No association between maternal exercise during pregnancy and the child’s weight status at age 7 years; The MoBa Study

Background: This study was done to know the maternal perception of weight of their children and correlate it with exact weights. We also studied various factors affecting ability of a mother to perceive her child’s weight status.Method: This prospective study was done in Pediatric Department of a tertiary care teaching hospital of Western Gujarat, India, from January 2018 to September 2018. 897 mothers of children < 5 years of age were included. Socio-demographic and anthropometric details of child and mother were recorded. Maternal perception of their child’s weight status was enquired. A correlation between perceived and actual child weight status was estimated.Results: 897 patients <5 years of age had mean (SD) age of 28.66 (±17.04) months, weight 10.17 (±3.5) kg, height 0.81 (±0.15) meters and BMI 15.74 (±15.26) kg/m2. 34.7% of mothers perceived underweight erroneously as compared to actual weight status being normal (p value=0.00001). Misperception (under or over) of the mothers for their children weight status was significant for girls (p=0.011). Significant difference between perceived and actual weight status was seen in birth orders 1 to 4. 34. 6% actual UW children were perceived as NW by < 40 years age mothers (p=0.0018). 78.2% uneducated and 81% of primary or secondary educated mothers from lower SES felt their children were of NW status whereas actually 43.4% and 50.3% children were of NW status respectively (p=0.00001). Surprisingly, 91.3% of graduate or postgraduate mothers of middle SES perceived their children as NW status while actually only 39.1% were of NW and 52.1% of UW (p=0.00001).Conclusion: Half of the mothers were not able to perceive correct weight status of their children. Misperception was significant for girls. Significant difference between perceived and actual weight status was seen for birth orders 1 to 4. Mothers <40 years of age significantly failed to perceive actual UW status of the children. Both educated and uneducated mothers misclassified their children’s weight status significantly.

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Maternal perceptions of 5-year-old child weight status and factors influencing perceptions: Findings from the ROLO Kids Study

Proceedings of The Nutrition Society ◽

10.1017/s0029665120001676 ◽

2020 ◽

Vol 79 (OCE2) ◽

Author(s):

Anna Gouldson ◽

Aisling Geraghty ◽

Eileen O'Brien ◽

Mary Horan ◽

Jean Donnelly ◽

...

Keyword(s):

Health Care Providers ◽

Weight Status ◽

Normal Weight ◽

Care Providers ◽

Maternal Perceptions ◽

Kappa Score ◽

Weight Category ◽

Child Weight ◽

Factors Influencing ◽

Child’S Weight

AbstractIntroductionObesity is a global condition affecting both adults and children. Mothers play an important role in identifying problems with their child's weight. However, studies are limited on the accuracy of maternal perceptions of her child's weight status in early childhood. The aim of this study was to look at maternal perceptions of her child's weight status in 5-year-old children and to investigate factors influencing this.Materials and Methods339 mother and child pairs were followed up from the ROLO Kids study in the National Maternity Hospital, Dublin, Ireland. Height and weight of the mother and the child were measured, and BMI was calculated. Demographic details were collected and questionnaires asked mothers to assign their child to a weight category and to give the reason they put their child in this particular category. KAPPA analysis and student t tests were used to analyse the data.ResultsIn this cohort over 75% of the children were normal weight, 14.7% were in the overweight category, and 8.5% in the obese category. The KAPPA score for maternal-perceived category and actual weight status was 0.037 which is a low level of agreement. Mothers were more likely to underestimate their child's weight, with 28.5% underestimating the appropriate weight category for their child compared with 2.4% who overestimated. Maternal age, education, and child sex did not influence accurate weight assessments; however, mothers with a higher BMI were more likely to inaccurately assess their child's weight (P < 0.05).DiscussionMaternal perception of their child's weight status is not an accurate indication of child weight, particularly for mothers with a raised BMI. This research highlights the important role of health care providers in assessing child weight status, rather than relying on parental reports alone, in order to appropriately intervene to reduce the incidence of childhood obesity.

