BACKGROUND: Although evidence suggests that obesity track well from childhood to adolescence, most of the research has been done in Western and high-income countries. Moreover, most of the studies have tracked body-mass index, as a proxy of nutritional status, while tracking characteristics of circumferences and skinfold thicknesses have been less studies. Therefore, the main purpose of the study was to explore tracking characteristics of complete anthropometric data from childhood to adolescence. METHODS: This sub-study was part of the Czech ELSPAC study. In the present 8-year longitudinal study, we collected information from pediatrician's medical records at the ages of 8 y (n = 888), 11 y (n = 1065), 13 y (n = 811) and 15 y (n = 974), including circumferences (head, chest, waist, hips, and arm), indices (body-mass index, waist-to-hip ratio and waist-to-height ratio) and skinfold thicknesses (biceps, triceps, subscapula, suprailiaca, thigh and the sum of 5 skinfolds). Participants were recruited from the two selected regions of the Czech Republic (Brno and Znojmo). Linear generalized estimating equations were conducted to analyze tracking patterns over an 8-year follow-up period for all anthropometric measurements. RESULTS: Tracking coefficients were moderate to strong, ranging from 0.40 to 0.62 for circumferences, 0.41 to 0.74 for indices and 0.72 to 0.86 for skinfolds. According to body-mass index and waist circumference standards, overweight/obese children and children with abdominal obesity at the age of 8 y were 11.31 (95% CI = 8.41 to 15.22, p < 0.001) and 10.73 (95% CI = 7.93 to 14.52, p < 0.001) more likely to remain overweight/obese and to have abdominal obesity at the age of 15 y. CONCLUSIONS: Findings show moderate to strong tracking of anthropometric characteristics, i.e. circumferences track moderately well, while strong tracking for indices and skinfold thicknesses is observed. Moreover, strong tracking of general overweight/obesity and abdominal obesity between ages 8 y and 15 y indicates that the detection of these risk factors at the beginning of primary school should be advocated.

Department of General and Applied Kinesiology Faculty of Kinesiology University of Zagreb Horvaćanski zavoj 15 10 000 Zagreb Croatia

Department of Sport Motorics and Methodology in Kinanthropology Faculty of Sports Studies Masaryk University Kamenice 753 5 625 00 Brno Czech Republic

RECETOX Faculty of Science Masaryk University Kotlarska 2 611 37 Brno Czech Republic

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Twig G, Yaniv G, Levine H, et al. Body-mass index in 2.3 million adolescents and cardiovascular death in adulthood. N Engl J Med. 2016;374:2430–40. doi: 10.1056/NEJMoa1503840. PubMed DOI

Park MH, Falconer C, Viner RM, Kinra S. The impact of childhood obesity on morbidity and mortality in adulthood: a systematic review. Obes Rev. 2012;13:985–1000. doi: 10.1111/j.1467-789X.2012.01015.x. PubMed DOI

NCD Risk Factor Collaboration (NCD-RisC). Worldwide trends in body-mass index, underweight, overweight, and obesity from to 2016: a pooled analysis of 2416 population-based measurement studies in 128·9 million children, adolescents, and adults. Lancet. 1975;2017(390):2627–2642. PubMed PMC

Garrido-Miguel M, Cavero-Redondo I, Álvarez-Bueno C, Rodríguez-Artalejo F, Moreno LA, Ruiz JR, et al. Prevalence and trends of overweight and obesity in European childrenfFrom 1999 to 2016: a systematic review and meta-analysis. JAMA Pediatr. 2019;173:192430. doi: 10.1001/jamapediatrics.2019.2430. PubMed DOI PMC

World Health Organization . Adolescent obesity and related behaviours: trends and inequalities in the WHO European Region, 2002–2014: observations from the Health Behavior in School-Aged Children (HBSC) WHO Collaborative cross-national study. Geneva: World Health Organization; 2017.

Hamřík Z, Sigmundová D, Pavelka J, Kalman M, Sigmund E. Trends in overweight and obesity in Czech schoolchildren from 1998 to 2014. Cent Eur J Public Health. 2017;25:10–14. doi: 10.21101/cejph.a5099. PubMed DOI

Sigmund E, Sigmundová D, Badura P, Voráčová J, Vladimír H, Jr, Hollein T, et al. Time-trends and correlates of obesity in Czech adolescents in relation to family socioeconomic status over a 16-year study period (2002–2018) BMC Public Health. 2020;20(1):229. doi: 10.1186/s12889-020-8336-2. PubMed DOI PMC

Lindberg L, Danielsson P, Persson M, Marcus C, Hagman E. Association of childhood obesity with risk of early all-cause and cause-specific mortality: A Swedish prospective cohort study. PLoS Med. 2020;17:e1003078. doi: 10.1371/journal.pmed.1003078. PubMed DOI PMC

