scholarly journals Effects of the First 1000 Days Program, a systems-change intervention, on obesity risk factors during pregnancy

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Meg Simione ◽  
Laura Moreno-Galarraga ◽  
Meghan Perkins ◽  
Sarah N. Price ◽  
Man Luo ◽  
...  
Keyword(s):  
Physical Activity ◽  
Risk Factors ◽  
Low Income ◽  
Screen Time ◽  
Psychosocial Outcomes ◽  
Obesity Risk ◽  
Third Trimester ◽  
Wic Program ◽  
Link Type ◽  
Obesity Risk Factors

Abstract Background First 1000 Days is a systems-oriented program starting in early pregnancy lasting through the first 24 months of infancy focused on preventing obesity and related risk factors among low income, mother-infant pairs. The program was developed in partnership with stakeholders to create an infrastructure for system-wide change. It includes screening for adverse health behaviors and socio-contextual factors, patient navigation and educational materials to support behavior change and social needs, and individualized health coaching for women at highest risk of obesity and has been shown to reduce excess gestational weight gain for women who were overweight at the start of their pregnancy. The purpose of this study was to examine changes from the first to third trimester for women participating in the First 1000 Days Program. Methods We collected information through self-administered questionnaires during the first and third trimester of gestation and from electronic health records relating to obesity risk factors. Measures collected included behavior (i.e., diet, physical activity and screen time) and psychosocial (i.e., anxiety) outcomes, as well as enrollment in Women, Infant, and Children (WIC) program. We examined the extent to which participation in the program was associated with changes in behaviors and psychosocial outcomes among women during pregnancy. Results Women completed surveys at their initial and third trimester prenatal visits (n = 264). Mean age (SD) was 30.2 (5.51) years and 75% had an annual household income of <$50,000. Mean pre-pregnancy body mass index (BMI) was 27.7 kg/m2 and 64% started pregnancy with a BMI ≥ 25 kg/m2. In multivariable adjusted models, we observed decreases in intake of sugary-drinks (− 0.95 servings/day; 95% CI: − 1.86, − 0.03) and in screen time (− 0.21 h/day; 95% CI: − 0.40, − 0.01), and an increase in physical activity (0.88 days/week; 95% CI: 0.52, 1.23) from the first to third trimester. We also observed a decrease in pregnancy-related anxiety score (− 1.06 units; 95% CI: − 1.32, − 0.79) and higher odds of enrollment in Women, Infant, and Children (WIC) program (OR: 2.58; 95% CI: 1.96, 3.41). Conclusions Our findings suggest that a systems-oriented prenatal intervention may be associated with improvements in behaviors and psychosocial outcomes during pregnancy among low-income mothers. Trial registration ClinicalTrials.gov (NCT03191591; Retrospectively registered on June 19, 2017).

scholarly journals Effects of the First 1,000 Days Systems-Change Intervention on Obesity Risk Factors During Pregnancy

2021 ◽  
Author(s):  
Meg Simione ◽  
Laura Moreno-Galarraga ◽  
Meghan Perkins ◽  
Sarah N. Price ◽  
Man Luo ◽  
...  
Keyword(s):  
Physical Activity ◽  
Risk Factors ◽  
Low Income ◽  
Screen Time ◽  
Psychosocial Outcomes ◽  
Obesity Risk ◽  
Third Trimester ◽  
Wic Program ◽  
Sugary Drinks ◽  
Obesity Risk Factors

