1
|
Ferrer P, Iglesia I, Muniz-Pardos B, Miguel-Berges ML, Flores-Barrantes P, Gomez-Bruton A, Moreno LA, Rodríguez G. Is it important to achieve physical activity recommendations at early stages of life to improve bone health? Osteoporos Int 2022; 33:1017-1026. [PMID: 34905063 PMCID: PMC9007798 DOI: 10.1007/s00198-021-06256-z] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/27/2021] [Accepted: 11/26/2021] [Indexed: 12/01/2022]
Abstract
UNLABELLED Research in bone health during childhood is limited and important to prevent future diseases, particularly, osteoporosis. Bone parameters using DXA and pQCT in 295 Spanish children were evaluated and we found a benefit of meeting the World Health Organization physical activity recommendations in bone composition in childhood. PURPOSE To investigate the association between physical activity (PA) and bone health in a Spanish paediatric cohort, considering the influence of meeting/not meeting the current World Health Organization (WHO) PA recommendations and to elucidate if there are differences between boys and girls. METHODS In a cohort of children born in the region of Aragon (Spain) in 2009, followed until the age of 7 years, bone parameters were assessed using dual-energy X-ray absorptiometry (DXA) (whole body scan) and peripheral quantitative computed tomography (pQCT) (tibia scanned at the 8% (distal) and 38% (diaphyseal) of the total tibia length) in 295 7-year-old children (154 boys) in the last evaluation performed between 2016 and 2017. PA was assessed using GT3X Actigraph accelerometers. RESULTS Boys had significantly higher areal bone mineral density (aBMD), higher total bone mineral content (BMC) at the diaphyseal site and higher trabecular BMC and vBMD, and higher total bone area at the distal site than girls (p<0.01 for all of them). Both boys and girls complying with the WHO PA recommendations had significantly higher trabecular BMC than their inactive counterparts. CONCLUSIONS Meeting WHO PA recommendations has a beneficial effect in bone composition in childhood both in boys and in girls.
Collapse
Affiliation(s)
- P Ferrer
- Instituto de Investigación Sanitaria Aragón (IIS Aragón), 50009, Zaragoza, Spain
| | - I Iglesia
- Instituto de Investigación Sanitaria Aragón (IIS Aragón), 50009, Zaragoza, Spain.
- Growth, Exercise, Nutrition and Development (GENUD) Research Group, Universidad de Zaragoza, Instituto Agroalimentario de Aragón (IA2), 50009, Zaragoza, Spain.
- Red de Salud Materno Infantil y del Desarrollo (SAMID), Instituto de Salud Carlos III, 28029, Madrid, Spain.
| | - B Muniz-Pardos
- Instituto de Investigación Sanitaria Aragón (IIS Aragón), 50009, Zaragoza, Spain
- Growth, Exercise, Nutrition and Development (GENUD) Research Group, Universidad de Zaragoza, Instituto Agroalimentario de Aragón (IA2), 50009, Zaragoza, Spain
- Facultad de Ciencias de la Salud y el Deporte, Departamento de Fisiatría y Enfermería, Universidad de Zaragoza, Zaragoza, España
| | - M L Miguel-Berges
- Instituto de Investigación Sanitaria Aragón (IIS Aragón), 50009, Zaragoza, Spain
- Growth, Exercise, Nutrition and Development (GENUD) Research Group, Universidad de Zaragoza, Instituto Agroalimentario de Aragón (IA2), 50009, Zaragoza, Spain
| | - P Flores-Barrantes
- Instituto de Investigación Sanitaria Aragón (IIS Aragón), 50009, Zaragoza, Spain
- Growth, Exercise, Nutrition and Development (GENUD) Research Group, Universidad de Zaragoza, Instituto Agroalimentario de Aragón (IA2), 50009, Zaragoza, Spain
| | - A Gomez-Bruton
- Instituto de Investigación Sanitaria Aragón (IIS Aragón), 50009, Zaragoza, Spain
- Growth, Exercise, Nutrition and Development (GENUD) Research Group, Universidad de Zaragoza, Instituto Agroalimentario de Aragón (IA2), 50009, Zaragoza, Spain
- Facultad de Ciencias de la Salud y el Deporte, Departamento de Fisiatría y Enfermería, Universidad de Zaragoza, Zaragoza, España
| | - L A Moreno
- Instituto de Investigación Sanitaria Aragón (IIS Aragón), 50009, Zaragoza, Spain
- Growth, Exercise, Nutrition and Development (GENUD) Research Group, Universidad de Zaragoza, Instituto Agroalimentario de Aragón (IA2), 50009, Zaragoza, Spain
