Influence of diet, physical activity and parents’ obesity on children’s adiposity: a four-year longitudinal study

Maffeis, Claudio; Talamini, Giorgio; Tatò, Luciano

doi:10.1038/sj.ijo.0800655

Cited by 246 publications

(228 citation statements)

References 18 publications

(26 reference statements)

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“…This result is consistent with a growing body of evidence that, among children and adolescents, inactivity (particularly watching TV) is associated with body fatness in cross-sectional (Andersen et al, 1998;Hernandez et al, 1999;Tremblay and Willms, 2003), longitudinal (Maffeis et al, 1998;Berkey et al, 2000) and intervention studies Robinson, 1999). Obesity in children has even been reported to correlate in a dosedependent manner with baseline daily duration of television viewing in longitudinal observations (Dietz and Gortmaker, 1985;Gortmaker et al, 1996), suggesting a cause-effect relationship.…”

Section: Discussionsupporting

confidence: 86%

“…The absence of a significant relationship between physical activity and OW found in the preadolescent and adolescent groups is only partially shared in the literature. Crosssectional and longitudinal studies are roughly divided between finding no effect (McMurray et al, 1995;Goran et al, 1997;Maffeis et al, 1998;Kimm et al, 2001), or a protective effect of activity (Moore et al, 1995;Hernandez et al, 1999;Berkey et al, 2000;O'Loughlin et al, 2000;Tremblay and Willms, 2003;Janssen et al, 2005).…”

Section: Discussionmentioning

confidence: 99%

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Child overweight in France and its relationship with physical activity, sedentary behaviour and socioeconomic status

et al. 2006

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Objective: (1) To assess the prevalence of childhood overweight (OW) and obesity in France; (2) to examine how physical activity and sedentary behaviour are involved in the association between socioeconomic status (SES) and OW, while taking into account total energy intake. Design and subjects: Representative sample of French children aged 3-14 years (n ¼ 1016) taken from the 1998-1999 crosssectional French INCA (Enquête Individuelle et Nationale sur les Consommations Alimentaires) food consumption survey. Measurements: Weight and height, leisure-time physical activity (LTPA), sedentary behaviour (TV viewing and video-game use), and SES were reported by parents or children by answering questionnaires; total energy intake was assessed using a 7-day food record. Results: In total, 15.2% (95% CI: 13.0-17.6) of the children are OW (including obese), according to the IOTF (International Obesity Task Force) definition. OW is inversely associated with SES in children over 6 years of age. LTPA is negatively correlated to OW among the 3 to 5-year-old children only, whereas sedentary behaviour is positively related to OW in childhood and adolescence. From 6 years old on, SES is inversely associated with sedentary behaviour, which consequently may partly mediate the relationship between SES and OW. Conclusion: This study confirms the association between SES, sedentary behaviour and childhood OW in France. It was performed before the launching of the French Program of Nutrition and Health (PNNS) in 2001 and will be repeated in 2006. This will contribute to monitoring both childhood OW and its main determinants at the population scale.

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Section: Discussionsupporting

confidence: 86%

Section: Discussionmentioning

confidence: 99%

Child overweight in France and its relationship with physical activity, sedentary behaviour and socioeconomic status

et al. 2006

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“…76 Low levels of physical activity and greater amounts of sedentary pursuits, in particular television viewing (43 h/ days), during childhood and/or adolescence is predictive of greater future adiposity and or overweight. [77][78][79][80][81][82][83][84] Thus, the rationale for prescribing exercise as an adjunct to dietary restriction is compelling given its potential to reduce overweight-related comorbidity and the hazard associated with dietary restriction alone.…”

Section: Discussionmentioning

confidence: 99%

Efficacy of exercise for treating overweight in children and adolescents: a systematic review

2006

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Background: Overweight prevalence among children/adolescents is increasing, while adult obesity may potentially cause a decline in life expectancy. More exercise is uniformly recommended, although treatment efficacy remains unclear. Objective: To determine the efficacy of exercise alone for treating overweight in children/adolescents. Design: A systematic review and meta-analysis of randomized trials published in English were completed following multiple database searches performed on December 10, 2004. Studies of isolated or adjunctive exercise/physical activity treatment in overweight/obese children or adolescents which reported any overweight outcome were included. Literature searches identified 645 papers which were manually searched, of which 45 were considered for inclusion, of which 13 papers which reported 14 studies were included (N ¼ 481 overweight boys and girls, aged B12 years). Two reviewers independently identified relevant papers for potential inclusion and assessed methodological quality. Principal measures of effects included the mean difference (MD) (between treatment and control groups), the weighted MD (WMD), and the standardized MD (SMD). Results: Few studies were of robust design. The pooled SMD was À0.4 (À0.7, À0.1, P ¼ 0.006) for percent body fat, and À0.2 (À0.6, 0.1, P ¼ 0.07) for central obesity outcomes, whereas the pooled WMD was À2.7 kg (À6.1 kg, 0.8 kg, P ¼ 0.07) for body weight, all of which favored exercise. Pooled effects on body weight were significant and larger for studies of higher doses, whereas nonsignificant and smaller effects were seen for studies of lower doses of exercise (155-180 min/weeks vs 120-150 min/ weeks). Conclusions: Based on the small number of short-term randomized trials currently available, an aerobic exercise prescription of 155-180 min/weeks at moderate-to-high intensity is effective for reducing body fat in overweight children/adolescents, but effects on body weight and central obesity are inconclusive. Recommendations for future study designs are discussed.