Abstract Background: First 1,000 Days is a systems-oriented program starting in early pregnancy lasting through the first 24 months of infancy focused on preventing obesity and related risk factors among low income, mother-infant pairs. The program was developed in partnership with stakeholders to create an infrastructure for system-wide change. It includes screening for adverse health behaviors and socio-contextual factors, patient navigation and educational materials to support behavior change and social needs, and individualized health coaching for women at highest risk of obesity and has been shown to reduce excess gestational weight gain for women who were overweight at the start of their pregnancy. Methods: We collected information through self-administered questionnaires during the first and third trimester of gestation and from electronic health records relating to obesity risk factors. Measures collected included behavior (i.e., diet, physical activity and screen time) and psychosocial outcomes, as well as enrollment in Women, Infant, and Children (WIC) program. We examined the extent to which participation in the program was associated with changes in behaviors and psychosocial outcomes among women during pregnancy.Results: Women completed surveys at their initial and third trimester prenatal visits (n=264). Mean age (SD) was 30.2 (5.51) years and 75% had an annual household income of <$50,000. Mean pre-pregnancy body mass index (BMI) was 27.7 kg/m2 and 64% started pregnancy with a BMI ≥ 25 kg/m2. In multivariable adjusted models, we observed decreases in intake of sugary-drinks (-0.96 servings/day; 95% CI: -1.86, -0.06) and in screen time (-0.21 hours/day; 95% CI: -0.40, -0.02), and an increase in physical activity (0.87 days/week; 95% CI: 0.56, 1.17) from the first to third trimester. We also observed a decrease in pregnancy-related anxiety score (-1.06 units; 95% CI: -1.32, -0.79) and higher odds of enrollment in Women, Infant, and Children (WIC) program (OR: 2.58; 95% CI: 1.96, 3.41). Conclusions: Our findings suggest that a systems-oriented prenatal intervention is associated with improvements in behaviors and psychosocial outcomes during pregnancy among low-income mothers.Trial registration: ClinicalTrials.gov (NCT03191591; Retrospectively registered on June 19, 2017)

RISK FACTORS FOR ABDOMINAL OBESITY IN CHILDREN AND ADOLESCENTS FROM CRACOW, POLAND (1983–2000)

2013 ◽  
Vol 47 (2) ◽  
pp. 203-219 ◽  
Author(s):  
AGNIESZKA SUDER ◽  
MARIA CHRZANOWSKA
Keyword(s):  
Physical Activity ◽  
Risk Factors ◽  
Children And Adolescents ◽  
Abdominal Obesity ◽  
Parental Education ◽  
Leisure Time Physical Activity ◽  
Significant Risk ◽  
High Birth Weight ◽  
Obesity Risk ◽  
Obesity Risk Factors

SummaryThe aim of this study was to determine abdominal obesity risk factors in two successive cohorts of children and adolescents aged 4–18 from Cracow, Poland, examined during the years of political transformation. The influence of biological, socio-demographic and lifestyle factors on abdominal obesity was analysed by calculating odds ratios and 95% confidence intervals using logistic regression analysis. It was found that for girls obesity in both parents (OR=4.31; 95% CI 1.73–20.70) and high birth weight (OR=1.78; 95% CI 1.12–2.82) were significant risk factors for abdominal obesity in the 1983 cohort. In the 2000 cohort obesity in both parents for boys and girls (boys: OR=5.85; 95% CI 1.36–25.10; girls: OR=4.82; 95% CI 1.17–19.77), low level of parental education in girls (OR=2.06; 95% CI 1.15–3.69), having only one son (OR=1.96; 95% CI 1.36–3.40), parents' smoking habits in girls (OR=2.94; 95% CI 1.46–5.91) and lack of undertaking physical activity in sport clubs in boys (OR=6.11; 95% CI 1.46–25.47) were significant abdominal obesity risk factors. Higher number of hours of leisure time physical activity (OR=0.89; 95% CI 0.81–0.97) significantly lowered the risk of abdominal obesity in boys in the 2000 cohort. The greater differentiation of abdominal obesity risk factors in the 2000 cohort in comparison to the 1983 cohort may have resulted from the social and economic changes taking place in Poland at the end of the 20th century.

Optimism and Obesity Risk Factors in Middle Aged Latinas

2006 ◽  
Author(s):  
Virginia E. Ferent ◽  
Karla Espinosa De Los Monteros ◽  
Gregory Talavera ◽  
Linda C. Gallo
Keyword(s):  
Risk Factors ◽  
Obesity Risk ◽  
Middle Aged ◽  
Obesity Risk Factors

scholarly journals Random forest analysis in identifying the importance of obesity risk factors

2013 ◽  
Vol 23 (suppl_1) ◽  
Author(s):  
N Kanerva ◽  
M Erkkola ◽  
J Nevalainen ◽  
S Männistö
Keyword(s):  
Risk Factors ◽  
Random Forest ◽  
Obesity Risk ◽  
Random Forest Analysis ◽  
Obesity Risk Factors

Sedentary behavior moderates the relationship between physical activity and cardiometabolic risk in young Latino children