- Centro de Investigación Biomédica en Red de Fisiopatología de la Obesidad y Nutrición (CIBERObn), Instituto de Salud Carlos III, 28029, Madrid, Spain
| | - G Rodríguez
- Instituto de Investigación Sanitaria Aragón (IIS Aragón), 50009, Zaragoza, Spain
- Growth, Exercise, Nutrition and Development (GENUD) Research Group, Universidad de Zaragoza, Instituto Agroalimentario de Aragón (IA2), 50009, Zaragoza, Spain
- Red de Salud Materno Infantil y del Desarrollo (SAMID), Instituto de Salud Carlos III, 28029, Madrid, Spain
- Centro de Investigación Biomédica en Red de Fisiopatología de la Obesidad y Nutrición (CIBERObn), Instituto de Salud Carlos III, 28029, Madrid, Spain
- Facultad de Medicina, Departamento de Pediatría, Universidad de Zaragoza, Zaragoza, España
- Hospital Clínico Universitario "Lozano Blesa", Zaragoza, España
| |
Collapse
|
2
|
Louro MB, Temponi HR, Vieira CS, Velasquez-Melendez G. Association between rapid weight gain and overweight in children aged 0 to 5 years in Latin America. REVISTA BRASILEIRA DE SAÚDE MATERNO INFANTIL 2022. [DOI: 10.1590/1806-93042022000100006] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/22/2022]
Abstract
Abstract Objectives: to assess the prevalence of rapid weight gain (RWG) in children born with normal weight and its association with overweight (OW) in four Latin America countries. Methods: cross-sectional study in children aged 0 to 5 from the Pesquisa Nacional de Demografia e Saúde da Criança e da Mulher in Brazil and the Encuesta Nacional de Demografía y Salud in Bolivia, Colombia and Peru,using a birth weight ≥2,500g. The outcome variable was OW, the exposure was RWG and breastfeeding (BF) was the adjustment variable. Prevalence, odds ratio and 95% confidence intervalwere estimated using multivariate logistic regression model. Results: there was a greater prevalence of RWG and BF at less than 6 months in Brazil, and a greater prevalence of OW in Brazil and Bolivia. The chances of OW when RWG was present and adjusted for BF were 6.1 times (CI95% = 3.8-9.7) in Brazil, 4.4 times (CI95% = 3.6-5.3) in Bolivia, 6.7 times (CI95% = 5.5-8.2) in Colombia, and 12.2 times in Peru (CI95% = 9.4-15.7) with a p < 0.001 for all countries. Conclusions: RWG in children with normal birth weight was associated with a greater chance of being OW in the four observed Latin America countries.
Collapse
|
3
|
Nawa N, Trude ACB, Black MM, Richiardi L, Surkan PJ. Associations between Paternal Anxiety and Infant Weight Gain. CHILDREN 2021; 8:children8110977. [PMID: 34828690 PMCID: PMC8618665 DOI: 10.3390/children8110977] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Grants] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 09/28/2021] [Revised: 10/22/2021] [Accepted: 10/25/2021] [Indexed: 11/16/2022]
Abstract
The aim of this study was to examine the relationship between parental anxiety (father-only, mother-only, or both) and infant weight change. We performed a secondary data analysis among 551 children in the Avon Longitudinal Study of Parents and Children, a birth cohort with weight measurements collected prospectively at 4, 8, and 12 months of age. Paternal and maternal anxiety symptoms were based on the eight-item anxiety subscale of the Crown-Crisp Experiential Index. Scores in the top 15% at 8 weeks postpartum were classified as high anxiety. Generalized Estimating Equations were employed to estimate the joint association between parental anxiety and change in child weight-for-age z-score. Children who had fathers, but not mothers, with anxiety showed a 0.15 (95% CI: 0.01, 0.29) greater increase in weight-for-age z-score than children with neither parent anxious. This result suggests that paternal anxiety, not maternal anxiety, was associated with increases in child weight gain in the first year of life. Public health practitioners and clinicians should consider the use of robust measures of both maternal and paternal anxiety in the postpartum period, in addition to the suggested screening for postpartum depression. Given the limitations of the study, this study should be considered preliminary and hypothesis generating.
