Fels Longitudinal Study Research Articles

Genetic correlations between liver fat content, metabolic health, and adiposity distribution in the Fels Longitudinal Study

Background and aimsHepatic steatosis is known to be heritable, but its genetic basis is mostly uncharacterized. Steatosis is associated with metabolic and adiposity features; recent studies hypothesize that shared genetic effects between these traits could account for some of the unexplained heritability. This study aimed to quantify these genetic associations in a family-based sample of non-Hispanic white adults. Methods and results704 participants (18–95 years, 55.8% female) from the Fels Longitudinal Study with an MRI assessment of liver fat were included. Quantitative genetic analyses estimated the age- and sex-adjusted heritability of individual traits and the genetic correlations within trait pairs. Mean liver fat was 5.95% (SE = 0.23) and steatosis (liver fat >5.56%) was present in 29.8% of participants. Heritability (h2± SE) of steatosis was 0.72 ± 0.17 (p = 6.80e−6). All other traits including liver enzymes, fasting glucose, HOMA-IR, visceral and subcutaneous adipose tissue (VAT, SAT), body mass index, body fat percent, waist circumference, lipids and blood pressure were also heritable. Significant genetic correlations were found between liver fat and all traits except aspartate aminotransferase (AST), and among most trait pairs. Highest genetic correlations were between liver fat and HOMA-IR (0.85 ± 0.08, p = 1.73e−8), fasting glucose and ALT (0.89 ± 0.26, p = 6.68e−5), and HOMA-IR with: waist circumference (0.81 ± 0.12, p = 3.76e−6), body fat percent (0.78 ± 0.12 p = 2.42e−5) and VAT (0.73 ± 0.07, p = 6.37e−8). ConclusionsCommon genes may exist between liver fat accumulation, metabolic features and adiposity phenotypes.

Perceived quality of sleep across the menopausal transition: A retrospective cohort study.

To compare sleep quality among naturally and surgically post-menopausal women, and to identify lifestyle factors that predict sleep quality in pre, peri, and postmenopausal women. This is a retrospective cohort study of data collected from 429 women who participated in Fels Longitudinal Study data. Sleep quality, based on the Pittsburgh Sleep Quality Index and the Epworth Sleepiness Scale, demographics, medical history, depression, quality of life, and physical activity levels were included in the analysis. The four study groups did not differ on overall sleep quality with either scale (p = 0.61). Both Post-M groups were more likely to have a major sleep problem than the Peri-M and Pre-M groups (p < 0.001), and to have a history of restless leg syndrome (p = 0.016), but the two Post-M groups did not differ on these problems. Predictors of sleep quality included depression, bodily pain, vitality, and surgical menopause (p<0.001). Menopause is associated with sleep disrupting conditions. This study did not find any significant differences in sleep quality among the three reproductive stages or for natural versus surgical menopause. Women may benefit from addressing other lifestyle factors associated with poor sleep quality including mental health factors.

Gender-specific anterior cruciate ligament – gait forces

The purpose of this study was to investigate gender-based differences in gait biomechanics and to evaluate those effects on forces generated on the ACL during walking. Estimation of gender-specific ACL forces in the frontal plane can provide a better understanding of the biomechanical patterns underlying higher female injury risk. The present study used a sample from the Fels Longitudinal Study to test the hypothesis that there are significant gender-differences in frontal plane ACL loading during walking. A cross-sectional sample of 178 participants, including 79 males and 99 females was used to evaluate differences in gait kinetics. Females walked at higher cadence with narrower steps (P &lt; 0.05). No difference was observed in the peak flexion force and knee rotation moment between males and females (P = 0.51 and 0.07), respectively. Peak abduction moment was significantly lower among females than in males (P = 0.05). A regression equation was developed which considers a person’s weight and height in addition to forces which could give better estimate of the forces acting on the ligament. The peak force acting on the ACL during walking reaches as high as 0.44 of BW, regardless of gender.

Childhood waist growth curves and adult diabetes.