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Exercise Intergenerationally Drives Muscle-Based Thermogenesis and Myogenesis in Offspring Impaired Due to Maternal Obesity

Current Developments in Nutrition ◽

10.1093/cdn/nzaa054_155 ◽

2020 ◽

Vol 4 (Supplement_2) ◽

pp. 1083-1083

Author(s):

Jun Seok Son ◽

Song Ah Chae ◽

Mei-Jun Zhu ◽

Min Du

Keyword(s):

Gene Expression ◽

Surface Temperature ◽

Muscle Development ◽

Maternal Obesity ◽

Experimental Unit ◽

Obesogenic Diet ◽

Maternal Exercise ◽

The Impact ◽

Exercise During Pregnancy ◽

Fetal Muscle

Abstract Objectives Maternal obesity (MO) predisposes metabolic dysfunction in offspring muscle. Skeletal muscle-dependent non-shivering thermogenesis (NST) is emerging as a critical mechanism for maintaining energy homeostasis, but the effects of maternal exercise on muscle-based thermogenesis in offspring remains unexplored. In addition, the impact of maternal obesity and exercise on fetal muscle development is unclear, which will also be examined. The objective of the current study is to explore the effects of maternal exercise on muscle-based thermogenesis and myogenesis in fetuses impaired due to MO. Methods Female C57BL/6 J mice were randomized and assigned to either control (CON, 10 kcal% from fat) or obesogenic diet (OB, 60 kcal% from fat) for 8 weeks to induce obesity and then mated. Then, pregnant mice in obesogenic diet were further separated into two groups with/without exercise (daily 60 min exercise) during pregnancy, which resulted in three treatments: control (CON), OB, and OB-EX (n = 6 per group). Fetal skeletal muscles were collected at embryonic day 18.5 (E18.5). In another cohort of animals, maternal mice were allowed to give birth and surface temperature of neonates was measured. Statistical analysis were conducted using one way analysis of variance (ANOVA); a pregnancy/litter was considered as an experimental unit. Results OB reduced surface temperature of neonates (P < 0.01). In E18.5 fetal muscle, OB downregulated muscle-based thermogenic gene expression (P < 0.05), including Sln, Serca2, and Ryr1. In addition, the expression of mitochondriogenic genes (P < 0.05), including Ppargc1a and Tfam, was also reduced in OB fetal female and male muscle. These adverse changes were prevented due to exercise during pregnancy. Furthermore, maternal exercise protected against the downregulation of myogenesis-related gene expression, including MyoD, Myogenin, Myf5, and Pax7, due to MO. Conclusions Exercise during pregnancy enhanced muscle-based thermogenic gene expression and myogenesis which were impaired due to MO, suggesting that maternal exercise intergenerationally improves metabolic health of offspring. Funding Sources Supported by NIH Grant R01HD067449.

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Large proportions of overweight and obese children, as well as their parents, underestimate children’s weight status across Europe. The ENERGY (EuropeaN Energy balance Research to prevent excessive weight Gain among Youth) project

Public Health Nutrition ◽

10.1017/s136898001400305x ◽

2015 ◽

Vol 18 (12) ◽

pp. 2183-2190 ◽

Cited By ~ 19

Author(s):

Yannis Manios ◽

George Moschonis ◽

Kalliopi Karatzi ◽

Odysseas Androutsos ◽

Mai Chinapaw ◽

...

Keyword(s):

