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Birth season associates with multiple anthropometric traits in Estonian children

Published online by Cambridge University Press:  14 April 2025

Richard Meitern
Affiliation:
Department of Zoology, Institute of Ecology and Earth Sciences, University of Tartu, Tartu, Estonia
Markus Valge
Affiliation:
Department of Zoology, Institute of Ecology and Earth Sciences, University of Tartu, Tartu, Estonia
Velda Lauringson
Affiliation:
Department of Zoology, Institute of Ecology and Earth Sciences, University of Tartu, Tartu, Estonia
Peeter Hõrak*
Affiliation:
Department of Zoology, Institute of Ecology and Earth Sciences, University of Tartu, Tartu, Estonia
*
Corresponding author: Peeter Hõrak; Email: [email protected]

Abstract

Seasonal variation in maternal exposure to sunlight during pregnancy, which relates to variation in vitamin D and other micronutrient availability for a fetus, is a prevalent explanation for the variation of offspring traits with birth season. However, little consensus exists about the pregnancy period during which the fetus is most sensitive to maternal UV exposure and which offspring traits are most sensitive. We examined the association between 11 anthropometric traits and birth season/month among 18,459–23,876 Estonian children born in 1937–62. Nine traits showed seasonal patterns, which were generally weak, compared to the effects of family socioeconomic position (SEP). Most prominent nonlinear associations between offspring traits and birth month emerged among children of mothers in unskilled manual professions. A possible explanation is that the growth of children in high-SEP families is more strongly buffered against any external exposures (including possible shortage of maternally synthesised vitamin D and essential micronutrient availability) than in low-SEP settings. For most traits, children born in spring/summer were larger than those born in autumn/winter. Hip width, trunk length and weight showed the most distinct seasonal patterns. If these birth-season-related patterns are related to maternal sunlight exposure, our results support the view that UV exposure benefits offspring growth towards the end of pregnancy. It is also possible that children born in spring and summer benefitted from the seasonally increasing nutrient availability during the first post-natal months.

Topics structure

Type
Original Article
Copyright
© The Author(s), 2025. Published by Cambridge University Press in association with The International Society for Developmental Origins of Health and Disease (DOHaD)

