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Xie J, Han Y, Peng L, Zhang J, Gong X, Du Y, Ren X, Zhou L, Li Y, Zeng P, Shao J. BMI growth trajectory from birth to 5 years and its sex-specific association with prepregnant BMI and gestational weight gain. Front Nutr 2023; 10:1101158. [PMID: 36866049 PMCID: PMC9971005 DOI: 10.3389/fnut.2023.1101158] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/17/2022] [Accepted: 01/18/2023] [Indexed: 02/16/2023] Open
Abstract
Objective The purpose of the study was to identify the latent body mass index (BMI) z-score trajectories of children from birth to 5 years of age and evaluate their sex-specific association with prepregnant BMI and gestational weight gain (GWG). Methods This was a retrospective longitudinal cohort study performed in China. In total, three distinct BMI-z trajectories from birth to 5 years of age were determined for both genders using the latent class growth modeling. The logistic regression model was used to assess the associations of maternal prepregnant BMI and GWG with childhood BMI-z growth trajectories. Results Excessive GWG increased the risks of children falling into high-BMI-z trajectory relative to adequate GWG (OR = 2.04, 95% CI: 1.29, 3.20) in boys; girls born to mothers with prepregnancy underweight had a higher risk of low-BMI-z trajectory than girls born to mothers with prepregnancy adequate weight (OR = 1.85, 95% CI: 1.22, 2.79). Conclusion BMI-z growth trajectories of children from 0 to 5 years of age have population heterogeneity. Prepregnant BMI and GWG are associated with child BMI-z trajectories. It is necessary to monitor weight status before and during pregnancy to promote maternal and child health.
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Affiliation(s)
- Jinting Xie
- School of Public Health, Xuzhou Medical University, Xuzhou, Jiangsu, China,Key Laboratory of Human Genetics and Environmental Medicine, Xuzhou Medical University, Xuzhou, Jiangsu, China,Key Laboratory of Environment and Health, Xuzhou Medical University, Xuzhou, Jiangsu, China
| | - Yan Han
- School of Public Health, Xuzhou Medical University, Xuzhou, Jiangsu, China,Key Laboratory of Human Genetics and Environmental Medicine, Xuzhou Medical University, Xuzhou, Jiangsu, China,Key Laboratory of Environment and Health, Xuzhou Medical University, Xuzhou, Jiangsu, China
| | - Lei Peng
- Xuzhou Maternal and Child Health Family Planning Service Center, Xuzhou, Jiangsu, China
| | - Jingjing Zhang
- School of Public Health, Xuzhou Medical University, Xuzhou, Jiangsu, China
| | - Xiangjun Gong
- Xuzhou Maternal and Child Health Family Planning Service Center, Xuzhou, Jiangsu, China
| | - Yan Du
- School of Public Health, Xuzhou Medical University, Xuzhou, Jiangsu, China
| | - Xiangmei Ren
- School of Public Health, Xuzhou Medical University, Xuzhou, Jiangsu, China,Key Laboratory of Human Genetics and Environmental Medicine, Xuzhou Medical University, Xuzhou, Jiangsu, China,Key Laboratory of Environment and Health, Xuzhou Medical University, Xuzhou, Jiangsu, China
| | - Li Zhou
- School of Public Health, Xuzhou Medical University, Xuzhou, Jiangsu, China,Key Laboratory of Human Genetics and Environmental Medicine, Xuzhou Medical University, Xuzhou, Jiangsu, China,Key Laboratory of Environment and Health, Xuzhou Medical University, Xuzhou, Jiangsu, China
| | - Yuanhong Li
- School of Public Health, Xuzhou Medical University, Xuzhou, Jiangsu, China,Key Laboratory of Human Genetics and Environmental Medicine, Xuzhou Medical University, Xuzhou, Jiangsu, China,Key Laboratory of Environment and Health, Xuzhou Medical University, Xuzhou, Jiangsu, China
| | - Ping Zeng
- School of Public Health, Xuzhou Medical University, Xuzhou, Jiangsu, China,Key Laboratory of Human Genetics and Environmental Medicine, Xuzhou Medical University, Xuzhou, Jiangsu, China,Key Laboratory of Environment and Health, Xuzhou Medical University, Xuzhou, Jiangsu, China
| | - Jihong Shao
- School of Public Health, Xuzhou Medical University, Xuzhou, Jiangsu, China,Key Laboratory of Human Genetics and Environmental Medicine, Xuzhou Medical University, Xuzhou, Jiangsu, China,Key Laboratory of Environment and Health, Xuzhou Medical University, Xuzhou, Jiangsu, China,*Correspondence: Jihong Shao,
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Tang X, Liu Y, Hu J, Zhai L, Jia L, Ding N, Ma Y, Wen D. Association of waist circumference with blood pressure and familial dietary habits in preschool children: a cross-sectional study in northeastern China. Ital J Pediatr 2022; 48:53. [PMID: 35365196 PMCID: PMC8973802 DOI: 10.1186/s13052-022-01236-3] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/27/2021] [Accepted: 01/28/2022] [Indexed: 11/15/2022] Open
Abstract
