Exploring overweight and obesity in pre-school children using routinely collected data: a case study of Halton, Northwest England.
A growing body of evidence suggests that childhood overweight may have its roots in early life. This study aimed to explore patterns of weight in children from birth to 40 months, born between 1994 and 2006, in Halton, Northwest England.



Halton infants were compared with the UK-90 reference population at four time points (birth, 2 months, 8 months and 40 months) by converting heights and weights into age-sex adjusted SD scores. The mean and SD of Halton SD scores were calculated for each time point and sex. Cohort trends and gender differences in rates of children above the 85th and 95th centiles at each time point were tested for using Poisson regression modelling.



A total of 16 381 births were analysed. At birth, 8 months and 40 months, proportions of Halton children above the 85th and 95th centiles were consistently higher than reference data. Proportions above the 85th and 95th centiles at birth did not change significantly year on year, but for all other time points the proportions increased with subsequent cohorts.



This study may provide evidence that the development of overweight and obesity has its roots in very early life and has highlighted patterns of infant overweight and obesity not previously reported.
Alliance Manchester Business School, The University of Manchester, Manchester M15 6PB, UK.
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Perry
Faculty of Public Health Sciences, Hedmark University College, Elverum 2411, Norway.
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Thurston
Department of Biostatistics, The University of Liverpool, Liverpool L69 3BX, UK.
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Arch
D000367:Age Factors; D002675:Child, Preschool; D015331:Cohort Studies; D004739:England / Q000453:epidemiology; D005260:Female; D006801:Humans; D007223:Infant; D007231:Infant, Newborn; D008297:Male; D063766:Pediatric Obesity / Q000453:epidemiology* / Q000209:etiology; D016012:Poisson Distribution; D012737:Sex Factors
children; obesity; public health