridge, Cambridge University Press.
Freedman, D. S./Kettel Khan, L./Mei, Z./Dietz, W. H./Srinivasan, S. R./Berenson, G. S. (2002). Relation of childhood height to obesity among adults: the Bogalusa Heart Study. Pediatrics 109 (2), E23. https://doi.org/10.1542/peds.109.2.e23.
Freedman, D. S./Khan, L. K./Serdula, M. K./Srinivasan, S. R./Berenson, G. S. (2000). Secular trends in height among children during 2 decades: The Bogalusa Heart Study. Archives of Pediatrics & Adolescent Medicine 154 (2), 155–161. https://doi.org/10.1001/archpedi.154.2.155.
Geiss, H. C./Parhofer, K. G./Schwandt, P. (2001). Parameters of childhood obesity and their relationship to cardiovascular risk factors in healthy prepubescent children. International Journal of Obesity and Related Metabolic Disorders 25 (6), 830–837. https://doi.org/10.1038/sj.ijo.0801594.
Gleiss, A./Lassi, M./Blümel, P./Borkenstein, M./Kapelari, K./Mayer, M./Schemper, M./Häusler, G. (2013). Austrian height and body proportion references for children aged 4 to under 19 years. Annals of Human Biology 40 (4), 324–332. https://doi.org/10.3109/03014460.2013.776110.
Grumbach, M. M. (2000). Estrogen, bone, growth and sex: a sea change in conventional wisdom. Journal of Pediatric Endocrinology & Metabolism 13 Suppl 6, 1439–1455. https://doi.org/10.1515/jpem-2000-s619.
Hauspie, R. C./Vercauteren, M./Susanne, C. (1996). Secular changes in growth. Hormone Research 45 Suppl 2, 8–17. https://doi.org/10.1159/000184841.
Hauspie, R. C./Vercauteren, M./Susanne, C. (1997). Secular changes in growth and maturation: an update. Acta Paediatrica 423, 20–27. https://doi.org/10.1111/j.1651-2227.1997.tb18364.x.
He, Q./Karlberg, J. (2001). BMI in childhood and its association with height gain, timing of puberty, and final height. Pediatric Research 49 (2), 244–251. https://doi.org/10.1203/00006450-200102000-00019.
Hermanussen, M. (2010). Auxology: an update. Hormone Research in Paediatrics 74 (3), 153–164. https://doi.org/10.1159/000317440.
Hermanussen, M. (2011). Tempo and amplitude in growth. Georgian Medical News (196-197), 83–88.
Hermanussen, M./Bogin, B./Scheffler, C. (2018). Stunting, starvation and refeeding: a review of forgotten 19th and early 20th century literature. Acta Paediatrica 107 (7), 1166–1176. https://doi.org/10.1111/apa.14311.
Hermanussen, M./Scheffler, C. (2022). Nutrition, size, and tempo. Human Biology and Public Health (3). https://doi.org/10.52905/hbph2022.3.37.
Hermanussen, M./Sunder, M./Voigt, M./Tresguerres, J. A. F. (2005). Morbid obesity is associated with short stature. Journal of Pediatric Endocrinology & Metabolism 18 (7), 647–650. https://doi.org/10.1515/JPEM.2005.18.7.647.
Holmgren, A./Niklasson, A./Nierop, A. F. M./Gelander, L./Aronson, A. S./Sjöberg, A./Lissner, L./Albertsson-Wikland, K. (2017). Pubertal height gain is inversely related to peak BMI in childhood. Pediatric Research 81 (3), 448–454. https://doi.org/10.1038/pr.2016.253.
Johnson, W./Stovitz, S. D./Choh, A. C./Czerwinski, S. A./Towne, B./Demerath, E. W. (2012). Patterns of linear growth and skeletal maturation from birth to 18 years of age in overweight young adults. International Journal of Obesity 36 (4), 535–541. https://doi.org/10.1038/ijo.2011.238.
Kain, J./Uauy, R./Lera, L./Taibo, M./Albala, C. (2005). Trends in height and BMI of 6-year-old children during the nutrition transition in Chile. Obesity Research 13 (12), 2178–2186. https://doi.org/10.1038/oby.2005.270.