Our primary objectives are to empirically identify distinct childhood groups based on trajectories of waist circumference (WC) and waist circumference index measurements, and then to estimate associations between these groups and adult diabetes incidence, as well as other outcomes, including blood pressure, body size, body composition, and hemoglobin levels. Childhood WC and height measurements as well as various adult measurements are taken from participants in the Fels Longitudinal Study. Childhood groups are identified using group-based trajectory modeling. Associations between the resulting group probabilities and adult outcomes are examined using mixed models. Our results show that distinct childhood groups are identifiable for both waist size measurements, with growth curves exhibited by these groups becoming distinguishably separate at around 4 years of age. Higher probabilities for groups exhibiting the larger waist size for either measurement were estimated to have higher risks of developing diabetes in adulthood. Associations were also observed between group probabilities and systolic blood pressure, diastolic blood pressure, and various anthropomorphic measurements, with most associations consistently occurring in early adulthood. These findings expand upon the existing literature, showing that childhood trends in waist size, distinguishable at ages as early as 4 years, are associated with adult Type-2 diabetes.

Estimating peak height velocity in individuals: a comparison of statistical methods

Background Estimates pertaining to the timing of the adolescent growth spurt (e.g. peak height velocity; PHV), including age at peak height velocity (aPHV), play a critical role in the diagnosis, treatment, and management of skeletal growth and/or developmental disorders. Yet, distinct statistical methodologies often result in large estimate discrepancies. Aim The aim of the present study was to assess the advantages and disadvantages of three modelling methodologies for height as well as to determine how estimates derived from these methodologies may differ, particularly those that may be useful in paediatric clinical practice. Subjects and methods Height data from 686 individuals of the Fels Longitudinal Study were modelled using 5th order polynomials, natural cubic splines, and SuperImposition by Translation and Rotation (SITAR) to determine aPHV and PHV for all individuals together (i.e. population average) by sex and separately for each individual. Estimates within and between methodologies were calculated and compared. Results In general, mean aPHV was earlier, and PHV was greater for individuals when compared to estimates from population average models. Significant differences between mean aPHV and PHV for individuals were observed in all three methodologies, with SITAR exhibiting the latest aPHV and largest PHV estimates. Conclusion Each statistical methodology has a number of advantages when used for specific purposes. For modelling growth in individuals, as one would in paediatric clinical practice, we recommend the use of the 5th order polynomial methodology due to its parameter flexibility.

Impact of adolescent obesity on middle-age health of women given data MAR.

We analyze adolescent BMI and middle-age systolic blood pressure (SBP) repeatedly measured on women enrolled in the Fels Longitudinal Study (FLS) between 1929 and 2010 to address three questions: Do adolescent-specific growth rates in body mass index (BMI) and menarche affect middle-age SBP? Do they moderate the aging effect on middle-age SBP? Have the effects changed over historical time? To address the questions, we propose analyzing a growth curve model (GCM) that controls for age, birth-year cohort, and historical time. However, several complications in the data make the GCM analysis nonstandard. First, the person-specific adolescent BMI and middle-age SBP trajectories are unobservable. Second, missing data are substantial on BMI, SBP, and menarche. Finally, modeling the latent trajectories for BMI and SBP, repeatedly measured on two distinct sets of unbalanced time points, are computationally intensive. We adopt a bivariate GCM for BMI and SBP with correlated random coefficients. To efficiently handle missing values of BMI, SBP, and menarche assumed missing at random, we estimate their joint distribution by maximum likelihood via the EM algorithm where the correlated random coefficients and menarche are multivariate normal. The estimated distribution will be transformed to the desired GCM for SBP that includes the random coefficients of BMI and menarche as covariates. We demonstrate unbiased estimation by simulation. We find that adolescent growth rates in BMI and menarche are positively associated with, and moderate, the aging effect on SBP in middle age, controlling for age, cohort, and historical time, but the effect sizes are at most modest. The aging effect is significant on SBP, controlling for cohort and historical time, but not viceversa.

