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Moliner-Calderón E, Verd S, Leiva A, Ginovart G, Moll-McCarthy P, Figueras-Aloy J. The role of human milk feeds on inotrope use in newborn infants with sepsis. Front Pediatr 2023; 11:1172799. [PMID: 37138570 PMCID: PMC10150957 DOI: 10.3389/fped.2023.1172799] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 02/23/2023] [Accepted: 03/16/2023] [Indexed: 05/05/2023] Open
Abstract
Background Regarding neonatal hypotension, there is no certainty as to whether inotrope properties are beneficial or whether they may be harmful. However, given that the antioxidant content of human milk plays a compensatory role in neonatal sepsis and that human milk feeding has direct effects in modulating the cardiovascular function of sick neonates, this research hypothesized that human milk feeds might predict lower requirements of vasopressors in the management of neonatal septic shock. Method Between January 2002 and December 2017, all late preterm and full-term infants attending a neonatal intensive care unit, with clinical and laboratory findings of bacterial or viral sepsis, were identified in a retrospective study. During their first month of life, data on feeding type and early clinical characteristics were collected. A multivariable logistic regression model was constructed to determine the impact of human milk on the use of vasoactive drugs in septic newborns. Results 322 newborn infants were eligible to participate in this analysis. Exclusively formula-fed infants were more likely to be delivered via C-section, to have a lower birth weight and a lower 1-minute Apgar score than their counterparts. Human milk-fed newborns had 77% (adjusted OR = 0.231; 95% CI: 0.07-0.75) lower odds of receiving vasopressors than exclusively formula-fed newborns. Conclusion We report that any human milk feeding is associated with a decrease in the need for vasoactive medications in sepsis-affected newborns. This observation encourages us to undertake further research to determine whether human milk feeds mitigate the use of vasopressors in neonates with sepsis.
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Affiliation(s)
| | - Sergio Verd
- Pediatric Unit, La Vileta Surgery, Department of Primary Care, Palma de Mallorca, Spain
- Group of Cell Therapy and Tissue Engineering, Institut d'Investigació Sanitària Illes Balears (IdISBa), Palma de Mallorca, Spain
- Correspondence: Sergio Verd
| | - Alfonso Leiva
- Research Unit, Department of Primary Care, Palma de Mallorca, Spain
| | - Gemma Ginovart
- Neonatal Unit, Department of Paediatrics, Germans Trias I Pujol Hospital, Badalona, Spain
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2
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Berlanga‐Macías C, Álvarez‐Bueno C, Martínez‐Hortelano JA, Garrido‐Miguel M, Pozuelo‐Carrascosa DP, Martínez‐Vizcaíno V. Relationship between exclusive breastfeeding and cardiorespiratory fitness in children and adolescents: A meta‐analysis. Scand J Med Sci Sports 2020; 30:828-836. [DOI: 10.1111/sms.13622] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/23/2019] [Revised: 12/17/2019] [Accepted: 12/18/2019] [Indexed: 12/26/2022]
Affiliation(s)
| | - Celia Álvarez‐Bueno
- Health and Social Research Center Universidad de Castilla‐La Mancha Cuenca Spain
| | | | | | | | - Vicente Martínez‐Vizcaíno
- Health and Social Research Center Universidad de Castilla‐La Mancha Cuenca Spain
- Facultad de Ciencias de la Salud Universidad Autónoma de Chile Talca Chile
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3
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Hernández Luengo M, Álvarez-Bueno C, Pozuelo-Carrascosa DP, Berlanga-Macías C, Martínez-Vizcaíno V, Notario-Pacheco B. Relationship between breast feeding and motor development in children: protocol for a systematic review and meta-analysis. BMJ Open 2019; 9:e029063. [PMID: 31530597 PMCID: PMC6756461 DOI: 10.1136/bmjopen-2019-029063] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 01/24/2019] [Revised: 08/05/2019] [Accepted: 08/12/2019] [Indexed: 11/04/2022] Open
Abstract
