Impact of parental weight status on children’s body mass index in early life: evidence from a Chinese cohort

Hong, Ming; Guo, Siyu; Lu, Huiqi; Pan, Yunhong; Mei, Wenhua; Zhang, Bin; Zhang, Jianduan

doi:10.1136/bmjopen-2017-018755

Cited by 11 publications

(13 citation statements)

References 48 publications

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“…We were able to observe that overweight in mothers was associated with PROW (p 0.00) and with overweight (p 0.00) in a statistically significant way. Other studies report similar findings, where overweight and obesity in parents lead to the development of these conditions in minors [9][10][11], and relate the appearance of chronic and metabolic diseases in adult children of obese parents [7,22,23]. With respect to the socioeconomic determinants, we were able to observe that severe food insecurity was significantly associated (p 0.02) with an increase in BMI in mothers.…”

Section: Discussionsupporting

confidence: 85%

“…The associations between nutritional status in early childhood and future risk of chronic diseases have been well studied; these associations may be linked to genetic or environmental factors during pregnancy [7][8][9]. The evidence has also shown that the mothers' nutritional status [10][11][12], has an impact on the offspring's nutritional status.…”

Section: Introductionmentioning

confidence: 99%

“…Overweight and obesity are multifactorial diseases and socioeconomic factors have become part of the explanation of these conditions. There is evidence that sociodemographic aspects, health-related beliefs and socioeconomic status have an influence on the selection of cheap foods that are high in calories, as well as having less access to healthcare and to healthy foods [11][12][13][14]. These factors, together with the demographic, epidemiologic and nutritional transitions, are the main causes of the increase in the prevalence of overweight and obesity.…”

Section: Introductionmentioning

confidence: 99%

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Social determinants of overweight and obesity in the mother-child binomial: evidences from Mexico

Arredondo¹,

Torres²,

Orozco³

et al. 2020

Arch Public Health

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Background: To analyze the influence of socioeconomic determinants on the development of overweight and obesity in the mother-child binomial. Methods: This is a study based on a prospective cohort of the mother-child binomial. Using STATA software, the association between the mothers' body mass index and the nutritional status of minors was analyzed using a logistic regression model with socioeconomic and demographic variables. Results: The combined prevalence of overweight and obesity in cohort mothers was 53.2%. A statistically significant association was found between the overweight mothers and minors with possible risk of overweight (p 0.001) and with overweight (p 0.001). The logistic regression model was adjusted by age and marital status and linked maternal overweight and obesity with the following variables: severe food insecurity (RR 1.17, CI 0.04-1.31), having a health problem (RR 1.5, CI 0.86-2.05), income (RR 0.79, CI .49-1.30), smoking (RR 1.1, CI 0.80-1.37) and dietary pattern (RR 1.5, CI 0.38-1.87). Conclusions: The study highlights the importance of paying attention to risk factors starting at the gestational stage, since at this time the mother's nutritional status has an influence on the offspring's growth and development. Evidences exist of an association between intergenerational transmission of obesity and socioeconomic aspects of the mother. These evidences must be considered in the revision and adjustments to health system interventions for the prevention of obesity in the mother-child binomial.

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Section: Discussionsupporting

confidence: 85%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Social determinants of overweight and obesity in the mother-child binomial: evidences from Mexico

Arredondo¹,

Torres²,

Orozco³

et al. 2020

Arch Public Health

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“…In the particular cases of Southern European countries that present high prevalence of OW (5,6,29,30) , it is especially relevant to study the determinants and tracking of OB since earlier ages (31) . Although studies have been conducted in other non-European countries (32,33) , the OB prevalence found in adults in such studies was lower than that found in Portugal and therefore the parental influence can be different.…”

mentioning

confidence: 73%

Association between parental and offspring BMI: results from EPACI Portugal 2012

Nazareth

Pinto

Severo

et al. 2021

Public Health Nutr.