Collapse
Affiliation(s)
- Nobutoshi Nawa
- Department of Global Health Promotion, Tokyo Medical and Dental University, Tokyo 113-8519, Japan
- Department of Medical Education Research and Development, Tokyo Medical and Dental University, Tokyo 113-8519, Japan
- Correspondence:
| | - Angela C. B. Trude
- Department of Pediatrics, School of Medicine, University of Maryland, Baltimore, MD 21201, USA; (A.C.B.T.); (M.M.B.)
| | - Maureen M. Black
- Department of Pediatrics, School of Medicine, University of Maryland, Baltimore, MD 21201, USA; (A.C.B.T.); (M.M.B.)
- RTI International, Research Triangle Park, NC 27709, USA
| | - Lorenzo Richiardi
- Cancer Epidemiology Unit, Department of Medical Sciences, CPO-Piemonte, University of Turin, 10126 Turin, Italy;
| | - Pamela J. Surkan
- Department of International Health, Bloomberg School of Public Health, Johns Hopkins University, Baltimore, MD 21205, USA;
| |
Collapse
|
4
|
The Effect of Growth Rate during Infancy on the Risk of Developing Obesity in Childhood: A Systematic Literature Review. Nutrients 2021; 13:nu13103449. [PMID: 34684450 PMCID: PMC8537274 DOI: 10.3390/nu13103449] [Citation(s) in RCA: 11] [Impact Index Per Article: 3.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/13/2021] [Revised: 09/27/2021] [Accepted: 09/27/2021] [Indexed: 01/12/2023] Open
Abstract
The prevalence of childhood obesity has been trending upwards over the last few decades. Recent evidence suggests that infant growth rate has the potential to increase the risk of obesity development during childhood. This systematic literature review aimed to summarise the existing evidence on the relationship between infant growth rate and subsequent childhood obesity. Studies were sought for that assessed the effect of infant growth rate on outcomes of overweight, obesity, BMI, waist circumference or body composition measures among a population group of children aged 2 to 12 years old. Data sources included PubMed, CINAHL, Web of Science and MedLine. Twenty-four studies were identified as eligible and included in this review, out of 2302 publications. The ADA Quality Checklist was used to assess the quality of individual studies. Ten studies received a positive result and 14 studies a neutral result. A narrative synthesis was completed to present study characteristics and results. Several independent positive associations were determined between rapid growth at different stages during infancy and overweight, obesity, BMI, waist circumference and body composition in childhood. Further investigation is required to determine if a specific period of infancy carries greater associations of risk with childhood outcomes. Determining an ideal rate of infants' growth as a means to minimise the future risk of childhood obesity should be the focus of future research that will also inform early life obesity prevention strategies. Registration no.: CRD42021244029.
Collapse
|
5
|
Moderate-to-Vigorous Physical Activity and Body Composition in Children from the Spanish Region of Aragon. CHILDREN-BASEL 2021; 8:children8050341. [PMID: 33926063 PMCID: PMC8146711 DOI: 10.3390/children8050341] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 03/16/2021] [Revised: 04/18/2021] [Accepted: 04/23/2021] [Indexed: 12/12/2022]
Abstract
Most of the studies analyzing the effect of moderate to vigorous physical activity (MVPA) on children’s health do not contain information on early stages or do not use accurate methods. We investigated the association between PA and body composition using objective methods, perinatal data, lifestyle behaviors, and World Health Organization (WHO) physical activity (PA) recommendations. The CALINA study is a longitudinal observational cohort study of children born in Aragon (Spain) in 2009. A total of 308 7-year-old children (52.3% boys) were assessed. We used dual-energy X-ray absorptiometry (DXA) and accelerometry. Rapid weight gain until 12 months and lifestyle behaviors were considered as covariates both in the ANCOVA and linear regression models. A higher percentage of boys met the WHO PA recommendations compared to girls (69.6% vs. 40.9%, respectively; p < 0.001). There was a negative association between MVPA and subtotal fat and abdominal fat in both girls and boys. After adjusting for perinatal and lifestyle variables, we found that subtotal body fat, abdominal fat, and fat mass index (FMI) were significantly lower in those classified as active. MVPA was associated with body fat both in boys and girls. More research is needed to identify the cutoffs points of MVPA that generate benefit to boys and girls in all body composition components.
