Bariatric Times - August 2008 - (Page 18) 18 Journal Watch Bariatric Times • August 2008 J o u r n a l Wa t c h Recent articles in bariatric multidisciplinary health by Laura Alexander PREDICTIVE FACTORS IN CHILDHOOD OVERWEIGHT/OBESITY Developmental Oogins of Chcdhood overweight: Potential Puplic Heahth impact. Gillman MW, Rifas-Shiman SL, Kleinman K, et al. Obesity (Silver Spring) 2008 May 1. [Epub ahead of print] Synopsis: Researchers estimated the risk of a child being overweight at three years of age by measuring maternal smoking during pregnancy, gestational weight gain, breastfeeding duration, and infant sleep duration in 1,110 mother-child pairs from a prospective prebirth cohort study. Based on the results, the researchers conclude that healthful levels of the four risk factors predicted much lower probability of the child being overweight at age three than adverse levels. PMID: 18451768 Early determinants of overweight at 4.5 years in a population-based longitudinal study. Dubois L, Girard M. Int J Obes (Lond) 2006 Apr;30(4):610–617. Synopsis: To examine factors that contribute to childhood overweight to determine which factors exert the most influence in early life, researchers studied 1,550 children, aged 4.5 years, born in 1998 in Quebec, and analyzed monthly weight gain, sex, gestational age and birth rank, breastfeeding, mothers’ smoking status during pregnancy, family type at child’s birth, family income, parental factors such as height and BMI, and maternal factors such as age, education, and immigrant status. Among many results, authors found that being in the highest quintiles of weight gain between birth and five months, as well as maternal smoking during pregnancy, almost double the odds of being overweight at 4.5 years. They also found different patterns of weight gain for children born to smoking versus nonsmoking mothers. Based on these and other results, authors conclude that behavioral and social factors are critical for the onset of childhood overweight in preschool years PMID: 16570091 Short sleep duration in infancy and risk of childhood overweight. Taveras EM, Rifas-Shiman SL, Oken E, et al. Arch Pediatr Adolesc Med 2008 Apr;162(4):305–311. Synopsis: To examine the extent to which infant sleep duration is associated with being overweight at age three years, authors conducted a multisite longitudinal survey of 915 children from a prospective cohort study. Based on the results, they conclude that daily sleep duration less than 12 hours during infancy appears to be a risk factor for overweight and adiposity in preschool-aged children. PMID: 18391138 Dynamics of early childhood overweight. Salsberry PJ, Reagan PB. Pediatrics 2005 Dec;116(6):1329–1338. Synopsis: Authors analyzed the effects of breastfeeding versus bottle feeding as well as prenatal and birth characteristics on the weight of 3,022 children examined during 3 consecutive interviews when the child was aged 24 to 95 months. Based on the results, authors conclude that prenatal characteristics that influence the possibility of a child being overweight include, in particular, race, ethnicity, maternal smoking during pregnancy, and maternal prepregnancy obesity. PMID: 16322155 Does breastfeeding protect against pediatric overweight? Analysis of longitudinal data from the Centers for Disease Control and Prevention Pediatric Nutrition Surveillance System. Grummer-Strawn LM, Mei Z; Centers for Disease Control and Prevention Pediatric Nutrition Surveillance System. Pediatrics 2004 Feb;113(2):e81–86. Synopsis: To examine whether increasing duration of breastfeeding is associated with a lower risk of overweight in low-income four-year-olds in the US, authors analyzed data from seven states on 177,304 children up to 60 months of age for a pediatriconly analysis, and 12,587 children for a pregnancy pediatric-linked analysis. They found that the duration of breastfeeding showed a doseresponse, protective relationship with the risk of overweight only among non-Hispanic whites. No significant association was found among nonHispanic blacks or Hispanics. PMID: 14754976 Associations of maternal prenatal smoking with child adiposity and blood pressure. Oken E, Huh SY, Taveras EM, et al. Obes Res 2005;13(11):2021–2028. Synopsis: To examine the extent to which maternal prenatal smoking is
For optimal viewing of this digital publication, please enable JavaScript and then refresh the page. If you would like to try to load the digital publication without using Flash Player detection, please click here.