Perinatal and family factors associated with preadolescence overweight/obesity in Greece: the GRECO study

Grigoris Risvas, Ivi Papaioannou, Demosthenes B Panagiotakos, Paul Farajian, Vasiliki Bountziouka, Antonis Zampelas, Grigoris Risvas, Ivi Papaioannou, Demosthenes B Panagiotakos, Paul Farajian, Vasiliki Bountziouka, Antonis Zampelas

Abstract

Objective: To explore associations of perinatal and family factors with preadolescence overweight and obesity in a sample of Greek schoolchildren.

Methods: A nationwide cross-sectional study among 2093 students (10.9 ± 0.72 years, 44.9% boys) and their parents were conducted. Anthropometric (e.g., height, weight, mother's body mass index (BMI) at the time of the study and at conception), socio-demographic (e.g., age, education, socio-economic status), diet and other major lifestyle characteristics (e.g., smoking, alcohol intake, physical activity and inactivity) and perinatal factors (e.g., breast- and formula-feeding) were collected with validated questionnaires. Height and weight of students were measured. Overweight/obesity was classified using IOTF cut-offs. Multivariable logistic and linear regression analyses were used to identify major independent factors of overweight/obesity among preadolescents and factors related with the percentage change of mother's BMI, respectively.

Results: Increased age at pregnancy [odds ratios (OR)=0.95, 95% Confidence Interval (CI): 0.93-0.97], higher BMI at conception (OR=1.17, 95% CI: 1.12-1.22) and heavy smoking (OR = 2.02, 95% CI: 1.23-3.33) were positively associated with child's overweight/obesity status. Moreover, mother's age and TV viewing, indicating inactivity, were the strongest factors of the percentage increase in mother's BMI (b ± se = 0.23 ± 0.07, p = 0.002; b ± se=0.32 ± 0.10, p = 0.002, respectively).

Conclusions: Preadolescent obesity is associated with mother's pre-pregnancy weight, age and heavy smoking at conception and mother's BMI change after gestation.

Keywords: Adolescence; Obesity; Pre- and post-natal factors.

Copyright © 2012 Ministry of Health, Saudi Arabia. Published by Elsevier Ltd. All rights reserved.