INTRODUCTION The recommendations of most health organisations encourage mothers to keep exclusive breast feeding during the first 6 months and combining breast feeding with complementary feeding at least during the first and second years, due to the numerous immunologic, cognitive developmental and motor skill benefits that breast feeding confers. Although the influence of breast feeding on motor development during childhood has been studied, the findings are inconsistent, and some studies have even reported no effect. This manuscript presents a protocol for a systematic review and meta-analysis, with the aim of reviewing the relationship between breast feeding and motor skill development in children in terms of duration, exclusivity or non-exclusivity of breast feeding. METHODS AND ANALYSIS The search will be conducted using Medline (via PubMed), EMBASE, Web of Science and Cochrane Library from inception to December 2019. Observational studies (cross-sectional and follow-up studies) written in English or Spanish that investigate the association between breast feeding and motor development in children will be included. This systematic review and meta-analysis protocol follows the Preferred Reporting Items for Systematic Reviews and Meta-Analyses Protocols. The Critical Appraisal Checklist for Analytical Cross-Sectional Studies and The Newcastle-Ottawa Quality Assessment Scale for longitudinal studies will be used to assess the quality of included studies. The effect of breast feeding on motor skill development will be calculated as the primary outcome. Subgroup analyses will be carried out based on the characteristics of motor skill development and the population included. ETHICS AND DISSEMINATION Ethical approval is not required because the data used will be obtained from published studies, and there will be no concerns about privacy. The findings from this study will be relevant information regarding the association of breast feeding with motor development in children and could be used encourage to improve breastfeeding rates. The results will be published in a peer-reviewed journal. PROSPERO REGISTRATION NUMBER CRD42018093706.
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Affiliation(s)
| | - Celia Álvarez-Bueno
- Universidad de Castilla-La Mancha, Health and Social Research Center, Cuenca, Spain
- Universidad Politécnica y Artística del Paraguay, Asunción, Paraguay
| | | | | | - Vicente Martínez-Vizcaíno
- Universidad de Castilla-La Mancha, Health and Social Research Center, Cuenca, Spain
- Universidad Autónoma de Chile, Facultad de Ciencias de la Salud, Talca, Chile
| | - Blanca Notario-Pacheco
- Universidad de Castilla-La Mancha, Health and Social Research Center, Cuenca, Spain
- Faculty of Nursing, Universidad de Castilla-La Mancha, Ciudad Real, Spain
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4
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Relationship between fitness, birth weight and breastfeeding in adolescents of a rural village in Spain. Sci Sports 2019. [DOI: 10.1016/j.scispo.2018.10.014] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/24/2022]
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5
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Raza H, Zhou S, Todd C, Christian D, Marchant E, Morgan K, Khanom A, Hill R, Lyons RA, Brophy S. Predictors of objectively measured physical activity in 12-month-old infants: A study of linked birth cohort data with electronic health records. Pediatr Obes 2019; 14:e12512. [PMID: 30729733 PMCID: PMC6563068 DOI: 10.1111/ijpo.12512] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/23/2018] [Accepted: 01/05/2019] [Indexed: 02/03/2023]
Abstract
BACKGROUND Physical activity (PA) levels are associated with long-term health, and levels of PA when young are predictive of adult activity levels. OBJECTIVES This study examines factors associated with PA levels in 12-month infants. METHOD One hundred forty-one mother-infant pairs were recruited via a longitudinal birth cohort study (April 2010 to March 2013). The PA level was collected using accelerometers and linked to postnatal notes and electronic medical records via the Secure Anonymised Information Linkage databank. Univariable and multivariable linear regressions were used to examine the factors associated with PA levels. RESULTS Using univariable analysis, higher PA was associated with the following (P value less than 0.05): being male, larger infant size, healthy maternal blood pressure levels, full-term gestation period, higher consumption of vegetables (infant), lower consumption of juice (infant), low consumption of adult crisps (infant), longer breastfeeding duration, and more movement during sleep (infant) but fewer night wakings. Combined into a multivariable regression model (R2 = 0.654), all factors remained significant, showing lower PA levels were associated with female gender, smaller infant, preterm birth, higher maternal blood pressure, low vegetable consumption, high crisp consumption, and less night movement. CONCLUSION The PA levels of infants were strongly associated with both gestational and postnatal environmental factors. Healthy behaviours appear to cluster, and a healthy diet was associated with a more active infant. Boys were substantially more active than girls, even at age 12 months. These findings can help inform interventions to promote healthier lives for infants and to understand the determinants of their PA levels.