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“…These studies have investigated the influence of lifestyle determinants on childhood overweight (e.g. lifestyle factors (3)(4)(5)(6)(7)(8)(9) ), but only few studies have addressed familial, social and lifestyle factors together (10)(11)(12)(13)(14)(15)(16)(17) . In these cross-sectional studies, parental obesity, low socio-economic status (SES), high weight gain during infancy and television (TV) viewing were found as main determinants of prevalence.…”

mentioning

confidence: 99%

“…In these cross-sectional studies, parental obesity, low socio-economic status (SES), high weight gain during infancy and television (TV) viewing were found as main determinants of prevalence. Contrary to cross-sectional data, there are only very few longitudinal studies investigating the development of overweight (14,(18)(19)(20)(21) . In these studies parental overweight was found as the main determinant.…”

mentioning

confidence: 99%

Determinants of the prevalence and incidence of overweight in children and adolescents

Plachta-Danielzik

Landsberg

Johannsen

et al. 2010

Public Health Nutr.

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Objective: To systematically analyse determinants of overweight prevalence and incidence in children and adolescents, as a basis of treatment and prevention. Design: Cross-sectional and longitudinal data of the Kiel Obesity Prevention Study (KOPS). Setting: Schools in Kiel, Germany. Subjects: Cross-sectional data from 6249 students aged 5-16 years and 4-year longitudinal data from 1087 children aged 5-11 years. Weight status of students was assessed and familial factors (weight status of parents and siblings, smoking habits), social factors (socio-economic status, nationality, single parenting), birth weight as well as lifestyle variables (physical activity, media time, nutrition) were considered as independent variables in multivariate logistic regression analyses to predict the likelihood of the student being overweight. Results: The cross-sectional data revealed the prevalence of overweight as 18?3 % in boys and 19?2 % in girls. In both sexes determinants of overweight prevalence were overweight and obese parents, overweight siblings, parental smoking, single parenthood and non-German nationality. High birth weight and low physical activity additionally increased the risk in boys. High media time and low parental education were significant determinants in girls. Effect of media time was mediated by maternal weight status in boys as well as by socio-economic status and age in girls. From the longitudinal data, the 4-year cumulative incidence of overweight was 10?0 % in boys and 8?2 % in girls. Parental obesity, parental smoking and low physical activity were determinants of overweight incidence in boys, whereas paternal obesity increased the risk in girls.Conclusions: Treatment and prevention should address family and social determinants with a focus on physical activity and media use.Childhood obesity is a major public health challenge. At present there is a lack of convincing evidence about suitable and effective strategies for the prevention of childhood overweight. Recently, an obesity prevention evidence framework has been proposed (1) . Key policies include: (i) building a case for action on obesity; (ii) identifying contributing factors and points of intervention; (iii) defining opportunities for action; (iv) evaluating potential interventions; and (v) selecting a portfolio of specific policies, programmes and actions. Therefore, a systematic analysis of determinants of overweight in the micro-as well as the macro-environment is necessary to provide a sound basis for developing strategies against overweight. The systematic analysis should include an analysis of the determinants of overweight prevalence as well as overweight incidence, separately. Childhood overweight (and not only obesity) is predictive for adult morbidity and mortality (2) . In addition, the life-long persistence and health consequences of overweight and obesity in many children suggest a strong need for the prevention of overweight (2) . Primary prevention strategies address the whole population, in particular normalweight sub...

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Influence of diet, physical activity and parents’ obesity on children’s adiposity: a four-year longitudinal study

Cited by 246 publications

References 18 publications

Child overweight in France and its relationship with physical activity, sedentary behaviour and socioeconomic status

Child overweight in France and its relationship with physical activity, sedentary behaviour and socioeconomic status

Efficacy of exercise for treating overweight in children and adolescents: a systematic review

Determinants of the prevalence and incidence of overweight in children and adolescents

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