References

    1. Lobstein T, Baur L, Uauy R. IASO international obesity task force. Obesity in children and young people: a crisis in public health. Obes Rev. 2004;5:4–85.
    1. Magkos F, Manios Y, Christakis G, Kafatos AG. Age-dependent changes in body size of Greek boys from 1982 to 2002. Obesity (Silver Spring) 2006;14:289–94.
    1. Farajian P, Risvas G, Karasouli K, Pounis GD, Kastorini CM, Panagiotakos DB, et al. Very high childhood obesity prevalence and low adherence rates to the Mediterranean diet in Greek children: the GRECO study. Atherosclerosis. 2011 doi: 10.1016/j.atherosclerosis.2011.04.003. [Epub ahead of print]
    1. Singh AS, Mulder C, Twisk JW, van Mechelen W, Chinapaw MJ. Tracking of childhood overweight into adulthood: a systematic review of the literature. Obes Rev. 2008;9:474–88.
    1. Barker DJ. Fetal origins of coronary heart disease. BMJ. 1995;311:171–4.
    1. Barker DJ, Eriksson JG, Forsén T, Osmond C. Fetal origins of adult disease: strength of effects and biological basis. Int J Epidemiol. 2002;31:1235–9. doi: 10.1093/ije/31.6.1235.
    1. Whitaker RC. Predicting preschooler obesity at birth: the role of maternal obesity in early pregnancy. Pediatrics. 2004;114:29–36. doi: 10.1542/peds.114.1.e29.
    1. Kuhle S, Allen AC, Veugelers PJ. Perinatal and childhood risk factors for overweight in a provincial sample of Canadian Grade 5 students. Int J Pediatr Obes. 2009;28:1–9. doi: 10.1080/17477160903060028.
    1. Oken E, Rifas-Shiman SL, Field AE, Frazier AL, Gillman MW. Maternal gestational weight gain and offspring weight in adolescence. Obstet Gynecol. 2008;112:999–1006. doi: 10.1097/aog.0b013e31818a5d50.
    1. O’Leary CM, Nassar N, Kurinczuk JJ, Bower C. The effect of maternal alcohol consumption on fetal growth and preterm birth. BJOG. 2009;116:390–400. doi: 10.1111/j.1471-0528.2008.02058.x.
    1. Eisenhauer E, Uddin DE, Albers P, Paton S, Stoughton RL. Establishment of a Low Birth Weight Registry and Initial Outcomes. Matern Child Health J. 2005 doi: 10.1007/s10995-009-0540-8.
    1. Gorog K, Pattenden S, Antova T, Niciu E, Rudnai P, Scholtens S, et al. Maternal Smoking During Pregnancy and Childhood Obesity: Results from the CESAR Study. Matern Child Health J. 2005 doi: 10.1007/s10995-009-0543-5.
    1. Oken E, Levitan EB, Gillman MW. Maternal smoking during pregnancy and child overweight: systematic review and meta-analysis. Int J Obes (Lond) 2008;32:201–10. doi: 10.1038/sj.ijo.0803760.
    1. Power C, Jefferis BJ. Fetal environment and subsequent obesity: a study of maternal smoking. Int J Epidemiol. 2002;31:413–9.
    1. von Kries R, Toschke AM, Koletzko B, Slikker W., Jr. Maternal smoking during pregnancy and childhood obesity. Am J Epidemiol. 2002;156:954–61. doi: 10.1007/s00431-002-0983-z.
    1. Gilman SE, Gardener H, Buka SL. Maternal smoking during pregnancy and children’s cognitive and physical development: a causal risk factor? Am J Epidemiol. 2008;168:522–31. doi: 10.1093/aje/kwn175.
    1. Toschke AM, Montgomery SM, Pfeiffer U, von Kries R. Early intrauterine exposure to tobacco-inhaled products and obesity. Am J Epidemiol. 2003;158:1068–74. doi: 10.1093/aje/kwg258.
    1. CARE Study Group Maternal caffeine intake during pregnancy and risk of fetal growth restriction: a large prospective observational study. BMJ. 2008;337:a2332. doi: 10.1136/bmj.a2332.
    1. Gillman MW, Rifas-Shiman S, Berkey CS, Field AE, Colditz GA. Maternal gestational diabetes, birth weight, and adolescent obesity. Pediatrics. 2003;111:e221–6. doi: 10.1542/peds.111.3.e221.
    1. Parsons TJ, Power C, Manor O. Fetal and early life growth and body mass index from birth to early adulthood in 1958 British cohort: longitudinal study. BMJ. 2001;323:1331–5. doi: 10.1136/bmj.323.7325.1331.
    1. Arenz S, Rückerl R, Koletzko B, von Kries R. Breast-feeding and childhood obesity – a systematic review. Int J Obes Relat Metab Disord. 2004;28:1247–56. doi: 10.1038/sj.ijo.0802758.
    1. Michels KB, Willett WC, Graubard BI, Vaidya RL, Cantwell MM, Sansbury LB, et al. A longitudinal study of infant feeding and obesity throughout life course. Int J Obes (Lond) 2007;31:1078–85. doi: 10.1038/sj.ijo.0803622.
    1. Heude B, Kettaneh A, Rakotovao R, Bresson JL, Borys JM, Ducimetiere P, et al. Anthropometric relationships between parents and children throughout childhood: the Fleurbaix–Laventie Ville Santé Study. Int J Obes (Lond) 2005;29:1222–9. doi: 10.1038/sj.ijo.0802920.
    1. Moschonis G, Grammatikaki E, Manios Y. Perinatal predictors of overweight at infancy and preschool childhood: the GENESIS study. Int J Obes (Lond) 2008;32:39–47. doi: 10.1038/sj.ijo.0803764.
    1. Panagiotakos DB, Papadimitriou A, Anthracopoulos MB, Konstantinidou M, Antonogeorgos G, Fretzayas A, et al. Birth weight, breast-feeding, parental weight and prevalence of obesity in schoolchildren aged 10–12 years, in Greece; the physical activity, nutrition and allergies in children examined in Athens (PANACEA) study. Pediatr Int. 2008;50:563–8. doi: 10.1111/j.1442-200x.2008.02612.x.
    1. Cole TJ, Bellizzi MC, Flegal KM, Dietz WH. Establishing a standard definition for child overweight and obesity worldwide: international survey. BMJ. 2000;320:1240–3. doi: 10.1136/bmj.320.7244.1240.
    1. Farajian P, Karasouli K, Risvas G, Panagiotakos DB, Zampelas A. Repeatability and validity of a food frequency and dietary habits questionnaire in children. Circulation. 2009;119:e288.
    1. Serra-Majem L, Ribas L, Ngo J, Ortega R, Garcia A, Perez C, et al. Food, youth and the Mediterranean diet in Spain. Development of KIDMED, Mediterranean diet quality index in children and adolescents. Public Health Nutr. 2004;7:931–5. doi: 10.1079/phn2004556.
    1. Kowalski KC, Crocker PRE, Faulkner RA. Validation of the physical activity questionnaire for older children. Pediatr Exerc Sci. 2007;9:174–86.
    1. Panagiotakos DB, Pitsavos C, Arvaniti F, Stefanadis C. Adherence to the Mediterranean food pattern predicts the prevalence of hypertension, hypercholesterolemia, diabetes and obesity, among healthy adults; the accuracy of the MedDietScore. Prev Med. 2005;44:335–40. doi: 10.1016/j.ypmed.2006.12.009.

Source: PubMed

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