{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,4]],"date-time":"2026-05-04T01:45:06Z","timestamp":1777859106998,"version":"3.51.4"},"reference-count":34,"publisher":"SAGE Publications","issue":"4","license":[{"start":{"date-parts":[[2017,4,22]],"date-time":"2017-04-22T00:00:00Z","timestamp":1492819200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"funder":[{"name":"Robert D. and Patricia E. Kern Mayo Clinic Center for the Science of Health Care Delivery Population Health Research Program"},{"name":"National Institute on Aging of the National Institutes of Health","award":["R01AG034676"],"award-info":[{"award-number":["R01AG034676"]}]}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["J Prim Care Community Health"],"published-print":{"date-parts":[[2017,10]]},"abstract":"<jats:p>The prevalence of childhood obesity has increased over the past 3 decades. This study was designed to understand how childhood body mass index (BMI) influences later risk of obesity. We calculated BMIs for children residing in Olmsted County, Minnesota, between January 1, 2005 and December 31, 2012 using medical records data. We defined homogenous BMI trajectory clusters using a nonparametric hill-climbing algorithm. Overall, 16,538 (47%) children had &gt;3 weight assessments at least 1 year apart and were included in the analyses. Within the 8-year follow-up period, children who were younger than 2 years and overweight had a 3- fold increase of obesity (adjusted hazard ratio [HR] = 3.24; 95% confidence interval [CI] = 2.69-3.89) and those aged 5 years and overweight had a 10-fold increased risk of obesity (adjusted HR = 9.97, 95% CI = 8.55-11.62). Three distinct BMI trajectories could be distinguished prior to 5 years of age. The risk of developing obesity in those who are overweight increased dramatically with increasing age. Interventions to prevent obesity need to occur prior to school age to prevent children from entering unhealthy BMI trajectories.<\/jats:p>","DOI":"10.1177\/2150131917704326","type":"journal-article","created":{"date-parts":[[2017,4,22]],"date-time":"2017-04-22T07:54:17Z","timestamp":1492847657000},"page":"278-284","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":5,"title":["Development of Distinct Body Mass Index Trajectories Among Children Before Age 5 Years: A Population-Based Study"],"prefix":"10.1177","volume":"8","author":[{"given":"Brian A.","family":"Lynch","sequence":"first","affiliation":[{"name":"Mayo Clinic, Rochester, MN, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Lila J. Finney","family":"Rutten","sequence":"additional","affiliation":[{"name":"Mayo Clinic, Rochester, MN, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jon O.","family":"Ebbert","sequence":"additional","affiliation":[{"name":"Mayo Clinic, Rochester, MN, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Seema","family":"Kumar","sequence":"additional","affiliation":[{"name":"Mayo Clinic, Rochester, MN, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Barbara P.","family":"Yawn","sequence":"additional","affiliation":[{"name":"Olmsted Medical Center, Rochester, MN, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Debra","family":"Jacobson","sequence":"additional","affiliation":[{"name":"Mayo Clinic, Rochester, MN, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jennifer St.","family":"Sauver","sequence":"additional","affiliation":[{"name":"Mayo