1
|
Bayar E, Saso S, Galazis N, Jones B, Bracewell-Milnes T, Chawla M, Ahmed-Salim Y, Nagi JB. Impact of polyunsaturated fatty acid supplementation on assisted reproductive technology outcomes: a systematic review. HUM FERTIL 2023; 26:678-686. [PMID: 34906024 DOI: 10.1080/14647273.2021.2007421] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/25/2021] [Accepted: 08/30/2021] [Indexed: 10/19/2022]
Abstract
This review explores the impact of polyunsaturated fatty acid (PUFA) supplementation in women undergoing assisted reproductive technology (ART) on reproductive outcomes. A systematic search of English peer-reviewed journals was carried out using MEDLINE, EMBASE, and the Cochrane Library to identify articles published from January 1978 to 2021. The primary outcomes assessed included pregnancy and live birth rates. Secondary outcome measures included: (i) implantation rate; (ii) fertilisation rate; (iii) number of oocytes retrieved; (iv) number of metaphase II (MII) oocytes; (v) blastocyst conversion; and (vi) embryo quality. A total of 4 randomised control trials (RCTs) met the inclusion criteria. There is a lack of high-quality research to support widespread dietary supplementation with PUFAs in women undergoing ART. Prior to its clinical recommendation, there is a need for well-designed RCTs to facilitate an in-depth understanding of PUFA supplementation in women undergoing ART.
Collapse
Affiliation(s)
- Erna Bayar
- Imperial College NHS Healthcare Trust, Queen Charlotte's Hospital, London, UK
- Institute for Reproductive Development and Biology, Imperial College London, London, UK
| | - Srdjan Saso
- Imperial College NHS Healthcare Trust, Queen Charlotte's Hospital, London, UK
- Institute for Reproductive Development and Biology, Imperial College London, London, UK
| | - Nicolas Galazis
- Obstetrics and Gynaecology Department, Northwick Park NHS Trust, London, UK
| | - Benjamin Jones
- Imperial College NHS Healthcare Trust, Queen Charlotte's Hospital, London, UK
- Institute for Reproductive Development and Biology, Imperial College London, London, UK
| | | | - Mehar Chawla
- Obstetrics & Gynaecology Department, North Middlesex University Hospital, London, UK
| | - Yousra Ahmed-Salim
- Institute for Reproductive Development and Biology, Imperial College London, London, UK
- Imperial College NHS Healthcare Trust, Charing Cross Hospital, London, UK
| | - Jara Ben Nagi
- The Centre for Reproductive and Genetic Health, London, UK
| |
Collapse
|
2
|
Vasiliu O. The complex interplay between psychosocial and biological factors in pregorexia nervosa - a rapid review. Front Psychol 2023; 14:1168696. [PMID: 37404586 PMCID: PMC10315849 DOI: 10.3389/fpsyg.2023.1168696] [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: 02/23/2023] [Accepted: 05/31/2023] [Indexed: 07/06/2023] Open
Abstract
The importance of detecting eating disorders (EDs) during pregnancy cannot be overemphasized, because of the major negative effects this pathology has on both maternal and fetal health. Based on a rapid review including primary and secondary reports, PN may still be considered an elusive diagnosis entity, that partially overlaps with other EDs, either well-defined, like anorexia nervosa, or still in search of their own diagnosis criteria, like orthorexia nervosa. Neurochemical and hormonal factors, psychological and social mechanisms, along with lifestyle changes create a very complex framework for clinicians interested in defining the typical features of pregorexia nervosa (PN). The personal history of EDs is considered one of the most important risk factors for PN. The core diagnostic criteria for this entity are, so far, lack of gaining weight during pregnancy, an excessive focus on counting calories and/or intense physical exercising with a secondary decrease of interest in the fetus's health, lack of acceptance of the change in body shape during pregnancy, and pathological attention for own body image. Regarding the treatment of PN, nutritional and psychosocial interventions are recommended but no specific therapeutic strategies for this disorder have been detected in the literature. Psychotherapy is considered the main intervention for pregnant women with associated EDs and mood disorders, as the pharmacological agents could have teratogenic effects or insufficient data to support their safety in this population. In conclusion, taking into consideration the methodological limitations of a rapid review, data supporting the existence of PN were found, mainly regarding tentative diagnostic criteria, risk factors, and pathophysiological aspects. These data, corroborated with the importance of preserving optimal mental health in a vulnerable population, e.g., pregnant women, justify the need for further research focused on finding specific diagnostic criteria and targeted therapeutic approaches.
