scholarly journals Early feeding practices and family structure: associations with overweight in children

2013 ◽  
Vol 73 (1) ◽  
pp. 132-136 ◽  
Author(s):  
Monica Hunsberger
Keyword(s):  
Family Structure ◽  
Future Development ◽  
Exclusive Breastfeeding ◽  
Feeding Practices ◽  
Childhood Overweight ◽  
Overweight And Obesity ◽  
Early Feeding ◽  
Increased Risk ◽  
Two Factors ◽  
The Impact

The aim of this review is to examine two factors that may be associated with development of childhood overweight: early feeding, namely exclusive breastfeeding practices; family structure. Findings from the Identification and prevention of Dietary- and lifestyle-induced health EFfects In Children and infantS (IDEFICS) study are presented in the context of the literature. IDEFICS is a multi-centre European study exploring the risks for overweight and obesity in children, which recruited 16 224 children aged 2–9 years from September 2007 to June 2008 at survey centres in Italy, Estonia, Cyprus, Belgium, Sweden, Hungary, Germany and Spain. Among the IDEFICS sample, after controlling for confounders, exclusive breastfeeding for 4–6 months was protective of overweight (including obesity) when compared with children never exclusively breastfed (OR 0·73, 95 % CI 0·63, 0·85). Family structure and number of siblings may also be associated with overweight. IDEFICS children without siblings were more likely (OR 1·52, 95 % CI 1·34, 1·72) to be overweight than their peers with siblings when controlling for factors related to childhood overweight such as country, parental education, parental weight, maternal age, child's age, birth weight and gender. Both early feeding practices and family structure play a role in the future development of obesity. The impact of breastfeeding on future development of overweight is dependent upon the dose. Exclusive breastfeeding for the recommended 6 months appears to be protective of overweight. Family structure is also an important component and emerging research suggests only children are at increased risk for overweight in comparison with those with siblings. In European countries, approximately 22 million children are overweight. Early dietary exposures, genetic, environmental and social factors have all been proposed as potential causal factors. Two such factors include exclusive breastfeeding and the impact of being an only child. We have investigated these two factors for associations with overweight; our studies, in the context of previous findings, are the focus of this review.

scholarly journals Traffic-Related Air Pollution and Child BMI—A Study of Prenatal Exposure to Nitrogen Oxides and Body Mass Index in Children at the Age of Four Years in Malmö, Sweden

2018 ◽  
Vol 15 (10) ◽  
pp. 2294 ◽  
Author(s):  
Kasper Frondelius ◽  
Anna Oudin ◽  
Ebba Malmqvist
Keyword(s):  
Body Mass Index ◽  
Air Pollution ◽  
Body Mass ◽  
Prenatal Exposure ◽  
Binary Logistic Regression ◽  
Childhood Overweight ◽  
Overweight And Obesity ◽  
Traffic Density ◽  
Logistic Regression Models ◽  
Increased Risk

Traffic-related air pollution could be a danger to the health of children. Earlier studies have linked prenatal exposure to an increased risk of a range of diseases and negative health outcomes, including overweight and obesity. Presently, a knowledge gap exists in investigating the risk of overweight and obesity among children exposed to lower levels of air pollution in utero. This study aimed to investigate the relationship between prenatal traffic-related air pollution (nitrogen dioxides (NOx) and traffic density) and childhood overweight and obesity in Malmö, Sweden. A cohort, based on attendance of a four-year check-up examination at Swedish Child Health Care (CHC) centers, and a parent-assessed questionnaire provided data on body-mass index adjusted for four-year-old children (ISO-BMI) as well as socioeconomic and health variables. We estimated exposure by using traffic density and levels of NOx at the maternal geocoded residential level. Analysis of 5815 children was performed using binary logistic regression models. This study showed no associations of increased risk for childhood overweight or obesity through to prenatal exposure to NOx in this low-exposure setting. We further suggest analysis of risks related to exposure levels ranging between the ones presented here and those proposed in previous literature.

scholarly journals The Impact of Caesarean Section on the Risk of Childhood Overweight and Obesity: New Evidence from a Contemporary Cohort Study

2018 ◽  
Vol 8 (1) ◽  
Author(s):  
Gwinyai Masukume ◽  
Sinéad M. O’Neill ◽  
Philip N. Baker ◽  
Louise C. Kenny ◽  
Susan M. B. Morton ◽  
...  
Keyword(s):  
Cohort Study ◽  
Caesarean Section ◽  
Childhood Overweight ◽  
Overweight And Obesity ◽  
Childhood Overweight And Obesity ◽  
The Impact ◽  
New Evidence

scholarly journals Differences in the Fecal Metabolome and Microbiome Between Exclusive and Partial Breastfed Infants are More Pronounced at 2 Months Compared to 5 Months

