The effects of pre‐pregnancy BMI and maternal factors on the timing of adiposity rebound in offspring

Objective To assess the effect of pre‐pregnancy body mass index (BMI), gestational weight gain (GWG), and other maternal factors on the timing of adiposity rebound (AR). Methods In this study, 594 mothers (mothers who do not have diabetes and not underweight) from the longitudinal Growth and Obesity...

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Veröffentlicht in:Obesity (Silver Spring, Md.) Md.), 2016-06, Vol.24 (6), p.1313-1319
Hauptverfasser: Linares, Jeannette, Corvalán, Camila, Galleguillos, Bárbara, Kain, Juliana, González, Laura, Uauy, Ricardo, Garmendia, María Luisa, Mericq, Verónica
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container_end_page 1319
container_issue 6
container_start_page 1313
container_title Obesity (Silver Spring, Md.)
container_volume 24
creator Linares, Jeannette
Corvalán, Camila
Galleguillos, Bárbara
Kain, Juliana
González, Laura
Uauy, Ricardo
Garmendia, María Luisa
Mericq, Verónica
description Objective To assess the effect of pre‐pregnancy body mass index (BMI), gestational weight gain (GWG), and other maternal factors on the timing of adiposity rebound (AR). Methods In this study, 594 mothers (mothers who do not have diabetes and not underweight) from the longitudinal Growth and Obesity Chilean Cohort Study self‐reported their weights at the beginning and end of their pregnancies, and their heights were measured. Pre‐pregnancy BMI was categorized as normal weight, overweight, or obesity, and GWG was assessed according to Institute of Medicine guidelines. For children, weight and height measurements from 0 to 3 years were retrieved from records, and they were measured from age 4 to 7 years. BMI curves from 0 to 7 years were used to estimate the age at AR, which was categorized as early (7 years). The associations between pre‐pregnancy BMI and GWG and early AR were tested using logistic regression models. Results In total, 33% of the mothers had excess pre‐pregnancy weight, 31.2% exceeded Institute of Medicine recommendations, and 45% of children had early AR. The pre‐pregnancy BMI and parity were associated with earlier AR (OR = 1.07, 95% CI = 1.02‐1.11; OR = 0.86; 95% CI = 0.74‐0.99, respectively), but GWG was unrelated. Conclusions These results suggest that preventive strategies for promoting normal pre‐pregnancy BMI, especially in women's first pregnancies, could delay the timing of AR, with protective metabolic effects on offspring.
doi_str_mv 10.1002/oby.21490
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Methods In this study, 594 mothers (mothers who do not have diabetes and not underweight) from the longitudinal Growth and Obesity Chilean Cohort Study self‐reported their weights at the beginning and end of their pregnancies, and their heights were measured. Pre‐pregnancy BMI was categorized as normal weight, overweight, or obesity, and GWG was assessed according to Institute of Medicine guidelines. For children, weight and height measurements from 0 to 3 years were retrieved from records, and they were measured from age 4 to 7 years. BMI curves from 0 to 7 years were used to estimate the age at AR, which was categorized as early (&lt;5 years), intermediate (5‐7 years), or late (&gt;7 years). The associations between pre‐pregnancy BMI and GWG and early AR were tested using logistic regression models. Results In total, 33% of the mothers had excess pre‐pregnancy weight, 31.2% exceeded Institute of Medicine recommendations, and 45% of children had early AR. The pre‐pregnancy BMI and parity were associated with earlier AR (OR = 1.07, 95% CI = 1.02‐1.11; OR = 0.86; 95% CI = 0.74‐0.99, respectively), but GWG was unrelated. Conclusions These results suggest that preventive strategies for promoting normal pre‐pregnancy BMI, especially in women's first pregnancies, could delay the timing of AR, with protective metabolic effects on offspring.