Collapse
|
3
|
Belan M, Gélinas M, Carranza-Mamane B, Langlois MF, Morisset AS, Ruchat SM, Lavoie K, Adamo K, Poder T, Gallagher F, Pesant MH, Jean-Denis F, Baillargeon JP. Protocol of the Fit-For-Fertility study: a multicentre randomised controlled trial assessing a lifestyle programme targeting women with obesity and infertility. BMJ Open 2022; 12:e061554. [PMID: 35440463 PMCID: PMC9020282 DOI: 10.1136/bmjopen-2022-061554] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 12/01/2022] Open
Abstract
INTRODUCTION Women with obesity are at a higher risk of infertility as well as gestational and neonatal complications. Lifestyle changes are universally recommended for women with obesity seeking fertility treatments, but such intervention has only been assessed in very few robust studies. This study's objectives are therefore to assess the clinical outcomes and cost-effectiveness of an interdisciplinary lifestyle intervention (the Fit-For-Fertility Programme; FFFP) targeting women with obesity and subfertility in a diverse population. METHODS AND ANALYSIS This pragmatic multicentre randomised controlled trial (RCT) will include 616 women with obesity (body mass index ≥30 kg/m2 or ≥27 kg/m2 with polycystic ovary syndrome or at-risk ethnicities) who are evaluated at a Canadian fertility clinic for subfertility. Women will be randomised either to (1) the FFFP (experimental arm) alone for 6 months, and then in combination with usual care for infertility if not pregnant; or (2) directly to usual fertility care (control arm). Women in the intervention group benefit from the programme up to 18 months or, if pregnant, up to 24 months or the end of the pregnancy (whichever comes first). Women from both groups are evaluated every 6 months for a maximum of 18 months. The primary outcome is live birth rate at 24 months. Secondary outcomes include fertility, pregnancy and neonatal outcomes; lifestyle and anthropometric measures; and cost-effectiveness. Qualitative data collected from focus groups of participants and professionals will also be analysed. ETHICS AND DISSEMINATION This research study has been approved by the Research Ethics Board (REB) of Centre intégré universtaire de santé et des services sociaux de l'Estrie-CHUS (research coordinating centre) on 10 December 2018 and has been or will be approved successively by each participating centres' REB. This pragmatic RCT will inform decision-makers on improving care trajectories and policies regarding fertility treatments for women with obesity and subfertility. TRIAL REGISTRATION NUMBER NCT03908099. PROTOCOL VERSION 1.1, 13 April 2019.