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Objective: To assess the longitudinal association between parental body mass index (BMI) and offspring´s BMI, in EPACI Portugal 2012. Design: Longitudinal study with retrospective collection of children’s anthropometry data since birth. Children’s anthropometric data were gathered from individual child health bulletins and parents’ anthropometrics were self-reported. Children’s and parents’ BMI were classified according to WHO cut-offs. Linear mixed models with random intercept and slope for age were applied to quantify the association between parental BMI and children BMI Z-score (zBMI). Setting: EPACI Portugal 2012. Participants: Representative sample from the Portuguese population (n 2230) aged from 12 to 36 months. Results: 58.9% of the fathers and 35.6% of the mothers were overweight (OW) or obese. Prevalence of infants who were, at least, at risk of OW increased from 17.0% to 30.3% since birth to 12 months. About half of the mothers with pre-pregnancy OW and obesity (OB) gained gestational weight above the recommendations. The children from mothers with gestational weight gain (GWG) below the recommendations showed a -0.15 SD lower zBMI (95% confidence interval (CI): -0.23;-0.06) in early life, comparing with mothers within GWG recommendations. Children of obese mothers were more likely to present a higher zBMI (0.24 SD, 95%CI: 0.13;0.35) throughout the first months of life. Conclusion: A high prevalence of OW and OB was observed in Portuguese young adults and toddlers. Mothers’ pre-pregnancy BMI and insufficient GWG had a direct effect on offspring BMI. Early effective interventions are needed in order to prevent the transgenerational transmission of OB.

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“…In the Fels Longitudinal Study cohort, a western cohort from the United States of America, this relationship was stated to be stronger for daughters than for sons, as well as to be observed earlier in the life of daughters than sons [47]. However, in an Asian cohort of Chinese respondents, this association was observed only after birth and it was mild [48]. Therefore, it may be concluded that such associations may be dependent on the country, or even on the ethnicity.…”

Section: Determinants Of Program Adherencementioning

confidence: 99%

Role of Parents in Body Mass Reduction in Children with Obesity—Adherence and Success of 1-Year Participation in an Intervention Program

et al. 2020

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Background and Objectives: Obesity in children and adolescents results in a number of serious health-related consequences necessitating early treatment. Support from family members and family-focused lifestyle interventions can improve effectiveness of the treatment. The aim of the study was to assess the effects of parental characteristics and family-based dietary habits on the adherence and success of a body mass reduction program in children with obesity included in a lifestyle intervention program after 1 year. Materials and Methods: The program included dietetic, psychosocial, and endocrine counseling given to individuals either alone or in groups and was conducted by a multidisciplinary team (consisting of endocrinologists, nurses, psychologists, social counselors, dietitians, and physiotherapists). A total of 113 children aged 10–17 years (mean age 12.9 ± 2.0; 60 girls, 53 boys) were included in the program. After 1 year of participation, the rate of adherence and success were assessed. The effect of the participants’ general characteristics, including anthropometric data, as well as parental characteristics (marital status, employment, education, body mass index (BMI), duration of breastfeeding) and the circumstances of meal consumption (eating at home or outside, fast food consumption), was analyzed. Results: The most important factors predicting body mass reduction success were baseline BMI (p < 0.0001) and waist–hip ratio (WHR) (p = 0.04), but they did not predict body mass reduction adherence. Conclusions: The meal consumption habits and support from family members may be among the determinants of adherence to a body mass reduction program for preadolescents and adolescents with obesity. However, the results of the presented study suggested that baseline BMI and WHR are the most important determinants of the body mass reduction success.

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Impact of parental weight status on children’s body mass index in early life: evidence from a Chinese cohort

Cited by 11 publications

References 48 publications

Social determinants of overweight and obesity in the mother-child binomial: evidences from Mexico

Social determinants of overweight and obesity in the mother-child binomial: evidences from Mexico

Association between parental and offspring BMI: results from EPACI Portugal 2012

Role of Parents in Body Mass Reduction in Children with Obesity—Adherence and Success of 1-Year Participation in an Intervention Program

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