Kimm, S. Y. S./Obarzanek, E. (2002). Childhood obesity: a new pandemic of the new millennium. Pediatrics 110 (5), 1003–1007. https://doi.org/10.1542/peds.110.5.1003.
Kirchengast, S./Hagmann, D. (2021). "Obesity in the City" – urbanization, health risks and rising obesity rates from the viewpoint of human biology and public health. Human Biology and Public Health 2. https://doi.org/10.52905/hbph.v2.11.
Kirchengast, S./Hagmann, D. (2022). Spatial differences in childhood and adolescent obesity according to sex and migrant status in Vienna, Austria. Human Biology and Public Health 1. https://doi.org/10.52905/hbph2022.1.31.
Kirchengast, S./Schober, E. (2006a). Migration as a risk factor of overweight and adipositas in children and adolescents. Anthropologischer Anzeiger 64 (4), 411–421. https://doi.org/10.1127/anthranz/64/2006/411.
Kirchengast, S./Schober, E. (2006b). To be an immigrant: a risk factor for developing overweight and obesity during childhood and adolescence? Journal of Biosocial Science 38 (5), 695–705. https://doi.org/10.1017/S0021932005027094.
Kirchengast, S./Schober, E. (2008). Obesity among male adolescent migrants in Vienna, Austria. Economics & Human Biology 6 (2), 204–211. https://doi.org/10.1016/j.ehb.2007.11.001.
Kirchengast, S./Schober, E. (2009). Growth charts in the globalizing world: a new challenge for anthropologists and paediatricians? Acta medica Lituanica 16 (3), 76–82. https://doi.org/10.2478/v10140-009-0011-y.
Komlos, J. (1993). The secular trend in the biological standard of living in the United Kingdom, 1730-1860. The Economic History Review 46 (1), 115–144. https://doi.org/10.1111/j.1468-0289.1993.tb01325.x.
Komlos, J./Baur, M. (2004). From the tallest to (one of) the fattest: the enigmatic fate of the American population in the 20th century. Economics & Human Biology 2 (1), 57–74. https://doi.org/10.1016/j.ehb.2003.12.006.
Kosti, R. I./Panagiotakos, D. B. (2006). The epidemic of obesity in children and adolescents in the world. Central European Journal of Public Health 14 (4), 151–159. https://doi.org/10.21101/cejph.a3398.
Kratzsch, J./Dehmel, B./Pulzer, F./Keller, E./Englaro, P./Blum, W. F./Wabitsch, M. (1997). Increased serum GHBP levels in obese pubertal children and adolescents: relationship to body composition, leptin and indicators of metabolic disturbances. International Journal of Obesity and Related Metabolic Disorders 21 (12), 1130–1136. https://doi.org/10.1038/sj.ijo.0800526.
Kreitschmann-Andermahr, I./Suarez, P./Jennings, R./Evers, N./Brabant, G. (2010). GH/IGF-I regulation in obesity--mechanisms and practical consequences in children and adults. Hormone Research in Paediatrics 73 (3), 153–160. https://doi.org/10.1159/000284355.
Kromeyer-Hauschild, K./Wabitsch, M./Kunze, D./Geller, F./Geiß, H. C./Hesse, V./Hippel, A. von/Jaeger, U./Johnsen, D./Korte, W./Menner, K./Müller, G./Müller, J. M./Niemann-Pilatus, A./Remer, T./Schaefer, F./Wittchen, H.-U./Zabransky, S./Zellner, K./Ziegler, A./Hebebrand, J. (2001). Perzentile für den Body-Mass-Index für das Kindes- und Jugendalter unter Heranziehung verschiedener deutscher Stichproben. Monatsschrift Kinderheilkunde 149 (8), 807–818. https://doi.org/10.1007/s001120170107.
Kumanyika, S. K. (2008). Environmental influences on childhood obesity: ethnic and cultural influences in context. Physiology & Behavior 94 (1), 61–70. https://doi.org/10.1016/j.physbeh.2007.11.019.
Lasserre, A. M./Chiolero, A./Paccaud, F./Bovert, P. (2007). Worldwide trends in childhood obesity. Swiss Medical Weekly, 157–158. https://doi.org/10.4414/smw.2007.11707.
Latner, J. D./Stunkard, A. J. (2003). Getting worse: the stigmatization of obese children. Obesity Research 11 (3), 452–456. https://doi.org/10.1038/oby.2003.61.