Weight Gain ◽

Energy Balance ◽

Weight Status ◽

Behavioural Change ◽

Family Characteristics ◽

Obese Children ◽

Excessive Weight Gain ◽

Actual Weight ◽

Excessive Weight ◽

Child’S Weight

AbstractObjectiveTo investigate the magnitude and country-specific differences in underestimation of children’s weight status by children and their parents in Europe and to further explore its associations with family characteristics and sociodemographic factors.DesignChildren’s weight and height were objectively measured. Parental anthropometric and sociodemographic data were self-reported. Children and their parents were asked to comment on children’s weight status based on five-point Likert-type scales, ranging from ‘I am much too thin’ to ‘I am much too fat’ (children) and ‘My child’s weight is way too little’ to ‘My child’s weight is way too much’ (parents). These data were combined with children’s actual weight status, in order to assess underestimation of children’s weight status by children themselves and by their parents, respectively. Chi-square tests and multilevel logistic regression analyses were conducted to examine the aims of the current study.SettingEight European countries participating in the ENERGY (EuropeaN Energy balance Research to prevent excessive weight Gain among Youth) project.SubjectsA school-based survey among 6113 children aged 10–12 years and their parents.ResultsIn the total sample, 42·9 % of overweight/obese children and 27·6 % of parents of overweight/obese children underestimated their and their children’s weight status, respectively. A higher likelihood for this underestimation of weight status by children and their parents was observed in Eastern and Southern compared with Central/Northern countries. Overweight or obese parents (OR=1·81; 95 % CI 1·39, 2·35 and OR=1·78, 95 % CI 1·22, 2·60), parents of boys (OR=1·32; 95 % CI 1·05, 1·67) and children from overweight/obese (OR=1·60; 95 % CI 1·29, 1·98 and OR=1·76; 95 % CI 1·29, 2·41) or unemployed parents (OR=1·53; 95 % CI 1·22, 1·92) were more likely to underestimate children’s weight status.ConclusionsChildren of overweight or obese parents, those from Eastern and Southern Europe, boys, younger children and children with unemployed parents were more likely to underestimate their actual weight status. Overweight or obese parents and parents of boys were more likely to underestimate the actual weight status of their children. In obesity prevention such underestimation may be a barrier for behavioural change.

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Fathers’ perception of child's weight and paternal feeding practices in relation to child's gender

Proceedings of The Nutrition Society ◽

10.1017/s0029665120002980 ◽

2020 ◽

Vol 79 (OCE2) ◽

Author(s):

Stephanie Rahill ◽

Aileen Kennedy ◽

John Kearney

Keyword(s):

Maternal Employment ◽

Weight Status ◽

Online Survey ◽

Feeding Practices ◽

Normal Weight ◽

Child Rearing ◽

Structure Questionnaire ◽

Cross Sectional ◽

Likert Scale Response ◽

Child’S Weight

AbstractThe role of fathers in child rearing has changed in recent years due to an increase in maternal employment, which has increased the prevalence of co-parenting. It is important therefore to establish the role fathers have in feeding their child and how their attitudes and perceptions may influence the strategies they employ during mealtimes. In addition, research suggests that maternal and paternal feeding practices are associated with child's gender and weight status. Therefore, the aim of this research was to investigate the association between fathers’ perception of child's weight and paternal non-responsive and structure-related feeding practices, and the extent to which this is mediated by a child's gender.Cross-sectional data from an Irish sample of fathers, who completed an online survey based on one of their children aged 5–12 years old (n = 155). The Feeding Practices and Structure Questionnaire (FPSQ) assessed paternal feeding practices, and it was validated for use within this sample. A 5-point Likert scale response ranging from Very Underweight to Very Overweight to the question “Do you think your child is . . ?” assessed fathers’ perception of child's weight. Associations were assessed using multiple linear regressions.Fathers who perceived their sons as underweight reported higher levels of rewarding the child to eat (β = .24; p = 0.04) and overt restriction (β = .27; p = 0.03) than fathers who perceived their sons to be normal weight. Fathers who perceived their sons as overweight reported higher levels of overt restriction (β = .26; p = 0.04) than fathers who perceived their son to be normal weight. In relation to daughters, fathers who perceived them as underweight reported higher levels of both reward for behaviour (β = .28; p = 0.006) and reward for eating (β = .20; p = 0.04), while fathers who perceived their daughters as overweight reported lower levels of structured mealtimes (β = -.27; p = 0.012) compared to fathers who perceived their daughter as normal weight.Findings suggest that paternal perception of child's weight influences the type of feeding practices utilised by fathers, with the child's gender a mediating influence on reported specific feeding practices. Overall, fathers who perceive their son or daughter to be underweight or overweight appear to engage in more non-responsive and less structure-related feeding practices than fathers who perceive their child to be normal weight.

