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Updated: Sep 2, 2025

Assessment of Child Anthropometry in a Large Epidemiologic Study
Published on: February 2, 2017
Association of prepregnancy physical activity with obesity in offspring: The Japan Environment and Children's Study
Masahiro Noda1, Satomi Yoshida1, Chihiro Kawakami2
1Department of Pharmacoepidemiology, Graduate School of Medicine and Public Health, Kyoto University, Kyoto, Japan.
Insights
Maternal physical activity before pregnancy did not significantly impact child overweight or obesity at age three. This study found no association between a mother's prepregnancy exercise levels and her child's weight status.
Area of Science:
- Pediatrics
- Public Health
- Epidemiology
Background:
- Childhood overweight and obesity are significant public health concerns.
- Maternal lifestyle factors during pregnancy may influence offspring's long-term health.
- Understanding the role of prepregnancy physical activity is crucial for preventative strategies.
Purpose of the Study:
- To examine the association between maternal prepregnancy physical activity (PA) levels and the risk of overweight/obesity in 3-year-old children.
- To identify potential correlations that could inform public health interventions.
- To contribute to the understanding of early life determinants of child weight status.
Main Methods:
- Utilized data from the Japan Environment and Children's Study, a large birth cohort.
- Maternal prepregnancy physical activity was assessed using the International Physical Activity Questionnaire (IPAQ) and categorized.
- Univariable and multivariable logistic regression analyses were performed to determine associations.
Main Results:
- A large cohort of 65,245 participants was analyzed.
- No statistically significant association was found between maternal prepregnancy physical activity levels (low, moderate, high) and child overweight/obesity or obesity at age three.
- Adjusted odds ratios for overweight/obesity and obesity showed no significant increase across different maternal PA groups.
Conclusions:
- Maternal prepregnancy physical activity levels were not found to be associated with overweight/obesity or obesity in their 3-year-old children.
- These findings suggest that prepregnancy exercise, as measured, may not be a primary determinant of early childhood weight status.
- Further research may explore other maternal or environmental factors influencing child weight.
Objective:
The aim of this study was to investigate the association between maternal prepregnancy physical activity (PA) and overweight/obesity in 3-year-old children.
Methods:
Using data from the Japan Environment and Children's Study (a birth cohort study), maternal prepregnancy PA was categorized into low, moderate, and high with the International Physical Activity Questionnaire (IPAQ). The reference group was defined as children born to mothers with moderate PA. The association between prepregnancy PA and overweight/obesity or obesity in children was investigated using univariable and multivariable logistic regression analyses.
Results:
Of the 65,245 participants, 48.7%, 32.7%, and 18.6% were born to mothers in the low, moderate, and high PA groups, respectively. Furthermore, 24.9%, 24.6%, and 25.9% of children with overweight/obesity and 9.4%, 9.2%, and 10.4% of children with obesity were born to mothers in the low, moderate, and high PA groups, respectively. The adjusted odds ratios for overweight/obesity in the low and high PA groups were 1.02 (95% CI: 0.98-1.06) and 1.04 (95% CI: 0.98-1.09), and those for obesity were 1.03 (95% CI: 0.97-1.09) and 1.08 (95% CI: 0.99-1.16), respectively.
Conclusions:
Maternal prepregnancy PA was not associated with overweight/obesity or obesity in 3-year-old children.
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