EuropeaN Energy balance Research to prevent excessive weight Gain among Youth (ENERGY) project: Design and methodology of the ENERGY cross-sectional survey

AbstractObjectiveThe purpose of the present study was to investigate the associations of family sociodemographic characteristics with children’s weight status and whether these potential associations are mediated by children’s breakfast habits.DesignA school-based survey among 10–12-year-old children was conducted in eight European countries. Children’s weight and height were measured and breakfast habits and family sociodemographic characteristics were self-reported by 5444 children and their parents. International Obesity Task Force cut-off points were used to categorize children as overweight/obese or normal weight. Mediation analyses were used to test the potential mediating effect of children’s breakfast consumption on the associations between family sociodemographic characteristics and children’s overweight/obesity.SettingSchools in eight European countries participating in the ENERGY (EuropeaN Energy balance Research to prevent excessive weight Gain among Youth) project.SubjectsChildren aged 10–12 years and their parents (n 5444).ResultsChildren’s reported daily breakfast consumption varied from 56 % in Slovenia to 92 % in Spain on weekdays and from 79 % in Greece to 93 % in Norway on weekends. Children of native parents, with both parents employed and with at least one parent having more than 14 years of education were more likely to consume breakfast daily and less likely to be overweight/obese. Finally, mediation analyses revealed that the association of parental nationality and parental educational status with children’s overweight/obesity was partially mediated by children’s daily breakfast consumption.ConclusionsThe study shows that the lower likelihood of being overweight/obese among 10–12-year-old children of native background and higher parental educational status was partially mediated by children’s daily breakfast consumption.

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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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Excessive weight gain in exclusively breast-fed infants

Journal of Pediatric Endocrinology and Metabolism ◽

10.1515/jpem-2017-0028 ◽

2017 ◽

Vol 30 (7) ◽

Cited By ~ 5

Author(s):

Carola Saure ◽

Marisa Armeno ◽

Consuelo Barcala ◽

Vanesa Giudici ◽

Carmen Silvia Mazza

Keyword(s):

Weight Gain ◽

Breast Milk ◽

Standard Deviation Score ◽

Milk Composition ◽

Cross Sectional Study ◽

Growth Patterns ◽

Cross Sectional ◽

Excessive Weight Gain ◽

Excessive Weight ◽

The Mean

AbstractBackground:Breastfeeding is recommended as the best source of nutrition in the first months of life and observational studies have associated exclusive breastfeeding with decreased weight gain and a protective effect against obesity in childhood. The objective of this study was to describe the characteristics of a cohort of exclusively breastfed obese infants to determine factors that may lead to this unusual weight gain.Methods:Infants seen between 2003 and 2015 who were exclusively breastfed and showed excessive weight gain in the first year of life were followed with a focus on features of the mother, the child, feeding patterns and the presence of concomitant factors that influence nutritional status. Additionally, in a subset of the sample, macronutrients of the maternal breast milk were analyzed. A descriptive, prospective cross-sectional study was conducted.Results:Of 73 patients, 63% were girls. At 3 months of life, 64% had a weight-for-height standard deviation score (SDS) >2. At 6 and at 12 months, 100% of the patients had a weight-for-height >2 SDS. The mean age at semisolid-food introduction was 7 months. The mean age at weaning was 15.8 months. The babies were fed on demand and no hunger-satiety pattern was observed. In the breast milk samples analyzed, a significantly lower fat content was found.Conclusions:The results of our study lead to the assumption that inter-individual variations in mother’s milk composition may affect the growth patterns of children.

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Associated factors with excessive weight gain in pregnant women from Maceió, Northeastern Brazil

Ciência & Saúde Coletiva ◽

10.1590/1413-81232020258.23492018 ◽

2020 ◽

Vol 25 (8) ◽

pp. 3017-3026

Author(s):

Raphaela Costa Ferreira ◽

Micaely Cristina dos Santos Tenório ◽

Marilene Brandão Tenório ◽

Carolina Santos Mello ◽

Alane Cabral Menezes de Oliveira

Keyword(s):

Weight Gain ◽

Pregnant Women ◽

Associated Factors ◽

Blood Pressure Measurement ◽

Northeastern Brazil ◽

Institute Of Medicine ◽

Cross Sectional ◽

Excessive Weight Gain ◽

Excessive Weight ◽

Maternal Hyperglycemia

Abstract This article aims to evaluate the associated factors with excessive weight gain in pregnant women from Maceió, the capital of Alagoas, Northeastern Brazil. Cross-sectional study with pregnant women attended in public health in the city of Maceió in 2014, of which socioeconomic, clinical (glycemia, capillary hemoglobin, and blood pressure measurement), dietary, and anthropometric data, including in the latter gestational weight gain, classified as insufficient, adequate and excessive according to the US Institute of Medicine, were collected. The combination of excessive weight gain with the independent variables was tested using the Poisson regression expressed by the Prevalence Ratio (PR) and a 95% confidence interval (CI95%). We studied 403 pregnant women with a mean age of 24.08 ± 6.01 years, with 19.9% of them displayed insufficient weight gain; 14.1% displayed adequate weight gain, and 66.0% displayed excessive weight gain, that was associated with maternal hyperglycemia (PR = 1.35; CI95% = 1.17 to 1.57; p < 0.001). Excessive weight gain is common among pregnant women evaluated with the association of this variable with maternal hyperglycemia.