Collapse
Affiliation(s)
- Matea Belan
- Department of Medicine, Division of Endocrinology, Université de Sherbrooke, Sherbrooke, Quebec, Canada
- Research Center of the Centre hospitalier universitaire de Sherbrooke, Sherbrooke, Quebec, Canada
| | - Myriam Gélinas
- Department of Medicine, Division of Endocrinology, Université de Sherbrooke, Sherbrooke, Quebec, Canada
| | - Belina Carranza-Mamane
- Department of Medicine, Division of Endocrinology, Université de Sherbrooke, Sherbrooke, Quebec, Canada
- Department of Obstetrics and Gynecology, Université de Sherbrooke, Sherbrooke, Quebec, Canada
| | - Marie-France Langlois
- Department of Medicine, Division of Endocrinology, Université de Sherbrooke, Sherbrooke, Quebec, Canada
- Research Center of the Centre hospitalier universitaire de Sherbrooke, Sherbrooke, Quebec, Canada
| | - Anne-Sophie Morisset
- School of Nutrition, Faculty of Agricultural and Food Science, Laval University, Quebec city, Quebec, Canada
| | - Stephanie-May Ruchat
- Department of Human Kinetics, Université du Quebec à Trois-Rivières, Trois-Rivières, Quebec, Canada
| | - Kim Lavoie
- Research Center CIUSSS-NIM, Montreal Behavioural Medicine Centre, Montreal, Quebec, Canada
- Department of Psychology, Université du Québec a Montréal, Montréal, Quebec, Canada
| | - Kristi Adamo
- Faculty of Health Sciences, School of Human Kinetics, University of Ottawa, Ottawa, Ontario, Canada
| | - Thomas Poder
- School of Public Health, University of Montreal, Montreal, Quebec, Canada
- CIUSSS de l'Est de l'Île de Montréal, Centre de recherche de l'Institut universitaire en santé mentale de Montréal, Montreal, Quebec, Canada
| | - Frances Gallagher
- School of Nursing, Université de Sherbrooke, Sherbrooke, Quebec, Canada
| | - Marie-Hélène Pesant
- Department of Medicine, Division of Endocrinology, Université de Sherbrooke, Sherbrooke, Quebec, Canada
- Research Center of the Centre hospitalier universitaire de Sherbrooke, Sherbrooke, Quebec, Canada
| | - Farrah Jean-Denis
- Research Center of the Centre hospitalier universitaire de Sherbrooke, Sherbrooke, Quebec, Canada
| | - Jean-Patrice Baillargeon
- Department of Medicine, Division of Endocrinology, Université de Sherbrooke, Sherbrooke, Quebec, Canada
- Research Center of the Centre hospitalier universitaire de Sherbrooke, Sherbrooke, Quebec, Canada
| |
Collapse
|
4
|
Timmermans YEG, van de Kant KDG, Krumeich JSM, Zimmermann LJI, Dompeling E, Kramer BW, Maassen LLJ, Spaanderman MAE, Vreugdenhil ACE. Socio-ecological determinants of lifestyle behavior of women with overweight or obesity before, during and after pregnancy: qualitative interview analysis in the Netherlands. BMC Pregnancy Childbirth 2020; 20:105. [PMID: 32050934 PMCID: PMC7017483 DOI: 10.1186/s12884-020-2786-5] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/28/2019] [Accepted: 02/03/2020] [Indexed: 01/28/2023] Open
Abstract
Background Maternal overweight and obesity are related to several health risks in the periods before, during and after pregnancy including a higher risk of gestational diabetes mellitus, preeclampsia and preterm birth. At the same time, women’s daily life quickly changes in these periods. Therefore, we hypothesize that the value of determinants of lifestyle behavior within different levels of the socio-ecological model differ accordingly and influence lifestyle behavior. These dynamics of determinants of lifestyle behavior in the periods before, during and after pregnancy are unexplored and therefore evaluated in this study. These insights are needed to offer appropriate guidance to improve lifestyle in women of childbearing age. Methods Individual semi-structured interviews were conducted before, during or after pregnancy in 26 women with overweight or obesity living in the Netherlands. Questions covered all levels of the socio-ecological model, i.e. intrapersonal, interpersonal, institutional and environmental/societal. All interviews were transcribed and coded. Results Determinants at all levels of the socio-ecological model were perceived as relevant by women of childbearing age. Various determinants were mentioned including knowledge of a healthy lifestyle, social support, access to customized lifestyle guidance, and distance to healthy lifestyle supporting activities. The importance women attributed to determinants differed between the periods before, during and after pregnancy. Before pregnancy, child’s wellbeing as motivator for adopting a healthy lifestyle was mentioned less frequently than during and after pregnancy. Women described that the interplay and balance between determinants varied on a daily basis, and not merely per period. This was often expressed as fluctuation in energy level per day which influences their willingness to put effort in making healthy choices. Conclusions Findings of this study confirm the importance of determinants at multiple socio-ecological levels for shaping lifestyle behavior in women of childbearing age. The findings add to current insights that the perceived importance of determinants and their interplay differ before, during and after pregnancy. They influence lifestyle behavior decisions, not only per period but even on a daily basis, in particular in this phase of life. This perspective can be helpful in optimizing lifestyle guidance for women of childbearing age in order to prevent perinatal complications.