Collapse
|
6
|
Flores-Barrantes P, Iglesia I, Miguel-Berges ML, Vučinić V, Moreno LA, Rodríguez G. Rapid infant weight gain is associated with excess adiposity at 7-years of age in children from Aragon, Spain. CHILD AND ADOLESCENT OBESITY 2021. [DOI: 10.1080/2574254x.2020.1865122] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/22/2022] Open
Affiliation(s)
- P. Flores-Barrantes
- GENUD (Growth, Exercise, NUtrition and Development) Research Group, Faculty of Health Sciences, University of Zaragoza, Zaragoza, Spain
- Centro de Investigación Biomédica en Red de Fisiopatología de la Obesidad y Nutrición (Ciberobn), Instituto de Salud Carlos III, Madrid, Spain
| | - I. Iglesia
- GENUD (Growth, Exercise, NUtrition and Development) Research Group, Faculty of Health Sciences, University of Zaragoza, Zaragoza, Spain
- Centro de Investigación Biomédica en Red de Fisiopatología de la Obesidad y Nutrición (Ciberobn), Instituto de Salud Carlos III, Madrid, Spain
- Instituto Agroalimentario de Aragón (IA2), Zaragoza, Spain
- Instituto de Investigación Sanitaria Aragón (IIS Aragón), Zaragoza, Spain
- Retics ISCIII, Madrid, Spain
| | - M. L. Miguel-Berges
- GENUD (Growth, Exercise, NUtrition and Development) Research Group, Faculty of Health Sciences, University of Zaragoza, Zaragoza, Spain
- Centro de Investigación Biomédica en Red de Fisiopatología de la Obesidad y Nutrición (Ciberobn), Instituto de Salud Carlos III, Madrid, Spain
- Instituto Agroalimentario de Aragón (IA2), Zaragoza, Spain
- Instituto de Investigación Sanitaria Aragón (IIS Aragón), Zaragoza, Spain
| | - V. Vučinić
- GENUD (Growth, Exercise, NUtrition and Development) Research Group, Faculty of Health Sciences, University of Zaragoza, Zaragoza, Spain
| | - L. A. Moreno
- GENUD (Growth, Exercise, NUtrition and Development) Research Group, Faculty of Health Sciences, University of Zaragoza, Zaragoza, Spain
- Centro de Investigación Biomédica en Red de Fisiopatología de la Obesidad y Nutrición (Ciberobn), Instituto de Salud Carlos III, Madrid, Spain
- Instituto Agroalimentario de Aragón (IA2), Zaragoza, Spain
- Instituto de Investigación Sanitaria Aragón (IIS Aragón), Zaragoza, Spain
| | - G. Rodríguez
- GENUD (Growth, Exercise, NUtrition and Development) Research Group, Faculty of Health Sciences, University of Zaragoza, Zaragoza, Spain
- Instituto Agroalimentario de Aragón (IA2), Zaragoza, Spain
- Instituto de Investigación Sanitaria Aragón (IIS Aragón), Zaragoza, Spain
- Retics ISCIII, Madrid, Spain
- Department of Pediatrics, Radiology and Physical Medicine, University of Zaragoza, Zaragoza, Spain
| |
Collapse
|
7
|
Flores-Barrantes P, Iguacel I, Iglesia-Altaba I, Moreno LA, Rodríguez G. Rapid Weight Gain, Infant Feeding Practices, and Subsequent Body Mass Index Trajectories: The CALINA Study. Nutrients 2020; 12:nu12103178. [PMID: 33080922 PMCID: PMC7603162 DOI: 10.3390/nu12103178] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/31/2020] [Revised: 10/10/2020] [Accepted: 10/13/2020] [Indexed: 01/16/2023] Open
Abstract
We aimed to study growth patterns according to rapid weight gain (RWG) and infant feeding practices during the first 120 days and whether infant feeding practices mediated the association between RWG in the first semester of life and subsequent body mass index (BMI) z-score in children from age 1 to 6. (1) Methods: 862 children from the Growth and Feeding during Lactation and Early Childhood in Children of Aragon study (CALINA in Spanish) were examined. Repeated-measures ANOVA analyses were conducted to assess growth trajectories according to RWG and type of feeding practice. The product of coefficients mediation method was used to assess the potential contribution of infant feeding practices to the association between RWG and BMI z-score. Mediation models were conducted using IBM SPSS-PROCESS Statistics for Windows, Version 26.0. Armonk, NY: IBM Corp. (2) Results: BMI and weight z-score trajectories were significantly higher in the RWG group and the formula-fed group. No significant differences were found regarding height. Infant feeding practices did not mediate the association between RWG and BMI z-score but were associated with BMI at 6 years. (3) Conclusions: Infant feeding practices and RWG determine different growth trajectories of BMI and weight during childhood. Although infant feeding practices did not mediate the association between early RWG and BMI later in life, formula feeding is independently related to higher BMI growth patterns later in childhood.