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References

Gaml-Sørensen, A, Brix, N, Ernst, A et al. The estimated effect of season and vitamin D in the first trimester on pubertal timing in girls and boys: a cohort study and an instrumental variable analysis. Int J Epidemiol. 2023; 52, 13281340.CrossRefGoogle Scholar
Lv, J, Yu, C, Guo, Y et al. The associations of month of birth with body mass index, waist circumference, and leg length: findings from the China Kadoorie Biobank of 0.5 Million adults. J Epidemiol. 2015; 25(3), 221230.CrossRefGoogle ScholarPubMed
Chmielewski, P, Borysławski, K. Understanding the links between month of birth, body height, and longevity: why some studies reveal that shorter people live longer-further evidence of seasonal programming from the polish population. Anthropol. Rev. 2016; 79, 375395.CrossRefGoogle Scholar
Boland, MR, Fieder, M, John, LH, Rijnbeek, PR, Huber, S. Female reproductive performance and maternal birth month: a comprehensive meta-analysis exploring multiple seasonal mechanisms. Sci Rep. 2020; 10, 555.CrossRefGoogle ScholarPubMed
Cozzani, M, Minardi, S, Corti, G, Barban, N. Birth month and adult lifespan: a within-family, cohort, and spatial examination using familinx data in the United States (1700-1899). Demogr. Res. 2023; 49, 201218.CrossRefGoogle Scholar
Vaiserman, A. Season-of-birth phenomenon in health and longevity: epidemiologic evidence and mechanistic considerations. J Dev Orig Health Dis. 2021; 12, 849858.CrossRefGoogle ScholarPubMed
Kliś, K, Jarzebak, K, Borowska-Strugińska, B et al. Season of birth influences the timing of first menstruation. Am J Hum Biol. 2016; 28(2), 226232.CrossRefGoogle ScholarPubMed
Day, FR, Forouhi, NG, Ong, KK, Perry, JRB. Season of birth is associated with birth weight, pubertal timing, adult body size and educational attainment: a Uk Biobank Study. Heliyon. 2015; 1(2), e00031.CrossRefGoogle ScholarPubMed
Skirbekk, V, Kohler, H-P, Prskawetz, A. Birth month, school graduation, and the timing of births and marriages. Demography. 2004; 41(3), 547568.CrossRefGoogle ScholarPubMed
Fall, CH. Maternal and Child Nutrition: The First 1,000 Days, 2013. Karger Publishers, Basel, Vol. 74 11-25Google Scholar
Hales, CN, Barker, DJ. Type 2 (Non-insulin-dependent) diabetes mellitus: the thrifty phenotype hypothesis. Diabetologia. 1992; 35(7), 595601.CrossRefGoogle ScholarPubMed
Hemati, Z, Keikha, M, Riahi, R, Daniali, SS, Goudarzi, M, Kelishadi, R. A systematic review on the association of month and season of birth with future anthropometric measures. Pediatr Res. 2021; 89(1), 3145.CrossRefGoogle ScholarPubMed
Weber, GW, Prossinger, H, Seidler, H. Height depends on month of birth. Nature. 1998; 391(6669), 754755.CrossRefGoogle ScholarPubMed
Kihlbom, M, Johansson, SE. Month of birth, socioeconomic background and development in swedish men. J Biosoc Sci. 2004; 36(5), 561571.CrossRefGoogle ScholarPubMed
Candela-Martínez, B, Ramallo-Ros, S, Cañabate, J, Martínez-Carrión, J-M. Month of birth and height. A case study in rural Spain. Econ Hum Biol. 2022; 47, 101157.CrossRefGoogle ScholarPubMed
McGrath, JJ, Saha, S, Lieberman, DE, Buka, S. Season of birth is associated with anthropometric and neurocognitive outcomes during infancy and childhood in a general population birth cohort. Schizophr Res. 2006; 81, 91100.CrossRefGoogle Scholar
Brabec, M, Behrman, JR, Emmett, SD. Birth seasons and heights among girls and boys Below 12 Years of age: lasting effects and catch-up growth among native Amazonians in Bolivia. Ann Hum Biol. 2018; 45(4), 299313.CrossRefGoogle ScholarPubMed
Puch, E, Krenz-Niedbała, M, Chrzanowska, M. Body height differentiation by season of birth: girls from Cracow, Poland. Anthropol. Rev. 2008; 71, 316.CrossRefGoogle Scholar
Douros, K, Fytanidis, G, Papadimitriou, A. Effect of the month of birth on the height of young adult males. Am J Phys Anthropol. 2019; 170(3), 447450.CrossRefGoogle ScholarPubMed
Pomeroy, E. Birth month associations with height, head circumference, and limb lengths among Peruvian children. Am J Phys Anthropol. 2014; 154(1), 115124.CrossRefGoogle ScholarPubMed
Sandercock, GR Athletic performance and birth month: is the relative age effect more than just selection bias? Int J Sports Med. 2014; 35, 10171023.Google Scholar
