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Maternal pre-pregnancy obesity and childhood physical and cognitive development of children: a systematic review
A A Adane1, G D Mishra1, L R Tooth1
1School of Public Health, Faculty of Medicine and Biomedical Sciences,the University of Queensland, Brisbane, Queensland, Australia.
Insights
Maternal obesity may negatively impact children's cognitive development. Evidence for effects on physical development is limited, requiring further research to clarify causal links and confounding factors.
Area of Science:
- Pediatrics
- Public Health
- Developmental Psychology
Background:
- Maternal obesity is a significant public health issue linked to adverse birth outcomes.
- Emerging research on maternal obesity's impact on child development shows inconsistent findings.
- Systematic review needed to clarify the association between maternal obesity and child development.
Purpose of the Study:
- To systematically review existing evidence on the role of maternal obesity in children's physical and cognitive development.
- To synthesize findings from studies examining maternal pre-pregnancy body mass index and child outcomes.
- To identify gaps in the current research landscape.
Main Methods:
- Searched CINAHL, EMBASE, PSYCINFO, PUBMED, and SCOPUS databases.
- Included studies focusing on children (≤12 years) with physical/cognitive development outcomes and maternal pre-pregnancy BMI as exposure.
- Two independent reviewers extracted and evaluated data quality.
Main Results:
- 17 articles were included; 10 were US-based birth cohorts.
- Nine of 14 studies indicated an adverse association between maternal obesity and cognitive development.
- Some studies showed negative associations with gross motor function, but not fine motor function.
Conclusions:
- Intrauterine exposure to maternal pre-pregnancy obesity appears detrimental to children's cognitive development.
- Evidence regarding maternal obesity's impact on physical development is insufficient for conclusions.
- Further research is necessary to distinguish intrauterine effects from confounding factors.
Objective:
Maternal obesity, usually associated with the adverse birth outcomes, has been a serious public health concern. Studies examining its effect on the physical and cognitive development of children have only recently emerged and the findings are inconsistent. This review aimed to systematically examine the role of maternal obesity on children's physical and cognitive development using the available evidence.
Methods:
The CINAHL, EMBASE, PSYCINFO, PUBMED and SCOPUS databases were searched. Studies addressing children's (⩽12 years) physical and cognitive development as outcome and maternal pre-pregnancy body mass index as an exposure were included. Data were extracted and evaluated for quality by two independent reviewers.
Results:
A total of 17 articles were eligible for this systematic review; 10 of them were birth cohorts from the USA. Nine of the 14 studies supported an adverse association between maternal pre-pregnancy obesity and childhood cognitive development. A few studies also demonstrated a negative association between the maternal obesity and gross motor function in children (5 of 10), but not with fine motor function (none out of five studies). Whether the observed negative association between the maternal obesity and children's cognitive and gross motor abilities is casual or due to residual confounding effects is unclear. The current evidence is based on a limited number of studies with heterogeneous measurement scales and obesity definition.
Conclusions:
From the available evidence, it seems that exposure to maternal pre-pregnancy obesity in the intrauterine environment has a detrimental effect on children's cognitive development. However, evidence of the association between the maternal obesity and physical development of children is too scarce to offer a conclusion. More research work is required to delineate the intrauterine effect of the maternal obesity from the residual confounding effects.
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