Clinic, Rochester, MN, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2017,4,22]]},"reference":[{"key":"bibr1-2150131917704326","doi-asserted-by":"publisher","DOI":"10.1001\/jamapediatrics.2014.21"},{"key":"bibr2-2150131917704326","doi-asserted-by":"publisher","DOI":"10.1001\/jama.2016.6361"},{"key":"bibr3-2150131917704326","doi-asserted-by":"publisher","DOI":"10.2337\/dc11-s212"},{"key":"bibr4-2150131917704326","doi-asserted-by":"publisher","DOI":"10.1161\/HYPERTENSIONAHA.111.00831"},{"key":"bibr5-2150131917704326","doi-asserted-by":"publisher","DOI":"10.1542\/peds.2005-1832"},{"key":"bibr6-2150131917704326","doi-asserted-by":"publisher","DOI":"10.1097\/01.mop.0000172816.79637.c5"},{"key":"bibr7-2150131917704326","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMoa1309753"},{"key":"bibr8-2150131917704326","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.38586.411273.E0"},{"key":"bibr9-2150131917704326","doi-asserted-by":"publisher","DOI":"10.1016\/j.cmpb.2012.08.016"},{"key":"bibr10-2150131917704326","doi-asserted-by":"publisher","DOI":"10.3390\/nu4101382"},{"key":"bibr11-2150131917704326","doi-asserted-by":"publisher","DOI":"10.1038\/ijo.2015.42"},{"key":"bibr12-2150131917704326","doi-asserted-by":"publisher","DOI":"10.1186\/s12889-016-3757-7"},{"key":"bibr13-2150131917704326","doi-asserted-by":"publisher","DOI":"10.1111\/j.2047-6310.2012.00112.x"},{"key":"bibr14-2150131917704326","doi-asserted-by":"publisher","DOI":"10.1002\/oby.21158"},{"key":"bibr15-2150131917704326","doi-asserted-by":"publisher","DOI":"10.1016\/j.jaci.2013.01.001"},{"key":"bibr16-2150131917704326","doi-asserted-by":"publisher","DOI":"10.1136\/jech-2014-203808"},{"key":"bibr17-2150131917704326","doi-asserted-by":"publisher","DOI":"10.1038\/nutd.2016.6"},{"key":"bibr18-2150131917704326","doi-asserted-by":"publisher","DOI":"10.2337\/dc10-1809"},{"key":"bibr19-2150131917704326","doi-asserted-by":"publisher","DOI":"10.1001\/archpediatrics.2011.153"},{"key":"bibr20-2150131917704326","doi-asserted-by":"publisher","DOI":"10.3109\/17477166.2010.530664"},{"key":"bibr21-2150131917704326","doi-asserted-by":"publisher","DOI":"10.3945\/ajcn.111.022269"},{"key":"bibr22-2150131917704326","doi-asserted-by":"publisher","DOI":"10.1038\/oby.2007.585"},{"key":"bibr23-2150131917704326","doi-asserted-by":"publisher","DOI":"10.1038\/sj.ijo.0803611"},{"key":"bibr24-2150131917704326","doi-asserted-by":"publisher","DOI":"10.1002\/oby.21673"},{"key":"bibr25-2150131917704326","doi-asserted-by":"publisher","DOI":"10.1016\/j.acap.2014.06.009"},{"key":"bibr26-2150131917704326","doi-asserted-by":"publisher","DOI":"10.1093\/aje\/kwq482"},{"key":"bibr27-2150131917704326","doi-asserted-by":"publisher","DOI":"10.1016\/j.mayocp.2012.08.012"},{"key":"bibr28-2150131917704326","first-page":"1","volume":"63","author":"Flegal KM","year":"2013","journal-title":"Natl Health Stat"},{"key":"bibr29-2150131917704326","unstructured":"WHO Multicentre Growth Reference Study Group. WHO Child Growth Standards: length\/height-for-age, weight-for-age, weight-for-length, weight-for-height and body mass index-for-age: methods and development. Geneva, Switzerland: World Health Organization; 2006."},{"key":"bibr30-2150131917704326","doi-asserted-by":"publisher","DOI":"10.1093\/ije\/dys195"},{"key":"bibr31-2150131917704326","doi-asserted-by":"publisher","DOI":"10.4065\/74.4.330"},{"key":"bibr32-2150131917704326","doi-asserted-by":"publisher","DOI":"10.1542\/peds.2004-0220"},{"key":"bibr33-2150131917704326","unstructured":"US Census Bureau. Intercensal Estimates of the Resident Population by Five-Year Age Groups, Sex, Race, and Hispanic Origin for Counties: April 1, 2000 to July 1, 2010 (Minnesota, Olmsted County). 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