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Parental Perceptions and Behaviors Regarding Child Weight Status among Toddlers Born Preterm

American Journal of Perinatology ◽

10.1055/s-0039-1683959 ◽

2019 ◽

Vol 37 (05) ◽

pp. 525-533

Author(s):

Jessica Londeree Saleska ◽

Kelly Sheppard ◽

Abigail Norris Turner ◽

Kelly M. Boone ◽

Sarah A. Keim

Keyword(s):

Weight Status ◽

Controlled Trial ◽

Parental Perceptions ◽

Normal Weight ◽

Overweight Children ◽

Weight Estimation ◽

Child Feeding ◽

Actual Weight ◽

Child Weight ◽

Child’S Weight

Abstract Objective Childhood obesity is a significant determinant of adult obesity. Among children born preterm, rapid “catch-up growth” in infancy increases the risk of later obesity. Parental perceptions of their child's weight status may compound the child's biologically heightened risk of obesity. Study Design We performed a secondary analysis of data on parental perceptions of child weight status from a randomized controlled trial (2012–2017, n = 331 toddlers born preterm). We used the Child Feeding Questionnaire (CFQ) to measure parental child feeding behaviors and beliefs. We calculated the prevalence of incorrect weight estimation, and used t-tests and chi-square tests to compare sample characteristics by correct versus incorrect weight estimation. We calculated odds ratios (ORs) for factors associated with parental underestimation of child weight status. Results Most (90%) children were of normal weight, whereas 3% were underweight and 7% were overweight. A majority (75%) of parents correctly estimated their child's weight status. Incorrect weight estimation was only associated with child's actual weight. Parents of overweight children were more likely to underestimate their child's weight status than parents of normal weight children (OR: 2.23, 95% confidence interval: 2.00–2.49). Mean CFQ scores differed by the child's actual weight status but not by the child's estimated weight status. Conclusion Among these toddlers born preterm, significantly higher proportions of parents with underweight and overweight children incorrectly estimated their child's weight status relative to parents of normal weight children. Our findings suggest that weight underestimation could be a problem in this population, although it was not associated with changes in feeding practices.

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Maternal Aerobic Exercise during Pregnancy Can Increase Spatial Learning by Affecting Leptin Expression on Offspring's Early and Late Period in Life Depending on Gender

The Scientific World JOURNAL ◽

10.1100/2012/429803 ◽

2012 ◽

Vol 2012 ◽

pp. 1-8 ◽

Cited By ~ 20

Author(s):

Ayfer Dayi ◽

Sinem Agilkaya ◽

Seda Ozbal ◽

Ferihan Cetin ◽

Ilkay Aksu ◽

...

Keyword(s):

Aerobic Exercise ◽

Spatial Learning ◽

Leptin Receptor ◽

Hippocampal Neurogenesis ◽

Receptor Expression ◽

Control Group ◽

Male Adult ◽

Brain Functions ◽

Maternal Exercise ◽

Exercise During Pregnancy

Maternal exercise during pregnancy has been suggested to exert beneficial effects on brain functions of the offspring. Leptin is an adipocytokine which is secreted from adipose tissues and has positive effects on learning, memory, and synaptic plasticity. In this study, pregnant rats were moderately exercised and we observed the effects of this aerobic exercise on their prepubertal and adult offsprings' spatial learning, hippocampal neurogenesis, and expression of leptin. All the pups whose mothers exercised during pregnancy learned the platform earlier and spent longer time in the target quadrant. Their thigmotaxis times were shorter than those measured in the control group. It is shown that hippocampal CA1, CA3 neuron numbers increased in both prepubertal and adult pups, in addition that GD neuron numbers increased in adult pups. Leptin receptor expression significantly increased in the prepubertal male, adult male, and adult female pups. In our study, maternal running during pregnancy resulted in significant increase in the expression of leptin receptor but not in prepubertal female pups, enhanced hippocampal cell survival, and improved learning memory capability in prepubertal and adult rat pups, as compared to the control group. In conclusion, maternal exercise during pregnancy may regulate spatial plasticity in the hippocampus of the offspring by increasing the expression of leptin.

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