Collapse
Affiliation(s)
- Y E G Timmermans
- Department of Pediatrics, Maastricht University Medical Centre (MUMC+), P. Debyelaan 25, 6229 HX, Maastricht, the Netherlands.,School for Oncology and Developmental Biology (GROW), Maastricht University, Maastricht, the Netherlands
| | - K D G van de Kant
- Department of Pediatrics, Maastricht University Medical Centre (MUMC+), P. Debyelaan 25, 6229 HX, Maastricht, the Netherlands.,School for Public Health and Primary Health Care (CAPHRI), Maastricht University, Maastricht, the Netherlands
| | - J S M Krumeich
- School for Public Health and Primary Health Care (CAPHRI), Maastricht University, Maastricht, the Netherlands.,Department of Health Ethics and Society, Maastricht University, Maastricht, the Netherlands
| | - L J I Zimmermann
- Department of Pediatrics, Maastricht University Medical Centre (MUMC+), P. Debyelaan 25, 6229 HX, Maastricht, the Netherlands.,School for Oncology and Developmental Biology (GROW), Maastricht University, Maastricht, the Netherlands.,School of Nutrition and Translational Research in Metabolism (NUTRIM), Maastricht University, P. Debyelaan 25, 6229 HX, Maastricht, the Netherlands
| | - E Dompeling
- Department of Pediatrics, Maastricht University Medical Centre (MUMC+), P. Debyelaan 25, 6229 HX, Maastricht, the Netherlands.,School for Public Health and Primary Health Care (CAPHRI), Maastricht University, Maastricht, the Netherlands
| | - B W Kramer
- Department of Pediatrics, Maastricht University Medical Centre (MUMC+), P. Debyelaan 25, 6229 HX, Maastricht, the Netherlands.,School for Oncology and Developmental Biology (GROW), Maastricht University, Maastricht, the Netherlands
| | - L L J Maassen
- Department of Pediatrics, Maastricht University Medical Centre (MUMC+), P. Debyelaan 25, 6229 HX, Maastricht, the Netherlands
| | - M A E Spaanderman
- School for Oncology and Developmental Biology (GROW), Maastricht University, Maastricht, the Netherlands.,Department of Gynecology & Obstetrics, MUMC+, Maastricht, the Netherlands
| | - A C E Vreugdenhil
- Department of Pediatrics, Maastricht University Medical Centre (MUMC+), P. Debyelaan 25, 6229 HX, Maastricht, the Netherlands. .,School of Nutrition and Translational Research in Metabolism (NUTRIM), Maastricht University, P. Debyelaan 25, 6229 HX, Maastricht, the Netherlands.
