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BW in boys was positively associated with FFMI and FMI. FFMI increase 0.34 kg/m per 1-SD increase in BW and FMI increase 0.40 kg/m per 1-SD increase in BW. When outcomes were used as z-scores, FFMI increase 0.24 SD and FMI increase 0.18 SD per 1-SD increase in BW, respectively. Our results are in contrast with previous findings that birth weight is more consistently associated with subsequent lean mass than with fat mass. Associations, detected only in boys, may be explained by sex differences in sensitivity to early life environments.