Increased body mass index in parent-child dyads predicts the offspring risk of meeting bariatric surgery criteria

3Citations
Citations of this article
82Readers
Mendeley users who have this article in their library.

Abstract

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 inYoungFinns Study. Baseline information includedownandparentalbodymassindex (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.

Cite

CITATION STYLE

APA

Juonala, M., Sabin, M. A., Burgner, D., Cheung, M., Kähönen, M., Hutri-Kähönen, N., … Magnussen, C. G. (2015). 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), 4257–4263. https://doi.org/10.1210/jc.2015-2524

Register to see more suggestions

Mendeley helps you to discover research relevant for your work.

Already have an account?

Save time finding and organizing research with Mendeley

Sign up for free