| |
Collapse
|
5
|
Siti F, Dubouchaud H, Hininger I, Quiclet C, Vial G, Galinier A, Casteilla L, Fontaine E, Batandier C, Couturier K. Maternal exercise before and during gestation modifies liver and muscle mitochondria in rat offspring. ACTA ACUST UNITED AC 2019; 222:jeb.194969. [PMID: 31019067 DOI: 10.1242/jeb.194969] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/20/2018] [Accepted: 04/05/2019] [Indexed: 01/09/2023]
Abstract
It is now well established that the intrauterine environment is of major importance for offspring health during later life. Endurance training during pregnancy is associated with positive metabolic adjustments and beneficial effects on the balance between pro-oxidants and antioxidants (redox state) in the offspring. Our hypothesis was that these changes could rely on mitochondrial adaptations in the offspring due to modifications of the fetal environment induced by maternal endurance training. Therefore, we compared the liver and skeletal muscle mitochondrial function and the redox status of young rats whose mothers underwent moderate endurance training (treadmill running) before and during gestation (T) with those of young rats from untrained mothers (C). Our results show a significant reduction in the spontaneous H2O2 release by liver and muscle mitochondria in the T versus C offspring (P<0.05). These changes were accompanied by alterations in oxygen consumption. Moreover, the percentage of short-chain fatty acids increased significantly in liver mitochondria from T offspring. This may lead to improvements in the fluidity and the flexibility of the membrane. In plasma, glutathione peroxidase activity and protein oxidation were significantly higher in T offspring than in C offspring (P<0.05). Such changes in plasma could represent an adaptive signal transmitted from mothers to their offspring. We thus demonstrated for the first time, to our knowledge, that it is possible to act on bioenergetic function including alterations of mitochondrial function in offspring by modifying maternal physical activity before and during pregnancy. These changes could be crucial for the future health of the offspring.
Collapse
Affiliation(s)
- Farida Siti
- Université Grenoble Alpes, INSERM, LBFA, 38058 Grenoble, France.,Université Grenoble Alpes, UFR STAPS, SFR Sport Exercice Motricité, 38058 Grenoble, France.,Department of Medical Pharmacy, Universitas Indonesia, 10430 Jakarta, Indonesia
| | - Hervé Dubouchaud
- Université Grenoble Alpes, INSERM, LBFA, 38058 Grenoble, France.,Université Grenoble Alpes, UFR STAPS, SFR Sport Exercice Motricité, 38058 Grenoble, France
| | | | - Charline Quiclet
- Université Grenoble Alpes, INSERM, LBFA, 38058 Grenoble, France.,Université Grenoble Alpes, UFR STAPS, SFR Sport Exercice Motricité, 38058 Grenoble, France
| | - Guillaume Vial
- Université Grenoble Alpes, INSERM, HP2, 38000 Grenoble, France
| | - Anne Galinier
- Université de Toulouse, STROMALab, CNRS: ERL5311, EFS: INP-ENVT, INSERM: U-1031, UPS, 31100 Toulouse, France
| | - Louis Casteilla
- Université de Toulouse, STROMALab, CNRS: ERL5311, EFS: INP-ENVT, INSERM: U-1031, UPS, 31100 Toulouse, France
| | - Eric Fontaine
- Université Grenoble Alpes, INSERM, LBFA, 38058 Grenoble, France.,Centre Hospitalier Universitaire Grenoble Alpes, 38000 Grenoble, France
| | | | - Karine Couturier
- Université Grenoble Alpes, INSERM, LBFA, 38058 Grenoble, France .,Université Grenoble Alpes, UFR STAPS, SFR Sport Exercice Motricité, 38058 Grenoble, France
| |
Collapse
|
6
|
Fieldwick D, Smith A, Paterson H. General practitioners and preconception weight management in New Zealand. Aust N Z J Obstet Gynaecol 2017; 57:420-425. [DOI: 10.1111/ajo.12609] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/19/2016] [Accepted: 12/15/2016] [Indexed: 12/29/2022]
Affiliation(s)
| | - Alesha Smith
- School of Pharmacy; University of Otago; Dunedin New Zealand
| | - Helen Paterson
- Department of Women's and Children's Health; University of Otago; Dunedin New Zealand
| |
Collapse
|
7
|
Harden SM, Ramalingam NS, Wilson KE, Evans-Hoeker E. Informing the development and uptake of a weight management intervention for preconception: a mixed-methods investigation of patient and provider perceptions. BMC OBESITY 2017; 4:8. [PMID: 28191322 PMCID: PMC5295190 DOI: 10.1186/s40608-017-0144-6] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 09/13/2016] [Accepted: 01/27/2017] [Indexed: 11/19/2022]