Background Childhood obesity increases the risk of elevated blood pressure (BP) in children. Body mass index (BMI), waist circumference (WC) and waist-to-height ratio (WHtR) are traditional obesity indices, but the extent to which these indices are associated with elevated BP in childhood remains debatable. Moreover, the familial dietary environment plays an important role in obesity, so it is necessary to determine the most relevant dietary factors for childhood obesity to prevent elevated BP. Our study aimed to identify the obesity indices that are most closely associated with elevated BP and then to determine the independent familial dietary factors for those obesity indices. Method A total of 605 children aged 2 to 6 years, as well as their parents, were involved in this study. The weight, height, WC and BP of the children were measured. Information on familial environments was obtained by questionnaires completed by the parents. BMI, WC and WHtR were standardized into z scores, and categorical variables of these three obesity indices were defined as BMI Category, WC Category and WHtR Category. Logistic regression was used to analyse the associations between all obesity indices and elevated BP. Multivariate linear regression and logistic regression were used to determine the independent factors for obesity indices. Results The obesity indices that were most closely associated with elevated BP were WC and WC Category. Parental BMI, birth weight, eating wheat as a staple food, appetite, eating speed, snacking while watching TV, parental encouragement to eat a diverse assortment of foods and drinking milk were independently associated with WC in both males and females. The risk of abdominal obesity increased 1.375 times in males and 1.631 times in females if appetite increased one level. If eating speed increased one level, the risk of abdominal obesity increased 1.165 times in males and 0.905 times in females. Females who drank milk more than 6 times per week had a 0.546 times lower risk of abdominal obesity. Conclusion WC was an anthropometric parameter more closely associated with elevated BP. In addition to genetics, some familial dietary factors involving eating preference, eating habits and parental feeding practice were independently associated with WC and abdominal obesity in preschool children. Supplementary Information The online version contains supplementary material available at 10.1186/s13052-022-01236-3.
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Affiliation(s)
- Xiao Tang
- Health Sciences Institute, China Medical University, Shenyang, Liaoning Province, 110122, P.R. China.,School of Public Health, Dalian Medical University, Dalian, Liaoning Province, 116044, P.R. China
| | - Yang Liu
- Health Sciences Institute, China Medical University, Shenyang, Liaoning Province, 110122, P.R. China.,Liaoning Key Laboratory of Obesity and Glucose/Lipid Associated Metabolic Diseases, China Medical University, Shenyang, Liaoning Province, 110122, P.R. China
| | - Jiajin Hu
- Health Sciences Institute, China Medical University, Shenyang, Liaoning Province, 110122, P.R. China.,Liaoning Key Laboratory of Obesity and Glucose/Lipid Associated Metabolic Diseases, China Medical University, Shenyang, Liaoning Province, 110122, P.R. China
| | - Lingling Zhai
- School of Public Health, China Medical University, Shenyang, Liaoning Province, 110122, P.R. China
| | - Lihong Jia
- Health Sciences Institute, China Medical University, Shenyang, Liaoning Province, 110122, P.R. China.,School of Public Health, China Medical University, Shenyang, Liaoning Province, 110122, P.R. China
| | - Ning Ding
- Institute of International Medical Education, China Medical University, Shenyang, Liaoning Province, 110122, P.R. China
| | - Yanan Ma
- School of Public Health, China Medical University, Shenyang, Liaoning Province, 110122, P.R. China
| | - Deliang Wen
- Health Sciences Institute, China Medical University, Shenyang, Liaoning Province, 110122, P.R. China. .,Liaoning Key Laboratory of Obesity and Glucose/Lipid Associated Metabolic Diseases, China Medical University, Shenyang, Liaoning Province, 110122, P.R. China.
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Barco Leme AC, Laila A, Hou S, Fisberg RM, Ma DWL, Fisberg M, Haines J. Perceptions of the 2019 Canada's Food Guide: a qualitative study with parents from Southwestern Ontario. Appl Physiol Nutr Metab 2021; 47:1-7. [PMID: 34411486 DOI: 10.1139/apnm-2021-0414] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2022]
Abstract
In January 2019, Health Canada released a revised Canada's Food Guide (CFG). This study aimed to understand the perceptions of the 2019 CFG among Canadian parents with children aged 2-12 years. From October 2019-January 2020, 8 focus groups with parents from Southwestern Ontario were conducted using a semi-structured interview script focused on understanding perceptions of the 2019 CFG. A hybrid thematic approach with inductive and deductive analyses was used. Forty parents (72.5% mothers, 77.5% white) with diverse levels of education and income participated. Most parents were aware of the 2019 CFG. Positive perceptions of the 2019 CFG were that the guide was visually appealing and less biased from the food industry compared with previous guides. Parents also reported that the focus on eating behaviours could support healthy eating among their families. Negative perceptions included insufficient information about plant-based proteins, removal of milk and alternatives food group, and lack of representation of various cultures in the guide. Challenges to following the CFG recommendations, including time constraints and limited knowledge regarding how to identify and prepare plant-based proteins, were discussed. Parent perceptions of the CFG can help inform public health policies and behavioural-change strategies designed to support adherence to the 2019 CFG recommendations. Novelty: Awareness of the 2019 Canada's Food Guide (CFG) was high. Parents identified that the 2019 CFG was visually appealing and less biased from the food industry. Concerns about the recommendations of plant-based proteins, "exclusion" of dairies, and lack of cultural representation.
