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Published on: April 28, 2016
From conception to infancy - early risk factors for childhood obesity
Elvira Larqué1, Idoia Labayen2, Carl-Erik Flodmark3,4
1Department of Physiology, University of Murcia, Murcia, Spain.
Insights
Preventing childhood obesity involves healthy maternal nutrition and weight before and during pregnancy. Monitoring infant growth and providing tailored nutritional advice are key for health professionals and public health strategies.
Area of Science:
- Pediatrics
- Public Health
- Nutrition Science
Background:
- Childhood obesity is a growing concern with multifactorial origins.
- Maternal lifestyle, early nutrition, and infant environment significantly influence childhood adiposity.
- Existing predictive models for childhood obesity often lack external validation and vary in considered factors.
Purpose of the Study:
- To review and interpret early determinants of childhood obesity.
- To provide evidence-based strategies for clinical practice and public health initiatives.
- To evaluate prenatal and postnatal factors associated with child adiposity.
Main Methods:
- Systematic review of scientific literature, including original papers and reports.
- Analysis of data on early life factors influencing childhood obesity.
- Evaluation of existing predictive models and their validation.
Main Results:
- Healthy maternal nutrition and optimal weight status before and during pregnancy are crucial.
- Close monitoring of infant growth is essential to identify early excessive weight gain.
- Individualized, scientifically validated nutritional guidance for families is recommended.
Conclusions:
- Early life interventions are critical for preventing childhood obesity.
- Health professionals play a vital role in educating families on nutrition and weight management.
- Public health strategies should focus on promoting healthy maternal and infant environments.
Abstract:
Maternal lifestyle during pregnancy, as well as early nutrition and the environment infants are raised in, are considered relevant factors for the prevention of childhood obesity. Several models are available for the prediction of childhood overweight and obesity, yet most have not been externally validated. Moreover, the factors considered in the models differ among studies as the outcomes manifest after birth and depend on maturation processes that vary between individuals. The current Review examines and interprets data on the early determinants of childhood obesity to provide relevant strategies for daily clinical work. We evaluate a selection of prenatal and postnatal factors associated with child adiposity. Actions to be considered for preventing childhood obesity include the promotion of healthy maternal nutrition and weight status at reproductive age and during pregnancy, as well as careful monitoring of infant growth to detect early excessive weight gain. Paediatricians and other health-care professionals should provide scientifically validated, individual nutritional advice to families to counteract excessive adiposity in children. Based on systematic reviews, original papers and scientific reports, we provide information to help with setting up public health strategies to prevent overweight and obesity in childhood.
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