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Foster SF, Rundle AG, Tsai I, Genkinger JM, Burns NR, Hoepner LA, Abrego MR, Dube S, Nichols AR, Ramirez-Carvey J, Oberfield SE, Hassoun A, Perera F, Widen EM. Postpartum Obesity Is Associated With Increases in Child Adiposity in Midchildhood in a Cohort of Black and Dominican Youth. Curr Dev Nutr 2024; 8:103770. [PMID: 38948110 PMCID: PMC11214177 DOI: 10.1016/j.cdnut.2024.103770] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/13/2023] [Revised: 04/18/2024] [Accepted: 05/07/2024] [Indexed: 07/02/2024] Open
Abstract
Background Obesity disproportionately affects marginalized and low-income populations. Birth parent obesity from the prenatal period and childhood has been associated with child obesity. It is unknown whether prenatal or postnatal birth parent obesity has differential effects on subsequent changes in adiposity and metabolic health in children. Objectives We evaluated how birth parent obesity 7 y after delivery was associated with child body composition changes and cardiometabolic health in midchildhood and further assessed the influence of the perinatal and postpartum period on associations. Methods Black and Dominican pregnant individuals were enrolled, and dyads (n = 319) were followed up at child age 7 and 9 y. Measures included, height, weight, waist circumference (WC), and percent body fat (BF%). Multiple linear regression was used to relate postpartum weight status with child outcomes accounting for attrition, and a series of secondary analyses were conducted with additional adjustment for perinatal weight status, gestational weight gain (GWG), and/or long-term weight retention to evaluate how these factors influenced associations. Results Almost one-quarter (23%) of birth parents and 24.1% children were classified with obesity at child age 7 y, while at 9 y, 30% of children had obesity. Birth parent obesity at child age 7 y was associated with greater changes, from ages 7 to 9 y, in child BMI z-score (β: 0.13; 95% CI: 0.02, 0.24) and BF% (β: 1.15; 95% CI: 0.22, 2.09) but not obesity at age 9 y. All observed associations crossed the null after additional adjustment for prenatal factors. Conclusions Birth parent obesity at 7-y postpartum is associated with greater gains in child BMI z-score and BF% in midchildhood. These associations diminish after accounting for prenatal size, suggesting a lasting impact of the perinatal environment and that interventions supporting families from the prenatal period through childhood are needed.
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Affiliation(s)
- Saralyn F Foster
- Department of Nutritional Sciences, The University of Texas at Austin, Austin, TX, United States
| | - Andrew G Rundle
- Department of Epidemiology, Mailman School of Public Health, Columbia University Medical Center, New York, NY, United States
- Columbia Center for Children’s Environmental Health, Mailman School of Public Health, Columbia University Medical Center, New York, NY, United States
| | - Irene Tsai
- School of Medicine, Stony Brook University, Stony Brook, NY, United States
| | - Jeanine M Genkinger
- Department of Epidemiology, Mailman School of Public Health, Columbia University Medical Center, New York, NY, United States
- Columbia Center for Children’s Environmental Health, Mailman School of Public Health, Columbia University Medical Center, New York, NY, United States
| | - Natalie R Burns
- Department of Statistics, University of Florida, Gainesville, FL, United States
| | - Lori A Hoepner
- Columbia Center for Children’s Environmental Health, Mailman School of Public Health, Columbia University Medical Center, New York, NY, United States
- Department of Environmental Health Sciences, Mailman School of Public Health, Columbia University Medical Center, New York, NY, United States
- Department of Environmental and Occupational Health Sciences, School of Public Health, SUNY Downstate Health Sciences University, Brooklyn, NY, United States