Reilly JJ, Kelly J. Long-term impact of overweight and obesity in childhood and adolescence on morbidity and premature mortality in adulthood: systematic review. Int J Obes (Lond) 2011;35:891–898. doi: 10.1038/ijo.2010.222. PubMed DOI

Malina RM. Tracking of physical activity and physical fitness across the lifespan. Res Q Exerc Sport. 1996;67:48–57. doi: 10.1080/02701367.1996.10608853. PubMed DOI

Foulkes MA, Davis CE. An index of tracking for longitudinal data. Biometrics. 1981;37:439–446. doi: 10.2307/2530557. DOI

Starc G, Strel J. Tracking excess weight and obesity from childhood to young adulthood: a 12-year prospective cohort study in Slovenia. Public Health Nutr. 2011;14:49–55. doi: 10.1017/S1368980010000741. PubMed DOI

Fuentes RM, Notkola IL, Shemeikka S, Tuomilehto J, Nissinen A. Tracking of body mass index during childhood: a 15-year prospective population-based family study in eastern Finland. Int J Obes Relat Metab Disord. 2003;27:716–721. doi: 10.1038/sj.ijo.0802271. PubMed DOI

Hayes AJ, Carrello JP, Kelly PJ, Killedar A, Baur LA. Looking backwards and forwards: tracking and persistence of weight status between early childhood and adolescence. Int J Obes. 2021;45:870–878. doi: 10.1038/s41366-021-00751-3. PubMed DOI

Ronque ERV, Werneck AO, Bueno MRO, Cyrino ES, Stanganelli LCR, Arruda M. Tracking of body adiposity indicators from childhood to adolescence: mediation by BMI. PLoS One. 2018;13:e0191908. doi: 10.1371/journal.pone.0191908. PubMed DOI PMC

Evensen E, Emaus N, Kokkvoll A, Wilsgaard T, Furberg AS, Skeie G. The relation between birthweight, childhood body mass index, and overweight and obesity in late adolescence: a longitudinal cohort study from Norway, The Tromsø Study. Fit Futures. BMJ Open. 2017;7:e015576. doi: 10.1136/bmjopen-2016-015576. PubMed DOI PMC

Prado TGD, Costa JCD, Bueno MRDO, Batista MB, Romanzin M, Ronque ERV. Tracking of nutritional status between childhood and adolescence in schoolchildren. Rev Bras Med Esporte. 2018;24:446–449. doi: 10.1590/1517-869220182406181086. DOI

Wang Y, Ge K, Popkin BM. Tracking of body mass index from childhood to adolescence: a 6-y follow-up study in China. Am J Clin Nutr. 2000;72:1018–1024. doi: 10.1093/ajcn/72.4.1018. PubMed DOI

Evensen E, Wilsgaard T, Furberg AS, Skeie G. Tracking of overweight and obesity from early childhood to adolescence in a population-based cohort - the Tromsø Study. Fit Futures BMC Pediatr. 2016;16:64. doi: 10.1186/s12887-016-0599-5. PubMed DOI PMC

Johannsson E, Arngrimsson SA, Thorsdottir I, Sveinsson T. Tracking of overweight from early childhood to adolescence in cohorts born 1988 and 1994: overweight in a high birth weight population. Int J Obes. 2006;30:1265–1271. doi: 10.1038/sj.ijo.0803253. PubMed DOI

Rundle AG, Factor-Litvak P, Suglia SF, Susser ES, Kezios KL, Lovasi GS, et al. Tracking of obesity in childhood into adulthood: effects on body mass index and fat mass index at age 50. Child Obes. 2020;16:226–233. doi: 10.1089/chi.2019.0185. PubMed DOI PMC

Deshmukh-Taskar P, Nicklas TA, Morales M, Yang SJ, Zakeri I, Berenson GS. Tracking of overweight status from childhood to young adulthood: the Bogalusa Heart Study. Eur J Clin Nutr. 2006;60:48–57. doi: 10.1038/sj.ejcn.1602266. PubMed DOI

Simmonds M, Burch J, Llewellyn A, Griffiths C, Yang H, Owen C, et al. The use of measures of obesity in childhood for predicting obesity and the development of obesity-related diseases in adulthood: a systematic review and meta-analysis. Health Technol Assess Winch Engl. 2015;19:1–336. doi: 10.3310/hta19430. PubMed DOI PMC

Singh AS, Mulder C, Twisk JWR, van Mechelen W, Chinapaw MJM. Tracking of childhood overweight into adulthood: a systematic review of the literature. Obes Rev. 2008;9:474–488. doi: 10.1111/j.1467-789X.2008.00475.x. PubMed DOI

