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16.03.2018 | Original Article

Early life risk factors and their cumulative effects as predictors of overweight in Spanish children

verfasst von: Isabel Iguacel, Laura Escartín, Juan M. Fernández-Alvira, Iris Iglesia, Idoia Labayen, Luis A. Moreno, María Pilar Samper, Gerardo Rodríguez, On behalf of the CALINA study group

Erschienen in: International Journal of Public Health | Ausgabe 4/2018

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Abstract

Objectives

To explore early life risk factors of overweight/obesity at age 6 years and their cumulative effects on overweight/obesity at ages 2, 4 and 6 years.

Methods

Altogether 1031 Spanish children were evaluated at birth and during a 6-year follow-up. Early life risk factors included: parental overweight/obesity, parental origin/ethnicity, maternal smoking during pregnancy, gestational weight gain, gestational age, birth weight, caesarean section, breastfeeding practices and rapid infant weight gain collected via hospital records. Cumulative effects were assessed by adding up those early risk factors that significantly increased the risk of overweight/obesity. We conducted binary logistic regression models.

Results

Rapid infant weight gain (OR 2.29, 99% CI 1.54–3.42), maternal overweight/obesity (OR 1.93, 99% CI 1.27–2.92), paternal overweight/obesity (OR 2.17, 99% CI 1.44–3.28), Latin American/Roma origin (OR 3.20, 99% CI 1.60–6.39) and smoking during pregnancy (OR 1.61, 99% CI 1.01–2.59) remained significant after adjusting for confounders. A higher number of early life risk factors accumulated was associated with overweight/obesity at age 6 years but not at age 2 and 4 years.

Conclusions

Rapid infant weight gain, parental overweight/obesity, maternal smoking and origin/ethnicity predict childhood overweight/obesity and present cumulative effects. Monitoring children with rapid weight gain and supporting a healthy parental weight are important for childhood obesity prevention.

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Titel: Early life risk factors and their cumulative effects as predictors of overweight in Spanish children
verfasst von: Isabel Iguacel
Laura Escartín
Juan M. Fernández-Alvira
Iris Iglesia
Idoia Labayen
Luis A. Moreno
María Pilar Samper
Gerardo Rodríguez
On behalf of the CALINA study group
Publikationsdatum: 16.03.2018
Verlag: Springer International Publishing
Erschienen in: International Journal of Public Health / Ausgabe 4/2018
Print ISSN: 1661-8556
Elektronische ISSN: 1661-8564
DOI: https://doi.org/10.1007/s00038-018-1090-x

Springer Medizin

Abstract

Objectives

Methods

Results

Conclusions

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