| | - Marcela R Abrego
- Department of Nutritional Sciences, The University of Texas at Austin, Austin, TX, United States
| | - Sara Dube
- Department of Nutritional Sciences, The University of Texas at Austin, Austin, TX, United States
| | - Amy R Nichols
- Department of Nutritional Sciences, The University of Texas at Austin, Austin, TX, United States
| | - Judyth Ramirez-Carvey
- Columbia Center for Children’s Environmental Health, Mailman School of Public Health, Columbia University Medical Center, New York, NY, United States
- Department of Environmental Health Sciences, Mailman School of Public Health, Columbia University Medical Center, New York, NY, United States
| | - Sharon E Oberfield
- Columbia Center for Children’s Environmental Health, Mailman School of Public Health, Columbia University Medical Center, New York, NY, United States
- Division of Pediatric Endocrinology, Department of Pediatrics, Columbia University College of Physicians and Surgeons, New York, NY, United States
| | - Abeer Hassoun
- Columbia Center for Children’s Environmental Health, Mailman School of Public Health, Columbia University Medical Center, New York, NY, United States
- Division of Pediatric Endocrinology, Department of Pediatrics, Columbia University College of Physicians and Surgeons, New York, NY, United States
| | - Frederica Perera
- Columbia Center for Children’s Environmental Health, Mailman School of Public Health, Columbia University Medical Center, New York, NY, United States
| | - Elizabeth M Widen
- Department of Nutritional Sciences, The University of Texas at Austin, Austin, TX, United States
- Columbia Center for Children’s Environmental Health, Mailman School of Public Health, Columbia University Medical Center, New York, NY, United States
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Filgueiras MDS, Pessoa MC, Bressan J, do Carmo AS, Fogal Vegi AS, de Albuquerque FM, de Novaes JF. Obesogenic neighborhood environment is associated with body fat and low-grade inflammation in Brazilian children: could the mother's BMI be a mediating factor? Public Health Nutr 2023; 27:e14. [PMID: 38031476 PMCID: PMC10830377 DOI: 10.1017/s1368980023002628] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/10/2023] [Revised: 11/13/2023] [Accepted: 11/24/2023] [Indexed: 12/01/2023]
Abstract
OBJECTIVE To evaluate the direct and indirect associations of obesogenic and leptogenic neighborhood environments with body fat, and pro- and anti-inflammatory adipokines in Brazilian children. DESIGN Cross-sectional study. The body fat distribution was assessed using dual-energy X-ray absorptiometry (DXA). Concentrations of leptin and adiponectin were measured. Four hundred meters (0·25 miles) road network buffer was the neighborhood unit used to assess the environmental characteristics around households. Obesogenic and leptogenic environments were the latent variables obtained from the observed characteristics. The mother's BMI, ultra-processed food consumption, and physical activity before and after school, were tested as mediating variables. A hybrid model of structural equations was used to test the direct and indirect associations of obesogenic and leptogenic environments with body fat, leptin and adiponectin concentrations. SETTING Urban area of Viçosa, Minas Gerais, Brazil. PARTICIPANTS Children aged 8- and 9-years (n 367). RESULTS Obesogenic environment was directly associated with the mother's BMI (β: 0·24, P = 0·02) and the child's body fat (β: 0·19, P = 0·02). The mother's BMI and body fat mediated the association of the obesogenic environment with leptin concentrations (β: 0·05, P = 0·02). CONCLUSIONS Obesogenic neighborhood environment was directly associated with body fat and mother's BMI, and indirectly associated with leptin concentrations in Brazilian children, mediated by the mother's BMI and body fat.