2020 ◽  
Vol 4 (Supplement_2) ◽  
pp. 1097-1097 ◽  
Author(s):  
Aidong Wang ◽  
Aly Diana ◽  
Sofa Rahmannia ◽  
Rosalind Gibson ◽  
Lisa Houghton ◽  
...  
Keyword(s):  
Exclusive Breastfeeding ◽  
Feeding Practices ◽  
Illumina Miseq ◽  
Short Chain Fatty Acids ◽  
P Value ◽  
Fecal Samples ◽  
Breastfed Infants ◽  
Funding Sources ◽  
Gates Foundation ◽  
The Impact

Abstract Objectives This study aimed to characterize the impact of feeding practices on the infant fecal metabolome and microbiome at 2 months and 5 months of age in exclusive breastfeeding (EBF) and partial breastfeeding (PBF) infants. Methods Fecal samples were collected from infants at 2 months and 5 months of age from Bandung, Indonesia. Exclusive breastfeeding was determined using the stable isotope deuterium dose-to-mother (DTM) technique. Fecal metabolites were extracted using Dulbecco's phosphate-buffered saline, and analyzed using NMR spectroscopy. Fecal microbial DNA was extracted at the same time using the MoBio PowerLyzer PowerSoil DNA isolation kit (MoBio, Carlsbad, CA). The V4 region of 16SrRNA was targeted. The DNA library sample was analyzed via 300-bp paired-end sequencing on the Illumina MiSeq platform. Results Fecal samples from EBF infants at 2 months of age revealed significantly higher human milk oligosaccharides (HMOs), short-chain fatty acids and related metabolites compared to PBF infants. However, fecal samples from infants at 5 months of age revealed no differences in metabolome between EBF and PBF after p-value adjustment for multiple comparisons. Gut microbes, especially Bifidobacterium were higher in EBF infants at age 2 months even though not statistically significant. However, this difference was eliminated at age 5 months. Conclusions In the present study, infant feeding practices had a stronger influence on the infant fecal metabolome and microbiome at the age of 2 months as compared to 5 months. Funding Sources 2014 Bill & Melinda Gates Foundation. CS would also like to acknowledge funding from the Kinsella endowed chair in Food, Nutrition, and health as well as USDA-NIFA Hatch project 1,021,411.

scholarly journals Prevalence and risk factors of obesity among higher secondary school students in urban and rural schools of North Kerala

2017 ◽  
Vol 4 (5) ◽  
pp. 1851
Author(s):  
Urmila K. V. ◽  
Divya Krishnan K. ◽  
. Sudakaran ◽  
Muralikrishnan Nambiar
Keyword(s):  
Public Health ◽  
Risk Factors ◽  
Secondary School ◽  
Secondary School Students ◽  
Public Health Problem ◽  
Childhood Overweight ◽  
Overweight And Obesity ◽  
School Students ◽  
Childhood Overweight And Obesity ◽  
Increased Risk

Background: Childhood overweight and obesity have become an important public health problem. Life style approach is required, and requires political and social commitment in addition to medical management. We investigated the prevalence of obesity and the association with risk factors relating to physical activities, in higher secondary school children of government and private schools.Methods: In 2015, we surveyed higher secondary students in North Kerala both in government and private sector schools. We measured height, weight and plotted Body mass Index on CDC (Child Developement Centre) charts. Factors affecting obesity like physical and sedentary activities (using Bharathy et al questionnaire) and school-based risk factors were also studied.Results: Multivariate logistic regression was done to evaluate the significance of these risk factors for overweight and obesity. On the basis of measurements taken in 496 higher secondary school students, the estimated provincial prevalence of overweight was found to be 7%, obesity 3% and malnutrition 18%. Children who studied in private school was found to have increased risk of overweight p=0.02 with odds ratio (OR of 2.97 95% confidence interval CI 1.27-6.97), whereas those who went to school by walking were at decreased risk (OR 2.78, 95% CI 1.16-6.65). Students involved in house hold chores for 4hours or more a week were associated with a decreased risk of overweight (OR 3.96, 95% CI 1.42-11.07) and those with less activity were at increased risk for obesity (OR 6.61, 95% CI 1.91-22.84).Conclusions: Home and schools provide important opportunities for public health initiatives for reducing childhood overweight and obesity. Children in private schools coming from higher socio-economic background are being less physically active and has thus susceptible to obesity and its consequences.

