78731 20201113142451.0 doi 10.1007/s00038-018-1090-x sideral 105451 ART-2018-105451 eng (orcid)0000-0003-4242-5464 Iguacel, I. Universidad de Zaragoza Early life risk factors and their cumulative effects as predictors of overweight in Spanish children 2018 Access copy available to the general public Unrestricted 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. info:eu-repo/grantAgreement/ES/ISCIII/FIS/PI08-0559 info:eu-repo/grantAgreement/ES/ISCIII/FIS/PI13-02359 info:eu-repo/grantAgreement/ES/ISCIII/RD12-0026 info:eu-repo/grantAgreement/ES/MEC/FPU014-00922 info:eu-repo/semantics/openAccess All rights reserved http://www.europeana.eu/rights/rr-f/ 2.373 2018 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH 42 / 162 = 0.259 2018 Q2 T1 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH 69 / 185 = 0.373 2018 Q2 T2 1.024 2018 Public Health, Environmental and Occupational Health 2018 Q1 Health (social science) 2018 Q1 info:eu-repo/semantics/article info:eu-repo/semantics/acceptedVersion Escartín, L. (orcid)0000-0002-4145-5103 Fernández-Alvira, J.M. (orcid)0000-0002-2219-3646 Iglesia, I. Labayen, I. (orcid)0000-0003-0454-653X Moreno, L.A. Universidad de Zaragoza (orcid)0000-0001-5492-3191 Samper, M.P. Universidad de Zaragoza (orcid)0000-0002-7985-9912 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. 1006 255 Universidad de Zaragoza Dpto. Fisiatría y Enfermería Área Enfermería 1010 670 Universidad de Zaragoza Dpto. Pediatría Radiol.Med.Fís Área Pediatría 63, 4 (2018), 501-512 International Journal of Public Health International Journal of Public Health 1661-8556 954279 http://zaguan.unizar.es/record/78731/files/texto_completo.pdf Postprint 81272 http://zaguan.unizar.es/record/78731/files/texto_completo.jpg?subformat=icon icon Postprint oai:zaguan.unizar.es:78731 articulos driver 2020-11-13-14:10:14 ARTICLE