Volume 44 Issue 11
Nov.  2023
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YU Qiong, LI Ruifeng, YUN Ruifen, CAO Puli, LIU Dong, MENG Jiaoyang, LI Jianying. Effect of parental weight and early life factors on overweight and obesity in children and adolescents[J]. CHINESE JOURNAL OF SCHOOL HEALTH, 2023, 44(11): 1729-1732. doi: 10.16835/j.cnki.1000-9817.2023.11.030
Citation: YU Qiong, LI Ruifeng, YUN Ruifen, CAO Puli, LIU Dong, MENG Jiaoyang, LI Jianying. Effect of parental weight and early life factors on overweight and obesity in children and adolescents[J]. CHINESE JOURNAL OF SCHOOL HEALTH, 2023, 44(11): 1729-1732. doi: 10.16835/j.cnki.1000-9817.2023.11.030

Effect of parental weight and early life factors on overweight and obesity in children and adolescents

doi: 10.16835/j.cnki.1000-9817.2023.11.030
  • Received Date: 2023-07-21
  • Rev Recd Date: 2023-09-14
  • Available Online: 2023-11-27
  • Publish Date: 2023-11-25
  •   Objective  To investigate the association of the risk of overweight/obesity in children and adolescents with their early life factors and parental weight.  Methods  From June 1 to June 30 of 2022, the stratified randomized cluster sampling method was used to collect information using questionnaires from 5 370 primary and secondary school students in Hohhot City, Inner Mongolia Autonomous Region, and multivariate analysis were performed using multiple Logistic regression model estimation in a generalized linear model for parental BMI and early life factors in children and adolescents.  Results  The prevalence of overweight/obesity was 32.2%, and the prevalence of overweight/obesity among male students was 37.8%, which was higher than that of female students 26.1% (χ2=84.59, P <0.01). The results of the multirariate Logistic regression anaysis showed that the prevalence of overweight/obesity was higher in only paternal overweight (OR=1.52, 95%CI=1.30-1.77), only maternal overweight (OR=1.61, 95%CI=1.31-1.97), and parentl overweight (OR=2.42, 95%CI=2.03-2.87)(P <0.05). The risk of overweight/obesity was higher in children with high birth weight (OR=1.29, 95%CI=1.08-1.55), children born by caesarean section (OR=1.32, 95%CI=1.17-1.48), and children whose mothers gained excessive weight during pregnancy (OR=1.24, 95%CI=1.06-1.46), and the results were statistically significant (P <0.05).  Conclusions  Overweight parents, excessive maternal weight gain during pregnancy, cesarean delivery, and high birth weight are associated with increased risk of overweight/obesity in children and adolescents. Attention should be paid to these aspects in obesity prevention and control.
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  • [1]
    张云飞, 孙嘉鸿. 中国1995-2014年经济发展情况和学龄儿童和青少年的营养状况[J]. 中华预防医学杂志, 2019, 53(8): 839.

    ZHANG Y F, SUN J H. Economic development and nutritional status of school-age children and adolescents in China, 1995-2014[J]. Chin J Prev Med, 2019, 53(8): 839. (in Chinese)
    [2]
    中华人民共和国国务院新闻办就《中国居民营养与慢性病状况报告(2020年)》有关情况举行发布会[EB/OL]. (2020-12-24)[2022-04-01]. http://www.gov.cn/xinwen/2020-12/24/content_5572983.htm.

    Press Office of the State Council of the PRC held a briefing on the situation regarding the Report on Nutrition and Chronic Disease Status of Chinese Residents (2020)[EB/OL]. (2020-12-24)[2022-04-01]. http://www.gov.cn/xinwen/2020-12/24/content_5572983.htm. (in Chinese)
    [3]
    王烁, 董彦会, 王政和, 等. 1985-2014年中国7~18岁学生超重与肥胖流行趋势[J]. 中华预防医学杂志, 2017, 51(4): 300-305.

