{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,8]],"date-time":"2026-09-08T07:27:14Z","timestamp":1788852434539,"version":"build-2803163510"},"reference-count":35,"publisher":"MDPI AG","issue":"24","license":[{"start":{"date-parts":[[2024,12,21]],"date-time":"2024-12-21T00:00:00Z","timestamp":1734739200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"name":"City of Gdansk authorities"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Nutrients"],"abstract":"<jats:p>Introduction: Abnormal body weight, including overweight and obesity, is a common health problem affecting children and adolescents. The present study aimed to analyse weight changes in children from preschool age to adolescence and to identify early predictors of excessive weight in adolescence, such as blood pressure and physical fitness observed in preschool children. Methodology: Data from 3075 children (1524 girls and 1594 boys), collected as part of the Gda\u0144sk Centre for Health Promotion\u2019s \u201cYour Child\u2019s Healthy Life\u201d programme, were analysed, with each child assessed at ages 6, 10, and 14. Results: The results indicated that boys were more likely to be overweight, with a tendency for obesity to increase with age. Children who were overweight or obese at age 6 had a higher risk of remaining so for a longer period of time. In addition, low physical fitness (as measured by the KPRT test) and elevated blood pressure were significantly associated with excess body weight. Conclusions: The study underscores the importance of early intervention and consistent monitoring of childhood overweight and obesity to reduce their long-term impact on health.<\/jats:p>","DOI":"10.3390\/nu16244397","type":"journal-article","created":{"date-parts":[[2024,12,23]],"date-time":"2024-12-23T09:13:38Z","timestamp":1734945218000},"page":"4397","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":3,"title":["Body Weight Changes During Childhood and Predictors of Excessive Body Weight in Adolescence\u2014A Longitudinal Analysis"],"prefix":"10.3390","volume":"16","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-1675-5566","authenticated-orcid":false,"given":"Aleksandra","family":"Lemanowicz-Kustra","sequence":"first","affiliation":[{"name":"Department of Pediatrics, Gastroenterology, Allergology and Nutrition, Faculty of Medicine, Medical University of Gda\u0144sk, 80-803 Gda\u0144sk, Poland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3426-507X","authenticated-orcid":false,"given":"Micha\u0142","family":"Brzezi\u0144ski","sequence":"additional","affiliation":[{"name":"Department of Pediatrics, Gastroenterology, Allergology and Nutrition, Faculty of Medicine, Medical University of Gda\u0144sk, 80-803 Gda\u0144sk, Poland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Magdalena","family":"Dettlaff-Dunowska","sequence":"additional","affiliation":[{"name":"Department of Pediatrics, Gastroenterology, Allergology and Nutrition, Faculty of Medicine, Medical University of Gda\u0144sk, 80-803 Gda\u0144sk, Poland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anna","family":"Borkowska","sequence":"additional","affiliation":[{"name":"Department of Pediatrics, Gastroenterology, Allergology and Nutrition, Faculty of Medicine, Medical University of Gda\u0144sk, 80-803 Gda\u0144sk, Poland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Maciej","family":"Materek","sequence":"additional","affiliation":[{"name":"Department of Pediatrics, Copernicus Hospital, 80-803 Gda\u0144sk, Poland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kacper","family":"Jagie\u0142\u0142o","sequence":"additional","affiliation":[{"name":"Department of Preventive Medicine and Education, Medical University of Gda\u0144sk, 80-211 Gda\u0144sk, Poland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5992-4414","authenticated-orcid":false,"given":"Agnieszka","family":"Szlagatys-Sidorkiewicz","sequence":"additional","affiliation":[{"name":"Department of Pediatrics, Gastroenterology, Allergology and Nutrition, Faculty of Medicine, Medical University of Gda\u0144sk, 80-803 Gda\u0144sk, Poland"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","published-online":{"date-parts":[[2024,12,21]]},"reference":[{"key":"ref_1","unstructured":"(2023, October 25). Obesity and Overweight. Available online: https:\/\/www.who.int\/news-room\/fact-sheets\/detail\/obesity-and-overweight."