Early growth and obesity risk – What should health professionals be advising?

Papadopoulou, Eleni; Stanner, Sara

doi:10.1111/nbu.12090

Cited by 3 publications

(2 citation statements)

References 116 publications

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“…As childhood obesity is a complex and challenging issue, targeting sugars consumption can be only one step towards the goal of improving nutrition in children. Indeed, it has long been accepted by scientists and clinicians that interventions to improve nutrition must begin preconception as maternal diet in pregnancy has profound effects on programming of health and disease, as well as providing an opportunity for flavour learning in utero (see Papadopoulou & Stanner ).…”

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confidence: 99%

Nutrition in the early years – laying the foundations for healthy eating

Hetherington

2016

Nutrition Bulletin

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Nutrition in the early years – laying the foundations for healthy eating

Hetherington

2016

Nutrition Bulletin

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“…A growing amount of evidence points to the foundation of obesity being established in the earliest stages of human development including pre‐conception, in utero and during early infancy. Overweight among women before and during pregnancy, as well as fetal exposure to diabetes and hyperglycaemia, has been associated with high birthweight and later risk of obesity (Papadopoulou & Stanner ). It is not only these early in utero exposures that contribute to risk of later obesity and metabolic disease, but also as would be expected, the quality of the diet during infancy.…”

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confidence: 99%

Infant nutrition – diet between 6 and 24 months, implications for paediatric growth, overweight and obesity

Hardwick

Sidnell

2014

Nutrition Bulletin

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Infants are growing rapidly from 6-24 months and have high nutrient needs in proportion to their body size. This sub-group of the population are prone to dietary imbalances and inadequacies. It is of vital importance to get nutrition right during this time period to support appropriate growth and development.Overweight and obesity rates are increasing in pre-school children, and maternal nutritional status and early life feeding have been identified as 'critical windows' for obesity risk. After the recommended period of exclusive breastfeeding, an increasingly diversified selection of foods are offered to infants and young children, and milk becomes less dominant in the diet.Rapid weight gain during infancy is the strongest risk factor for childhood overweight and obesity, and this may be modifiable with early intervention. During the complementary feeding period, there is an increase in protein intake, which is in excess of requirements, and may be associated with adverse outcomes regarding later body mass index and body fatness. Guidelines for healthcare professionals have been developed to raise the issue of overfeeding during infancy, and to manage overweight if it arises.Dietary intake measures show a deteriorating quality of diet as infants move from the first 12 months of life into the second year, with potential excesses of protein, energy, saturated fatty acids, salt and non-milk extrinsic sugars. Formula manufacturers can reduce the protein content of formulas for infants and young children in order to support appropriate growth, whilst supplements, fortified foods and milks can supply 'at risk' micronutrients.

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Nutrition in pregnancy and breastfeeding: A public health issue

Lamb

Sanders

2015

Journal of Health Visiting

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Nutrition during the childbearing continuum has a significant long-term impact upon the health and wellbeing of mother, infant and the wider family unit ( Ferrari et al, 2013 ; World Health Organization (WHO), 2011 , National Institute for Health and Care Excellence, (NICE) 2008a ; 2008b ). Despite wide-ranging evidence around healthy eating in pregnancy, there is a dearth of information readily available to women on appropriate nutritional intake while breastfeeding. This major public health issue affects the current climate of increasing levels of obesity and widespread poorly balanced diet in women of a childbearing age ( Aubuchon-Endsley et al, 2015 ). The frontline roles of the midwife and health visitor have enormous potential to promote healthy behavioural change, with the need for joined-up community-based care higher than ever due to under-resourced postnatal services ( Fraser and Cullen, 2006 ). Health visitors and midwives should strive to collaborate with women ensuring the fundamental components of a healthy and balanced diet are met while breastfeeding, including addressing portion size, and nutritional values of micronutrients and essential food groups. This would equip women with the necessary tools to create positive behavioural lifestyle changes, important for the longer-term inter-generational health of families and the wider community.

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Early growth and obesity risk – What should health professionals be advising?

Cited by 3 publications

References 116 publications

Nutrition in the early years – laying the foundations for healthy eating

Nutrition in the early years – laying the foundations for healthy eating

Infant nutrition – diet between 6 and 24 months, implications for paediatric growth, overweight and obesity

Nutrition in pregnancy and breastfeeding: A public health issue

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