Radiographic digit ratios (2D:4D) of Afro-Caribbean children: Comparisons with published data from white children

BackgroundDigit ratio (2D:4D) from soft-tissue measurements of fingers from children and adults from Black and White ethnic groups show sex differences (males<females) and group differences (Black< White). However, less is known about such differences in radiographic 2D:4D. AimTo consider sex and ethnic differences in radiographic 2D:4D of children of Afro-Caribbean descent and to compare these means with “standards” from White children. Subjects and methodsA cross-sectional design with samples from Afro-Caribbean children aged 6 to 11 years compared to published radiographic measurements for White children in the Fels Longitudinal Study. ResultsRadiographic 2D:4D showed ethnic differences such that Afro-Caribbeans<Whites. There was an age-stable right-side sex difference (boys<girls) in the 2D:4D of the distal phalanx and the distal soft-tissue tip in the Afro-Caribbean children but not in the proximal- and middle-phalanges or the composite length of the phalanges. Sex differences in 2D:4D (boys<girls) were present in the White children in the middle and proximal phalanges and composite phalange length but not in the distal phalanx. ConclusionIn Afro-Caribbean children, mean radiographic 2D:4D was lower than that of White children and sexual dimorphism of 2D:4D (boys<girls) was confined to the distal phalanx and fingertip soft-tissue. In contrast in White children, there were no sex differences in the distal phalanx but there were in the middle-, proximal and composite phalanges (boys<girls). We discuss whether these differences in 2D:4D are widespread among Blacks and Whites and the implications for the interpretation of radiographic 2D:4D and morphological soft-tissue 2D:4D across macro-ethnic groups.

The impact of metabolic syndrome on mental health-related quality of life and depressive symptoms.

Results examining associations between metabolic syndrome (MetS) and depression, as well as on quality of life (QoL), are inconsistent. We aimed to determine whether individuals with MetS had decreased mental health-related QoL (MH-QoL) and higher frequency of depressive symptoms. Data from 1,015 participants from the Fels Longitudinal Study were analyzed (mean age ± SD: 49.6 ± 18.7years, 29.3% MetS, 51% females). MetS was determined using American Heart Association/National Heart, Lung, and Blood Institute criteria. Depressive symptoms (yes vs. no) were assessed with The Patient Health Questionnaire-9 (PHQ-9). MH-QoL (low (≤ 42) vs. high) was assessed with The Medical Outcomes 36-Item Short Form Survey (SF-36). Sex- and age-stratified mixed effects logistic regressions were used to examine the longitudinal relationship between MetS and MH-QoL while adjusting for covariates such as age, smoking status, and drinking status. In cross-sectional analysis, MetS was significantly associated with elevated depressive symptoms in women (OR 2.14, 95% CI 1.22-3.78, p < 0.01), but not in men. In the longitudinal analysis, MetS was observed to have a protective effect among men in the older age group as it approached significance (OR 0.34, 95% CI 0.11-1.05, p = 0.06). MetS was adversely associated with depressive symptoms and poor MH-QoL. Our cross-sectional results suggest that depressive symptoms are higher among women with MetS. Interestingly, our longitudinal results suggest that MH-QoL in men with MetS may improve with age.

ACCELERATED CHILDHOOD SKELETAL AGING IS PROTECTIVE OF DEVELOPMENT OF SARCOPENIA IN LATER LIFE

Sarcopenia is an age-related loss of muscle mass and strength that has a multitude of adverse sequelae. Similar to other aging-related phenomenon, sarcopenia is likely the product of inputs that begin in utero and continue throughout the lifespan. We hypothesized that patterns of childhood skeletal growth predict sarcopenia status later in life. Data are from N=202 lifelong participants of the Fels Longitudinal Study (median lifetime visits=33). At the sarcopenia measure visit, participants were aged 65.8 + 10.3 years, 54% female, with body mass index of 27.5 + 4.9. Sarcopenia was defined using published sex-specific cutpoints from dual energy x-ray absorptiometry quantified appendicular lean mass/height2. Childhood skeletal age was calculated from serial hand-wrist radiographs (FELS method). Residual skeletal aging (RSA) was calculated as skeletal age minus predicted chronological age at peak height growth velocity during adolescence. RSA variance was similar in both sexes, with a range of -2 (delayed skeletal aging) to +2 years (accelerated skeletal aging). In older age, 6% of males and 22% of females exhibited sarcopenia. In multivariate logistic regression models controlling for age, self-reported physical activity, and grip strength (all measured at sarcopenia visit), accelerated RSA was protective of sarcopenia (Adjusted OR=0.58; 95% CI: 0.35-0.94). This is the first study to link childhood skeletal maturation to sarcopenia later in life. Biological pathways that explain this association likely include physiological, environmental, and genetic factors that facilitate communication between bone and muscle, and span the life course. Determining their influence is the next important step in this work.