},{"key":"ref_2","first-page":"13","article-title":"Nutrition of Infants and Young Children in Poland\u2014Pitnuts 2016","volume":"21","author":"Weker","year":"2017","journal-title":"Dev. Period Med."},{"key":"ref_3","unstructured":"Dzielska, A., Jodkowska, M., Mazur, J., Radiukiewicz, K., Stalmach, M., and Zawadzka, D. (2023, August 02). Nadwaga i Oty\u0142o\u015b\u0107 u Polskich 8-Latk\u00f3w w \u015awietle Uwarunkowa\u0144 Biologicznych, Behawioralnych i Spo\u0142ecznych. European Childhood Obesity Surveillance Initiative (COSI). Available online: https:\/\/imid.med.pl\/files\/imid\/Do%20pobrania\/Raport%20COSI_kwiecie%C5%84.pdf."},{"key":"ref_4","unstructured":"(2023, October 25). Narodowe Centrum Edukacji \u017bywieniowej, Available online: https:\/\/ncez.pzh.gov.pl\/tag\/nadwaga\/."},{"key":"ref_5","first-page":"19","article-title":"Powik\u0142ania oty\u0142o\u015bci u dzieci i m\u0142odzie\u017cy","volume":"5","author":"Gawlik","year":"2009","journal-title":"Endokrynol Oty\u0142o\u015b\u0107 Zaburzenia Przemiany Materii."},{"key":"ref_6","doi-asserted-by":"crossref","first-page":"251","DOI":"10.1016\/j.mayocp.2016.09.017","article-title":"Review of Childhood Obesity: From Epidemiology, Etiology, and Comorbidities to Clinical Assessment and Treatment","volume":"92","author":"Kumar","year":"2017","journal-title":"Mayo Clin. Proc."},{"key":"ref_7","doi-asserted-by":"crossref","first-page":"1689","DOI":"10.1161\/CIR.0b013e3182a5cfb3","article-title":"American Heart Association Atherosclerosis, Hypertension, and Obesity in the Young Committee of the Council on Cardiovascular Disease in the Young, Council on Nutrition, Physical Activity and Metabolism, and Council on Clinical Cardiology Severe Obesity in Children and Adolescents: Identification, Associated Health Risks, and Treatment Approaches: A Scientific Statement from the American Heart Association","volume":"128","author":"Kelly","year":"2013","journal-title":"Circulation"},{"key":"ref_8","doi-asserted-by":"crossref","first-page":"437","DOI":"10.1093\/qjmed\/hcx152","article-title":"Complications of Obesity","volume":"111","author":"Kinlen","year":"2018","journal-title":"QJM Mon. J. Assoc. Physicians"},{"key":"ref_9","unstructured":"(2023, October 25). Program 6-10-14 dla Zdrowia. 6-10-14 Dla Zdrowia. Available online: https:\/\/dlazdrowia.uck.pl\/program_61014_dla_zdrowia\/."},{"key":"ref_10","first-page":"54","article-title":"Oty\u0142o\u015b\u0107 u Dzieci i M\u0142odzie\u017cy","volume":"6","author":"Szadkowska","year":"2004","journal-title":"Przew. Lek. GPs"},{"key":"ref_11","first-page":"3","article-title":"Simple obesity in children. A study on the role of nutritional factors","volume":"10","author":"Weker","year":"2006","journal-title":"Med. Wieku Rozwoj."},{"key":"ref_12","doi-asserted-by":"crossref","first-page":"1475","DOI":"10.1038\/sj.ijo.0801415","article-title":"Physical Activity and Body Weight: Associations over Ten Years in the CARDIA Study. Coronary Artery Risk Development in Young Adults","volume":"24","author":"Schmitz","year":"2000","journal-title":"Int. J. Obes. Relat. Metab. Disord. J. Int. Assoc. Study Obes."},{"key":"ref_13","first-page":"279","article-title":"Recreational Physical Activity and Ten-Year Weight Change in a US National Cohort","volume":"17","author":"Williamson","year":"1993","journal-title":"Int. J. Obes. Relat. Metab. Disord. J. Int. Assoc. Study Obes."