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Longitudinal evaluation of milk type consumed and weight status in preschoolers.

ABSTRACT: To evaluate relationships between type of milk consumed and weight status among preschool children.Longitudinal cohort study.The Early Childhood Longitudinal Study, Birth Cohort, a representative sample of US children.10 700 US children examined at age 2 and 4 years.Body mass index (BMI) z score and overweight/obese status as a function of milk type intake.The majority of children drank whole or 2% milk (87% at 2 years, 79.3% at 4 years). Across racial/ethnic and socio-economic status subgroups, 1%/skim milk drinkers had higher BMI z scores than 2%/whole milk drinkers. In multivariable analyses, increasing fat content in the type of milk consumed was inversely associated with BMI z score (p<0.0001). Compared to those drinking 2%/whole milk, 2- and 4-year-old children drinking 1%/skim milk had an increased adjusted odds of being overweight (age 2 OR 1.64, p<0.0001; age 4 OR 1.63, p<0.0001) or obese (age 2 OR 1.57, p<0.01; age 4 OR 1.64, p<0.0001). In longitudinal analysis, children drinking 1%/skim milk at both 2 and 4 years were more likely to become overweight/obese between these time points (adjusted OR 1.57, p<0.05).Consumption of 1%/skim milk is more common among overweight/obese preschoolers, potentially reflecting the choice of parents to give overweight/obese children low-fat milk to drink. Nevertheless, 1%/skim milk does not appear to restrain body weight gain between 2 and 4 years of age in this age range, emphasising a need for weight-targeted recommendations with a stronger evidence base.

SUBMITTER: Scharf RJ

PROVIDER: S-EPMC4439101 | biostudies-literature | 2013 May

REPOSITORIES: biostudies-literature

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Longitudinal evaluation of milk type consumed and weight status in preschoolers.

Scharf Rebecca J RJ Demmer Ryan T RT DeBoer Mark D MD

Archives of disease in childhood 20130318 5

<h4>Objective</h4>To evaluate relationships between type of milk consumed and weight status among preschool children.<h4>Design</h4>Longitudinal cohort study.<h4>Setting</h4>The Early Childhood Longitudinal Study, Birth Cohort, a representative sample of US children.<h4>Participants</h4>10 700 US children examined at age 2 and 4 years.<h4>Main outcome measures</h4>Body mass index (BMI) z score and overweight/obese status as a function of milk type intake.<h4>Results</h4>The majority of children ...[more]

PMID: 23508869

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Longitudinal evaluation of milk type consumed and weight status in preschoolers.

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Longitudinal evaluation of milk type consumed and weight status in preschoolers.

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