Abstract
Background It is recommended for women to have a healthy body mass index before conception. However, there is limited research on appropriate preconception interventions for weight loss. Furthermore, there is a lack of knowledge on providers’ willingness to refer to particular behavioral interventions and the degree to which patients would attend those interventions. Methods A cross-section of 67 patients and 21 providers completed surveys related to their demographics and willingness to refer/attend a number of interventions for weight loss. A case study of three patients from the target audience was used to elicit detailed feedback on preconception weight status and weight loss intervention. Results Overall, patients were willing to attend a variety of interventions, regardless of BMI category. Focus group participants shared that weight loss prior to conception would be beneficial for them and their child, but cited barriers such as time, location, and the way providers encourage weight loss. Providers were willing to refer to a number of behavioral interventions, and were less willing to prescribe weight loss medications than other intervention options. Conclusions A number of intervention strategies may be well received by both patients and providers in preconception care to assist with weight loss prior to conception. Future research is needed on intervention effects and sustainability. Electronic supplementary material The online version of this article (doi:10.1186/s40608-017-0144-6) contains supplementary material, which is available to authorized users.
Collapse
Affiliation(s)
- Samantha M Harden
- Department of Human Nutrition, Virginia Tech Foods, and Exercise, 1981 Kraft Dr, Blacksburg, VA USA.,Department of OBGYN, Virginia Tech Carilion School of Medicine, 1231 S. Jefferson St, Roanoke, VA 24013 USA
| | - NithyaPriya S Ramalingam
- Virginia Tech Translational Biology, Medicine, and Health Program, 1981 Kraft Dr, Blacksburg, VA USA
| | - Kathryn E Wilson
- Department of Human Nutrition, Virginia Tech Foods, and Exercise, 1981 Kraft Dr, Blacksburg, VA USA
| | - Emily Evans-Hoeker
- Department of OBGYN, Virginia Tech Carilion School of Medicine, 1231 S. Jefferson St, Roanoke, VA 24013 USA
| |
Collapse
|
8
|
Quiclet C, Siti F, Dubouchaud H, Vial G, Berthon P, Fontaine E, Batandier C, Couturier K. Short-term and long-term effects of submaximal maternal exercise on offspring glucose homeostasis and pancreatic function. Am J Physiol Endocrinol Metab 2016; 311:E508-18. [PMID: 27382034 DOI: 10.1152/ajpendo.00126.2016] [Citation(s) in RCA: 16] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 03/31/2016] [Accepted: 07/01/2016] [Indexed: 12/22/2022]
Abstract
Only a few studies have explored the effects of maternal exercise during gestation on adult offspring metabolism. We set out to test whether maternal controlled submaximal exercise maintained troughout all gestational periods induces persistant metabolic changes in the offspring. We used a model of 15-wk-old nulliparous female Wistar rats that exercised (trained group) before and during gestation at a submaximal intensity or remained sedentary (control group). At weaning, male offspring from trained dams showed reduced basal glycemia (119.7 ± 2.4 vs. 130.5 ± 4.1 mg/dl, P < 0.05), pancreas relative weight (3.96 ± 0.18 vs. 4.54 ± 0.14 g/kg body wt, P < 0.05), and islet mean area (22,822 ± 4,036 vs. 44,669 ± 6,761 μm(2), P < 0.05) compared with pups from control dams. Additionally, they had better insulin secretory capacity when stimulated by 2.8 mM glucose + 20 mM arginine compared with offspring from control dams (+96%, P < 0.05). At 7 mo of age, offspring from trained mothers displayed altered glucose tolerance (AUC = 15,285 ± 527 vs. 11,898 ± 988 mg·dl(-1)·120 min, P < 0.05) and decreased muscle insulin sensitivity estimated by the phosphorylated PKB/total PKB ratio (-32%, P < 0.05) and tended to have a reduced islet insulin secretory capacity compared with rats from control dams. These results suggest that submaximal maternal exercise modifies short-term male offspring pancreatic function and appears to have rather negative long-term consequences on sedentary adult offspring glucose handling.