},{"key":"ref_14","unstructured":"Ku\u0142aga, Z., R\u00f3\u017cd\u017cy\u0144ska, A., Palczewska, I., Grajda, A., Gurzkowska, B., Napieralska, E., and Litwin, M. (2023, October 27). Percentile Charts of Height, Body Mass and Body Mass Index in Children and Adolescents in Poland\u2014Results of the OLAF Study\u2014Standardy Medyczne. Available online: https:\/\/www.standardy.pl\/artykuly\/id\/122."},{"key":"ref_15","unstructured":"Ku\u0142aga, Z., Litwin, M., Grajda, A., Gurzkowska, B., Napieralska, E., Ku\u0142aga, K., and Grupa Badaczy OLAF (2023, October 27). Distribution of Blood Pressure in School-Aged Children and Adolescents Reference Population\u2014Standardy Medyczne. Available online: https:\/\/www.standardy.pl\/artykuly\/id\/140."},{"key":"ref_16","doi-asserted-by":"crossref","first-page":"766","DOI":"10.1016\/S0140-6736(14)60460-8","article-title":"Global, Regional, and National Prevalence of Overweight and Obesity in Children and Adults during 1980\u20132013: A Systematic Analysis for the Global Burden of Disease Study 2013","volume":"384","author":"Ng","year":"2014","journal-title":"Lancet"},{"key":"ref_17","doi-asserted-by":"crossref","first-page":"2627","DOI":"10.1016\/S0140-6736(17)32129-3","article-title":"Worldwide Trends in Body-Mass Index, Underweight, Overweight, and Obesity from 1975 to 2016: A Pooled Analysis of 2416 Population-Based Measurement Studies in 128\u00b79 Million Children, Adolescents, and Adults","volume":"390","author":"Abdeen","year":"2017","journal-title":"Lancet"},{"key":"ref_18","first-page":"22","article-title":"Is There a Rapid Increase in Prevalence of Obesity in Polish Children? An 18-Year Prospective Observational Study in Gdansk, Poland","volume":"14","author":"Jankowski","year":"2018","journal-title":"Arch. Med. Sci. AMS"},{"key":"ref_19","doi-asserted-by":"crossref","first-page":"370","DOI":"10.1016\/j.ehb.2007.08.004","article-title":"Changes in BMI and the Prevalence of Overweight and Obesity in Children and Adolescents in Cracow, Poland, 1971\u20132000","volume":"5","author":"Chrzanowska","year":"2007","journal-title":"Econ. Hum. Biol."},{"key":"ref_20","doi-asserted-by":"crossref","first-page":"245","DOI":"10.1007\/s00431-011-1519-1","article-title":"Prevalence of Overweight and Obesity in Children Aged 6\u201313 Years\u2014Alarming Increase in Obesity in Cracow, Poland","volume":"171","author":"Bac","year":"2012","journal-title":"Eur. J. Pediatr."},{"key":"ref_21","doi-asserted-by":"crossref","first-page":"289","DOI":"10.2478\/anre-2021-0024","article-title":"Sex Differences in Younger School Age Children\u2019s Body Weight Categories","volume":"84","year":"2021","journal-title":"Anthropol. Rev."},{"key":"ref_22","doi-asserted-by":"crossref","first-page":"95","DOI":"10.1111\/obr.12334","article-title":"Predicting Adult Obesity from Childhood Obesity: A Systematic Review and Meta-Analysis","volume":"17","author":"Simmonds","year":"2016","journal-title":"Obes. Rev. Off. J. Int. Assoc. Study Obes."},{"key":"ref_23","first-page":"e138","article-title":"Progression from Childhood Overweight to Adolescent Obesity in a Large Contemporary Cohort","volume":"6","author":"Reilly","year":"2011","journal-title":"Int. J. Pediatr. Obes. IJPO Off. J. Int. Assoc. Study Obes."},{"key":"ref_24","doi-asserted-by":"crossref","unstructured":"Jankowska, A., Brzezi\u0144ski, M., Romanowicz-So\u0142tyszewska, A., and Szlagatys Sidorkiewicz, A. (2021). Metabolic Syndrome in Obese Children-Clinical Prevalence and Risk Factors. Int. J. Environ. Res. Public Health, 18.","DOI":"10.3390\/ijerph18031060"},{"key":"ref_25","doi-asserted-by":"crossref","first-page":"371","DOI":"10.3945\/ajcn.116.130252","article-title":"Genetic and Environmental Effects on Body Mass Index from Infancy to the Onset of Adulthood: An Individual-Based Pooled Analysis of 45 Twin Cohorts Participating in the COllaborative Project of Development of Anthropometrical Measures in Twins (CODATwins) Study123","volume":"104","author":"Silventoinen","year":"2016","journal-title":"Am. J. Clin. Nutr."