scholarly journals Maternal pre-pregnancy body mass index, gestational weight gain and breastfeeding outcomes

2020 ◽  
Author(s):  
Hayley Martin ◽  
Kelly Thevenet-Morrison ◽  
Ann Dozier
Keyword(s):  
Weight Gain ◽  
Exclusive Breastfeeding ◽  
Proportional Hazards ◽  
Directed Acyclic Graphs ◽  
Cox Proportional Hazards ◽  
Cross Sectional ◽  
Increased Risk ◽  
Causal Pathway ◽  
Breastfeeding Cessation ◽  
The Impact

Abstract Background: It is well established that mothers with above-normal pre-pregnancy BMI are at increased risk of breastfeeding cessation; however, the impact of pregnancy weight-gain (PWG) is less well-defined. Excess PWG may alter the hormonal preparation of breast tissue for lactation, increase the risk of complications that negatively impact breastfeeding (e.g. Cesarean-section, gestational diabetes), and may make effective latch more difficult to achieve. Methods: Our objective was to determine the impact of PWG and pre-pregnancy BMI on the risk of breastfeeding cessation utilizing the Institute of Medicine’s 2009 recommendations. Cox proportional hazards models were utilized to estimate the risk of cessation of exclusive breastfeeding, and cessation of any breastfeeding among women who initiated exclusive and any breastfeeding, respectively, in a cross sectional sample of survey respondents from a New York county (N=1207). PWG category was interacted with pre-pregnancy BMI (3 levels of pre-pregnancy BMI, 3 levels of PWG). Confounders of the relationship of interest were evaluated using directed acyclic graphs and bivariate analyses; variables not on the proposed causal pathway and associated with the exposure and outcome were included in multivariate models. Results: After adjustment, women of normal and obese pre-pregnancy BMI with greater-than-recommended PWG had 1.39 (1.03-1.86) and 1.48 (1.06-2.07) times the risk of any breastfeeding cessation within the first 3 months postpartum compared to women with normal pre-pregnancy BMI who gained within PWG recommendations. Overweight women with greater-than-recommended PWG were at increased risk of cessation, although not significantly (aHR[95% CI]: 1.29 [0.95 – 1.75]). No significant relationship was observed for exclusive breastfeeding cessation. Conclusions: Pre-pregnancy BMI and PWG may be modifiable risk factors for early breastfeeding cessation. Understanding the mechanism behind this risk should be ascertained by additional studies aimed at understanding the physiological, social, logistical (positioning) and other issues that may lead to early breastfeeding cessation.

scholarly journals Maternal pre-pregnancy body mass index, gestational weight gain and breastfeeding outcomes

2020 ◽  
Author(s):  
Hayley Martin ◽  
Kelly Thevenet-Morrison ◽  
Ann Dozier
Keyword(s):  
Weight Gain ◽  
Exclusive Breastfeeding ◽  
Proportional Hazards ◽  
Directed Acyclic Graphs ◽  
Cox Proportional Hazards ◽  
Cross Sectional ◽  
Increased Risk ◽  
Causal Pathway ◽  
Breastfeeding Cessation ◽  
The Impact

Abstract Background: It is well established that mothers with above-normal pre-pregnancy BMI are at increased risk of breastfeeding cessation; however, the impact of pregnancy weight-gain (PWG) is less well-defined. Excess PWG may alter the hormonal preparation of breast tissue for lactation, increase the risk of complications that negatively impact breastfeeding (e.g. Cesarean-section, gestational diabetes), and may make effective latch more difficult to achieve. Methods: Our objective was to determine the impact of PWG and pre-pregnancy BMI on the risk of breastfeeding cessation utilizing the Institute of Medicine’s 2009 recommendations. Cox proportional hazards models were utilized to estimate the risk of cessation of exclusive breastfeeding, and cessation of any breastfeeding among women who initiated exclusive and any breastfeeding, respectively, in a cross sectional sample of survey respondents from a New York county (N=1207). PWG category was interacted with pre-pregnancy BMI (3 levels of pre-pregnancy BMI, 3 levels of PWG). Confounders of the relationship of interest were evaluated using directed acyclic graphs and bivariate analyses; variables not on the proposed causal pathway and associated with the exposure and outcome were included in multivariate models. Results: After adjustment, women of normal and obese pre-pregnancy BMI with greater-than-recommended PWG had 1.39 (1.03-1.86) and 1.48 (1.06-2.07) times the risk of any breastfeeding cessation within the first 3 months postpartum compared to women with normal pre-pregnancy BMI who gained within PWG recommendations. Overweight women with greater-than-recommended PWG were at increased risk of cessation, although not significantly (aHR[95% CI]: 1.29 [0.95 – 1.75]). No significant relationship was observed for exclusive breastfeeding cessation. Conclusions: Pre-pregnancy BMI and PWG may be modifiable risk factors for early breastfeeding cessation. Understanding the mechanism behind this risk should be ascertained by additional studies aimed at understanding the physiological, social, logistical (positioning) and other issues that may lead to early breastfeeding cessation.