Collapse
Affiliation(s)
- Charline Quiclet
- Laboratory of Fundamental and Applied Bioenergetics, University Grenoble Alpes, Grenoble, France; Institut National de la Santé et de la Recherche Médicale (INSERM), U1055, Grenoble, France; Unité de Formation et de Recherche en Activités Physiques et Sportives, Structure Fédérative de Recherche Sport Exercice Motricité, University Grenoble Alpes, Grenoble, France;
| | - Farida Siti
- Laboratory of Fundamental and Applied Bioenergetics, University Grenoble Alpes, Grenoble, France; Institut National de la Santé et de la Recherche Médicale (INSERM), U1055, Grenoble, France; Faculty of Universitas Indonesia, Jakarta, Indonesia
| | - Hervé Dubouchaud
- Laboratory of Fundamental and Applied Bioenergetics, University Grenoble Alpes, Grenoble, France; Institut National de la Santé et de la Recherche Médicale (INSERM), U1055, Grenoble, France; Unité de Formation et de Recherche en Activités Physiques et Sportives, Structure Fédérative de Recherche Sport Exercice Motricité, University Grenoble Alpes, Grenoble, France
| | - Guillaume Vial
- INSERM, U1060,Faculté de Médecine Lyon-Sud, Oullins, France; Center for European Nutrition and Health, Centre Hospitalier Lyon-Sud, Pierre-Bénite, France
| | - Phanélie Berthon
- Laboratoire Interuniversitaire de Biologie de la Motricité, University Savoie Mont Blanc, Le Bourget du Lac, France
| | - Eric Fontaine
- Laboratory of Fundamental and Applied Bioenergetics, University Grenoble Alpes, Grenoble, France; Institut National de la Santé et de la Recherche Médicale (INSERM), U1055, Grenoble, France; Grenoble University Hospital, Grenoble, France; and
| | - Cécile Batandier
- Laboratory of Fundamental and Applied Bioenergetics, University Grenoble Alpes, Grenoble, France; Institut National de la Santé et de la Recherche Médicale (INSERM), U1055, Grenoble, France
| | - Karine Couturier
- Laboratory of Fundamental and Applied Bioenergetics, University Grenoble Alpes, Grenoble, France; Institut National de la Santé et de la Recherche Médicale (INSERM), U1055, Grenoble, France; Unité de Formation et de Recherche en Activités Physiques et Sportives, Structure Fédérative de Recherche Sport Exercice Motricité, University Grenoble Alpes, Grenoble, France
| |
Collapse
|
9
|
Abstract
To prevent the intergenerational transfer of obesity and end the current epidemic, interventions are needed across the early life stages, from preconception to prenatal to infancy through the age of 2 years. The foundation for obesity is laid in early life by actions and interactions passed from parent to child that have long-lasting biologic and behavioral consequences. The purpose of this paper is to examine the best evidence about (a) factors in parents and offspring that promote obesity during the early life stages, (b) the social determinants and dimensions of obesity in early life, (c) promising and effective interventions for preventing obesity in early life, and (d) opportunities for future research into strategies to disrupt the intergenerational cycle of obesity that begins early in life. The pathway for halting the intergenerational obesity epidemic requires the discovery and development of evidence-based interventions that can act across multiple dimensions of influence on early life.
Collapse
Affiliation(s)
- Debra Haire-Joshu
- Public Health and Medicine, Brown School, Washington University in St. Louis, St. Louis, Missouri 63130;
| | - Rachel Tabak
- Prevention Research Center, Brown School, Washington University in St. Louis, St. Louis, Missouri 63130;
| |
Collapse
|