Early childhood poverty, cumulative risk exposure, and body mass index trajectories through young adulthood.
OBJECTIVE
We assessed whether cumulative risk exposure underlies the relation between early childhood poverty and body mass index (BMI) trajectories.


METHODS
We interviewed youths and their mothers in rural upstate New York (168 boys and 158 girls) from 1995 to 2006 when the youths were aged 9, 13, and 17 years. At each interview, we calculated their BMI-for-age percentile.


RESULTS
Early childhood poverty predicted BMI growth trajectories from ages 9 to 17 years (b = 3.64; SE = 1.39; P < .01). Early childhood poverty also predicted changes in cumulative risk (b = 0.31; SE = 0.08; P < .001). Cumulative risk, in turn, predicted BMI trajectories (b = 2.41; SE = 0.75; P < .01). Finally, after we controlled for cumulative risk, the effect of early childhood poverty on BMI trajectories was no longer significant, indicating that cumulative risk exposure mediated the relation between early childhood poverty and BMI trajectories (b = 2.01; SE = 0.94).


CONCLUSIONS
We show for the first time that early childhood poverty leads to accelerated weight gain over the course of childhood into early adulthood. Cumulative risk exposure during childhood accounts for much of this accelerated weight gain.
Department of Design and Environmental Analysis, College of Human Ecology, Cornell University, Ithaca, NY 14853, USA. nmw2@cornell.edu
Nancy M
NM
Wells
Gary W
GW
Evans
Anna
A
Beavis
Anthony D
AD
Ong
D000293:Adolescent; D015992:Body Mass Index; D002648:Child; D005260:Female; D006801:Humans; D008137:Longitudinal Studies; D008297:Male; D009518:New York / Q000453:epidemiology; D009765:Obesity / Q000453:epidemiology*; D011203:Poverty; D036301:Qualitative Research; D012307:Risk Factors