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Affiliation(s)
- Haider Raza
- The School of Computer Science and Electronic EngineeringUniversity of EssexColchesterUK
| | | | | | | | | | - Kelly Morgan
- DECIPHer, School of Social SciencesCardiff UniversityCardiffUK
| | | | - Rebecca Hill
- Abertawe Bro Morgannwg University Health Board (ABM UHB)Port TalbotUK
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6
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Tambalis KD, Mourtakos S, Panagiotakos DB, Sidossis LS. Exclusive Breastfeeding Is Favorably Associated with Physical Fitness in Children. Breastfeed Med 2019; 14:390-397. [PMID: 31025871 DOI: 10.1089/bfm.2019.0043] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 12/21/2022]
Abstract
Objective: To examine the potential association between exclusive breastfeeding and its duration on physical fitness (PF) components during childhood. Materials and Methods: A random sample of 5,125 dyads children and their mothers was evaluated. With the use of a standardized questionnaire, telephone interviews were carried out for the collection of maternal lifestyle factors (e.g., breastfeeding and its duration, etc.). Data from five PF tests (e.g., vertical jump, standing long jump, small ball throw, 30-m sprint, and 20-m shuttle run) were used to assess lower and upper body strength, speed, and cardiorespiratory fitness (CRF). Linear and logistic regression models were estimated and adjusted for children's body mass index (BMI) and birth weight, and parental factors (prepregnancy BMI, gestational weight gain, gestational age, pregnancy in vitro, parity before, and educational level). Results: Among boys, exclusive breastfeeding was favorably associated with CRF (b = 0.07), lower body strength (b = 0.41), upper body strength (b = 0.10), and speed (b = -0.11). Also, among girls, we found a favorable association between exclusive breastfeeding and CRF (b = 0.07), lower body strength (b = 0.47), upper body strength (b = 0.10), and speed (b = -0.11). All of the associations remained significant after adjusting for several potential confounders. With the exception of speed test in girls, children who were exclusively breastfed ≥6 months had 10-40% increased odds for average/high performances in PF tests in comparison with those who were breastfed <1 month. Conclusions: Exclusive breastfeeding ≥6 months had a favorable influence on PF test performances in childhood. It seems that exclusive breastfeeding could play a significant role in children's future health.
