Maternal obesity and offspring body composition by indirect methods: a systematic review and meta-analysis

Castillo-Laura, Helen; Santos, Iná S.; Quadros, Lenice C. M.; Matijasevich, Alícia

doi:10.1590/0102-311x00159914

Cited by 42 publications

(38 citation statements)

References 52 publications

(267 reference statements)

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“…Higher obesity among women compared with men in LMICs could be driven by several factors, including sex differences in physiological responses to early-life nutrition, pregnancy-associated weight gain combined with higher parity (40), hormonal signaling related to energy expenditure (16), physical activity levels (144), alcohol consumption (137), depression (79), past and present economic circumstances (19), and sociocultural factors such as the perception of ideal body size and beliefs surrounding acceptability of physical activity in some contexts (68,94). Because maternal obesity is a risk factor for childhood obesity, the increasing obesity prevalence among women of reproductive age could have important intergenerational effects in LMICs (20).…”

Section: Features Of the Obesity Burden In Lmicsmentioning

confidence: 99%

Obesity in Low- and Middle-Income Countries: Burden, Drivers, and Emerging Challenges

Ford

Patel

Narayan

2017

Annu. Rev. Public Health

348

276

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We have reviewed the distinctive features of excess weight, its causes, and related prevention and management efforts, as well as data gaps and recommendations for future research in low-and middle-income countries (LMICs). Obesity is rising in every region of the world, and no country has been successful at reversing the epidemic once it has begun. In LMICs, overweight is higher in women compared with men, in urban compared with rural settings, and in older compared with younger individuals; however, the urban-rural overweight differential is shrinking in many countries. Overweight occurs alongside persistent burdens of underweight in LMICs, especially in young women. Changes in the global diet and physical activity are among the hypothesized leading contributors to obesity. Emerging risk factors include environmental contaminants, chronic psychosocial stress, neuroendocrine dysregulation, and genetic/epigenetic mechanisms. Data on effective strategies to prevent the onset of obesity in LMICs or elsewhere are limited. Expanding the research in this area is a key priority and has important possibilities for reverse innovation that may also inform interventions in high-income countries.

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Section: Features Of the Obesity Burden In Lmicsmentioning

confidence: 99%

Obesity in Low- and Middle-Income Countries: Burden, Drivers, and Emerging Challenges

Ford

Patel

Narayan

2017

Annu. Rev. Public Health

348

276

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“…These results suggest that pre-pregnancy overweight is associated with higher offspring adiposity. 41 The mechanisms underlying maternal programming of offspring adiposity are still unclear One potential explanation may be a proinflammatory intrauterine environment promoted by maternal obesity, the resulting lipotoxicity can alter fetal development pathways via dysregulation of redox balance in the mother-placentafetus unit, which serves as one of the key downstream mediators that initiate programming of the offspring. 42,43 The mechanisms responsible for the reported sexual dimorphism in offspring adiposity as consequence of maternal overnutrition are unknown.…”

mentioning

confidence: 99%

Low Adherence to Mediterranean Diet in Portugal: Pregnant Women Nutrition in Portugal and its Repercussions

Pereira‐da‐Silva

Pinto

2016

Acta Med Port

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Introduction: Portuguese population is drifting away from the Mediterranean diet-like pattern. In this context, the current nutritional status of women of childbearing age and of pregnant Portuguese women and their growing fetuses is critically reviewed. Material and Methods: A narrative critical review was performed on recent published high quality studies assessing diet and nutritional status of women of childbearing age and pregnant women and its influence on the nutritional status of their offspring. Results: Data from five multinational ecological studies that included Portugal, two national official surveys on food availability, seven national studies on the diet and nutritional status of women of childbearing age and pregnant women, and five national studies on the effect of nutritional maternal factors on their growing fetuses were selected and analyzed. The prevalence of overweight/obesity has dramatically increased in Portuguese women of childbearing age and pregnant women, associated with the described trend of low adherence to Mediterranean diet. Variations in energy and macronutrients intakes during pregnancy seem to have no significantly impact on the nutritional status of growing fetuses. On contrary, pre-pregnancy overweight/obesity has been associated with increased offspring adiposity at birth, and an excessive gestational weight gain may be associated with offspring's overweight status in childhood.Factors potentially contributing to low adherence to the Mediterranean diet, deserving further investigation, include European Union agriculture policies that have implemented the production of non-Mediterranean food groups at low cost, and insufficient financial capacity to afford foods of quality reported by Portuguese population. Material e Métodos:Realizámos uma revisão narrativa crítica de estudos recentes com qualidade e inquéritos nacionais oficiais, que tivessem avaliado a dieta e estado de nutrição de mulheres em idade fértil e de grávidas portuguesas e sua influência no estado de nutrição dos respetivos fetos e recém-nascidos. Resultados:Foram selecionados e analisados cinco estudos ecológicos multinacionais que incluíram Portugal, dois inquéritos oficiais nacionais sobre disponibilidade de alimentos, sete estudos nacionais sobre dieta e estado de nutrição de mulheres em idade fértil e grávidas e cinco estudos nacionais sobre a influência de fatores nutricionais maternos no crescimento dos fetos. A prevalência de excesso de peso/obesidade em mulheres em idade fértil e grávidas aumentou substancialmente associada à diminuição da adesão à dieta mediterrânica. As variações no consumo de energia e macronutrientes na gravidez parecem não ter impacto significativo no estado de nutrição dos fetos. Pelo contrário, o excesso de peso/obesidade pré-concecional associa-se a aumento de adiposidade ao nascer e o excessivo aumento de peso na gravidez associa-se ao excesso ponderal na infância. Os fatores potencialmente relacionados com a baixa adesão à dieta mediterrânica, merecendo futura inves...

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“…The association between maternal BMI, birthweight, and neonatal adiposity is well documented; however, the effect of maternal BMI on fetal growth remains to be established because the available data are conflicting. A retrospective review of fetal biometry performed during the second and third trimesters among 246 single fetuses delivered at term found no statistically significant association between pre‐pregnancy BMI and the rate of fetal growth.…”

Section: Discussionmentioning

confidence: 99%

“…Maternal body composition before and during pregnancy can both influence the adiposity of offspring throughout their lifespan and predict future risk of obesity . Furthermore, maternal body mass index (BMI; calculated as weight in kilograms divided by the square of height in meters) has been associated with birthweight and neonatal adiposity . Both these factors correlate with cardiometabolic risk in adulthood …”

Section: Introductionmentioning

confidence: 99%

“…4 Furthermore, maternal body mass index (BMI; calculated as weight in kilograms divided by the square of height in meters) has been associated with birthweight 3 and neonatal adiposity. 5 Both these factors correlate with cardiometabolic risk in adulthood. 1,6 Distribution of the adipose tissue is important when analyzing outcomes associated with obesity.…”

Section: Introductionmentioning

confidence: 99%

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Correlation between pre‐pregnancy body mass index and maternal visceral adiposity with fetal biometry during the second trimester

Lopes

Souza

Figueirôa

et al. 2017

Intl J Gynecology & Obste

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Maternal obesity and offspring body composition by indirect methods: a systematic review and meta-analysis

Cited by 42 publications

References 52 publications

Obesity in Low- and Middle-Income Countries: Burden, Drivers, and Emerging Challenges

Obesity in Low- and Middle-Income Countries: Burden, Drivers, and Emerging Challenges

Low Adherence to Mediterranean Diet in Portugal: Pregnant Women Nutrition in Portugal and its Repercussions

Correlation between pre‐pregnancy body mass index and maternal visceral adiposity with fetal biometry during the second trimester

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