Bennour, I, Haroun, N, Sicard, F, Mounien, L, Landrier, J-F. Vitamin D and obesity/adiposity—a brief overview of recent studies. Nutrients. 2022; 14(10), 2049. https://www.mdpi.com/2072-6643/14/10/2049.CrossRefGoogle ScholarPubMed
Sanguesa, J. Prenatal vitamin D levels influence growth and body composition until 11 Years in boys. Nutrients. 2023; 15(9), 2033. https://www.mdpi.com/2072-6643/15/9/2033.CrossRefGoogle ScholarPubMed
Harvey, NC. Maternal antenatal vitamin D status and offspring muscle development: findings from the Southampton women’s survey. J Clin Endocrinol Metab. 2014; 99(1), 330337.CrossRefGoogle ScholarPubMed
Vasdeki, D. You are my sunshine, my only sunshine”: maternal vitamin D status and supplementation in pregnancy and their effect on neonatal and childhood outcomes. Hormones. 2023; 22(4), 547562.CrossRefGoogle ScholarPubMed
Watson, PE, McDonald, BW. Seasonal variation of nutrient intake in pregnancy: effects on infant measures and possible influence on diseases related to season of birth. Eur J Clin Nutr. 2007; 61(11), 12711280.CrossRefGoogle ScholarPubMed
Lucock, M. Vitamin-related phenotypic adaptation to exposomal factors: the folate-vitamin D-exposome triad. Mol Aspects Med. 2022; 87, 100944.CrossRefGoogle ScholarPubMed
Bailey, LB. Biomarkers of Nutrition for Development—Folate Review. J Nutr. 2015; 2, 1636S1680S.CrossRefGoogle Scholar
Krenz-Niedbała, M, Puch, EA, Kościński, K. Season of birth and subsequent body size: the potential role of prenatal vitamin D. Am J Hum Biol. 2011; 23(2), 190200.CrossRefGoogle ScholarPubMed
Sayers, A, Tobias, JH. Estimated maternal ultraviolet B exposure levels in pregnancy influence skeletal development of the child. J Clin Endocrinol Metab. 2009; 94(3), 765771.CrossRefGoogle ScholarPubMed
Pomeroy, E. Trade-offs in relative limb length among Peruvian children: extending the thrifty phenotype hypothesis to limb proportions. PLoS ONE. 2012; 7(12), e51795.CrossRefGoogle ScholarPubMed
Bogin, B, Varela-Silva, MI. Leg length, body proportion, and health: a review with a note on beauty. Int J Environ Res Public Health. 2010; 7, 10471075.CrossRefGoogle Scholar
Stöggl, R, Müller, E, Stöggl, T. Motor abilities and anthropometrics in youth cross-country skiing. Scand J Med Sci Sports. 2015; 25, e70e81.CrossRefGoogle ScholarPubMed
Zeng, X, Xu, X, Zhang, Y, Li, W, Huo, X. Chest circumference and birth weight are good predictors of lung function in preschool children from an E-waste recycling area. Environ Sci Pollut Res Int. 2017; 24, 2261322621.CrossRefGoogle ScholarPubMed
Ellison, PT. On Fertile Ground: A Natural History of Human Reproduction, 2001. Harvard University Press, Cambridge, MA. Google Scholar
Ivanovic, DM. Long-term effects of severe undernutrition during the first year of life on brain development and learning in Chilean high-school graduates. Nutrition. 2000; 16(11-12), 10561063.CrossRefGoogle ScholarPubMed
Kok, R. Normal variation in early parental sensitivity predicts child structural brain development. J Am Acad Child Adolesc Psychiatry. 2015; 54(10), 824831.e1.CrossRefGoogle ScholarPubMed
Chiu, H-T, Shih, M-T, Chen, W-L. Examining the association between grip strength and testosterone. Aging Male. 2020; 23(5), 915922.CrossRefGoogle ScholarPubMed
Martin, JT, Nguyen, DH. Anthropometric analysis of homosexuals and heterosexuals: implications for early hormone exposure. Horm Behav. 2004; 45(1), 3139.CrossRefGoogle ScholarPubMed
Al-Jwadi, RF, Jespersen, E, Dalgård, C, Bilenberg, N, Christesen, HT. S-25ohd is associated with hand grip strength and myopathy at 5 Years in girls: an odense child cohort study. J Clin Endocrinol Metab. 2018; 103(7), 26302639.CrossRefGoogle ScholarPubMed
Hõrak, P, Valge, M. Why did children grow so well at hard times? The ultimate importance of pathogen control during puberty. Evol Med Public Health. 2015; 2015(1), 167178.CrossRefGoogle ScholarPubMed
Valge, M, Meitern, R, Hõrak, P. Pubertal maturation is independent of family structure but daughters of divorced (but not dead) fathers start reproduction earlier. Evol Hum Behav. 2022; 43, 107114.CrossRefGoogle Scholar
Valge, M, Hõrak, P, Henshaw, JM. Natural selection on anthropometric traits of Estonian girls. Evol Hum Behav. 2021; 42(2), 8190.CrossRefGoogle Scholar
Hastie, T. ‘gam’: Generalized Additive Models. (Version 1.16) [R Package] (2018). https://cran.r-project.org/web/packages/gam/gam.pdf. Google Scholar