Genetic Polymorphisms Associated with Idiopathic Short Stature and First-Year Response to Growth Hormone Treatment

Background/Aims: The term idiopathic short stature (ISS) describes short stature of unknown, but likely polygenic, etiology. This study aimed to identify genetic polymorphisms associated with the ISS phenotype, and with growth response to supplemental GH. Methods: Using a case-control analysis we compared the prevalence of “tall” versus “short” alleles at 52 polymorphic loci (17 in growth-related candidate genes, 35 identified in prior genome-wide association studies of adult height) in 94 children with ISS followed in the Genetics and Neuroendocrinology of Short Stature International Study, versus 143 controls from the Fels Longitudinal Study. Results: Four variants were nominally associated with ISS using a genotypic model, confirmed by a simultaneous confident inference approach: compared with controls children with ISS had lower odds of “tall” alleles (odds ratio, 95% CI) for GHR (0.52, 0.29–0.96); rs2234693/ESR1 (0.50, 0.25–0.98); rs967417/BMP2 (0.39, 0.17–0.93), and rs4743034/ZNF462 (0.40, 0.18–0.89). Children with ISS also had lower odds of the “tall” allele (A) at the IGFBP3 –202 promoter polymorphism (rs2855744; 0.40, 0.20–0.80) in the simultaneous confident inference analysis. A significant association with 1st-year height SD score increase during GH treatment was observed with rs11205277, located near 4 known genes: MTMR11, SV2A, HIST2H2AA3, and SF3B4; the latter, in which heterozygous mutations occur in Nager acrofacial dysostosis, appears the most relevant gene. Conclusions: In children with ISS we identified associations with “short” alleles at a number of height-related loci. In addition, a polymorphic variant located near SF3B4 was associated with the GH treatment response in our cohort. The findings in our small study warrant further investigation.

Craniofacial Growth Studies and Craniofacial Growth

Current understandings of human craniofacial growth are based on multiple historic longitudinal growth studies. The extent to which regional variation in growth patterns is present among the various growth studies even within the United States, however, is not well understood. The aim of this study is to compare growth patterns across six of the nation's largest growth studies.Lateral cephalographs were examined from the historical archives of the Denver Growth Study, Iowa Growth Study, and Oregon Growth Study (available via the AAOF Legacy Collection) as well as the Fels Longitudinal Study, the Michigan Growth Study, and the Bolton‐Brush Growth Study. A set of 44 two‐dimensional landmarks were collected on longitudinal series from participants 6–22 years old. A total of 5,622 cephalographs from 726 males and 5,514 cephalographs from 723 females were assessed. Fifth order polynomials were used to evaluate growth of 11 linear craniofacial measures for each growth study and by sex. Rates of growth and associated growth milestones were calculated from polynomial models and compared across study and by sex. In addition, geometric morphometric analyses were used to assess ontogenetic shape differences among studies using a regression of the shape variables on log centroid size, pooled by study, with subsequent evaluation of residual variation.Growth curves for the separate studies roughly parallel each other yet show differences in the timing of growth milestones and adult morphology. In general, for each linear trait participants in the Denver study are smaller and participants in the Iowa and Michigan studies are larger than participants in other studies at the same chronological age. Timing of onset and peak growth is similar in all 11 craniofacial measures, although trait values at those growth milestones differ by study. Preliminary results from the geometric morphometric analysis identify a common ontogenetic pattern shared across studies but demonstrate that, for a given size, individuals from the Denver study are more advanced along the common shape trajectory relative to other studies. Although ontogenetic trajectories are roughly similar, overall shape differences are present between study populations.Variations in growth and overall morphology among these six longitudinal growth study populations demonstrate regional differences in the rate and timing of growth that may be attributable to the ancestry and environmental conditions of study participants. Further study of the mechanisms for these differences in growth will improve the accuracy of craniofacial growth predictions, thereby improving the efficacy of growth modification interventions in pediatric craniofacial treatment.Support or Funding InformationFunding: NIH/NIDCR R03‐DE021435; NIH/NIDCR R01 DE024732This abstract is from the Experimental Biology 2019 Meeting. There is no full text article associated with this abstract published in The FASEB Journal.

