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. Author manuscript; available in PMC: 2019 Aug 9.
Published in final edited form as: Ann Epidemiol. 2017 Aug 24;27(9):583–592.e5. doi: 10.1016/j.annepidem.2017.08.019

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(BMI^) 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

1

All studies have at least one period of early life growth defined as starting between birth and 7 days of age;

2

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]

3

β corresponds to the most adjusted model presented. For those studies with multiple examined associations correspond to the greatest β

4

Conditional estimates calculated using adjusted coefficients in Karaolis-Danckert (2008), Table 4[