Li, W./Liu, Q./Deng, X./Chen, Y./Liu, S./Story, M. (2017). Association between Obesity and Puberty Timing: A Systematic Review and Meta-Analysis. International Journal of Environmental Research and Public Health 14 (10). https://doi.org/10.3390/ijerph14101266.
Lifshitz, F. (2009). Nutrition and growth. Journal of Clinical Research in Pediatric Endocrinology 1 (4), 157–163. https://doi.org/10.4274/jcrpe.v1i4.39.
Lob-Corzilius, T. (2007). Overweight and obesity in childhood--a special challenge for public health. International Journal of Hygiene and Environmental Health 210 (5), 585–589. https://doi.org/10.1016/j.ijheh.2007.07.019.
Malina, R. M. (1990). Research on secular trends in auxology. Anthropologischer Anzeiger 48 (3), 209–227. https://doi.org/10.1127/anthranz/48/1990/209.
Malina, R. M. (2004). Secular trends in growth, maturation and physical performance: a review. Anthropological Review 67, 3–31.
Mayer, M./Gleiss, A./Häusler, G./Borkenstein, M./Kapelari, K./Köstl, G./Lassi, M./Schemper, M./Schmitt, K./Blümel, P. (2015). Weight and body mass index (BMI): current data for Austrian boys and girls aged 4 to under 19 years. Annals of Human Biology 42 (1), 45–55. https://doi.org/10.3109/03014460.2014.907444.
McGee, D. L. (2005). Body mass index and mortality: a meta-analysis based on person-level data from twenty-six observational studies. Annals of Epidemiology 15 (2), 87–97. https://doi.org/10.1016/j.annepidem.2004.05.012.
Molinari, L./Hermanussen, M. (2005). The effect of variability in maturational tempo and midparent height on variability in linear body measurements. Annals of Human Biology 32 (5), 679–682. https://doi.org/10.1080/03014460500204460.
Moreira, S./Gonçalves, L. (2020). Overweight and Obesity in Children of Immigrant Versus Native Parents: Exploring a Local Setting in Portugal. International Journal of Environmental Research and Public Health 17 (21). https://doi.org/10.3390/ijerph17217897.
Mumm, R./Scheffler, C./Hermanussen, M. (2014). Developing differential height, weight and body mass index references for girls that reflect the impact of the menarche. Acta Paediatrica 103 (7), e312-6. https://doi.org/10.1111/apa.12625.
Navti, L. K./Ferrari, U./Tange, E./Parhofer, K. G./Bechtold-Dalla Pozza, S. (2015). Height-obesity relationship in school children in Sub-Saharan Africa: results of a cross-sectional study in Cameroon. BMC Research Notes 8, 98. https://doi.org/10.1186/s13104-015-1073-4.
Nelson, L. R./Bulun, S. E. (2001). Estrogen production and action. Journal of the American Academy of Dermatology 45 (3 Suppl), S116-24. https://doi.org/10.1067/mjd.2001.117432.
Padez, C. (2007). Secular Trend in Portugal. Journal of Human Ecology 22 (1), 15–22. https://doi.org/10.1080/09709274.2007.11905993.
Papadimitriou, A./Gousi, T./Giannouli, O./Nicolaidou, P. (2006). The growth of children in relation to the timing of obesity development. Obesity 14 (12), 2173–2176. https://doi.org/10.1038/oby.2006.254.
Riedl, S./Riedl-Schlauss, V./Häusler, G./Gleiss, A. (2019). Body mass index and height in 11- to 16-year-old Austrian students attending two different school types with divergent socioeconomic backgrounds. Wiener Klinische Wochenschrift 131 (13-14), 337–346. https://doi.org/10.1007/s00508-019-1479-4.
Roberts, D. F. (1994). Secular trends in growth and maturation in British girls. American Journal of Human Biology 6 (1), 13–18. https://doi.org/10.1002/ajhb.1310060104.
Rogers, R./Eagle, T. F./Sheetz, A./Woodward, A./Leibowitz, R./Song, M./Sylvester, R./Corriveau, N./Kline-Rogers, E./Jiang, Q./Jackson, E. A./Eagle, K. A. (2015). The Relationship between Childhood Obesity, Low Socioeconomic Status, and Race/Ethnicity: Lessons from Massachusetts. Childhood Obesity 11 (6), 691–695. https://doi.org/10.1089/chi.2015.0029.
