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Published on: November 1, 2019
Role of developmental overnutrition in pediatric obesity and type 2 diabetes
Dana Dabelea1, Curtis S Harrod
1Department of Epidemiology, Colorado School of Public Health, University of Colorado Denver, Aurora, Colorado, USA.
Insights
Childhood obesity and type 2 diabetes are rising public health issues. Evidence suggests a transgenerational cycle, influenced by intrauterine and postnatal factors, perpetuates these conditions across generations.
Area of Science:
- Public Health
- Endocrinology
- Pediatrics
Background:
- Childhood obesity represents a major global health challenge.
- Increasing rates of type 2 diabetes in children are a growing concern.
- Understanding the origins of these conditions is critical for effective intervention.
Purpose of the Study:
- To review evidence on intrauterine and postnatal factors contributing to childhood obesity and type 2 diabetes.
- To explore the concept of a transgenerational cycle of obesity and diabetes.
- To discuss the public health implications and future research directions.
Main Methods:
- Literature review of empirical evidence.
- Analysis of pathways influencing offspring adiposity and metabolic risk.
- Synthesis of findings related to intergenerational transmission of disease risk.
Main Results:
- Evidence supports intrauterine and postnatal factors increasing offspring obesity risk.
- A transgenerational vicious cycle linking parental and offspring obesity/diabetes is identified.
- These cycles contribute significantly to current epidemic levels of obesity and type 2 diabetes.
Conclusions:
- Intergenerational factors play a substantial role in the obesity and type 2 diabetes epidemics.
- Addressing these transgenerational pathways is crucial for public health strategies.
- Further research is needed to elucidate and interrupt these cycles.
Abstract:
Childhood obesity continues to be a significant public health burden. Empirical evidence has begun to identify intrauterine and postnatal pathways that increase the likelihood of excess adiposity and increased risk of type 2 diabetes among offspring. Reviewed here is the evidence supporting a transgenerational vicious cycle that increases obesity and diabetes in offspring and contributes substantially to the increases in obesity and type 2 diabetes observed over the past several decades. The public health impact of these findings is discussed and future research opportunities are outlined.
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