scholarly journals Maternal pre-pregnancy body mass index, gestational weight gain and breastfeeding outcomes

2019 ◽  
Author(s):  
Hayley Martin ◽  
Kelly Thevenet-Morrison ◽  
Ann Dozier
Keyword(s):  
Body Mass Index ◽  
Weight Gain ◽  
Body Mass ◽  
Exclusive Breastfeeding ◽  
Directed Acyclic Graphs ◽  
Pregnancy Weight Gain ◽  
Increased Risk ◽  
Breastfeeding Cessation ◽  
Pregnancy Weight ◽  
The Impact

Abstract BackgroundIt is well established that mothers with above-normal pre-pregnancy body mass index (BMI) are at increased risk of breastfeeding cessation; however, the impact of pregnancy weight-gain is less well-defined. Excess pregnancy weight-gain may alter the hormonal preparation of breast tissue for lactation, increase the risk of complications that negatively impact breastfeeding (e.g. C-section, gestational diabetes), and may make effective latch more difficult to achieve.MethodsOur objective was to determine the impact of pregnancy weight-gain and pre-pregnancy BMI on the risk of breastfeeding cessation utilizing the Institute of Medicine’s 2009 recommendations. Cox proportional hazards models were utilized to estimate the risk of cessation of exclusive breastfeeding, and cessation of any breastfeeding among women who initiated exclusive and any breastfeeding, respectively, in a cross sectional sample of survey respondents from a New York county (N=1207). Pregnancy weight-gain category was interacted with pre-pregnancy BMI (3 levels of pre-pregnancy BMI, 3 levels of pregnancy weight-gain). Confounders of the relationship of interest were evaluated using directed acyclic graphs and bivariate analyses; variables not on the proposed causal pathway and associated with the exposure and outcome were included in multivariate models.ResultsAfter adjustment, women of normal and obese pre-pregnancy BMI with greater-than-recommended pregnancy weight-gain had 1.39 (1.03-1.86) and 1.48 (1.06-2.07) times the risk of any breastfeeding cessation within the first 3 months postpartum compared to women with normal pre-pregnancy BMI who gained within PWG recommendations. Overweight women with greater-than-recommended pregnancy weight-gain were at increased risk of cessation, although not significantly (adjusted Hazard Ratio [95% CI]: 1.29 [0.95 – 1.75]). No significant relationship was observed for exclusive breastfeeding cessation. ConclusionPre-pregnancy BMI and pregnancy weight-gain may be modifiable risk factors for early breastfeeding cessation. Understanding the mechanism behind this risk should be ascertained by additional studies aimed at understanding the physiological, social, logistical (positioning) and other issues that may lead to early breastfeeding cessation.

scholarly journals Long work hours of mothers and fathers are linked to increased risk for overweight and obesity among preschool children: longitudinal evidence from Germany

2019 ◽  
Vol 73 (8) ◽  
pp. 723-729 ◽  
Author(s):  
Jianghong Li ◽  
Till Kaiser ◽  
Matthias Pollmann-Schult ◽  
Lyndall Strazdins
Keyword(s):  
Preschool Children ◽  
Childhood Overweight ◽  
Overweight And Obesity ◽  
The Body ◽  
Work Hours ◽  
Employment Protection ◽  
Mothers And Fathers ◽  
Child Overweight ◽  
Long Work Hours ◽  
The Impact

BackgroundMost existing studies on maternal employment and childhood overweight/obesity are from the USA. They are predominantly cross-sectional and show a consistent linear association between the two. Less is known about the joint impact of fathers’ and mothers’ work hours on childhood overweight and obesity.ObjectivesTo examine the impact of maternal and paternal work hours on overweight/obesity among children aged 1–6 years in Germany using longitudinal data.MethodsChild body weight and height and their parents’ work hours were collected for 2413 children at ages 0–1, ages 2–3 and ages 5–6. Overweight and obesity was defined using the body mass index percentiles based on the Cole LMS-Method. Random effects model was conducted, adjusting for demographic, socioeconomic and health characteristics of parents and children.ResultsCompared with non-employment, when mothers worked 35 or more hours per week, the risk for child overweight and obesity increased among preschool children. When fathers worked 55 or more hours per week, this effect was strengthened and maternal part-time hours (24–34 per week) also became a risk for child overweight and obesity. The effect was mainly found in high-income families.ConclusionsBoth mothers’ and fathers’ long work hours matter to young children’s overweight status. Employment protection and work time regulation for both working parents during the first 6 years of the child’s life should be considered in future policy.