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Affiliation(s)
| | - Stamatis Mourtakos
- 1 Department of Nutrition and Dietetics, Harokopio University, Athens, Greece
| | | | - Labros S Sidossis
- 1 Department of Nutrition and Dietetics, Harokopio University, Athens, Greece.,2 Department of Kinesiology and Health, Rutgers University, New Brunswick, New Jersey
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7
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Berlanga-Macías C, Pozuelo-Carrascosa DP, Álvarez-Bueno C, Martínez-Hortelano JA, Garrido-Miguel M, Martínez-Vizcaíno V. Relationship between exclusive breast feeding and cardiorespiratory fitness in children and adolescents: a protocol for a systematic review and meta-analysis. BMJ Open 2018; 8:e023223. [PMID: 30385446 PMCID: PMC6252627 DOI: 10.1136/bmjopen-2018-023223] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 03/27/2018] [Revised: 06/19/2018] [Accepted: 09/24/2018] [Indexed: 12/13/2022] Open
Abstract
INTRODUCTION Breast feeding has been considered important due to its short-term and long-term benefits on infant and maternal health. Regarding the long-term benefits, the influence of exclusive breastfeeding on cardiorespiratory fitness (CRF) during childhood and adolescence has been studied, although with controversial conclusions. This study protocol aims to provide a clear and standardised procedure for systematically reviewing the relationship between breast feeding, in terms of duration and exclusivity, and CRF in children and adolescents. METHODS AND ANALYSIS This systematic review and meta-analysis protocol is reported in accordance with the Preferred Reporting Items for Systematic Reviews and Meta-Analyses Protocols. A literature search will be conducted in MEDLINE, EMBASE, Web of Science and Cochrane Library. Observational studies regarding the association between breast feeding and CRF in children and adolescents written in English or Spanish will be included. A Critical Appraisal Checklist for Analytical Cross Sectional Studies and The Newcastle-Ottawa Quality Assessment Scale for longitudinal studies will be used for quality assessment of included studies. Standardised mean differences of CRF by exclusive breastfeeding categories will be calculated as the primary outcome. Subgroup analyses and meta-regression will be performed based on the sources of heterogeneity. ETHICS AND DISSEMINATION This evidence-based systematic review will summarise the relevant information on the association of exclusive breast feeding and CRF in children and adolescents. The results will be disseminated by publication in a peer-reviewed journal. Given that the data used for this systematic review will be exclusively extracted from published studies, ethical approval will not be required. PROSPERO REGISTRATION NUMBER CRD42018082642.
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Affiliation(s)
| | | | - Celia Álvarez-Bueno
- Health and Social Research Center, Universidad de Castilla-La Mancha, Cuenca, Spain
| | | | | | - Vicente Martínez-Vizcaíno
- Health and Social Research Center, Universidad de Castilla-La Mancha, Cuenca, Spain
- Facultad de Ciencias de la Salud, Universidad Autónoma de Chile, Talca, Chile
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Heshmati J, Sepidarkish M, Shidfar F, Shokri F, Vesali S, Akbari M, Omani-Samani R. Effect of Breastfeeding in Early Life on Cardiorespiratory and Physical Fitness: A Systematic Review and Meta-Analysis. Breastfeed Med 2018; 13:248-258. [PMID: 29664684 DOI: 10.1089/bfm.2018.0001] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 01/26/2023]
Abstract
BACKGROUND Numerous studies have reported the associations between the type of feeding during infancy and subsequent chronic diseases. OBJECTIVE The objective of this systematic review is to synthesize the available literature concerning the effect of breastfeeding in infancy on physical and cardiorespiratory fitness in children and adolescents. MATERIALS AND METHODS We performed a comprehensive search of medical bibliographic databases to identify observational studies reporting the association between breastfeeding and cardiorespiratory or physical fitness. Random effects model was used for calculating the pooled estimates. RESULTS Three studies with 2,792 children were included in the meta-analysis. The mean value of VO2max was similar between formula-fed and 1-3 months breastfed participants (standardized mean difference [SMD]: 0.1, 95% confidence intervals [CI]: -0.09 to 0.29, p = 0.31). There was no difference between 3 and 6 months breastfed (SMD: 0.17, 95% CI: -0.01 to 0.35, p = 0.06), >6 months breastfed (SMD: 0.37, 95% CI: -0.03 to 0.78, p = 0.07), and formula-fed children. The pooled SMD in handgrip strength was 0.09 (95% CI: -0.04 to 0.23; p = 0.17) between 1 and 3 months breastfed and formula-fed children .Nevertheless, 3-6 months (SMD: 0.13; 95% CI: 0.03-0.24) and >6 months (SMD: 0.19; 95% CI: 0.01-0.37) breastfeeding was associated with higher handgrip strength compared with formula-fed children. Breastfeeding for 1-3 (SMD: 0.20; 95% CI: 0.12-0.28), 3-6 (SMD: 0.27; 95% CI: 0.18-0.37), and >6 months (SMD: 0.34; 95% CI: 0.11-0.58) led to a significantly higher standing long-jump performance compared with formula feeding. CONCLUSIONS Breastfeeding shows beneficial effects on physical fitness, but further well-designed studies need to clarify effects of breastfeeding on cardiorespiratory fitness.