Timing of Development of the Permanent Mandibular Dentition: New Reference Values from the Fels Longitudinal Study.

Estimating chronological age or assessing the rate of maturation in immature individuals is an important task in biological anthropology and clinical practice. One of the most reliable ways of doing this is by evaluating one's dental development, specifically tooth mineralization. However, few chronologies include reference values for very young children, and few provide an extensive documentation of the range of variation surrounding the reported reference values. We present a new chronology of development of permanent mandibular canine and postcanine teeth from birth through age 28 years, based on over 6,000 radiographs of 590 participants of the Fels Longitudinal Study, recorded between 1940 and 1982. Tooth mineralization was scored following the 14-stage system of Moorrees, Fanning, and Hunt (Moorrees et al., 1963a) with an additional crypt stage. We calculated ages of attainment, as well as average age in stage, using transition analysis. We find that variation increases throughout ontogeny for all teeth, though it is generally comparable between girls and boys. The tempo of dental development tends to be faster in girls. Compared to the classic chronology of Moorrees et al. (1963a), partly based on Fels radiographs, in our sample the development of crowns tends to occur at earlier, and development of roots at increasingly later ages. Our results are more similar to chronologies based on more recent, clinical samples (Liversidge, 2009), though the development of tooth roots in our sample occurs at older ages. Anat Rec, 302:1733-1753, 2019. © 2019 American Association for Anatomy.

External Validation of Equations that Use Demographic and Anthropometric Measurements to Predict Percent Body Fat.

SummaryObjectiveNumerous equation to predict percent body fat using demographics and anthropometrics have been published but external validation of these equations is limited. The objective of this study was to validate published equations that use anthropometrics for prediction of percent body fat using external data.MethodsData were from the Visceral Fat, Metabolic Rate, and Coronary Heart Disease Risk I (VIM I) Study and the Fels Longitudinal Study (Fels). VIM I was conducted in a subset of subjects from the CARDIA study and included black and white adults 28–40 years (n = 392). Fels consisted of white participants 8–88 years (n = 1,044). Percent body fat assessed by dual X‐ray absorptiometry (DXA) in these two studies was compared to results calculated using 13 equations from Stevens et al. and nine other published equations.ResultsIn general, the Stevens equations performed better than equations from other studies. For example, equation “I“ in women in VIM I, Fels adults, and Fels youth, R2 estimates were 0.765, 0.757 and 0.789, respectively. In men the estimates were 0.702 in VIM I, 0.822 in Fels adults and 0.905 in Fels youth. None of the results from the nine published equations showed R2 this high in corresponding groups.ConclusionsOur results indicate that several of the Stevens equations have external validity superior to that of nine other published equations among varying age groups, genders and races.

Correcting a Longstanding Misconception about Social Roles and Personality: A Case Study in the Psychology of Science.

Psychologists often argue that sex roles direct different types of socializing behaviors toward males and females and that this differential treatment, in turn, leads to sex differences in personality. Widely cited in support of this thesis has been the Fels longitudinal study finding that dependency and passivity are stable from childhood to adulthood for females only and aggressiveness and sexuality for males only. The present article explains why the type of sex differences in personality stability cited by Fels researchers actually contradicts the view that sex role expectations cause these differences. The report suggests ways in which social learning theory, the dominant developmental paradigm of the 1960s, may have contributed to the misinterpretation of the Fels data and how the rise of social constructivism maintained this misinterpretation for decades. The article concludes by correcting misconceptions about biology and personality stability and by explaining why theories that incorporate biology are not only more adequate than social constructivism but also more effective in bringing about the changes in society that constructivists desire.