</description><identifier>ISSN: 1930-7381</identifier><identifier>EISSN: 1930-739X</identifier><identifier>DOI: 10.1002/oby.21490</identifier><identifier>PMID: 27086475</identifier><language>eng</language><publisher>United States: Blackwell Publishing Ltd</publisher><subject>Adiposity ; Age ; Birth Weight ; Body Mass Index ; Breastfeeding &amp; lactation ; Child ; Child, Preschool ; Children &amp; youth ; Cohort Studies ; Diabetes ; Dietitians ; Female ; Health risk assessment ; Humans ; Logistic Models ; Metabolism ; Mothers ; Obesity ; Obesity - metabolism ; Overweight - metabolism ; Pregnancy ; Prenatal Exposure Delayed Effects ; Studies ; Thinness - metabolism ; Weight control ; Weight Gain</subject><ispartof>Obesity (Silver Spring, Md.), 2016-06, Vol.24 (6), p.1313-1319</ispartof><rights>2016 The Obesity Society</rights><rights>2016 The Obesity Society.</rights><rights>Copyright Blackwell Publishing Ltd. 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Methods In this study, 594 mothers (mothers who do not have diabetes and not underweight) from the longitudinal Growth and Obesity Chilean Cohort Study self‐reported their weights at the beginning and end of their pregnancies, and their heights were measured. Pre‐pregnancy BMI was categorized as normal weight, overweight, or obesity, and GWG was assessed according to Institute of Medicine guidelines. For children, weight and height measurements from 0 to 3 years were retrieved from records, and they were measured from age 4 to 7 years. BMI curves from 0 to 7 years were used to estimate the age at AR, which was categorized as early (&lt;5 years), intermediate (5‐7 years), or late (&gt;7 years). The associations between pre‐pregnancy BMI and GWG and early AR were tested using logistic regression models. Results In total, 33% of the mothers had excess pre‐pregnancy weight, 31.2% exceeded Institute of Medicine recommendations, and 45% of children had early AR. The pre‐pregnancy BMI and parity were associated with earlier AR (OR = 1.07, 95% CI = 1.02‐1.11; OR = 0.86; 95% CI = 0.74‐0.99, respectively), but GWG was unrelated. Conclusions These results suggest that preventive strategies for promoting normal pre‐pregnancy BMI, especially in women's first pregnancies, could delay the timing of AR, with protective metabolic effects on offspring.</description><subject>Adiposity</subject><subject>Age</subject><subject>Birth Weight</subject><subject>Body Mass Index</subject><subject>Breastfeeding &amp; lactation</subject><subject>Child</subject><subject>Child, Preschool</subject><subject>Children &amp; youth</subject><subject>Cohort Studies</subject><subject>Diabetes</subject><subject>Dietitians</subject><subject>Female</subject><subject>Health risk assessment</subject><subject>Humans</subject><subject>Logistic Models</subject><subject>Metabolism</subject><subject>Mothers</subject><subject>Obesity</subject><subject>Obesity - metabolism</subject><subject>Overweight - metabolism</subject><subject>Pregnancy</subject><subject>Prenatal Exposure Delayed Effects</subject><subject>Studies</subject><subject>Thinness - metabolism</subject><subject>Weight control</subject><subject>Weight Gain</subject><issn>1930-7381</issn><issn>1930-739X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2016</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp10MtKxDAUBuAgipfRhS8gATe6mPGkqU2yVPEGymwUdFXS9GSstM2YtEh3PoLP6JOYcdSF4CYJ4Ts_nJ-QXQYTBpAcuWKYJCxVsEI2meIwFlw9rP6-JdsgWyE8A6QZHLN1spEIkFkqjjfJ7O4JKVqLpgvUWTr3-PH2Hs9Zq1sz0NPba6rbkja6Q9_qmlptOuejbWkXR7uqqdrZYlKX1dyFqhuox8L1caZq478Ncx_FNlmzug64832PyP3F-d3Z1fhmenl9dnIzNlxKGBcAyvJUCVFKVAlmMtNokDNWQJoUkIEVmhXcpoZrKaxKshI4L1NWCDCo-IgcLHPn3r30GLq8qYLButYtuj7kTKiECyUVj3T_D312_WLHqCSIWCdEOyKHS2W8C8GjzeM-jfZDziBftJ_H9vOv9qPd-07siwbLX_lTdwRHS_Ba1Tj8n5RPTx-XkZ8HiI7A</recordid><startdate>201606</startdate><enddate>201606</enddate><creator>Linares, Jeannette</creator><creator>Corvalán, Camila</creator><creator>Galleguillos, Bárbara</creator><creator>Kain, Juliana</creator><creator>González, Laura</creator><creator>Uauy, Ricardo</creator><creator>Garmendia, María Luisa</creator><creator>Mericq, Verónica</creator><general>Blackwell Publishing Ltd</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>K9.