Juonala, M and Sabin, MA and Burgner, D and Cheung, M and Kahonen, M and Hutri-Kahonen, N and Lehtimaki, T and Jokinen, E and Koskinen, J and Tossavainen, P and Laitinen, T and Viikari, JSA and Raitakari, OT and Magnussen, CG, Increased body mass index in parent-child dyads predicts the offspring risk of meeting bariatric surgery criteria, Journal of Clinical Endocrinology and Metabolism, 100, (11) pp. 4257-4263. ISSN 0021-972X (2015) [Refereed Article]
Copyright © 2015 Endocrine Society
Context: Obesity in children is a major public health concern.
Objective: This study examined the value of using parent-child dyads' adiposity status for predicting the individual's later eligibility for bariatric surgery (EBS).
Design, Setting, and Participants: The cohort consisted of 2647 individuals from the longitudinal Cardiovascular Risk in Young Finns Study. Baseline information included own and parental body mass index (BMI) in 1980 (children aged 3-18 years), whereas adult follow-up assessment examined EBS 21-31 years later.
Main Outcome Measure: EBS in adulthood was defined as: 1) BMI greater than 40 kg/m2 or 2) BMI greater than 35 kg/m2 with at least one of the following metabolic complications: type 2 diabetes, hypertension, or dyslipidemia.
Results: Addition of parents' BMI improved the prediction of adulthood EBS compared to the model including child's BMI, age, and sex (area under the curve values [95% confidence interval] (0.80 [0.74–0.85] vs 0.74 [0.68–0.81], P = .003). Obese children with an obese parent had a 21.2% chance of being EBS in adulthood. Compared to nonobese families, the risk ratio for EBS was 14.2 (95% confidence interval 8.0–25.2, P < .001) in obese children with an obese parent. The absolute risk of EBS was 30.9% if both child and parent were obese on more than one childhood assessment compared to 15.2% if they were obese only once, or 2.1% if they were never obese (P < .05).
Conclusions: These longitudinal data show that a combination of the child's and parents' BMI at baseline assessment is a useful predictive tool for assessing later EBS, and highlights the importance of accounting for parental BMI in the assessment of child obesity.
|Item Type:||Refereed Article|
|Keywords:||body mass index, bariatric surgery, cohort, epidemiology, paediatric|
|Research Division:||Medical and Health Sciences|
|Research Group:||Public Health and Health Services|
|Objective Group:||Clinical Health (Organs, Diseases and Abnormal Conditions)|
|Objective Field:||Cardiovascular System and Diseases|
|Author:||Magnussen, CG (Dr Costan Magnussen)|
|Funding Support:||National Health and Medical Research Council (1037559)|
|Web of Science® Times Cited:||2|
|Deposited By:||Menzies Institute for Medical Research|
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