},{"key":"ref_26","first-page":"1052","article-title":"Evaluating Obesity and Cardiovascular Risk Factors in Children and Adolescents","volume":"78","author":"Spiotta","year":"2008","journal-title":"Am. Fam. Physician"},{"key":"ref_27","doi-asserted-by":"crossref","first-page":"12","DOI":"10.1016\/j.jpeds.2006.08.042","article-title":"Cardiovascular Risk Factors and Excess Adiposity among Overweight Children and Adolescents: The Bogalusa Heart Study","volume":"150","author":"Freedman","year":"2007","journal-title":"J. Pediatr."},{"key":"ref_28","doi-asserted-by":"crossref","first-page":"722","DOI":"10.1038\/sj.ijo.0802278","article-title":"Obesity from Cradle to Grave","volume":"27","author":"Eriksson","year":"2003","journal-title":"Int. J. Obes."},{"key":"ref_29","doi-asserted-by":"crossref","first-page":"137","DOI":"10.1016\/j.jpeds.2013.01.020","article-title":"The Cardio-Metabolic Risk of Moderate and Severe Obesity in Children and Adolescents","volume":"163","author":"Rank","year":"2013","journal-title":"J. Pediatr."},{"key":"ref_30","doi-asserted-by":"crossref","first-page":"1059","DOI":"10.1007\/s00467-012-2344-0","article-title":"The Changing Face of Pediatric Hypertension in the Era of the Childhood Obesity Epidemic","volume":"28","author":"Flynn","year":"2013","journal-title":"Pediatr. Nephrol. Berl. Ger."},{"key":"ref_31","doi-asserted-by":"crossref","first-page":"3833","DOI":"10.1007\/s00431-024-05636-x","article-title":"The Age of the Obesity Onset Is a Very Important Factor for the Development of Metabolic Complications and Cardiovascular Risk in Children and Adolescents with Severe Obesity","volume":"183","author":"Szczudlik","year":"2024","journal-title":"Eur. J. Pediatr."},{"key":"ref_32","doi-asserted-by":"crossref","first-page":"2210","DOI":"10.1017\/S1368980019001319","article-title":"Prevalence of Underweight in Children and Adolescents (Aged 3\u201318 Years) from Krak\u00f3w (Poland) in 1983 and 2010","volume":"22","author":"Kowal","year":"2019","journal-title":"Public Health Nutr."},{"key":"ref_33","doi-asserted-by":"crossref","first-page":"1216","DOI":"10.1007\/s12098-022-04311-z","article-title":"Assessment of Cardiorespiratory Fitness in 8-to-15-Year-Old Children with Overweight\/Obesity by Three-Minute Step Test: Association with Degree of Obesity, Blood Pressure, and Insulin Resistance","volume":"90","author":"Gupta","year":"2023","journal-title":"Indian J. Pediatr."},{"key":"ref_34","first-page":"342","article-title":"Obesity Is Associated with Higher Heart Rate and Excessive Dyspnea with Fatigue in the Six-Minute Walk Test","volume":"50","author":"Moczulska","year":"2022","journal-title":"Pol. Merkur. Lek. Organ Pol. Tow. Lek."},{"key":"ref_35","doi-asserted-by":"crossref","unstructured":"Dettlaff-Dunowska, M., Brzezi\u0144ski, M., Zagierska, A., Borkowska, A., Zagierski, M., and Szlagatys-Sidorkiewicz, A. (2022). Changes in Body Composition and Physical Performance in Children with Excessive Body Weight Participating in an Integrated Weight-Loss Programme. Nutrients, 14.","DOI":"10.3390\/nu14173647"}],"container-title":["Nutrients"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.mdpi.com\/2072-6643\/16\/24\/4397\/pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,10]],"date-time":"2025-10-10T16:57:31Z","timestamp":1760115451000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.mdpi.com\/2072-6643\/16\/24\/4397"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,12,21]]},"references-count":35,"journal-issue":{"issue":"24","published-online":{"date-parts":[[2024,12]]}},"alternative-id":["nu16244397"],"URL":"https:\/\/doi.org\/10.3390\/nu16244397","relation":{},"ISSN":["2072-6643"],"issn-type":[{"value":"2072-6643","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,12,21]]}}}