    WANG S, DONG Y H, WANG Z H, et al. Trends in overweight and obesity among Chinese children of 7-18 years old during 1985-2014[J]. Chin J Prev Med, 2017, 51(4): 300-305. (in Chinese)
    [4]
    QIN X Z, PAN J. The medical cost attributable to obesity and overweight in China: estimation based on longitudinal surveys[J]. Health Econ, 2016, 25(10): 1291-1311. doi: 10.1002/hec.3217
    [5]
    陈洪淼, 蔡华康, 薛婷, 等. 北京东京幼儿超重肥胖及其与生活方式的相关性[J]. 中国学校卫生, 2022, 43(7): 1104-1107. doi: 10.16835/j.cnki.1000-9817.2022.07.034

    CHEN H M, CAI H K, XUE T, et al. Overweight and obesity status among children in Beijing and Tokyo and its relationship with lifestyle[J]. Chin J Sch Health, 2022, 43(7): 1104-1107. (in Chinese) doi: 10.16835/j.cnki.1000-9817.2022.07.034
    [6]
    付一萌, 杨媞, 甘倩, 等. 进餐时间和频率对儿童青少年超重肥胖影响的研究进展[J]. 中国学校卫生, 2023, 44(4): 632-635. doi: 10.16835/j.cnki.1000-9817.2023.04.035

    FU Y M, YANG T, GAN Q, et al. Research progress on the effects of meal timing and frequency for overweight and obesity among children and adolescents[J]. Chin J Sch Health, 2023, 44(4): 632-635. (in Chinese) doi: 10.16835/j.cnki.1000-9817.2023.04.035
    [7]
    COTO J, PULGARON E R, GRAZIANO P A, et al. Parents as role models: associations between parent and young children's weight, dietary intake, and physical activity in a minority sample[J]. Matern Child Health J, 2019, 23(7): 943-950. doi: 10.1007/s10995-018-02722-z
    [8]
    OHRT T K, PEREZ M, ⅡDA M, et al. The interdependent nature of mother's and children's temperament and eating behaviors on weight[J]. Matern Child Health J, 2023, 27(8): 1382-1391. doi: 10.1007/s10995-023-03696-3
    [9]
    WU Y F, YIN R X. Recent progress in epigenetics of obesity[J]. Diabetol Metab Syndr, 2022, 14(1): 171. doi: 10.1186/s13098-022-00947-1
    [10]
    王卫云. 母亲孕前超重或肥胖和儿童期饮食与儿童肥胖的关系研究[D]. 武汉: 华中科技大学, 2018.

    WANG W Y. Research on the relationship between maternal pre-pregnancy overweight or obesity and childhood diet and childhood obesity[D]. Wuhan: Huazhong University of Science and Technology, 2018. (in Chinese)
    [11]
    LU W, ZHANG X, WU J, et al. Association between trimester-specific gestational weight gain and childhood obesity at 5 years of age: results from Shanghai obesity cohort[J]. BMC Pediatr, 2019, 19(1): 139. doi: 10.1186/s12887-019-1517-4
    [12]
    PORTELA D S, VIEIRA T O, MATOS S M, et al. Maternal obesity, environmental factors, cesarean delivery and breastfeeding as determinants of overweight and obesity in children: results from a cohort[J]. BMC Pregnancy Childbirth, 2015, 15(15): 94.
    [13]
    HORTA B L, LORET DE MOLA C, VICTORA C G. Long-term consequences of breastfeeding on chole-sterol, obesity, systolic blood pressure and type 2 diabetes: a systematic review and Meta-analysis[J]. Act Paediatr, 2015, 104(467): 30-37.
    [14]
    中华人民共和国国家卫生和计划生育委员会. 学龄儿童青少年超重与肥胖筛查: WS/T 586—2018[S]. 2018-08-01.

    National Health and Family Planning Commission of the PRC. Screening for overweight and obesity among school-age children and adolescents: WS/T 586-2018[S]. 2018-08-01. (in Chinese)
    [15]
    中华人民共和国国家卫生和计划生育委员会. 成人体重判定: WS/T 428—2013[S]. 2013-10-01.

    National Health and Family Planning Commission of the PRC. Criteria of weight for adults: WS/T 428-2013[S]. 2013-10-01. (in Chinese)
    [16]
    中华人民共和国国家卫生健康委员会. 妊娠期妇女体重增长推荐值标准: WS/T 801—2022[S]. 2022-10-01.

    National Health Commission of the PRC. Standard of recommendation for weight gain during pregnancy period: WS/T 801-2022[S]. 2022-10-01. (in Chinese)
    [17]
    沈晓明, 王卫平. 儿科学[M]. 9版. 北京: 人民卫生出版社, 2018: 86-87.

