Biopsychosocial predictors of rapid weight gain from birth to 6 months

IF 2.7 3区医学 Q1 PEDIATRICS

Pediatric Obesity Pub Date : 2024-08-29 DOI:10.1111/ijpo.13170

Esther M. Leerkes, Cheryl Buehler, Laurie Wideman, Yu Chen, Lenka H. Shriver

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引用次数: 0

Abstract

Background

Childhood obesity remains a public health crisis and identification of unique prenatal and early infancy predictors of obesity risk are critically needed.

Objectives

We test a comprehensive biopsychosocial model of the predictors of rapid weight gain (RWG) in the first 6 months of life.

Methods

Two hundred and ninety nine pregnant women and their infants participated. Maternal prenatal psychobiological risk (PPBR) was assessed during the third trimester via maternal anthropometrics, serum biomarkers (insulin, leptin, adiponectin), and maternal report of pregnancy complications, substance use, mental health and stress. Infant stress reactivity was measured at 2 months (cortisol output, resting RSA, observed irritability, negative emotionality). At 2 and 6 months, maternal self-report of obesogenic feeding practices and observed maternal sensitivity during three tasks were collected. RWG was classified based on change in weight-for-age z scores from birth to 6 months (>0.67 SD).

Results

Obesogenic feeding practices predicted greater likelihood of RWG, β = 0.30, p = .0.01, independent of other predictors and covariates. Obesogenic feeding practices was the only proposed intervening mechanism that produced a significant indirect effect of PPBR on RWG, b = 0.05, S.E. = 0.04, 95% CI [0.002, 0.15], β = 0.06.

Conclusion

Identifying proclivity towards obesogenic feeding practices and providing support to reduce these behaviours may enhance childhood obesity prevention efforts.

Abstract Image

查看原文本刊更多论文

出生至 6 个月期间体重快速增长的生物心理社会预测因素。

背景：儿童肥胖症仍然是一个公共卫生危机，因此亟需确定产前和婴儿早期肥胖风险的独特预测因素：我们测试了一个预测出生后头 6 个月体重快速增长（RWG）的综合生物-心理-社会模型：方法：299 名孕妇及其婴儿参加了此次研究。通过孕妇的人体测量、血清生物标志物（胰岛素、瘦素、脂肪连通素）以及孕妇对妊娠并发症、药物使用、心理健康和压力的报告，对孕妇在怀孕三个月期间的产前心理生物风险（PPBR）进行了评估。在婴儿 2 个月时测量其压力反应性（皮质醇输出量、静息 RSA、观察到的易怒性和负面情绪性）。在婴儿 2 个月和 6 个月时，收集了母亲对肥胖喂养方式的自我报告以及在三项任务中观察到的母亲敏感性。RWG根据从出生到6个月期间体重与年龄Z值的变化进行分类（>0.67 SD）：与其他预测因素和协变量无关，肥胖喂养方式预示着发生 RWG 的可能性更大，β = 0.30，p = .0.01。肥胖喂养方式是唯一一个能产生 PPBR 对 RWG 显著间接影响的干预机制，b = 0.05，S.E. = 0.04，95% CI [0.002，0.15]，β = 0.06：识别导致肥胖的喂养方式并为减少这些行为提供支持，可加强儿童肥胖预防工作。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Pediatric Obesity PEDIATRICS-

CiteScore

7.30

自引率

5.30%

发文量

117

审稿时长

6-12 weeks

期刊介绍： Pediatric Obesity is a peer-reviewed, monthly journal devoted to research into obesity during childhood and adolescence. The topic is currently at the centre of intense interest in the scientific community, and is of increasing concern to health policy-makers and the public at large. Pediatric Obesity has established itself as the leading journal for high quality papers in this field, including, but not limited to, the following: Genetic, molecular, biochemical and physiological aspects of obesity – basic, applied and clinical studies relating to mechanisms of the development of obesity throughout the life course and the consequent effects of obesity on health outcomes Metabolic consequences of child and adolescent obesity Epidemiological and population-based studies of child and adolescent overweight and obesity Measurement and diagnostic issues in assessing child and adolescent adiposity, physical activity and nutrition Clinical management of children and adolescents with obesity including studies of treatment and prevention Co-morbidities linked to child and adolescent obesity – mechanisms, assessment, and treatment Life-cycle factors eg familial, intrauterine and developmental aspects of child and adolescent obesity Nutrition security and the "double burden" of obesity and malnutrition Health promotion strategies around the issues of obesity, nutrition and physical activity in children and adolescents Community and public health measures to prevent overweight and obesity in children and adolescents.