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Affiliation(s)
- Javad Heshmati
- 1 Department of Nutrition, School of Public Health, Iran University of Medical Sciences , Tehran, Iran
| | - Mahdi Sepidarkish
- 2 Department of Epidemiology and Reproductive Health, Reproductive Epidemiology Research Center, Royan Institute for Reproductive Biomedicine , ACECR, Tehran, Iran
| | - Farzad Shidfar
- 1 Department of Nutrition, School of Public Health, Iran University of Medical Sciences , Tehran, Iran
| | - Fatemeh Shokri
- 3 Department of Health Services and Health Education, School of Health, Iran University of Medical Sciences , Tehran, Iran
| | - Samira Vesali
- 2 Department of Epidemiology and Reproductive Health, Reproductive Epidemiology Research Center, Royan Institute for Reproductive Biomedicine , ACECR, Tehran, Iran
| | - Maryam Akbari
- 4 International Campus, Department of Nutrition, School of Public Health, Iran University of Medical Sciences , Tehran, Iran
| | - Reza Omani-Samani
- 1 Department of Nutrition, School of Public Health, Iran University of Medical Sciences , Tehran, Iran
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9
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Zaqout M, Michels N, Ahrens W, Börnhorst C, Molnár D, Moreno LA, Eiben G, Siani A, Papoutsou S, Veidebaum T, De Henauw S. Associations between exclusive breastfeeding and physical fitness during childhood. Eur J Nutr 2016; 57:545-555. [PMID: 27771770 DOI: 10.1007/s00394-016-1337-3] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/05/2016] [Accepted: 10/16/2016] [Indexed: 01/03/2023]
Abstract
PURPOSE Exposure to breastfeeding improves the survival, health, and development of children; therefore, breast milk is recommended as the exclusive nutrient source for feeding term infants during the first 6 months. This cross-sectional study aimed to determine the possible association between exposure to exclusive breastfeeding and physical fitness performance in children and, if so, whether this association is influenced by the breastfeeding duration. METHODS A total of 2853 (52.3 % girls) European children from the IDEFICS study aged 6-11 years with complete data on physical fitness (cardiorespiratory fitness, muscular strength, flexibility, balance, speed) and exclusive breastfeeding duration (never, 1-3, 4-6, 7-12 months) were included in the present study. Multivariate and mixed linear regression models were estimated and adjusted for sex, age, birth weight, diet, physical activity, body mass index, and parental factors (age, body mass index, educational attainment). RESULTS We found a positive association between exclusive breastfeeding and lower-body explosive strength (β = 0.034) as well as flexibility (β = 0.028). We also found a positive association between breastfeeding and balance in boys (β = 0.039), while this association was negative in girls (β = -0.029). To improve lower-body explosive strength, 1-3 months of exclusive breastfeeding were enough; a longer duration did not lead to increasing benefit. In contrast, 4-6 months of breastfeeding were necessary to have any benefit on flexibility or balance, although this became nonsignificant after adjustment for body mass index and physical activity. CONCLUSIONS Exclusive breastfeeding seems a natural way of slightly improving some physical fitness components (mainly lower-body muscle strength) and thus future health.