The prevalence of obesity among forensic intellectual disability inpatients

2017 ◽  
Vol 41 (S1) ◽  
pp. S585-S585
Author(s):  
R. Denman ◽  
V. Chester ◽  
J. Watson ◽  
C. Nyakunuwa ◽  
R. Alexander
Keyword(s):  
Intellectual Disability ◽  
Length Of Stay ◽  
Normal Weight ◽  
Overweight And Obesity ◽  
Management Interventions ◽  
Increased Risk ◽  
Mental Health Settings ◽  
Prevalence Of Obesity ◽  
Competing Interest ◽  
The Impact

BackgroundInpatient mental health settings have been described as “obesogenic” environments, due to factors including psychotropic medication, high calorie food, restricted physical activity and sedentary lifestyles. No research has investigated obesity among forensic intellectual disability inpatients, despite this populations’ increased risk. Therefore, this paper aims to evaluate the prevalence and correlates of overweight and obesity on, and during admission.MethodThe weight and body mass index data of 46 inpatients (15 women and 31 men) within a specialist intellectual disability forensic service was examined for the study.ResultsOnly six patients (13%) were a normal weight at admission, whereas 40 (87%) were overweight or obese. During their admission, 28 (61%) gained weight (average 11.8 kg), and one (2%) maintained. However, 17 patients (37%) lost weight (average 6.2 kg), though 16 remained in overweight/obese categories. There was no correlation between length of stay and weight/BMI.ConclusionsThe majority of patients were overweight or obese on admission, and approximately 60% gained weight during their admission. Women appeared at greater risk of obesity. There was no relationship between length of stay and weight. This is potentially due to the high prevalence of obesity on admission and the impact of previous admissions on weight. The results highlight the need for effective weight management interventions with this population.Disclosure of interestThe authors have not supplied their declaration of competing interest.

scholarly journals Associations between infant and maternal characteristics measured at child age 5 months and maternal feeding styles and practices up to child age two years

PLoS ONE ◽  
2022 ◽  
Vol 17 (1) ◽  
pp. e0261222
Author(s):  
Christine Helle ◽  
Elisabet R. Hillesund ◽  
Nina C. Øverby
Keyword(s):  
Maternal Education ◽  
Longitudinal Design ◽  
Controlled Trial ◽  
Feeding Practices ◽  
Overweight And Obesity ◽  
Maternal Characteristics ◽  
Feeding Styles ◽  
Maternal Feeding Practices ◽  
The Impact ◽  
Child Age

Facilitating positive feeding practices from infancy may be an important strategy to prevent childhood overweight and obesity. Since the feeding situation early in life constitutes a bidirectional relationship, it is important to understand the impact of both maternal and infant characteristics on maternal feeding practices to intervene in a customized and tailored way. Few studies have concurrently examined associations between maternal and infant characteristics in relation to early maternal feeding practices. The aim of the present study was to explore potential associations between infant and maternal characteristics measured at child age five months, and maternal feeding styles and practices during the child’s first two years. Cross-sectional data from a Norwegian randomized controlled trial in which participants responded to questionnaires at child age 5 months (n = 474), 12 months (n = 293) and 24 months (n = 185) were used to explore potential associations. All maternal and child predictor variables were collected at child age five months. Maternal feeding styles and practices were mapped using subscales from the Infant Feeding Questionnaire at child age 5 and 12 months and the Child Feeding Questionnaire and the Parental Feeding Style Questionnaire at child age 24 months. The subscale-scores were split into roughly equal tertiles, and the upper or lower tertile for the outcome of interest were used to create binary outcome variables. Multivariable binary logistic regression models were conducted for each outcome. We found that maternal education and mental health symptoms as well as infant weight, temperament and feeding mode were associated with maternal feeding styles and practices over time. Our findings indicate that risk factors which may have long-term implications for child weight and health outcomes can be identified early. Larger, population-based studies with a longitudinal design are needed to further explore these pathways.

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