Table 4. Results of unadjusted and multivariable group-based trajectory models estimating the relationship between time-stable explanatory variables and probability of group membership, and change in average group BMI Z-score as a function of time-dependent explanatory variables (QLSCD children from 4–10 y of age).
Unadjusted | Model 1 (n = 1472)a | Model 2 (n = 1385)b | |
Time-stable explanatory variables: Odds ratios (95% CI) c | |||
Local environmentHigh Material Deprivation | |||
1. Low, increasing | 0.79 (0.52, 1.21) | 0.66 (0.41, 1.06) | 0.64 (0.39,1.06) |
2. Low-med, accelerating | 0.95 (0.71, 1.26) | 0.91 (0.66, 1.24) | 0.92 (0.67, 1.28) |
3. Med-high, slow increasing – Ref | – | – | – |
4. High-stable | 1.30 (0.86, 1.96) | 1.09 (0.71, 1.67) | 0.91 (0.57, 1.45) |
High Social Deprivation | – | – | – |
1. Low, increasing | 0.70 (0.46, 1.07) | 0.75 (0.47, 1.18) | 0.69 (0.43, 1.12) |
2. Low-med, accelerating | 0.78 (0.58, 1.04) | 0.75 (0.55, 1.02) | 0.72 (0.53, 0.99)* |
3. Med-high, slow increasing – Ref | – | – | – |
4. High-stable | 1.07 (0.71, 1.62) | 1.03 (0.67, 1.57) | 0.91 (0.57, 1.44) |
Social factors | |||
Male sex | |||
1. Low, increasing | 1.32 (0.89, 1.94) | 1.30 (0.86, 1.97) | 1.62 (1.04, 2.53)* |
2. Low-med, accelerating | 0.97 (0.74, 1.28) | 1.01 (0.75, 1.36) | 1.24 (0.91, 1.68) |
3. Med-high, slow increasing - Ref | – | – | – |
4. High-stable | 1.14 (0.77, 1.69) | 1.14 (0.76, 1.73) | 1.14 (0.72, 1.80) |
Mother is an immigrant | |||
1. Low, increasing | 0.87 (0.44, 1.73) | 0.87 (0.39, 1.92) | 0.53 (0.20, 1.42) |
2. Low-med, accelerating | 0.63 (0.36, 1.07) | 0.82 (0.46, 1.46) | 0.82 (0.45, 1.48) |
3. Med-high, slow increasing – Ref | – | – | – |
4. High-stable | 1.12 (0.58, 2.15) | 1.04 (0.48, 2.25) | 0.81 (0.31, 2.07) |
Early life factors | |||
Overeating phenotype | |||
1. Low, increasing | 0.74 (0.44, 1.23) | 0.94 (0.53, 1.68) | |
2. Low-med, accelerating | 0.63 (0.44, 0.90)* | 0.76 (0.51, 1.14) | |
3. Med-high, slow increasing - Ref | – | – | |
4. High-stable | 5.07 (3.32, 7.75)*** | 5.09 (3.18, 8.15)*** | |
Mother smoked during pregnancy | |||
1. Low, increasing | 1.44 (0.92, 2.24) | 1.39 (0.83, 2.34) | |
2. Low-med, accelerating | 1.16 (0.84, 1.61) | 1.05 (0.73, 1.53) | |
3. Med-high, slow increasing – Ref | – | – | |
4. High-stable | 2.31 (1.52, 3.50)*** | 2.51 (1.53, 4.12)** | |
Mother is obese | |||
1. Low, increasing | 0.18 (0.05, 0.62)** | 0.26 (0.09, 0.79)* | |
2. Low-med, accelerating | 0.41 (0.24, 0.70)** | 0.28 (0.15, 0.53)*** | |
3. Med-high, slow increasing - Ref | – | – | |
4. High-stable | 2.25 (1.39, 3.63)** | 2.45 (1.39, 4.29)** | |
Breastfed exclusively (> = 3 months) | |||
1. Low, increasing | 0.77 (0.49, 1.22) | 0.79 (0.47, 1.32) | |
2. Low-med, accelerating | 0.82 (0.61, 1.11) | 0.82 (0.58, 1.15) | |
3. Med-high, slow increasing - Ref | – | – | |
4. High-stable | 0.75 (0.48, 1.19) | 1.12 (0.66, 1.91) | |
Rapid weight gain during infancy | |||
1. Low, increasing | 0.70 (0.46, 1.05) | 0.46 (0.29, 0.75)** | |
2. Low-med, accelerating | 0.73 (0.55, 0.97)* | 0.63 (0.45, 0.87)** | |