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Affiliation(s)
- Mahmoud Zaqout
- Department of Public Health, Faculty of Medicine and Health Sciences, Ghent University, De Pintelaan 185, 4K3, Ghent, Belgium.
| | - Nathalie Michels
- Department of Public Health, Faculty of Medicine and Health Sciences, Ghent University, De Pintelaan 185, 4K3, Ghent, Belgium
| | - Wolfgang Ahrens
- Leibniz Institute for Prevention Research and Epidemiology BIPS, Bremen, Germany
| | - Claudia Börnhorst
- Leibniz Institute for Prevention Research and Epidemiology BIPS, Bremen, Germany
| | - Dénes Molnár
- Department of Pediatrics, Medical Faculty, University of Pécs, Pécs, Hungary
| | - Luis A Moreno
- GENUD (Growth, Exercise, Nutrition and Development) Research Group, University of Zaragoza, Zaragoza, Spain
| | - Gabriele Eiben
- Department of Public Health and Community Medicine, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden
| | - Alfonso Siani
- Epidemiology and Population Genetics, Institute of Food Sciences, National Research Council, Avellino, Italy
| | - Stalo Papoutsou
- Research and Education Institute of Child Health, Strovolos, Cyprus
| | - Toomas Veidebaum
- Department of Chronic Diseases, National Institute for Health Development, Tallinn, Estonia
| | - Stefaan De Henauw
- Department of Public Health, Faculty of Medicine and Health Sciences, Ghent University, De Pintelaan 185, 4K3, Ghent, Belgium
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10
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Cadenas-Sanchez C, Nyström C, Sanchez-Delgado G, Martinez-Tellez B, Mora-Gonzalez J, Risinger AS, Ruiz JR, Ortega FB, Löf M. Prevalence of overweight/obesity and fitness level in preschool children from the north compared with the south of Europe: an exploration with two countries. Pediatr Obes 2016; 11:403-10. [PMID: 26549795 DOI: 10.1111/ijpo.12079] [Citation(s) in RCA: 26] [Impact Index Per Article: 3.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 03/11/2015] [Revised: 08/05/2015] [Accepted: 09/17/2015] [Indexed: 01/24/2023]
Abstract
BACKGROUND North-south differences in the prevalence of obesity and fitness levels have been found in European adolescents, yet it is unknown if such differences already exist in very young children. OBJECTIVES This study aims to compare the prevalence of overweight/obesity and fitness levels in preschool children aged 4 years from Sweden (north of Europe) and Spain (south of Europe). METHODS The sample consisted of 315 Swedish and 128 Spanish preschoolers. Anthropometry (weight, height, waist circumference) and fitness (strength, speed-agility, balance and cardiorespiratory fitness) were assessed. Analysis of covariance adjusted for age, sex and height/body mass index (BMI) was used. RESULTS Preschool children from Sweden had lower prevalence of overweight/obesity than their peers from Spain (World Obesity Federation, mean difference, MD = -9%, P = 0.010; World Health Organization, MD = -11%, P = 0.011). Concerning fitness, preschoolers from Spain were more fit in terms of upper-muscular strength (MD = +0.4 kg, P = 0.010), speed-agility (MD = -1.9 s, P = 0.001), balance (MD = +4.0 s, P = 0.001) and cardiorespiratory fitness (MD = boys = +6.6 laps, girls = +2.3 laps; P < 0.001 for all), yet they had worse lower-muscular strength (MD = -7.1, P ≤ 0.001) than those from Sweden. Differences in upper-muscular strength were largely explained by differences in BMI, and differences in cardiorespiratory fitness should be interpreted cautiously due to some methodological deviations. CONCLUSIONS These findings suggest that a higher prevalence of overweight/obesity in Spain compared with Sweden is present already at early childhood, while differences in physical fitness components showed mixed findings.