Collapse
Affiliation(s)
- Paloma Flores-Barrantes
- GENUD (Growth, Exercise, NUtrition, and Development) Research Group, Faculty of Health Sciences, University of Zaragoza, Spain Edificio del SAI, C/Pedro Cerbuna s/n, 50009 Zaragoza, Spain; (I.I.); (I.I.-A.); (L.A.M.); (G.R.)
- Instituto Agroalimentario de Aragón (IA2), 50013 Zaragoza, Spain
- Instituto de Investigación Sanitaria Aragón (IIS Aragón), 50009 Zaragoza, Spain
- Centro de Investigación Biomédica en Red de Fisiopatología de la Obesidad y Nutrición (CIBERObn), 28029 Madrid, Spain
- Correspondence: ; Tel.: +34-876-553-756
| | - Isabel Iguacel
- GENUD (Growth, Exercise, NUtrition, and Development) Research Group, Faculty of Health Sciences, University of Zaragoza, Spain Edificio del SAI, C/Pedro Cerbuna s/n, 50009 Zaragoza, Spain; (I.I.); (I.I.-A.); (L.A.M.); (G.R.)
- Instituto Agroalimentario de Aragón (IA2), 50013 Zaragoza, Spain
- Instituto de Investigación Sanitaria Aragón (IIS Aragón), 50009 Zaragoza, Spain
- Centro de Investigación Biomédica en Red de Fisiopatología de la Obesidad y Nutrición (CIBERObn), 28029 Madrid, Spain
| | - Iris Iglesia-Altaba
- GENUD (Growth, Exercise, NUtrition, and Development) Research Group, Faculty of Health Sciences, University of Zaragoza, Spain Edificio del SAI, C/Pedro Cerbuna s/n, 50009 Zaragoza, Spain; (I.I.); (I.I.-A.); (L.A.M.); (G.R.)
- Instituto Agroalimentario de Aragón (IA2), 50013 Zaragoza, Spain
- Instituto de Investigación Sanitaria Aragón (IIS Aragón), 50009 Zaragoza, Spain
- Red de Salud Materno Infantil y del Desarrollo (SAMID), RETICS ISCIII, 28029 Madrid, Spain
| | - Luis A. Moreno
- GENUD (Growth, Exercise, NUtrition, and Development) Research Group, Faculty of Health Sciences, University of Zaragoza, Spain Edificio del SAI, C/Pedro Cerbuna s/n, 50009 Zaragoza, Spain; (I.I.); (I.I.-A.); (L.A.M.); (G.R.)
- Instituto Agroalimentario de Aragón (IA2), 50013 Zaragoza, Spain
- Instituto de Investigación Sanitaria Aragón (IIS Aragón), 50009 Zaragoza, Spain
- Centro de Investigación Biomédica en Red de Fisiopatología de la Obesidad y Nutrición (CIBERObn), 28029 Madrid, Spain
| | - Gerardo Rodríguez
- GENUD (Growth, Exercise, NUtrition, and Development) Research Group, Faculty of Health Sciences, University of Zaragoza, Spain Edificio del SAI, C/Pedro Cerbuna s/n, 50009 Zaragoza, Spain; (I.I.); (I.I.-A.); (L.A.M.); (G.R.)