Lenth, RV. Estimated Marginal Means, aka Least-Squares Means (2024). (Version 1.10.4) [R Package] https://CRAN.R-project.org/package=emmeans. Google Scholar
Bender, R, Lange, S. Adjusting for multiple testing—When and how? J Clin Epidemiol. 2001; 54(4), 343349.CrossRefGoogle ScholarPubMed
Wood, S. mgcv: Mixed Gam Computation Vehicle with Automatic Smoothness Estimation. (Version 1.9-1) [R Package] (2023). https://CRAN.R-project.org/package=mgcv. Google Scholar
Sohn, K. The influence of birth season on height: evidence from Indonesia. Am J Phys Anthropol. 2015; 157(4), 659665.CrossRefGoogle ScholarPubMed
Cashman, K. Vitamin D deficiency: defining, prevalence, causes, and strategies of addressing. Calcif Tissue Int. 2020; 106(1), 1429.CrossRefGoogle ScholarPubMed
Cipolla-Neto, J. The crosstalk between melatonin and sex steroid hormones. Neuroendocrinology. 2022; 112(2), 115129.CrossRefGoogle ScholarPubMed
Banegas, JR, Rodríguez-Artalejo, F, Graciani, A, De La Cruz, JJ, Gutiérrez-Fisac, JL. Month of birth and height of Spanish middle-aged men. Ann Hum Biol. 2001; 28(1), 1520.Google ScholarPubMed
Song, JY. Paradoxical long-term impact of maternal influenza infection on neonates and infants. BMC Infect Dis. 2020; 20(1), 502.CrossRefGoogle ScholarPubMed
Hao, L, Ma, J, Stampfer, MJ. Geographical, Seasonal and gender differences in folate status among chinese adults. J Nutr. 2003; 133(11), 36303635.CrossRefGoogle ScholarPubMed
Krajcovicová-Kudlácková, M, Valachovicová, M, Blazícek, P. Seasonal folate serum concentrations at different nutrition. Cent Eur J Public Health. 2013; 21(1), 3638.CrossRefGoogle ScholarPubMed
Mitku, AA, Zewotir, T, North, D, Jeena, P, Naidoo, RN. Effects of prenatal exposure factors on birth outcomes through mediation of favorable fetal growth conditions using structural equation modeling. PLoS ONE. 2021; 16(4), e0249664.CrossRefGoogle ScholarPubMed
Voellmin, A, Entringer, S, Moog, N, Wadhwa, PD, Buss, C. Maternal positive affect over the course of pregnancy is associated with the length of gestation and reduced risk of preterm delivery. J Psychosom Res. 2013; 75(4), 336340.CrossRefGoogle ScholarPubMed
Valge, M, Meitern, R, Hõrak, P. Anthropometrics of Estonian children in relation to family disruption: thrifty phenotype and Trivers-Willard effects. Evol Med Public Health. 2021; 9(1), 276286.CrossRefGoogle ScholarPubMed
Wells, JCK, Stock, JT. Life history transitions at the origins of agriculture: a model for understanding how niche construction impacts human growth, demography and health. Front Endocrinol. 2020; 11, 325.CrossRefGoogle Scholar
Kościński, K, Krenz-Niedbała, M, Kozłowska-Rajewicz, A. Month-of-birth effect on height and weight in polish rural children. Am J Hum Biol. 2004; 16(1), 3142.CrossRefGoogle ScholarPubMed
Valge, M, Meitern, R, Hõrak, P. Mothers of small-bodied children and fathers of vigorous sons live longer. Front Public Health. 2023; 11, 1057146.CrossRefGoogle ScholarPubMed
Hõrak, P, Valge, M, Fischer, K, Mägi, R, Kaart, T. Parents of early maturing girls die younger. Evol Appl. 2019; 12(5), 10501061.CrossRefGoogle ScholarPubMed
Silventoinen, K, Kaprio, J, Lahelma, E, Koskenvuo, M. Relative effect of genetic and environmental factors on body height: differences across birth cohorts among finnish men and women. Am J Public Health. 2000; 90(4), 627630.Google ScholarPubMed
Turkheimer, E, Haley, A, Waldron, M, D’Onofrio, B, Gottesman, II. Socioeconomic status modifies heritability of IQ in young children. Psychol Sci. 2003; 14(6), 623628.CrossRefGoogle ScholarPubMed
Ahmed, P, Jaakkola, JJK. Maternal occupation and adverse pregnancy outcomes: a finnish population-based study. Occup Med-C. 2007; 57(6), 417423.CrossRefGoogle ScholarPubMed
Kwegyir-Afful, E. Manual handling of burdens as a predictor of birth outcome—a finnish birth register study. Eur J Public Health. 2018; 28(6), 11221126.CrossRefGoogle ScholarPubMed
Eerme, K, Veismann, U, Ansko, I, Lätt, S. Year-to-year variations of the vitamin D synthesis related UV-B radiation in Estonia in autumn and spring. In Remote Sensing of Clouds and the Atmosphere XI, 285291, SPIE. 2006.CrossRefGoogle Scholar
Stubbs, JM, Achat, HM. Individual rights over public good? The future of anthropometric monitoring of school children in the fight against obesity. Med J Australia. 2009; 190(3), 140142.CrossRefGoogle ScholarPubMed
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