Impact of parental lifestyle patterns in the preconception and pregnancy periods on childhood obesity
IntroductionHigh prevalence of overweight and obesity already observed in preschool children suggests the involvement of early-life risk factors. Preconception period and pregnancy are crucial windows for the implementation of child obesity prevention interventions with parental lifestyle factors as...
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| Format: | Article |
| Language: | English |
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Frontiers Media S.A.
2023-05-01
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| Series: | Frontiers in Nutrition |
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| Online Access: | https://www.frontiersin.org/articles/10.3389/fnut.2023.1166981/full |
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| author | Marion Lecorguillé Mireille C. Schipper Aisling O’Donnell Adrien M. Aubert Muriel Tafflet Malamine Gassama Alexander Douglass James R. Hébert James R. Hébert Blandine de Lauzon-Guillain Cecily Kelleher Marie-Aline Charles Marie-Aline Charles Catherine M. Phillips Romy Gaillard Sandrine Lioret Barbara Heude |
| author_facet | Marion Lecorguillé Mireille C. Schipper Aisling O’Donnell Adrien M. Aubert Muriel Tafflet Malamine Gassama Alexander Douglass James R. Hébert James R. Hébert Blandine de Lauzon-Guillain Cecily Kelleher Marie-Aline Charles Marie-Aline Charles Catherine M. Phillips Romy Gaillard Sandrine Lioret Barbara Heude |
| author_sort | Marion Lecorguillé |
| collection | DOAJ |
| description | IntroductionHigh prevalence of overweight and obesity already observed in preschool children suggests the involvement of early-life risk factors. Preconception period and pregnancy are crucial windows for the implementation of child obesity prevention interventions with parental lifestyle factors as relevant targets. So far, most studies have evaluated their role separately, with only a few having investigated their potential synergistic effect on childhood obesity. Our objective was to investigate parental lifestyle patterns in the preconception and pregnancy periods and their association with the risk of child overweight after 5 years.Materials and methodsWe harmonized and interpreted results from four European mother-offspring cohorts participating in the EndObesity Consortium [EDEN, France; Elfe, France; Lifeways, Ireland; and Generation R, Netherlands] with data available for 1,900, 18,000, 1,100, and 9,500 families, respectively. Lifestyle factors were collected using questionnaires and included parental smoking, body mass index (BMI), gestational weight gain, diet, physical activity, and sedentary behavior. We applied principal component analyses to identify parental lifestyle patterns in preconception and pregnancy. Their association with risk of overweight (including obesity; OW-OB) and BMI z-scores between 5 and 12 years were assessed using cohort-specific multivariable logistic and linear and regression models (adjusted for potential confounders including parental age, education level, employment status, geographic origin, parity, and household income).ResultsAmong the various lifestyle patterns derived in all cohorts, the two explaining the most variance were characterized by (1) “high parental smoking, low maternal diet quality (and high maternal sedentary behavior in some cohorts)” and, (2) “high parental BMI and low gestational weight gain.” Patterns characterized by high parental BMI, smoking, low diet quality or high sedentary lifestyle before or during pregnancy were associated with higher risk of OW-OB in children, and BMI z-score at any age, with consistent strengths of associations in the main cohorts, except for lifeways.ConclusionThis project provides insight into how combined parental lifestyle factors in the preconception and pregnancy periods are associated with the future risk of child obesity. These findings are valuable to inform family-based and multi-behavioural child obesity prevention strategies in early life. |
| first_indexed | 2024-03-13T10:33:48Z |
| format | Article |
| id | doaj.art-2a4086be8e654e5fa1272e0c584ae2df |
| institution | Directory Open Access Journal |
| issn | 2296-861X |
| language | English |
| last_indexed | 2024-03-13T10:33:48Z |
| publishDate | 2023-05-01 |
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| record_format | Article |
| series | Frontiers in Nutrition |
| spelling | doaj.art-2a4086be8e654e5fa1272e0c584ae2df2023-05-18T07:45:22ZengFrontiers Media S.A.Frontiers in Nutrition2296-861X2023-05-011010.3389/fnut.2023.11669811166981Impact of parental lifestyle patterns in the preconception and pregnancy periods on childhood obesityMarion Lecorguillé0Mireille C. Schipper1Aisling O’Donnell2Adrien M. Aubert3Muriel Tafflet4Malamine Gassama5Alexander Douglass6James R. Hébert7James R. Hébert8Blandine de Lauzon-Guillain9Cecily Kelleher10Marie-Aline Charles11Marie-Aline Charles12Catherine M. Phillips13Romy Gaillard14Sandrine Lioret15Barbara Heude16Université Paris Cité and Université Sorbonne Paris Nord, Inserm, INRAE, Center for Research in Epidemiology and StatisticS (CRESS), Paris, FranceThe Generation R Study Group (Na 29-15), Erasmus University Medical Center, CA, Rotterdam, NetherlandsSchool of Public Health, Physiotherapy and Sports Science, University College Dublin, Dublin, IrelandSchool of Public Health, Physiotherapy and Sports Science, University College Dublin, Dublin, IrelandUniversité Paris Cité and Université Sorbonne Paris Nord, Inserm, INRAE, Center for Research in