- Instituto de Investigación Sanitaria Aragón (IIS Aragón), 50009 Zaragoza, Spain
- Red de Salud Materno Infantil y del Desarrollo (SAMID), RETICS ISCIII, 28029 Madrid, Spain
- Departamento de Pediatría, Radiología y Medicina Física, Universidad de Zaragoza, 12, 50009 Zaragoza, Spain
| |
Collapse
|
8
|
Iguacel I, Álvarez L, Cabero MJ, Monje L, Moreno LA, Rodriguez-Palmero M, Rivero M, Samper P, Rodríguez G. Rapid infancy weight gain during the complementary feeding period in a cohort of Spanish infants. CHILD AND ADOLESCENT OBESITY 2019. [DOI: 10.1080/2574254x.2019.1651170] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/26/2022] Open
Affiliation(s)
- Isabel Iguacel
- GENUD (Growth, Exercise, NUtrition and Development) Research Group, Departamento de Fisiatría y Enfermería; Universidad de Zaragoza, Zaragoza, Spain
- Instituto Agroalimentario de Aragón (IA2), Zaragoza, Spain
- Instituto de Investigación Sanitaria Aragón (IIS Aragón), Zaragoza, Spain
- Centro de Investigación Biomédica en Red de Fisiopatología de la Obesidad y Nutrición (CIBERObn), Madrid, Spain
| | - Lino Álvarez
- Cátedra Ordesa de Nutrición Infantil, Facultad de Medicina, Universidad de Cantabria, Santander, Spain
| | - Mª Jesús Cabero
- Cátedra Ordesa de Nutrición Infantil, Facultad de Medicina, Universidad de Cantabria, Santander, Spain
| | - Laura Monje
- Servicio de Pediatría, Hospital Universitario “Marqués de Valdecilla”, Santander, Spain
| | - Luis A. Moreno
- GENUD (Growth, Exercise, NUtrition and Development) Research Group, Departamento de Fisiatría y Enfermería; Universidad de Zaragoza, Zaragoza, Spain
- Instituto Agroalimentario de Aragón (IA2), Zaragoza, Spain
- Instituto de Investigación Sanitaria Aragón (IIS Aragón), Zaragoza, Spain
- Centro de Investigación Biomédica en Red de Fisiopatología de la Obesidad y Nutrición (CIBERObn), Madrid, Spain
| | | | - Montserrat Rivero
- Cátedra Ordesa de Nutrición Infantil, Laboratorios Ordesa, Barcelona, Spain
| | - Pilar Samper
- Departamento de Pediatría, Radiología y Medicina Física, Universidad de Zaragoza, Zaragoza, Spain
| | - Gerardo Rodríguez
- GENUD (Growth, Exercise, NUtrition and Development) Research Group, Departamento de Fisiatría y Enfermería; Universidad de Zaragoza, Zaragoza, Spain
- Instituto Agroalimentario de Aragón (IA2), Zaragoza, Spain
- Instituto de Investigación Sanitaria Aragón (IIS Aragón), Zaragoza, Spain
- Departamento de Pediatría, Radiología y Medicina Física, Universidad de Zaragoza, Zaragoza, Spain
- Red de Salud Materno Infantil y del Desarrollo (SAMID), RETICS ISCIII, Madrid, Spain
| |
Collapse
|
9
|
Bahorski JS, Childs GD, Loan LA, Azuero A, Rice MH, Chandler-Laney PC, Hodges EA, Wasser HM, Thompson AL, Bentley ME. Parental Self-Efficacy in New Mothers Predicts Infant Growth Trajectories. West J Nurs Res 2019; 42:254-261. [PMID: 31170891 DOI: 10.1177/0193945919854464] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
Abstract
The purpose of this study was to examine whether parental self-efficacy (PSE) is associated with change in infant weight-for-length z score (WLZ) from age 3 to 12 months. Data were drawn from the Infant Care, Feeding, and Risk of Obesity study, conducted with low-income, African American mother-infant dyads (n = 127). PSE was measured at infant age of 3 months. Infant anthropometrics were measured at infant age of 3 and 12 months, WLZ change between these time points was calculated, and infants stratified into WLZ change categories (expected, excessive, or slow). To analyze the data, ANCOVA, multiple regression, and post hoc techniques were used. Controlling for infant birthweight, PSE at 3 months was associated with infant WLZ change (η2 = 0.05, p = .04). Mothers of infants who exhibited excessive growth had higher PSE than mothers of infants who exhibited slow growth (Tukey-adjusted p = .03). This finding suggests that infants of mothers with high PSE may have increased obesity risk, but more research is needed.