The NS, Suchindran C, North KE, Popkin BM, Gordon-Larsen P. Association of adolescent obesity with risk of severe obesity in adulthood. JAMA. 2010;304:2042–2047. doi: 10.1001/jama.2010.1635. PubMed DOI PMC

Juhola J, Magnussen CG, Viikari JSA, Kähönen M, Hutri-Kähönen N, Jula A, et al. Tracking of serum lipid levels, blood pressure, and body mass index from childhood to adulthood: the Cardiovascular Risk in Young Finns Study. J Pediatr. 2011;159:584–590. doi: 10.1016/j.jpeds.2011.03.021. PubMed DOI

Wheaton N, Millar L, Allender S, Nichols M. The stability of weight status through the early to middle childhood years in Australia: a longitudinal study. BMJ Open. 2015;5:e006963. doi: 10.1136/bmjopen-2014-006963. PubMed DOI PMC

Serdula MK, Ivery D, Coates RJ, Freedman DS, Williamson DF, Byers T. Do obese children become obese adults? A review of the literature. Prev Med. 1993;22:167–177. doi: 10.1006/pmed.1993.1014. PubMed DOI

Monyeki KD, Kemper HC, Makgae PJ. Development and tracking of central patterns of subcutaneous fat of rural South African youth: Ellisras longitudinal study. BMC Pediatr. 2009;9:74. doi: 10.1186/1471-2431-9-74. PubMed DOI PMC

Twisk JWR. Applied longitudinal data analysis for epidemiology. A practical guide. New York: Cambridge: Cambridge University Press; 2003.

McPherson S, Barbosa-Leiker C, McDonell M, Howell D, Roll J. Longitudinal missing data strategies for substance use clinical trials using generalized estimating equations: an example with a buprenorphine trial. Hum Psychopharmacol. 2013;28:506–515. doi: 10.1002/hup.2339. PubMed DOI PMC

Stettler N, Zemel BS, Kumanyika S, Stallings VA. Infant weight gain and childhood overweight status in a multicenter, cohort study. Pediatrics. 2002;109:194–199. doi: 10.1542/peds.109.2.194. PubMed DOI

Dietz WH. Critical periods in childhood for the development of obesity. Am J Clin Nutr. 1994;59:955–959. doi: 10.1093/ajcn/59.5.955. PubMed DOI

Williams S, Davie G, Lam F. Predicting BMI in young adults from childhood data using two approaches to modelling adiposity rebound. Int J Obes Relat Metab Disord. 1999;23:348–354. doi: 10.1038/sj.ijo.0800824. PubMed DOI

Piler P, Kandrnal V, Kukla L, Andrýsková L, Švancara J, Jarkovský J, et al. Cohort Profile: The European Longitudinal Study of Pregnancy and Childhood (ELSPAC) in the Czech Republic. Int J Epidemiol. 2017;46:1379–1379f. PubMed PMC

Kuczmarski RJ, Ogden CL, Guo SS, Grummer-Strawn LM, Flegal KM, Mei Z, Wei R, Curtin LR, Roche AF, Johnson CL. 2000 CDC Growth Charts for the United States: methods and development. Vital and health statistics. 2002;11(246):1–190. PubMed

Sigmund E, Sigmundová D, Badura P, Kalman M, Hamrik Z, Pavelka J. Temporal trends in overweight and obesity, physical activity and screen time among Czech adolescents from 2002 to 2014: a national health behaviour in school-aged children study. Int J Environ Res Public Health. 2015;12:11848–11868. doi: 10.3390/ijerph120911848. PubMed DOI PMC

van Lenthe FJ, Kemper HCG, Mechelen W, Twisk JWR. Development and tracking of central pattern of subcutaneous fat in adolescence and childhood: The Amsterdam Growth and Health Study. Int J Epidemiol. 1996;25:1162–1171. doi: 10.1093/ije/25.6.1162. PubMed DOI

Mahoney LT, Lauer RM, Lee J, Clarke WR. Factors affecting tracking of coronary heart disease risk factors in children. The Muscatine Study. Ann N Y Acad Sci. 1991;623:121–32. doi: 10.1111/j.1749-6632.1991.tb43723.x. PubMed DOI

Cameron N, Demerath EW. Critical period in human growth and their relationship to diseases of aging. Am J Phys Anthropol. 2002;45:159–184. doi: 10.1002/ajpa.10183. PubMed DOI

Bobak M, Marmot M. East-West mortality divide and its potential explanations: Proposed research agenda. BMJ. 1996;312:42125. doi: 10.1136/bmj.312.7028.421. PubMed DOI PMC