3. Med-high, slow increasing – Ref | – | – | |
4. High-stable | 1.27 (0.85, 1.88) | 1.35 (0.83, 2.19) | |
High birth weight (>4 kg) | |||
1. Low, increasing | 0.22 (0.08, 0.63)** | 0.21 (0.07, 0.63)** | |
2. Low-med, accelerating | 0.52 (0.33, 0.81)** | 0.49 (0.29, 0.81)** | |
3. Med-high, slow increasing - Ref | – | – | |
4. High-stable | 1.04 (0.59, 1.86) | 1.07 (0.53, 2.15) | |
Time-dependent explanatory variables: Linear regression parameter (SE) d | |||
Local environment | |||
Living location (Rural)e | |||
1. Low, increasing | −0.149 (0.093) | −0.187 (0.123) | −0.215 (0.120) |
2. Low-med, accelerating | 0.023 (0.058) | 0.026 (0.083) | −0.028 (0.073) |
3. Med-high, slow increasing | 0.079 (0.060) | 0.054 (0.072) | −0.011 (0.059) |
4. High-stable | 0.274 (0.086)** | 0.257 (0.097)** | 0.208 (0.089)* |
Living location (Semi-urban)e | |||
1. Low, increasing | −0.421 (0.158)** | −0.453 (0.154)** | −0.541 (0.161)** |
2. Low-med, accelerating | 0.0480 (0.065) | 0.053 (0.067) | 0.0415 (0.068) |
3. Med-high, slow increasing | −0.148 (0.057)** | −0.111 (0.063) | −0.134 (0.059)* |
4. High-stable | 0.034 (0.098) | 0.045 (0.111) | −0.008 (0.107) |
High social cohesion | |||
1. Low, increasing | 0.114 (0.07) | 0.160 (0.076)* | 0.126 (0.082) |
2. Low-med, accelerating | 0.020 (0.037) | −0.015 (0.039) | −0.005 (0.040) |
3. Med-high, slow increasing | −0.020 (0.033) | −0.021 (0.036) | −0.015 (0.036) |
4. High-stable | −0.100 (0.062) | −0.064 (0.066) | −0.046 (0.067) |
High disorder | |||
1. Low, increasing | −0.171 (0.081)* | −0.175 (0.086)* | −0.176 (0.088)* |
2. Low-med, accelerating | −0.073 (0.041) | −0.060 (0.043) | −0.071 (0.044) |
3. Med-high, slow increasing | 0.017(0.036) | 0.015 (0.040) | 0.025 (0.040) |
4. High-stable | 0.045 (0.07) | 0.027 (0.074) | 0.0108 (0.075) |
Social Factors | |||
Single-parent family | |||
1. Low, increasing | −0.046 (0.098) | 0.051 (0.106) | 0.009 (0.114) |
2. Low-med, accelerating | −0.028 (0.054) | 0.039 (0.061) | 0.017 (0.062) |
3. Med-high, slow increasing | 0.137 (0.048)** | 0.133 (0.053)* | 0.094 (0.055) |
4. High-stable | 0.177 (0.088)* | 0.138 (0.107) | 0.116 (0.100) |
Low SES | |||
1. Low, increasing | −0.207 (0.079)** | −0.129 (0.094) | −0.179 (0.093) |
2. Low-med, accelerating | −0.102 (0.045)* | −0.109 (0.051)* | −0.106 (0.052)* |
3. Med-high, slow increasing | 0.007 (0.039) | −0.025 (0.045) | −0.064 (0.043) |
4. High-stable | 0.138 (0.066)* | 0.055 (0.079) | −0.001 (0.079) |
Place factors plus social factors, model includes both time-stable (risk factors) and time-dependent explanatory variables.
Model 1, plus adjustment for early life factors; model includes both time-stable (risk factors) and time-dependent explanatory variables.
Odds ratios and 95% confidence intervals from multinomial logistic regression, reference group is the medium-high, slow increasing group.
Parameters represent the average increase/decrease in BMI Z-score per year within each trajectory group based on a polynomial link function.
Reference group is Urban.
P≤ 0.05, **P ≤ 0.01 *** P ≤ 0.0001; CI = confidence interval; SE = standard error.