Early childhood weight trajectory differences in twins, singletons, and gestational-age matched singletons
Objective: Understanding of twin growth in the United States (US) is based on outdated or predominantly non-Hispanic White samples, and the age at which twins catch up to singletons is unclear. In this study, we characterized normative weight trajectories of twins and singletons in a contemporary, d...
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| Language: | English |
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Elsevier
2025-02-01
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| Series: | Preventive Medicine Reports |
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| Online Access: | http://www.sciencedirect.com/science/article/pii/S2211335525000233 |
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| author | Anna Booman Byron A. Foster Kristin Lyon-Scott Miguel Marino Jonathan M. Snowden Janne Boone-Heinonen |
| author_facet | Anna Booman Byron A. Foster Kristin Lyon-Scott Miguel Marino Jonathan M. Snowden Janne Boone-Heinonen |
| author_sort | Anna Booman |
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| description | Objective: Understanding of twin growth in the United States (US) is based on outdated or predominantly non-Hispanic White samples, and the age at which twins catch up to singletons is unclear. In this study, we characterized normative weight trajectories of twins and singletons in a contemporary, diverse cohort. Methods: Data were from the PROMISE study, an electronic health record-based cohort of pregnant people and their children in the US (2005–2021). The Jenss model was used to characterize weight trajectories from 0 to 24 months of age. Twins (n = 716) were compared to the full cohort of singletons (n = 40,075) and a matched sample with similar gestational age at birth (GA) (n = 7160). Results: Male and female twins had lower birth weight compared to singletons and experienced a high rate of weight gain throughout infancy. Among males, twins caught up in weight to the full singleton cohort and to GA-matched singletons at approximately 12 and 6 months, respectively. Among females, twins caught up to GA-matched singletons at approximately 15 months but did not fully overcome their birth weight disadvantage to the full singleton sample by 24 months. Conclusions: These findings highlight that the use of singleton growth charts or preterm singleton growth charts among twins may be inappropriate and suggest the need for a twin-specific growth chart. Future research is needed to understand factors that drive differences in weight trajectories between twins and singletons and to guide twin-specific guidelines. |
| format | Article |
| id | doaj-art-e13e53a4033c4185abefb8d7ca873aab |
| institution | Kabale University |
| issn | 2211-3355 |
| language | English |
| publishDate | 2025-02-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Preventive Medicine Reports |
| spelling | doaj-art-e13e53a4033c4185abefb8d7ca873aab2025-02-08T05:00:19ZengElsevierPreventive Medicine Reports2211-33552025-02-0150102984Early childhood weight trajectory differences in twins, singletons, and gestational-age matched singletonsAnna Booman0Byron A. Foster1Kristin Lyon-Scott2Miguel Marino3Jonathan M. Snowden4Janne Boone-Heinonen5School of Public Health, Oregon Health & Science University-Portland State University, Portland, OR, United StatesSchool of Public Health, Oregon Health & Science University-Portland State University, Portland, OR, United States; School of Medicine, Oregon Health & Science University, Portland, OR, United StatesOCHIN, Inc., Portland, OR, United StatesSchool of Public Health, Oregon Health & Science University-Portland State University, Portland, OR, United States; School of Medicine, Oregon Health & Science University, Portland, OR, United StatesSchool of Public Health, Oregon Health & Science University-Portland State University, Portland, OR, United StatesSchool of Public Health, Oregon Health & Science University-Portland State University, Portland, OR, United States; Corresponding author.Objective: Understanding of twin growth in the United States (US) is based on outdated or predominantly non-Hispanic White samples, and the age at which twins catch up to singletons is unclear. In this study, we characterized normative weight trajectories of twins and singletons in a contemporary, diverse cohort. Methods: Data were from the PROMISE study, an electronic health record-based cohort of pregnant people and their children in the US (2005–2021). The Jenss model was used to characterize weight trajectories from 0 to 24 months of age. Twins (n = 716) were compared to the full cohort of singletons (n = 40,075) and a matched sample with similar gestational age at birth (GA) (n = 7160). Results: Male and female twins had lower birth weight compared to singletons and experienced a high rate of weight gain throughout infancy. Among males, twins caught up in weight to the full singleton cohort and to GA-matched singletons at approximately 12 and 6 months, respectively. Among females, twins caught up to GA-matched singletons at approximately 15 months but did not fully overcome their birth weight disadvantage to the full singleton sample by 24 months. Conclusions: These findings highlight that the use of singleton growth charts or preterm singleton growth charts among twins may be inappropriate and suggest the need for a twin-specific growth chart. Future research is needed to understand factors that drive differences in weight trajectories between twins and singletons and to guide twin-specific guidelines.http://www.sciencedirect.com/science/article/pii/S2211335525000233TwinsWeight GainBody-Weight TrajectoryElectronic Health Records |
| spellingShingle | Anna Booman Byron A. Foster Kristin Lyon-Scott Miguel Marino Jonathan M. Snowden Janne Boone-Heinonen Early childhood weight trajectory differences in twins, singletons, and gestational-age matched singletons Preventive Medicine Reports Twins Weight Gain Body-Weight Trajectory Electronic Health Records |
| title | Early childhood weight trajectory differences in twins, singletons, and gestational-age matched singletons |
| title_full | Early childhood weight trajectory differences in twins, singletons, and gestational-age matched singletons |
| title_fullStr | Early childhood weight trajectory differences in twins, singletons, and gestational-age matched singletons |
| title_full_unstemmed | Early childhood weight trajectory differences in twins, singletons, and gestational-age matched singletons |
| title_short | Early childhood weight trajectory differences in twins, singletons, and gestational-age matched singletons |
| title_sort | early childhood weight trajectory differences in twins singletons and gestational age matched singletons |
| topic | Twins Weight Gain Body-Weight Trajectory Electronic Health Records |
| url | http://www.sciencedirect.com/science/article/pii/S2211335525000233 |
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