An Exploratory Analysis of Potential New Biomarkers of Cognitive Function.

We examined the relationship between serially measured, novel serum biomarkers and a measure of cognitive functioning in older adults. We assayed stored serum samples from two Fels Longitudinal Study visits in N = 100 adult participants (visit 1 ages 59.3 ± 8.5 years; 53% female), and Montreal Cognitive Assessment (MoCA) scores also assessed at the second visit. Assays included acylcarnitines, amino acids, and 2-hydroxybutyric acid (b-HBA). Cross-sectional correlations between acylcarnitines and amino acids and MoCA were identified. Serial change in short-chain acylcarnitines and visit 2 MoCA were also correlated. Participants with MoCA scores <26 were more likely to have an increase in short-chain acylcarnitines between visits 1 and 2 [adjusted odds ratio (OR) = 5.24; 95% confidence interval (CI) 1.07-25.9]. b-HBA was also correlated with acylcarnitines. Several cross-sectional and serial associations between novel serum biomarkers and cognitive functioning were identified. b-HBA may also be a cost-effective marker of dysregulation associated with cognitive decline.

The positive association of infant weight gain with adulthood body mass index has strengthened over time in the Fels Longitudinal Study.

Infant weight gain is positively related to adulthood body mass index (BMI), but it is unknown whether or not this association is stronger for individuals born during (compared with before) the obesity epidemic. The aim of the study was to examine how the infant weight gain-adulthood BMI association might have changed across successive birth year cohorts spanning most of the 20th century. The sample comprised 346 participants in the Fels Longitudinal Study. Confounder-adjusted regression models were used to test the associations of conditional weight-for-length Z-score, capturing weight change between ages 0-2years, with young adulthood BMI and blood pressure, including cohort [1933-1949 {N=137}, 1950-1969 {N=108}, 1970-1997 {N=101}] as an effect modifier. Conditional weight-for-length Z-score was positively related to adulthood BMI, but there was significant effect modification by birth year cohort such that the association was over two times stronger in the 1970-1997 cohort (β 2.31; 95% confidence interval 1.59, 3.03) compared with the 1933-1949 (0.98; 0.31, 1.65) and 1950-1969 (0.87; 0.21, 1.54) cohorts. A similar pattern was found for systolic blood pressure. The infant weight gain-adulthood BMI association was over two times stronger among a cohort born during the obesity epidemic era compared with cohorts born earlier in the 20th century.

The Risk Factors of Performance-Based Early Frailty in Midlife and Older Age.

Background: Identifying impairments prior to onset of physical frailty may inform targeted interventions. An objective, clinically feasible early frailty measure, termed performance-based early frailty (PBEF) was developed, and antecedent and current risk factors were examined. Method: Data were from N = 104 participants of the Fels Longitudinal Study. PBEF was derived from age-specific cut points for time to complete five chair stands and walk four meters. “Pre-PBEF” and “PBEF” were defined as impairment in one or both measures, respectively. Candidate PBEF risk factors included body composition, health and quality of life, grip strength, and biomarker measures. Results: Pre-PBEF was identified in 26% and 30% of midlife and older adults, and PBEF was identified in 11% and 14% of midlife and older adults, respectively. When predicting midlife PBEF, only current physical activity was significant (odds ratio [OR] = 0.18). In older adults, PBEF status was predicted by previous heavier drinking (OR = 3.09), previous better grip strength (OR = 0.92), current poorer sleep habits (OR = 1.19), and current higher C-reactive protein concentrations (OR = 1.20). Conclusion: Differing age group patterns of predictors emerged, suggesting that PBEF in midlife is likely a state influenced by current health status, whereas older age PBEF is influenced by both current and antecedent factors.

