The thrifty phenotype and fetal overnutrition hypotheses were tested by examining developmental pathways from genetic and prenatal risk through early growth trajectories (birth to 7 years) to pubertal timing at age 11 years. Participants included 361 children adopted at birth (57% Male, 57% Non-Hispanic White, 11% Black, 9% Hispanic). Associations between boys’ childhood BMI and pubertal timing were confounded by genetics, prenatal risk, and early growth. The thrifty phenotype hypothesis was partially supported for boys’ childhood (age 4-7) body mass index (BMI). Both hypotheses were partially supported for girls’ childhood BMI but not pubertal timing. A novel gene-by-prenatal risk interaction showed that genetic risk predicted girls’ childhood BMI most strongly at adequate compared to excessive levels of gestational weight gain.