2021 ◽  
Author(s):  
Jamil A Malik ◽  
Jennifer Coto ◽  
Elizabeth R Pulgaron ◽  
Amber Daigre ◽  
Janine E Sanchez ◽  
...  
Keyword(s):  
Physical Activity ◽  
Risk Factors ◽  
Sedentary Behavior ◽  
Low Income ◽  
Latent Variables ◽  
Cardiometabolic Risk ◽  
Vigorous Physical Activity ◽  
Cardiometabolic Risk Factors ◽  
Metabolic Risk ◽  
Latino Children

Abstract This study investigated the role of objectively measured moderate–vigorous physical activity (MVPA) and sedentary behavior on cardiometabolic risk factors of young Latino children. We hypothesized that MVPA would be associated with lower cardiometabolic risk when sedentary behavior is low. We studied 86 primarily low-income, Latino children using a cross-sectional study design. The study sample consisted of 51 girls and 35 boys, with mean age 5.6 (SD = .53) years. Physical activity was measured by accelerometry, anthropometric measures obtained, and fasting blood samples were used to measure cardiometabolic risk factors. Greater levels of sedentary behavior were associated with increased waist circumference (rs = .24, p &lt; .05) and metabolic risks. MVPA, however, had significant beneficial associations with all cardiometabolic risk factors (rs-range = −.20 to −.45, p &lt; .05) with the exception of plasma insulin. MVPA predicted latent variables representing anthropometric risk (β = −.57, p &lt; .01), cardiac risk (β = −.74, p &lt; .01), and metabolic risk (β = −.88, p &lt; .01). Sedentary behavior significantly moderated the effect of MVPA on anthropometric (β-interaction = .49, p &lt; .01), cardiac (β-interaction = .45, p &lt; .01), and metabolic risk (β-interaction = .77, p &lt; .01), such that more MVPA was associated with better health outcomes under conditions of lower sedentary behavior. The model explained 13%, 22%, and 45% variance in anthropometric, cardiac, and metabolic risk factors, respectively. Increased MVPA is associated with decreased cardiometabolic risk in young Latino children, particularly when sedentary behavior is low.

scholarly journals Understanding the influence of 24-hour movement behaviours on the health and development of preschool children from low-income South African settings: the SUNRISE pilot study

2020 ◽  
Vol 32 (1) ◽  
pp. 1-7 ◽  
Author(s):  
Catherine Draper ◽  
Simone A Tomaz ◽  
Caylee J Cook ◽  
Sasha S Jugdav ◽  
Candice Ramsammy ◽  
...  
Keyword(s):  
Physical Activity ◽  
Preschool Children ◽  
Pilot Study ◽  
Sedentary Behaviour ◽  
South African ◽  
Motor Skills ◽  
Low Income ◽  
Screen Time ◽  
Early Years ◽  
Gross Motor

Background: The International Study of Movement Behaviours in the Early Years, SUNRISE, was initiated to assess the extent to which young children meet movement behaviour guidelines (physical activity, sedentary behaviour, screen time, sleep). Objective: The South African SUNRISE pilot study assessed movement behaviours in preschool children from two low-income settings, and associations between these movement behaviours, adiposity, motor skills and executive function (EF). Methods: Preschool child/parent pairs (n = 89) were recruited from preschools in urban Soweto and rural Sweetwaters. Height and weight were measured to assess adiposity. Physical activity was assessed using accelerometers while sedentary behaviour, screen time and sleep were assessed via parent report. Fine and gross motor development were measured using the Ages and Stages Questionnaire-3, and EF was assessed using the Early Years Toolbox. Results: The proportion of children meeting the physical activity guideline was 84% , 66% met the sleep guideline ,48% met the screen time guideline , and 26% met all three guidelines. Rural children were more active, but spent more time on screens compared to urban children. Most children were on track for gross (96%) and fine motor (73%) development, and mean EF scores were in the expected range for all EF measures. EF was negatively associated with screen time, and gross motor skills were positively associated with physical activity. Conclusion: The South African SUNRISE study contributes to the growing literature on 24-hour movement behaviours in SA preschool children, and highlights that these behaviours require attention in this age group.

Childhood obesity: risk factors, prevention and management

2014 ◽  
Vol 27 (5) ◽  
pp. 411-412 ◽  
Author(s):  
S. C. Langley-Evans ◽  
V. H. Moran
Keyword(s):  
Risk Factors ◽  
Childhood Obesity ◽  
Obesity Risk ◽  
Obesity Risk Factors
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