Longitudinal analysis of growth trajectories in young children of Chinese-born immigrant mothers compared with Australian-born mothers living in Victoria, Australia

• Published in: BMJ open 2021-02, Vol.11 (2), p.e041148-e041148
• Main Authors: Bolton, Kristy A, Kremer, Peter, Laws, Rachel, Campbell, Karen J, Zheng, Miaobing
• Format: Article
• Language: English
• Subjects: Babies; Birth weight; Body Mass Index; Child; Child, Preschool; Children & youth; Childrens health; China; community child health; Country of birth; Emigrants and Immigrants; Epidemiology; Ethnicity; Families & family life; Female; Gestational age; Humans; Local government; Maternal & child health; Mothers; Noncitizens; nutrition & dietetics; Obesity; Overweight; Population; Pregnancy; Public Health; Socioeconomic factors; Victoria
• ISSN: 2044-6055; 2044-6055
• DOI: 10.1136/bmjopen-2020-041148

BackgroundChinese immigrants are the third largest immigrant group in Australia. Little is known about growth trajectories of their offspring when moving to a Western country. The aim was to describe the growth trajectories between birth to 3.5 years in children of Chinese-born immigrant mothers compared with Australian-born mothers living in Victoria, Australia.MethodsTen nurse measured weights and lengths from birth to 3.5 years were used to examine growth trajectory using linear spline multilevel models. Five knot points were identified at visit 2 (0.5 months), visit 4 (2 months), visit 5 (4.5 months), visit 8 (18 months) and visit 9 (25 months).ResultsEthnic disparities in growth trajectories between these two groups were revealed in models adjusted for birth weight, sex and level of socioeconomic disadvantage. Children of Chinese-born compared with Australian-born mothers revealed different growth rates and significant differences in predicted mean body mass index Z score (zBMI) at all time points from birth to 44 months, except for 12 months. Specifically, when compared with children of Australian-born mothers, children of Chinese-born mothers started with lower predicted zBMI from birth until 0.5 months, had a higher zBMI from 1 to 8 months and a lower zBMI from 12 to 44 months. Early and sharp acceleration of growth was also observed for children of Chinese-born mothers (0.5–2 months) when compared with children of Australian-born mothers (2–18 months).ConclusionDifferences in growth trajectories exist between young children of Chinese-born and Australian-born mothers. Better understanding of these ethnically patterned growth trajectories is important for identifying key opportunities to promote healthy growth in early life.