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Affiliation(s)
- C Cadenas-Sanchez
- PROFITH 'PROmoting FITness and Health through physical activity' Research Group, Department of Physical Education and Sport, Faculty of Sport Sciences, University of Granada, Granada, Spain.
| | - C Nyström
- Department of Biosciences and Nutrition, Karolinska Institutet, Stockholm, Sweden
| | - G Sanchez-Delgado
- PROFITH 'PROmoting FITness and Health through physical activity' Research Group, Department of Physical Education and Sport, Faculty of Sport Sciences, University of Granada, Granada, Spain
| | - B Martinez-Tellez
- PROFITH 'PROmoting FITness and Health through physical activity' Research Group, Department of Physical Education and Sport, Faculty of Sport Sciences, University of Granada, Granada, Spain
| | - J Mora-Gonzalez
- PROFITH 'PROmoting FITness and Health through physical activity' Research Group, Department of Physical Education and Sport, Faculty of Sport Sciences, University of Granada, Granada, Spain
| | - A S Risinger
- Department of Biosciences and Nutrition, Karolinska Institutet, Stockholm, Sweden
| | - J R Ruiz
- PROFITH 'PROmoting FITness and Health through physical activity' Research Group, Department of Physical Education and Sport, Faculty of Sport Sciences, University of Granada, Granada, Spain.,Department of Biosciences and Nutrition, Karolinska Institutet, Stockholm, Sweden
| | - F B Ortega
- PROFITH 'PROmoting FITness and Health through physical activity' Research Group, Department of Physical Education and Sport, Faculty of Sport Sciences, University of Granada, Granada, Spain.,Department of Biosciences and Nutrition, Karolinska Institutet, Stockholm, Sweden
| | - M Löf
- Department of Biosciences and Nutrition, Karolinska Institutet, Stockholm, Sweden
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11
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Vafa M, Heshmati J, Sadeghi H, Shidfar F, Namazi N, Baradaran H, Heydarpour B, Jalili Z. Is exclusive breastfeeding and its duration related to cardio respiratory fitness in childhood? J Matern Fetal Neonatal Med 2015; 29:461-5. [DOI: 10.3109/14767058.2015.1004052] [Citation(s) in RCA: 19] [Impact Index Per Article: 2.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022]
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12
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Moreno LA, Gottrand F, Huybrechts I, Ruiz JR, González-Gross M, DeHenauw S. Nutrition and lifestyle in european adolescents: the HELENA (Healthy Lifestyle in Europe by Nutrition in Adolescence) study. Adv Nutr 2014; 5:615S-623S. [PMID: 25469407 PMCID: PMC4188245 DOI: 10.3945/an.113.005678] [Citation(s) in RCA: 110] [Impact Index Per Article: 11.0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/23/2023] Open
Abstract
Adolescence is a critical period, because major physical and psychologic changes occur during a very short period of time. Changes in dietary habits may induce different types of nutritional disorders and are likely to track into adulthood. The aim of this review is to describe the key findings related to nutritional status in European adolescents participating in the HELENA (Healthy Lifestyle in Europe by Nutrition in Adolescence) study. We performed a cross-sectional study in 3528 (1845 females) adolescents aged 12.5–17.5 y. Birth weight was negatively associated with abdominal fat mass in adolescents and serum leptin concentrations (in female adolescents), providing additional evidence for a programming effect of birth weight on energy homeostasis control. Breakfast consumption was associated with lower body fat content and healthier cardiovascular profile. Adolescents eat half of the recommended amount of fruit and vegetables and less than two-thirds of the recommended amount of milk and milk products but consume more meat and meat products, fats, and sweets than recommended. For beverage consumption, sugar-sweetened beverages, sweetened milk, low-fat milk, and fruit juice provided the highest amount of energy. Although the intakes of saturated fatty acids (FAs) and salt were high, the intake of polyunsaturated FAs was low. Adolescents spent, on average, 9 h/d of their waking time (66–71% and 70–73% of the registered time in boys and girls, respectively) in sedentary activities. Factors associated with adolescents’ sedentary behavior included the following: 1) age; 2) media availability in the bedroom; 3) sleeping time; 4) breakfast consumption; and 5) season. Sedentary time was also associated with cardiovascular risk factors and bone mineral content. In European adolescents, deficient concentrations were identified for plasma folate (15%), vitamin D (15%), pyridoxal 5′-phosphate (5%), β-carotene (25%), and vitamin E (5%). Scientists and public health authorities should raise awareness of the importance of a healthy and sustainable lifestyle as a foundation of the health of the European population, now and in the future.