Epidemiology and StatisticS (CRESS), Paris, FranceIned, Inserm, EFS, Joint Unit Elfe, Aubervilliers, FranceSchool of Public Health, Physiotherapy and Sports Science, University College Dublin, Dublin, IrelandCancer Prevention and Control Program and Department of Epidemiology and Biostatistics, Arnold School of Public Health, University of South Carolina, Columbia, SC, United StatesDepartment of Nutrition, Connecting Health Innovations, LLC, Columbia, SC, United StatesUniversité Paris Cité and Université Sorbonne Paris Nord, Inserm, INRAE, Center for Research in Epidemiology and StatisticS (CRESS), Paris, FranceSchool of Public Health, Physiotherapy and Sports Science, University College Dublin, Dublin, IrelandUniversité Paris Cité and Université Sorbonne Paris Nord, Inserm, INRAE, Center for Research in Epidemiology and StatisticS (CRESS), Paris, FranceIned, Inserm, EFS, Joint Unit Elfe, Aubervilliers, FranceSchool of Public Health, Physiotherapy and Sports Science, University College Dublin, Dublin, IrelandThe Generation R Study Group (Na 29-15), Erasmus University Medical Center, CA, Rotterdam, NetherlandsUniversité Paris Cité and Université Sorbonne Paris Nord, Inserm, INRAE, Center for Research in Epidemiology and StatisticS (CRESS), Paris, FranceUniversité Paris Cité and Université Sorbonne Paris Nord, Inserm, INRAE, Center for Research in Epidemiology and StatisticS (CRESS), Paris, FranceIntroductionHigh prevalence of overweight and obesity already observed in preschool children suggests the involvement of early-life risk factors. Preconception period and pregnancy are crucial windows for the implementation of child obesity prevention interventions with parental lifestyle factors as relevant targets. So far, most studies have evaluated their role separately, with only a few having investigated their potential synergistic effect on childhood obesity. Our objective was to investigate parental lifestyle patterns in the preconception and pregnancy periods and their association with the risk of child overweight after 5 years.Materials and methodsWe harmonized and interpreted results from four European mother-offspring cohorts participating in the EndObesity Consortium [EDEN, France; Elfe, France; Lifeways, Ireland; and Generation R, Netherlands] with data available for 1,900, 18,000, 1,100, and 9,500 families, respectively. Lifestyle factors were collected using questionnaires and included parental smoking, body mass index (BMI), gestational weight gain, diet, physical activity, and sedentary behavior. We applied principal component analyses to identify parental lifestyle patterns in preconception and pregnancy. Their association with risk of overweight (including obesity; OW-OB) and BMI z-scores between 5 and 12 years were assessed using cohort-specific multivariable logistic and linear and regression models (adjusted for potential confounders including parental age, education level, employment status, geographic origin, parity, and household income).ResultsAmong the various lifestyle patterns derived in all cohorts, the two explaining the most variance were characterized by (1) “high parental smoking, low maternal diet quality (and high maternal sedentary behavior in some cohorts)” and, (2) “high parental BMI and low gestational weight gain.” Patterns characterized by high parental BMI, smoking, low diet quality or high sedentary lifestyle before or during pregnancy were associated with higher risk of OW-OB in children, and BMI z-score at any age, with consistent strengths of associations in the main cohorts, except for lifeways.ConclusionThis project provides insight into how combined parental lifestyle factors in the preconception and pregnancy periods are associated with the future risk of child obesity. These findings are valuable to inform family-based and multi-behavioural child obesity prevention strategies in early life.https://www.frontiersin.org/articles/10.3389/fnut.2023.1166981/full1,000 daysparental lifestyle patternspreconceptionchildhood obesityparental dietparental physical activity |
| spellingShingle | Marion Lecorguillé Mireille C. Schipper Aisling O’Donnell Adrien M. Aubert Muriel Tafflet Malamine Gassama Alexander Douglass James R. Hébert James R. Hébert Blandine de Lauzon-Guillain Cecily Kelleher Marie-Aline Charles Marie-Aline Charles Catherine M. Phillips Romy Gaillard Sandrine Lioret Barbara Heude Impact of parental lifestyle patterns in the preconception and pregnancy periods on childhood obesity Frontiers in Nutrition 1,000 days parental lifestyle patterns preconception childhood obesity parental diet parental physical activity |
| title | Impact of parental lifestyle patterns in the preconception and pregnancy periods on childhood obesity |
| title_full | Impact of parental lifestyle patterns in the preconception and pregnancy periods on childhood obesity |
| title_fullStr | Impact of parental lifestyle patterns in the preconception and pregnancy periods on childhood obesity |
| title_full_unstemmed | Impact of parental lifestyle patterns in the preconception and pregnancy periods on childhood obesity |
| title_short | Impact of parental lifestyle patterns in the preconception and pregnancy periods on childhood obesity |
| title_sort | impact of parental lifestyle patterns in the preconception and pregnancy periods on childhood obesity |
| topic | 1,000 days parental lifestyle patterns preconception childhood obesity parental diet parental physical activity |
| url | https://www.frontiersin.org/articles/10.3389/fnut.2023.1166981/full |
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