Table 3.
Summary of 3 studies with continuous outcomes, ranked by effect size of β
| First Author, Year [Reference] | Exposure1 | Outcome | β (95% CI)3 | Social divisions | Notable Exclusions | Strengths | Limitations | ||||
|---|---|---|---|---|---|---|---|---|---|---|---|
| Definition | Period | Definition | Life Stage2 | Racial/Ethnic Minorities | Low Income | Low Parental Education | |||||
| Karp, 2012 [27] | Weight Change, 4th quartile <2.5 kg | 4 to 6 mo | Log() | Preschooler | 1.23 (1.07,1.39) | 95% | ND | ND | • Clinic serves a largely inner city immigrant population | • Minimal adjustment for confounders • BMI outcome not standardized to sex and age • % missing data unknown • Birth cohort and sociodemographics of target population undefined |
|
| Karaolis-Danckert, 2008 [18] | Rapid Weight Gain | Birth to 24 mo | BMI SDS trajectory | Toddler - Preschooler | ND, low | ND | 45.30% | • Preterm • Post term • Multiple Births • Low birth weight |
• Analytically examined interactions with education • Additional examination of effect modification and adjustment for important maternal factors • Only 28% missing data |
• Binary exposure | |
| Mother not overweight, not smoker | 0.954 | ||||||||||
| Mother not overweight, smoker | 1.104 | ||||||||||
| Mother overweight, not smoker | 1.014 | ||||||||||
| Mother overweight, smoker | 1.164 | ||||||||||
| Shankaran, 2010 [24] | Weight change per month (g/mo) | Birth to 4 BMI Middle | BMI | Middle Childhood | 88% | ND | ND | Mothers that were: • Previously institutionalized • <18 years • Not fluent in English |
• Additional adjustment for important maternal factors • Did not exclude preterm, isolated stronger association • Recruited from multiple US regions • Large prospective sample |
• 31% missing data | |
| Born preterm | 0.11 (0.05,0.17) | ||||||||||
| Born at term | 0.07 (0.01, 0.13) | ||||||||||
BMI, Body Mass Index; SDS: Standard Deviation Score; mo, months; y, years; d, days; ND, not defined; Ideal adjustment included studies that adjusted for at least sex, birth size, and socioeconomic status
All studies have at least one period of early life growth defined as starting between birth and 7 days of age;
Outcome childhood stage: Toddlers, 2-3y; Preschoolers, 3-5y; middle childhood, 6-11y; young teens, 12-14y; teenagers, 15-17y; young adult, 18-35y;[49]
β corresponds to the most adjusted model presented. For those studies with multiple examined associations correspond to the greatest β
Conditional estimates calculated using adjusted coefficients in Karaolis-Danckert (2008), Table 4[