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)

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 Clustering of Sedentary Behaviours, Physical Activity, and Energy-Dense Food Intake in Six-Year-Old Children: Associations with Family Socioeconomic Status

Nutrients ◽  
2020 ◽  
Vol 12 (6) ◽  
pp. 1722
Author(s):  
Junwen Yang-Huang ◽  
Amy van Grieken ◽  
Lu Wang ◽  
Wilma Jansen ◽  
Hein Raat
Keyword(s):  
Physical Activity ◽  
Socioeconomic Status ◽  
Low Income ◽  
Screen Time ◽  
Healthy Lifestyle ◽  
Intervention Development ◽  
Lifestyle Behaviour ◽  
Lifestyle Behaviours ◽  
Sugary Drinks ◽  
Physically Inactive

This study examined the clustering of lifestyle behaviours in children aged six years from a prospective cohort study in the Netherlands. Additionally, we analysed the associations between socioeconomic status and the lifestyle behaviour clusters that we identified. Data of 4059 children from the Generation R Study were analysed. Socioeconomic status was measured by maternal educational level and net household income. Lifestyle behaviours including screen time, physical activity, calorie-rich snack consumption and sugar-sweetened beverages consumption were measured via a parental questionnaire. Hierarchical and non-hierarchical cluster analyses were applied. The associations between socioeconomic status and lifestyle behaviour clusters were assessed using logistic regression models. Three lifestyle clusters were identified: “relatively healthy lifestyle” cluster (n = 1444), “high screen time and physically inactive” cluster (n = 1217), and “physically active, high snacks and sugary drinks” cluster (n = 1398). Children from high educated mothers or high-income households were more likely to be allocated to the “relatively healthy lifestyle” cluster, while children from low educated mothers or from low-income households were more likely to be allocated in the “high screen time and physically inactive” cluster. Intervention development and prevention strategies may use this information to further target programs promoting healthy behaviours of children and their families.

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 Factors Associated with Abdominal Obesity in the Productive Age in Surabaya

2015 ◽  
Vol 3 (1) ◽  
pp. 45
Author(s):  
Fani Kusteviani
Keyword(s):  
Physical Activity ◽  
Risk Factors ◽  
Abdominal Obesity ◽  
Female Gender ◽  
Developed Countries ◽  
Regression Result ◽  
Cross Sectional ◽  
Factors Associated ◽  
Sugary Drinks ◽  
Fat Deposits

Obesity has become a public health and nutrition issues the world both developed countries and developing countries, including Indonesia. Abdominal obesity is one type of obesity where there is abdominal fat deposits as measured by waist circumference. Abdominal obesity is more at risk of health problems such as diabetes mellitus, metabolic syndrome, hypertension and cardiovascular disease than general obesity. Behavioral and environmental factors as well as genetic plays a role in the onset of abdominal obesity. The purpose of the study was to analyze factors associated with abdominal obesity in the productive age (15–64 years) in Surabaya. The independent variables used were age, sex, marital status, family size, education, occupation, smoking, physical activity, consumption of vegetables and or fruit, food or sugary drinks, fatty foods and mental health. This research was analytical study use cross sectional design. The study used secondary data from Basic Health Research Surabaya 2007 amounted to 2191 respondents by simple random sampling. Data were analyzed with Chi-square test and logistic regression. Result of analysis showed that risk factors of abdominal obesity were age 35–64 years, female gender and married or divorced status, level of education ≤ SMA and consume fatty food regularly. The most influential risk factors are female. Increasing knowledge, physical activity, and reducing fat intake can prevent the risk of abdominal obesity.Keyword: abdominal obesity, productive age, lifestyle, female

Sign in / Sign up

Export Citation Format

Share Document