Ruedl, G./Ewald, P./Niedermeier, M./Kirschner, W./Kopp, M./Drenowatz, C./Greier, K. (2019). Long-term effect of migration background on the development of physical fitness among primary school children. Scandinavian Journal of Medicine & Science in Sports 29 (1), 124–131. https://doi.org/10.1111/sms.13316.
Scheffler, C./Hermanussen, M. (2022). Stunting is the natural condition of human height. American Journal of Human Biology 34 (5), e23693. https://doi.org/10.1002/ajhb.23693.
Scheffler, C./Hermanussen, M./Bogin, B./Liana, D. S./Taolin, F./Cempaka, P. M. V. P./Irawan, M./Ibbibah, L. F./Mappapa, N. K./Payong, M. K. E./Homalessy, A. V./Takalapeta, A./Apriyanti, S./Manoeroe, M. G./Dupe, F. R./Ratri, R. R. K./Touw, S. Y./K, P. V./Murtani, B. J./Nunuhitu, R./Puspitasari, R./Riandra, I. K./Liwan, A. S./Amandari, P./Permatasari, A. A. I./Julia, M./Batubara, J./Pulungan, A. (2020). Stunting is not a synonym of malnutrition. European Journal of Clinical Nutrition 74 (3), 377–386. https://doi.org/10.1038/s41430-019-0439-4.
Shalitin, S./Gat-Yablonski, G. (2022). Associations of Obesity with Linear Growth and Puberty. Hormone Research in Paediatrics 95 (2), 120–136. https://doi.org/10.1159/000516171.
Spinosa, J./Christiansen, P./Dickson, J. M./Lorenzetti, V./Hardman, C. A. (2019). From Socioeconomic Disadvantage to Obesity: The Mediating Role of Psychological Distress and Emotional Eating. Obesity 27 (4), 559–564. https://doi.org/10.1002/oby.22402.
Stadt Wien (2020). Wirtschaft, Arbeit und Statistik 2020. Statistik Wien. Available online at https://www.wien.gv.at/statistik/ (accessed 6/15/2022).
Steckel, R. H. (1995). Stature and the Standard of Living. Journal of Economic Literature 33 (4), 1903–1940.
Stovitz, S. D./Demerath, E. W./Hannan, P. J./Lytle, L. A./Himes, J. H. (2011). Growing into obesity: patterns of height growth in those who become normal weight, overweight, or obese as young adults. American Journal of Human Biology 23 (5), 635–641. https://doi.org/10.1002/ajhb.21191.
Stovitz, S. D./Hannan, P. J./Lytle, L. A./Demerath, E. W./Pereira, M. A./Himes, J. H. (2010). Child height and the risk of young-adult obesity. American Journal of Preventive Medicine 38 (1), 74–77. https://doi.org/10.1016/j.amepre.2009.09.033.
van Dommelen, P./Kroon, M. L. A. de/Cameron, N./Schönbeck, Y./van Buuren, S. (2014). The impact of height during childhood on the national prevalence rates of overweight. PLOS ONE 9 (1), e85769. https://doi.org/10.1371/journal.pone.0085769.
van Wieringen, J. C. (1986). Secular growth changes. In: F. Falkner/J. M. Tanner (Eds.). Human growth. A comprehensive treatise. 2nd ed. New York, Plenum Press, 307–331.
Vilar-Compte, M./Bustamante, A. V./López-Olmedo, N./Gaitán-Rossi, P./Torres, J./Peterson, K. E./Teruel, G./Pérez-Escamilla, R. (2021). Migration as a determinant of childhood obesity in the United States and Latin America. Obesity Reviews 22 Suppl 3, e13240. https://doi.org/10.1111/obr.13240.
WHO (2021). Overweight and Obesity. Available online at https://www.who.int/news-room/fact-sheets/detail/obesity-and-overweight (accessed 4/2/2022).
Zwiauer, K./Wabitsch, M. (1997). Relativer Body-mass-Index (BMI) zur Beurteilung von bergewicht und Adipositas im Kindes- und Jugendalter. Monatsschrift Kinderheilkunde 145 (12), 1312–1318. https://doi.org/10.1007/s001120050233.
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