</scope><scope>7X8</scope></search><sort><creationdate>201606</creationdate><title>The effects of pre‐pregnancy BMI and maternal factors on the timing of adiposity rebound in offspring</title><author>Linares, Jeannette ; Corvalán, Camila ; Galleguillos, Bárbara ; Kain, Juliana ; González, Laura ; Uauy, Ricardo ; Garmendia, María Luisa ; Mericq, Verónica</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c3880-b009f34977d8e92e686aece311b042b060f7a1b3f4c3a87f926d033d41b70ce93</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2016</creationdate><topic>Adiposity</topic><topic>Age</topic><topic>Birth Weight</topic><topic>Body Mass Index</topic><topic>Breastfeeding &amp; lactation</topic><topic>Child</topic><topic>Child, Preschool</topic><topic>Children &amp; youth</topic><topic>Cohort Studies</topic><topic>Diabetes</topic><topic>Dietitians</topic><topic>Female</topic><topic>Health risk assessment</topic><topic>Humans</topic><topic>Logistic Models</topic><topic>Metabolism</topic><topic>Mothers</topic><topic>Obesity</topic><topic>Obesity - metabolism</topic><topic>Overweight - metabolism</topic><topic>Pregnancy</topic><topic>Prenatal Exposure Delayed Effects</topic><topic>Studies</topic><topic>Thinness - metabolism</topic><topic>Weight control</topic><topic>Weight Gain</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Linares, Jeannette</creatorcontrib><creatorcontrib>Corvalán, Camila</creatorcontrib><creatorcontrib>Galleguillos, Bárbara</creatorcontrib><creatorcontrib>Kain, Juliana</creatorcontrib><creatorcontrib>González, Laura</creatorcontrib><creatorcontrib>Uauy, Ricardo</creatorcontrib><creatorcontrib>Garmendia, María Luisa</creatorcontrib><creatorcontrib>Mericq, Verónica</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Health &amp; Medical Complete (Alumni)</collection><collection>MEDLINE - Academic</collection><jtitle>Obesity (Silver Spring, Md.)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Linares, Jeannette</au><au>Corvalán, Camila</au><au>Galleguillos, Bárbara</au><au>Kain, Juliana</au><au>González, Laura</au><au>Uauy, Ricardo</au><au>Garmendia, María Luisa</au><au>Mericq, Verónica</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>The effects of pre‐pregnancy BMI and maternal factors on the timing of adiposity rebound in offspring</atitle><jtitle>Obesity (Silver Spring, Md.)</jtitle><addtitle>Obesity (Silver Spring)</addtitle><date>2016-06</date><risdate>2016</risdate><volume>24</volume><issue>6</issue><spage>1313</spage><epage>1319</epage><pages>1313-1319</pages><issn>1930-7381</issn><eissn>1930-739X</eissn><abstract>Objective To assess the effect of pre‐pregnancy body mass index (BMI), gestational weight gain (GWG), and other maternal factors on the timing of adiposity rebound (AR). Methods In this study, 594 mothers (mothers who do not have diabetes and not underweight) from the longitudinal Growth and Obesity Chilean Cohort Study self‐reported their weights at the beginning and end of their pregnancies, and their heights were measured. Pre‐pregnancy BMI was categorized as normal weight, overweight, or obesity, and GWG was assessed according to Institute of Medicine guidelines. For children, weight and height measurements from 0 to 3 years were retrieved from records, and they were measured from age 4 to 7 years. BMI curves from 0 to 7 years were used to estimate the age at AR, which was categorized as early (&lt;5 years), intermediate (5‐7 years), or late (&gt;7 years). The associations between pre‐pregnancy BMI and GWG and early AR were tested using logistic regression models. Results In total, 33% of the mothers had excess pre‐pregnancy weight, 31.2% exceeded Institute of Medicine recommendations, and 45% of children had early AR. The pre‐pregnancy BMI and parity were associated with earlier AR (OR = 1.07, 95% CI = 1.02‐1.11; OR = 0.86; 95% CI = 0.74‐0.99, respectively), but GWG was unrelated. Conclusions These results suggest that preventive strategies for promoting normal pre‐pregnancy BMI, especially in women's first pregnancies, could delay the timing of AR, with protective metabolic effects on offspring.</abstract><cop>United States</cop><pub>Blackwell Publishing Ltd</pub><pmid>27086475</pmid><doi>10.1002/oby.21490</doi><tpages>7</tpages><oa>free_for_read</oa></addata></record>
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source MEDLINE; Wiley Journals; Wiley Online Library (Open Access Collection)
subjects Adiposity
Age
Birth Weight
Body Mass Index
Breastfeeding & lactation
Child
Child, Preschool
Children & youth
Cohort Studies
Diabetes
Dietitians
Female
Health risk assessment
Humans
Logistic Models
Metabolism
Mothers
Obesity
Obesity - metabolism
Overweight - metabolism
Pregnancy
Prenatal Exposure Delayed Effects
Studies
Thinness - metabolism
Weight control
Weight Gain
title The effects of pre‐pregnancy BMI and maternal factors on the timing of adiposity rebound in offspring
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