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Affiliation(s)
- Mariana De Santis Filgueiras
- Department of Nutrition and Health, Universidade Federal de Viçosa, Av. P.H. Rolfs s/n, Centro de Ciências Biológicas II, Campus Universitário, Viçosa, Minas Gerais36570-900, Brazil
| | - Milene Cristine Pessoa
- Department of Nutrition, Nursing School, Universidade Federal de Minas Gerais, Av. Prof. Alfredo Balena 190, Santa Efigênia, Belo Horizonte, Minas Gerais30130-100, Brazil
| | - Josefina Bressan
- Department of Nutrition and Health, Universidade Federal de Viçosa, Av. P.H. Rolfs s/n, Centro de Ciências Biológicas II, Campus Universitário, Viçosa, Minas Gerais36570-900, Brazil
| | - Ariene Silva do Carmo
- Department of Nutrition, Nursing School, Universidade Federal de Minas Gerais, Av. Prof. Alfredo Balena 190, Santa Efigênia, Belo Horizonte, Minas Gerais30130-100, Brazil
| | - Aline Siqueira Fogal Vegi
- Nutrition School, Universidade Federal de Ouro Preto, Rua Dois, Campus Morro do Cruzeiro, Ouro Preto, Minas Gerais35400-000, Brazil
| | - Fernanda Martins de Albuquerque
- Nutrition Institute, Universidade do Estado do Rio de Janeiro, Rua São Francisco Xavier 524, 12th floor, Maracanã, Rio de Janeiro20550-900, Brazil
| | - Juliana Farias de Novaes
- Department of Nutrition and Health, Universidade Federal de Viçosa, Av. P.H. Rolfs s/n, Centro de Ciências Biológicas II, Campus Universitário, Viçosa, Minas Gerais36570-900, Brazil
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de Albuquerque FM, Pessoa MC, Filgueiras MDS, do Carmo AS, Vegi ASF, Ribeiro AQ, de Novaes JF. Obesogenic environment around schools is associated with atherogenic risk in Brazilian children. Am J Hum Biol 2023; 35:e23844. [PMID: 36469550 DOI: 10.1002/ajhb.23844] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/09/2022] [Revised: 11/18/2022] [Accepted: 11/23/2022] [Indexed: 12/12/2022] Open
Abstract
INTRODUCTION Cardiometabolic risk factors often emerge in childhood, increasing the risk of cardiovascular diseases in adulthood. The school environments represent an important active space in a child's routine and may influence their health status. METHODS In this cross-sectional study, we aimed to evaluate the clustering of cardiometabolic risk factors and its association with the obesogenic and leptogenic environment around schools. A total of 378 children (181 boys; 197 girls) aged 8 and 9 years, enrolled in all urban schools of Viçosa, Minas Gerais, Brazil, were evaluated. Concentrations of high-density lipoprotein-cholesterol (HDL-c) and triglycerides (TG), and the insulin resistance (HOMA-IR), waist circumference (WC), and mean arterial pressure (MAP) were measured. The neighborhood income, walkability index, predominantly ultra-processed food stores, public spaces for leisure and/or physical activities, traffic accidents, crime and green spaces densities were assessed in 400 road network buffers around schools. To test association of the obesogenic and leptogenic environment around schools with cardiometabolic risk clustering, binary logistic regression models were performed with generalized estimating equations. RESULTS "Obesogenic school environments" had greater densities of ultra-processed food stores, crime and traffic accidents, and higher walkability. The "↓ Atherogenic risk" cluster consisted of higher HDL-c values. There was an inverse association between the obesogenic environment around schools and a child's "↓ atherogenic risk" clustering (OR = 0.63; p < 0.001). CONCLUSION We concluded that public policies aimed at modifying the environment around schools, by providing healthier food options and safe conditions for active mobility, are essential to prevent child's atherogenic risk.
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Affiliation(s)
- Fernanda Martins de Albuquerque
- Programa de Pós Graduação em Ciência da Nutrição, Departamento de Nutrição e Saúde, Universidade Federal de Viçosa (UFV), Viçosa, Brazil
| | - Milene Cristine Pessoa
- Programa de Pós Graduação em Nutrição e Saúde, Departamento de Nutrição, Universidade Federal de Minas Gerais (UFMG), Belo Horizonte, Brazil
| | - Mariana De Santis Filgueiras
- Programa de Pós Graduação em Ciência da Nutrição, Departamento de Nutrição e Saúde, Universidade Federal de Viçosa (UFV), Viçosa, Brazil
| | - Ariene Silva do Carmo
- Programa de Pós Graduação em Ciências da Saúde, Faculdade de Medicina, Universidade Federal de Minas Gerais, Belo Horizonte, Brazil
| | - Aline Siqueira Fogal Vegi
- Programa de Pós Graduação em Ciência da Nutrição, Departamento de Nutrição e Saúde, Universidade Federal de Viçosa (UFV), Viçosa, Brazil
| | - Andréia Queiroz Ribeiro
- Programa de Pós Graduação em Ciência da Nutrição, Departamento de Nutrição e Saúde, Universidade Federal de Viçosa (UFV), Viçosa, Brazil
| | - Juliana Farias de Novaes
- Programa de Pós Graduação em Ciência da Nutrição, Departamento de Nutrição e Saúde, Universidade Federal de Viçosa (UFV), Viçosa, Brazil
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