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Affiliation(s)
- Luis A. Moreno
- GENUD (Growth, Exercise, Nutrition, and Development)
Research Group, Faculty of Health Sciences, University of Zaragoza, Zaragoza,
Spain
| | - Frédéric Gottrand
- National Institute of Health and Medical Research, Jeanne
de Flandre University Hospital, Lille, France
| | - Inge Huybrechts
- Department of Public Health, Ghent University, Ghent,
Belgium
- International Agency for Research on Cancer, Dietary
Exposure Assessment Group, Lyon, France
| | - Jonatan R. Ruiz
- PROFITH (Promoting Fitness and Health through Physical
Activity) Research Group, Department of Physical Education and Sport, Faculty of
Sport Sciences, University of Granada, Granada, Spain; and
| | - Marcela González-Gross
- ImFINE Research Group, Department of Health and Human
Performance, Faculty of Physical Activity and Sport Sciences, Technical University of
Madrid, Madrid, Spain
| | | | - on behalf of the HELENA Study Group
- GENUD (Growth, Exercise, Nutrition, and Development)
Research Group, Faculty of Health Sciences, University of Zaragoza, Zaragoza,
Spain
- National Institute of Health and Medical Research, Jeanne
de Flandre University Hospital, Lille, France
- Department of Public Health, Ghent University, Ghent,
Belgium
- International Agency for Research on Cancer, Dietary
Exposure Assessment Group, Lyon, France
- PROFITH (Promoting Fitness and Health through Physical
Activity) Research Group, Department of Physical Education and Sport, Faculty of
Sport Sciences, University of Granada, Granada, Spain; and
- ImFINE Research Group, Department of Health and Human
Performance, Faculty of Physical Activity and Sport Sciences, Technical University of
Madrid, Madrid, Spain
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Robinson SM, Simmonds SJ, Jameson KA, Syddall HE, Dennison EM, Cooper C, Sayer AA. Muscle Strength in Older Community-Dwelling Men Is Related to Type of Milk Feeding in Infancy. J Gerontol A Biol Sci Med Sci 2012; 67:990-6. [DOI: 10.1093/gerona/gls061] [Citation(s) in RCA: 13] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/12/2022] Open
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Robinson S, Cooper C, Aihie Sayer A. Nutrition and sarcopenia: a review of the evidence and implications for preventive strategies. J Aging Res 2012; 2012:510801. [PMID: 22506112 PMCID: PMC3312288 DOI: 10.1155/2012/510801] [Citation(s) in RCA: 137] [Impact Index Per Article: 11.4] [Reference Citation Analysis] [Abstract] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/21/2011] [Accepted: 01/09/2012] [Indexed: 01/16/2023] Open
Abstract
Prevention of age-related losses in muscle mass and strength is key to protecting physical capability in older age and enabling independent living. To develop preventive strategies, a better understanding is needed of the lifestyle factors that influence sarcopenia and the mechanisms involved. Existing evidence indicates the potential importance of diets of adequate quality, to ensure sufficient intakes of protein, vitamin D, and antioxidant nutrients. Although much of this evidence is observational, the prevalence of low nutrient intakes and poor status among older adults make this a current concern. However, as muscle mass and strength in later life are a reflection of both the rate of muscle loss and the peak attained in early life, efforts to prevent sarcopenia also need to consider diet across the lifecourse and the potential effectiveness of early interventions. Optimising diet and nutrition throughout life may be key to preventing sarcopenia and promoting physical capability in older age.
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Affiliation(s)
- Siân Robinson
- MRC Lifecourse Epidemiology Unit (University of Southampton), Southampton General Hospital, Southampton SO16 6YD, UK
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