Collapse
Affiliation(s)
| | | | - Lori A Loan
- The University of Alabama at Birmingham, USA
| | | | | | | | - Eric A Hodges
- The University of North Carolina at Chapel Hill, USA
| | | | | | | |
Collapse
|
10
|
Koren A, Kahn-D'angelo L, Reece SM, Gore R. Examining Childhood Obesity From Infancy: The Relationship Between Tummy Time, Infant BMI-z, Weight Gain, and Motor Development-An Exploratory Study. J Pediatr Health Care 2019; 33:80-91. [PMID: 30131199 DOI: 10.1016/j.pedhc.2018.06.006] [Citation(s) in RCA: 14] [Impact Index Per Article: 2.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 03/12/2018] [Revised: 06/09/2018] [Accepted: 06/16/2018] [Indexed: 01/04/2023]
Abstract
INTRODUCTION This exploratory study investigated the infant time spent in tummy time (TT) in relation to body mass index z score (BMI-z), weight gain, and motor development in infants from birth to 4 months. METHOD Mothers and their infants were telephone surveyed at 2 and 4 months. Mother demographics; TT; feeding practices; and infant length, and height, and development were collected each time. RESULTS Results from Cochran-Mantel-Haenszel and single logistic regression showed a significant association between development, level of BMI-z, and time spent in TT at 2 months of age (p < .0001). The threshold model showed there was a decline in BMI-z at 4 months as daily time in TT increases past the threshold value of approximately 12 minutes per day. Mother education and TT at 2 months were significant predictors of BMI-z at 4 months. DISCUSSION Study outcomes suggest that infant positioning and time in TT promote infant motor development and may moderate rapid infant weight gain.
Collapse
Affiliation(s)
- Ainat Koren
- Ainat Koren, Associate Professor, Susan and Alan Solomont School of Nursing, Zuckerberg College of Health Sciences, University of Massachusetts, Lowell, Lowell, MA..
| | - Linda Kahn-D'angelo
- Linda Kahn-D'angelo, Professor, Department of Physiotherapy, Zuckerberg College of Health Sciences, University of Massachusetts, Lowell, Lowell, MA
| | - Susan M Reece
- Susan M. Reece, Professor Emeritus, Susan and Alan Solomont School of Nursing, Zuckerberg College of Health Sciences, University of Massachusetts, Lowell, Lowell, MA
| | - Rebecca Gore
- Rebecca Gore, Senior Biostatistician, School of Public Health, Zuckerberg College of Health Sciences, University of Massachusetts, Lowell, Lowell, MA
| |
Collapse
|
11
|
Altered gene expression and metabolism in fetal umbilical cord mesenchymal stem cells correspond with differences in 5-month-old infant adiposity gain. Sci Rep 2017; 7:18095. [PMID: 29273781 PMCID: PMC5741772 DOI: 10.1038/s41598-017-17588-4] [Citation(s) in RCA: 17] [Impact Index Per Article: 2.4] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/25/2017] [Accepted: 11/27/2017] [Indexed: 12/14/2022] Open
Abstract
The intrauterine period is a critical time wherein developmental exposure can influence risk for chronic disease including childhood obesity. Using umbilical cord-derived mesenchymal stem cells (uMSC) from offspring born to normal-weight and obese mothers, we tested the hypothesis that changes in infant body composition over the first 5 months of life correspond with differences in cellular metabolism and transcriptomic profiles at birth. Higher long-chain acylcarnitine concentrations, lipid transport gene expression, and indicators of oxidative stress in uMSC-adipocytes were related to higher adiposity at 5 months of age. In uMSC-myocytes, lower amino acid concentrations and global differential gene expression for myocyte growth, amino acid biosynthesis, and oxidative stress were related to lower infant percent fat-free mass at 5 months of age, particularly in offspring of obese mothers. This is the first evidence of human infant adipocyte- or myocyte-related alterations in cellular metabolic pathways that correspond with increased adiposity and lower fat-free mass in early infancy. These pathways might reflect the effects of an adverse maternal metabolic environment on the fetal metabolome and genome. Our findings suggest that programmed differences in infant stem cell metabolism correspond with differences in body composition in early life, a known contributor to obesity risk.
