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Updated: Mar 31, 2026

Assessment of Child Anthropometry in a Large Epidemiologic Study
Published on: February 2, 2017
Childhood obesity: a (re) programming disease?
S T Paes1, C F Gonçalves1, M M Terra1
11Universidade Federal de Juiz de Fora,Juiz de Fora,MG,Brasil.
Insights
Early life metabolic programming, influenced by nutrition and exercise, significantly impacts childhood obesity development. Environmental factors during pregnancy and childhood play a crucial role in epigenetic modifications related to obesity.
Area of Science:
- Pediatrics
- Metabolic Health
- Epigenetics
Background:
- Childhood obesity is a growing global health concern.
- Metabolic (re)programming is increasingly recognized as a key factor in obesity development.
- Epigenetic modifications are proposed mechanisms linking early life exposures to long-term metabolic health.
Purpose of the Study:
- To review current literature on the effects of metabolic (re)programming on childhood obesity.
- To analyze international findings on the role of epigenetics in childhood obesity.
- To provide a theoretical basis for understanding early life influences on obesity.
Main Methods:
- Systematic literature search of PubMed/MEDLINE databases (June-August 2014).
- Keywords used: children obesity, epigenetic, metabolic programming, exercise, nutrition.
- Inclusion/exclusion criteria applied to 132 eligible abstracts, resulting in 50 selected studies.
Main Results:
- Most studies linked obesity development and treatment to epigenetically stimulated metabolic programming.
- Early life exposures, including nutrition and exercise, were associated with altered metabolic behavior.
- These epigenetic changes can occur during pregnancy and childhood, potentially delaying or initiating obesity.
Conclusions:
- Childhood obesity development is strongly linked to metabolic programming influenced by early environmental factors.
- Epigenetic mechanisms mediate the impact of nutrition and exercise on obesogenic metabolic behavior.
- Understanding these early programming effects is crucial for childhood obesity prevention and treatment strategies.
Abstract:
The aim of our article was to review the current literature on the effects of metabolic (re) programming on childhood obesity. PubMed/MEDLINE was the data source used to track the studies. Descriptors applied: children obesity, epigenetic, metabolic programming, exercise and nutrition. The focus was to analyze and discuss the international findings on the theme. The gathering of the papers was performed between June and August 2014. The search of articles with the descriptors used found 33.054 studies. In all, 5.709 studies were selected by crossing chosen keywords. Among these, after careful reading of the titles, 712 papers were considered potential as references. After applying inclusion/exclusion criteria, 50 studies were selected from 132 eligible abstracts. Most studies linked the development and treatment of obesity from epigenetically stimulated metabolic programming during the early stages of pregnancy and life. This review provides theoretical basis to the understanding that the programmed development of childhood obesity may be linked to early exposure to environmental factors, such as (nutrition and regular practice of exercise) and stimulus can epigenetically alter the modulation of the obesogenic metabolic behavior during pregnancy and the developmental stages of children and/or postpone the pathophysiologic disease stage to adulthood.
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