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Knowledge, Perception and Practice towards the Risks of Excessive Weight Gain during Pregnancy among Pregnant Mothers at Myung Sung Christian Medical General Hospital, Addis Ababa, Ethiopia

Ethiopian Journal of Health Sciences ◽

10.4314/ejhs.v31i2.20 ◽

2021 ◽

Vol 31 (2) ◽

Author(s):

Mahlet Alebachew ◽

Amarech Doyo ◽

Desta Admasu ◽

Kokeb Sisay ◽

Tariku Shimels

Keyword(s):

Weight Gain ◽

General Hospital ◽

Weight Status ◽

Addis Ababa ◽

Vulnerable Groups ◽

Cross Sectional ◽

Excessive Weight Gain ◽

Excessive Weight ◽

Weight Gain During Pregnancy ◽

Pregnant Mothers

BACKGROUND፡ Being overweight and obese represents a severe public health deterioration affecting all population in general and vulnerable groups, such as pregnant women in particular. This study aimed to assess the knowledge, perception and practice towards the risks of excessive weight gain during pregnancy among pregnant mothers at Myung Sung Christian Medical General Hospital.METHODS: An institution based cross-sectional study was conducted from July to August, 2019. A systematic random sampling technique was employed to select participants. A total of 176 respondents were included in the study. Data was collected using interviewer administered questionnaire, observation checklist, and measurements of weight and height. Statistical product and service solution version 20.0 was employed for analysis. Descriptive statistics, using tables and charts, was used to present results.RESULTS: Gestational diabetes mellitus (83.5%) and high blood pressure (80.7%) were the major known risks associated with excessive weight gain during pregnancy. Based on the mean score, 96(54.5%) had poor knowledge while 80(45.5%) had good knowledge about the risks of excessive weight gain. The majority (92.0%) overweight and all obese pregnant mothers did not know their actual weight status. Similarly, 134(76.1%) of the study participants were not engaged in regular physical exercise during the current pregnancy.CONCLUSION: This study revealed that pregnant mothers attending in Korean General Hospital were generally poorly knowledgeable on the risks of excessive weight gain during pregnancy, had poor perception on current weight status and poor practices on their weight gain management. Facility based education and community awareness creation should accompany antenatal care services.

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Preventing Excessive Weight Gain in Adolescent Girls at High Risk for Adult Obesity: Podcast

PsycEXTRA Dataset ◽

10.1037/e600722012-001 ◽

2008 ◽

Keyword(s):

Weight Gain ◽

High Risk ◽

Adolescent Girls ◽

Adult Obesity ◽

Excessive Weight Gain ◽

Excessive Weight

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The role of antenatal education for the prevention of excessive weight gain during pregnancy

Minerva Ginecologica ◽

10.23736/s0026-4784.19.04449-6 ◽

2020 ◽

Vol 71 (6) ◽

Author(s):

Roberta Amadori ◽

Carmela Melluzza ◽

Alessia Motta ◽

Alberto De Pedrini ◽

Daniela Surico

Keyword(s):

Weight Gain ◽

Excessive Weight Gain ◽

Antenatal Education ◽

Excessive Weight ◽

Weight Gain During Pregnancy

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Screening for celiac disease among children with overweight and obesity: toward exploring celiac iceberg

Journal of Pediatric Endocrinology and Metabolism ◽

10.1515/jpem-2020-0076 ◽

2020 ◽

Vol 33 (8) ◽

pp. 995-1002

Author(s):

Valeria Calcaterra ◽

Corrado Regalbuto ◽

Matteo Manuelli ◽

Catherine Klersy ◽

Gloria Pelizzo ◽

...

Keyword(s):

Celiac Disease ◽

Weight Gain ◽

Autoimmune Diseases ◽

Medical History ◽

Unknown Origin ◽

Overweight And Obesity ◽

Excessive Weight Gain ◽

Familial Predisposition ◽

Excessive Weight ◽

Hla Dq2

AbstractObjectivesThe coexistence of celiac disease (CD) and obesity/overweight is not unusual. We investigate the prevalence and clinical presentation of CD, detected by screening, among children with excessive weight gain.MethodsWe enrolled 200 children referred for overweight/obesity to our outpatient clinic. Medical history during pregnancy and childhood and lifestyle variables were recorded. Patients were screened for CD with total immunoglobulin A (IgA), IgA anti-transglutaminase (tTG-IgA) and IgA anti-endomysial antibodies (EMA-IgA). In subjects with positive autoantibodies, esophagogastroduodenoscopy (EGDS) was performed and genetic testing for HLA DQ2 and/or DQ8 haplotypes was tested.ResultsCD positive antibodies (tTg-IgA and EMA-IgA) were detected in eight patients (4%); in all subjects CD diagnosis was confirmed by HLA-DQ2 and/or DQ8 compatibility and EGDS. No association between CD and medical history during pregnancy and childhood or lifestyle variables was noted; however, a dietary difference was identified with those testing positive for CD also reporting a lower weekly consumption of fruits and vegetables (p=0.04). Headache was reported more frequently in patients with than without CD (p=0.04). Familiar positivity for autoimmune diseases was revealed in CD patients (p=0.01).ConclusionCD should be considered in children with excessive weight gain. Familial predisposition to other autoimmune diseases may represent a risk factor for development of CD. Even though the relationship between headache and CD is not well defined, the patients with headache of unknown origin should be screened for CD.

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