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Affiliation(s)
- Ana Carolina Barco Leme
- Family Relations and Applied Nutrition, University of Guelph, Guelph, ON N1G 2W1, Canada
- Center of Excellence in Nutrition and Feeding Difficulties, PENSI Institute/Sabará Children's Hospital, São Paulo, 01228-200, Brazil
| | - Amar Laila
- Family Relations and Applied Nutrition, University of Guelph, Guelph, ON N1G 2W1, Canada
| | - Sophia Hou
- Family Relations and Applied Nutrition, University of Guelph, Guelph, ON N1G 2W1, Canada
| | - Regina Mara Fisberg
- Departament of Nutrition, School of Public Health, University of São Paulo, São Paulo, 01246-904, Brazil
| | - David W L Ma
- Department of Human Health and Nutrition Sciences, University of Guelph, Guelph, ON N1G 2W1, Canada
| | - Mauro Fisberg
- Center of Excellence in Nutrition and Feeding Difficulties, PENSI Institute/Sabará Children's Hospital, São Paulo, 01228-200, Brazil
| | - Jess Haines
- Family Relations and Applied Nutrition, University of Guelph, Guelph, ON N1G 2W1, Canada
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Townsend MS, Shilts MK, Lanoue L, Drake C, Rios LKD, Styne DM, Keim NL, Ontai L. Obesity Risk Assessment Tool for Low-Income Spanish Speaking Immigrant Parents with Young Children: Validity with BMI and Biomarkers of Obesity. Nutrients 2020; 12:E3582. [PMID: 33266497 PMCID: PMC7700341 DOI: 10.3390/nu12113582] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/01/2020] [Revised: 11/13/2020] [Accepted: 11/18/2020] [Indexed: 11/17/2022] Open
Abstract
Children of Hispanic origin bear a high risk of obesity. Child weight gain trajectories are influenced by the family environment, including parent feeding practices. Excessive body fat can result in unhealthful metabolic and lipid profiles and increased risk of metabolic diseases. The objective was to estimate criterion validity of an obesity risk assessment tool targeting Spanish-speaking families of Mexican origin using anthropometric measures and blood values of their young children. A cross-sectional study design with five data collection sessions was conducted over an eight-week period and involved 206 parent/child dyads recruited at Head Start and the Special Supplemental Nutrition Program for Women, Infants and Children in Northern California. Main outcome measures were criterion validity of Niños Sanos, a pediatric obesity risk assessment tool, using anthropometric measures and blood biomarkers. Niños Sanos scores were inversely related to child BMI-for-age percentiles (p = 0.02), waist-for-height ratios (p = 0.05) and inversely related to blood biomarkers for the metabolic index (p = 0.03) and lipid index (p = 0.05) and positively related to anti-inflammatory index (p = 0.047). Overall, children with higher Niños Sanos scores had more healthful lipid, metabolic and inflammatory profiles, as well as lower BMI-for-age percentiles and waist-to height ratios, providing evidence for the criterion validity of the tool. Niños Sanos can be used by child obesity researchers, by counselors and medical professionals during clinic visits as a screening tool and by educators as a tool to set goals for behavior change.
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Affiliation(s)
| | - Mical K. Shilts
- Department of Family and Consumer Sciences, Nutrition, Food & Dietetics Program, California State University Sacramento, Sacramento, CA 95819, USA;
| | - Louise Lanoue
- Department of Nutrition, University of California, Davis, CA 95616, USA;
| | - Christiana Drake
- Department of Statistics, University of California at Davis, Davis, CA 95616, USA;
| | - L. Karina Díaz Rios
- Division of Agriculture and Natural Resources, Public Health Department, University of California, Merced, CA 95343, USA;
| | - Dennis M. Styne
- Pediatric Endocrinology, Department of Pediatrics, University of California, Davis Medical Center, Sacramento, CA 95817, USA;
| | - Nancy L. Keim
- USDA Western Human Nutrition Research Center, University of California, Davis, CA 95616, USA;
| | - Lenna Ontai
- Department of Human Ecology, University of California, Davis, CA 95616, USA;
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Townsend MS, Shilts MK, Chester D. USDA Research Combats Childhood Obesity: A Collection of Projects that Integrate Research, Education, and Extension Targeting Low-Income, Ethnically Diverse Children and Families. Child Obes 2020; 16:S1-S3. [PMID: 32857608 DOI: 10.1089/chi.2020.29006.mst] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/12/2022]
Affiliation(s)
| | - Mical K Shilts
- Department of Family and Consumer Sciences, California State University at Sacramento, Sacramento, CA, USA
| | - Deirdra Chester
- National Institute of Food and Agriculture, U. S. Department of Agriculture, Washington, DC, USA
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