    SHEN X M, WANG W P. Pediatrics[M]. 9th ed. Beijing: People's Health Publishing House, 2018: 86-87. (in Chinese)
    [18]
    任亚, 李元霞, 高永伟. 儿童超重、肥胖的影响因素研究进展[J]. 新乡医学院学报, 2021, 38(12): 1180-1184. https://www.cnki.com.cn/Article/CJFDTOTAL-XXYX202112016.htm

    REN Y, LI Y X, GAO Y W. Research progress of influencing factors of overweight and obesity in children[J]. J Xinxiang Med Univ, 2021, 38(12): 1180-1184. (in Chinese) https://www.cnki.com.cn/Article/CJFDTOTAL-XXYX202112016.htm
    [19]
    宝红升, 孙元芳, 唐丽燕, 等. 浙江省儿童青少年超重肥胖影响因素分析[J]. 中国儿童保健杂志, 2023, 31(3): 341-345. https://www.cnki.com.cn/Article/CJFDTOTAL-ERTO202303022.htm

    BAO H S, SUN Y F, TANG L Y, et al. Influencing factors of overweight and obesity among children and adolescents in Zhejiang province[J]. Chin J Child Health, 2023, 31(3): 341-345. (in Chinese) https://www.cnki.com.cn/Article/CJFDTOTAL-ERTO202303022.htm
    [20]
    李晓卉, 郭红侠, 黄艳丽, 等. 父母超重肥胖对儿童青少年超重肥胖的影响[J]. 中国学校卫生, 2016, 37(2): 239-242. doi: 10.16835/j.cnki.1000-9817.2016.02.024

    LI X H, GUO H X, HUANG Y L, et al. Influence of parental overweight and obesity on childhood overweight and obesity[J]. Chin J Sch Health, 2016, 37(2): 239-242. (in Chinese) doi: 10.16835/j.cnki.1000-9817.2016.02.024
    [21]
    张婧姝, 桂曌环, 谭恺韫, 等. 广州市儿童生命早期因素与超重肥胖的关联[J]. 中国学校卫生, 2021, 42(9): 1403-1406. doi: 10.16835/j.cnki.1000-9817.2021.09.031

    ZHANG J S, GUI J H, TAN K X, et al. Association of early-life factors with the incidence of overweight and obesity among primary school students in Guangzhou[J]. Chin J Sch Health, 2021, 42(9): 1403-1406. (in Chinese) doi: 10.16835/j.cnki.1000-9817.2021.09.031
    [22]
    罗碧莲, 桂曌环, 陈亚军. 广州市某社区2~6岁儿童超重肥胖与生命早期因素研究[J]. 中国学校卫生, 2019, 40(12): 1788-1790, 1795. doi: 10.16835/j.cnki.1000-9817.2019.12.007

    LUO B L, GUI J H, CHEN Y J. Relationship of obesity and early-lire factors among 2-6 years old preschoolers in a community in Guangzhou[J]. Chin J Sch Health, 2019, 40(12): 1788-1790, 1795. (in Chinese) doi: 10.16835/j.cnki.1000-9817.2019.12.007
    [23]
    WEN W, ZHENG W, OKADA Y, et al. Meta-analysis of genome-wide association studies in east Asian-ancestry populations identifies four loci for body mass index[J]. Hum Mol Genet, 2014, 23(20): 5492-5504.
    [24]
    LIORET S, CAMPBELL K J, CRAWFORD D, et al. A parent focused child obesity prevention intervention improves some mother obesity risk behaviors: the melbourne in FANT program[J]. Int J Behav Nutr Phys Act, 2012, 28(9): 100.
    [25]
    FREEMAN E, FLETCHER R, COLLINS C E, et al. Preventing and treating childhood obesity: time to target fathers[J]. Int J Obes (Lond), 2012, 36(1): 12-15.
    [26]
    熊超. 孕期体重对出生结局及婴幼儿体格发育影响的队列研究[D]. 武汉: 华中科技大学, 2017.

    XIONG C. A cohort study on the effect of pregnancy weight on birth outcomes and infant physical development[D]. Wuhan: Huazhong University of Science and Technology, 2017. (in Chinese)
    [27]
    SINGHIL A. Early life origins of obesity and related complications[J]. Indian J Pediatr, 2018, 85(6), 472-477.
    [28]
    SARA F, MAIRO V, ERNESTA S, et al. Birth weight: genetic and intrauterine environment in normal pregnancy[J]. Diabetes Care, 2009, 32(12): e149.
    [29]
    LIAO X P, YU Y, MARC I, et al. Prenatal determinants of childhood obesity: a review of risk factors[J]. Can J Physiol Pharmacol, 2019, 97(3): 147-154.
    [30]
    GOLDANI H A, BETTIOL H, BARBIERI M A, et al. Cesarean delivery is associated with an increased risk of obesity in adulthood in a Brazilian birth cohort study[J]. Am J Clin Nutr, 2011, 93(6): 1344-1347.
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