Early life risk factors and their cumulative effects as predictors of overweight in Spanish children

Iguacel, I. (Universidad de Zaragoza) ; Escartín, L. ; Fernández-Alvira, J.M. ; Iglesia, I. ; Labayen, I. ; Moreno, L.A. (Universidad de Zaragoza) ; Samper, M.P. (Universidad de Zaragoza) ; Rodríguez, G. (Universidad de Zaragoza) ; Herrero, D.A. ; Lorente, R.A. ; Otazu, M.J.Á. ; Sauras, M.L.Á. ; Navarro, T.A. ; Melendo, E.A. ; Casas, A.A. ; Clemos, C.B. ; Ledesma, M.V.B. ; Lalanza, M.L.B. ; Soler, T.B. ; Pérez-Aramendia, M.J.B. ; Cosculluela, P.B. ; Bravo, M.J.C. ; Raginal, R.C. ; Gimeno, M.I.C. ; Guerrero, T.C. ; Abadía, M.B.C. ; Mainar, M.C.C. ; Arenaz, M.D. ; Mayoral, L.C.E. ; Herréiz, C.E. ; Polo, Á.F. ; de Vargas Pastor, J.F. ; Pérez, M.T.F. ; Catalá, M.D.F. ; Domínguez, A.F. ; Fernández-Espinar, J.F. ; Rico, J.G. ; Sánchez-Ventura, J.G. ; Pérez, M.G. ; Sánchez, N.G. ; Vera, C.G. ; Moreno, A.-L.G. ; Gajón, M.A.G. ; Molina, C.J. ; Trevijano, B.K. ; Ara, M.L.L. ; Puértolas, M.J.L. ; Josa, M.P.L. ; Casamayor, E.L. ; Velillas, J.J.L. ; Gracia, M.ª.I.L. ; Botalla, R.M. ; Olloqui, M.M. ; Ibáñez, M.P.M. ; Bueno, J.L.M. ; Espligares, L.M. ; Gil, J.M.M. ; Hernández, I.M. ; Cosa, M.M. ; Aznar, L.A.M. ; Campos, A.I.M. ; Jalle, E.M. ; Serrano, E.M.N. ; Martínez, L.C.P. ; Fuentes, J.A.P. ; García, C.P. ; Del Val, P.P. ; Cuerpo, M.V.R. ; Pastora, R.R. ; Villagrasa, P.S. ; Gimeno, J.S. ; Zapater, A.S. ; Bonel, M.F.S. ; Bascuas, M.T.S. ; Jiménez ; Viamonte, M.C.V. ; Germes, G.Z.

Resumen: Objectives: To explore early life risk factors of overweight/obesity at age 6 years and their cumulative effects on overweight/obesity at ages 2, 4 and 6 years.
Methods: Altogether 1031 Spanish children were evaluated at birth and during a 6-year follow-up. Early life risk factors included: parental overweight/obesity, parental origin/ethnicity, maternal smoking during pregnancy, gestational weight gain, gestational age, birth weight, caesarean section, breastfeeding practices and rapid infant weight gain collected via hospital records. Cumulative effects were assessed by adding up those early risk factors that significantly increased the risk of overweight/obesity. We conducted binary logistic regression models.
Results: Rapid infant weight gain (OR 2.29, 99% CI 1.54–3.42), maternal overweight/obesity (OR 1.93, 99% CI 1.27–2.92), paternal overweight/obesity (OR 2.17, 99% CI 1.44–3.28), Latin American/Roma origin (OR 3.20, 99% CI 1.60–6.39) and smoking during pregnancy (OR 1.61, 99% CI 1.01–2.59) remained significant after adjusting for confounders. A higher number of early life risk factors accumulated was associated with overweight/obesity at age 6 years but not at age 2 and 4 years.
Conclusions: Rapid infant weight gain, parental overweight/obesity, maternal smoking and origin/ethnicity predict childhood overweight/obesity and present cumulative effects. Monitoring children with rapid weight gain and supporting a healthy parental weight are important for childhood obesity prevention.

Idioma: Inglés

DOI: 10.1007/s00038-018-1090-x

Año: 2018

Publicado en: International Journal of Public Health 63, 4 (2018), 501-512
ISSN: 1661-8556

Factor impacto JCR: 2.373 (2018)

Categ. JCR: PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH rank: 42 / 162 = 0.259 (2018) - Q2 - T1
Categ. JCR: PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH rank: 69 / 185 = 0.373 (2018) - Q2 - T2

Factor impacto SCIMAGO: 1.024 - Public Health, Environmental and Occupational Health (Q1) - Health (social science) (Q1)

Financiación: info:eu-repo/grantAgreement/ES/ISCIII/FIS/PI08-0559
Financiación: info:eu-repo/grantAgreement/ES/ISCIII/FIS/PI13-02359
Financiación: info:eu-repo/grantAgreement/ES/ISCIII/RD12-0026
Financiación: info:eu-repo/grantAgreement/ES/MEC/FPU014-00922

Tipo y forma: Artículo (PostPrint)

Área (Departamento): Área Enfermería (Dpto. Fisiatría y Enfermería)
Área (Departamento): Área Pediatría (Dpto. Pediatría Radiol.Med.Fís)