BMI Trajectories in Youth and Adulthood.

Data from numerous longitudinal studies, including the Fels Longitudinal Study and the Bogalusa Heart Study, reveal that youth with higher BMI are more likely to have obesity in adulthood than youth with lower BMI.1 These studies have also revealed that although the positive predictive value of obesity in childhood and adolescence is high (typically >90%), most adults with obesity did not have obesity in childhood or adolescence. In this issue of Pediatrics , Buscot et al2 use an innovative statistical method, the Bayesian Hierarchical Piecewise regression,3 and data from the Young Finns Study between 1980 and 2011 to model BMI trajectories. Similar to other studies, the authors found that individuals with lower BMIs in young childhood, specifically age 6 years, were less likely to have obesity in adulthood. Perhaps more importantly, BMI trajectories in adolescence and early adulthood were important determinants of obesity status between the ages of 34 and 49 years. The unique contribution … Address correspondence to Cynthia L. Ogden, PhD, National Center for Health Statistics/CDC, 3311 Toledo Rd, Hyattsville, MD 20782. E-mail: cogden{at}cdc.gov

Body mass index associations between mother and offspring from birth to age 18: the Fels Longitudinal Study.

SummaryBackgroundParental obesity is a known determinant of childhood obesity. Previous research has shown a strong maternal influence on body mass index (BMI) during infancy and early childhood.ObjectivesThe purpose of this research was to investigate the BMI associations between mother and offspring from birth to age 18 years.MethodsParticipants were selected from the Fels Longitudinal Study. The current study sample includes 427 (215 mother/son and 212 mother/daughter) mother/child pairs. These pairs are repeatedly measured at multiple age groups in children, resulting in a total of 6,263 (3,215 mother/son, 3,048 mother/daughter) observations for data analysis. Inclusion criteria were children with measured height and weight for BMI collected at ages 0 to 18 years and their mother with BMI data. Maternal influences of BMI on offspring BMI from birth to early adulthood were analyzed by Spearman correlations and linear regression analyses.ResultsMother/son BMI correlations became statistically significant (p ≤ 0.05) at age 5–6 years and were significant through puberty and into early adulthood at age 18 years. Mother/daughter correlations became significant at age 1.5 years and also continued through adolescence, puberty and early adulthood at age 18 years. Associations persisted after the study sample was grouped into life stages and adjusted for decade of birth and parity.ConclusionsThe mother/daughter relationship was more strongly correlated than the mother/son relationship and also became statistically significant at an earlier age than boys.

BMI, BMIfat, BAI or BAIFels - Which is the best adiposity index for the detection of excess weight?

To compare the diagnostic performance of adiposity indeces body mass index (BMI), body mass index adjusted for fat mass (BMIfat), body adiposity index (BAI) and body adiposity index for the Fels Longitudinal Study sample (BAIFels) and the overweight detection in a sample of the Brazilian population. Cross-sectional study with 501 individuals (female/male = 387/114), which underwent anthropometric measurements and body composition for subsequent calculation of adiposity indices. Statistical analyzes considered p < 0.05 as statistically significant. The averages were: age of 46.94 ± 14.22 years and 48.05 ± 14.40 years, weight 79.5 ± 16, 14 kg and 70.42 ± 16,62 kg, height 172.86 ± 7.6 cm and 159.0 ± 7,35 cm, for men and women, respectively. According to the eutrophic ratings and overweight, the BMIfat ranked 40.3% and 34.0% for men and 21.7% and 65.0% for females, r espectively. While the BAI held 47.7% and 62.3% for men and 65.6% and 34.4% for women, respectively. The receiver operating characteristic (ROC) curve of BMIfat was clearly superior to all other indexes for both men (93.1%) and women (97.8%), respectively. Findings suggest that BMIfat is the index that has better relationship with the prediction of body fat, BAI did not exceed the limitations of BMI. Future studies should seek to expand this study by adopting the gold standard methods such as DXA and it is necessary to extend the investigation of the validity of adiposity indices to different ethnic groups.