Collapse
|
12
|
Tsutsumi J, Minai K, Kawai M, Ogawa K, Inoue Y, Morimoto S, Tanaka T, Nagoshi T, Ogawa T, Yoshimura M. Manifold implications of obesity in ischemic heart disease among Japanese patients according to covariance structure analysis: Low reactivity of B-type natriuretic peptide as an intervening risk factor. PLoS One 2017; 12:e0177327. [PMID: 28481950 PMCID: PMC5421780 DOI: 10.1371/journal.pone.0177327] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/09/2016] [Accepted: 04/26/2017] [Indexed: 11/18/2022] Open
Abstract
Background/Objectives Obesity is believed to be one of the major risk factors for cardiovascular disease in Western countries. However, the effects of obesity should be continuously examined in the Japanese population because the average bodily habitus differs among countries. In this study, we collectively examined the significance of obesity and obesity-triggered risk factors including the low reactivity of B-type natriuretic peptide (BNP), for ischemic heart disease (IHD) in Japanese patients. Methods and results The study patients consisted of 1252 subjects (IHD: n = 970; non-IHD: n = 282). Multiple logistic regression analysis revealed that dyslipidemia, hypertension, diabetes, and the low reactivity of BNP were significant risk factors for IHD, but body mass index (BMI) was not. A theoretical path model was proposed by positioning BMI at the top of the hierarchical model. Exploratory factor analysis revealed that BMI did not play a causative role in IHD (P = NS). BMI was causatively linked to other risk factors (P<0.001 for hypertension; P<0.001 for dyslipidemia; P<0.001 for HbA1c; P<0.001 for LogBNP), and these factors played a causative role in IHD (P<0.001 for hypertension; P<0.001 for dyslipidemia; P<0.001 for HbA1c; P<0.001 for LogBNP). The intrinsic power of the low reactivity of BNP induced by high BMI on the promotion of IHD was fairly potent. Conclusion This study demonstrated that obesity per se is not a strong risk factor for IHD in Japanese patients. However, several important risk factors triggered by obesity exhibited a causative role for IHD. The low reactivity of BNP is a substantial risk factor for IHD.
Collapse
Affiliation(s)
- Joshi Tsutsumi
- Division of Cardiology, Department of Internal Medicine, The Jikei University School of Medicine, Tokyo, Japan
| | - Kosuke Minai
- Division of Cardiology, Department of Internal Medicine, The Jikei University School of Medicine, Tokyo, Japan
- * E-mail:
| | - Makoto Kawai
- Division of Cardiology, Department of Internal Medicine, The Jikei University School of Medicine, Tokyo, Japan
| | - Kazuo Ogawa
- Division of Cardiology, Department of Internal Medicine, The Jikei University School of Medicine, Tokyo, Japan
| | - Yasunori Inoue
- Division of Cardiology, Department of Internal Medicine, The Jikei University School of Medicine, Tokyo, Japan
| | - Satoshi Morimoto
- Division of Cardiology, Department of Internal Medicine, The Jikei University School of Medicine, Tokyo, Japan
| | - Toshikazu Tanaka
- Division of Cardiology, Department of Internal Medicine, The Jikei University School of Medicine, Tokyo, Japan
| | - Tomohisa Nagoshi
- Division of Cardiology, Department of Internal Medicine, The Jikei University School of Medicine, Tokyo, Japan
| | - Takayuki Ogawa
- Division of Cardiology, Department of Internal Medicine, The Jikei University School of Medicine, Tokyo, Japan
| | - Michihiro Yoshimura
- Division of Cardiology, Department of Internal Medicine, The Jikei University School of Medicine, Tokyo, Japan
| |
Collapse
|