Physical activity in infancy is associated with body composition at age three

BACKGROUND: The prevalence of obesity in the pediatric population is increasing, driven by a multifactorial etiology that includes genetic predisposition as well as both prenatal and postnatal influences. We aimed to explore associations between child physical activity (PA) at ages one and three years and body composition at age three. Furthermore, we investigated associations between maternal PA during pregnancy and child body composition at age three. METHODS: Mother-child pairs (n = 68) from a pregnancy PA intervention study were included. Children's PA was assessed at one- and three-year follow-ups using 7-day accelerometry and categorized into 24-hour PA and daytime PA (6 a.m. - 8 p.m.). Child body composition was measured by Dual-energy X-ray absorptiometry and expressed as fat-free mass (FFM) and body fat percentage (BF%). Maternal moderate-to-vigorous intensity PA (MVPA) was measured using a commercial activity tracker. Associations between maternal and child PA and child body composition were examined using linear regression. Variables used for model adjustment included maternal pre-pregnancy body mass index, gestational weight gain, maternal educational level at baseline, parity, maternal age at baseline, child walking status at age one, child sex, and child age at the three-year follow-up. RESULTS: We found a positive association between daytime PA at age one and child FFM at age three. Daytime PA at age three was positively associated with FFM, and 24-hour PA at age three was negatively associated with BF% and positively associated with FFM. A 10% increase in 24-hour PA was associated with approximately 400 g higher FFM. Maternal MVPA during pregnancy showed no association with child body composition at age three. CONCLUSION: More daytime PA at ages one and three was associated with higher FFM at age three in children. These findings highlight the importance of research focusing on early PA habits to support healthy body composition in young children.