Perinatal maternal and child growth mediate the association between maternal education and children’s overweight/obesity in Europe: the Feel4Diabetes-study
Main finding · Childhood overweight/obesity — maternal overweightResult — go to the resultOdds ratio 1.54 95% CI 1.19–1.99Authors' conclusion
Perinatal factors play a crucial role in the onset of childhood obesity, and evidence suggests their association with maternal education. Families with lower education should be targeted, aiming to raise awareness of health issues related to maternal/children's healthy lifestyle and improve nutrition knowledge, aiming to ensure healthy maternal weight prior to and during pregnancy and normal infant growth.
Study context
- Population
- Children (4–12 years-old) from low socioeconomic status (SES) regions in six European countrieswith complete data for analysis, total sample 12,211 children
- Participants
- 2,663 children
- Outcome
- Childhood overweight/obesity — maternal overweight
Main finding
As reported in the abstract
Odds ratio
1.54
95% CI 1.19–1.99
Observational data: associations, not effects.
Further findings
Childhood overweight/obesity — maternal obesity
| OR (95% CI) | ||
|---|---|---|
| Maternal obesity | 2.51 (1.57–4.00) | |
| 0.20.5125Odds ratio (log scale) |
Childhood overweight/obesity — pre-pregnancy diabetes
| OR (95% CI) | ||
|---|---|---|
| Pre-pregnancy diabetes | 4.92 (1.31–18.38) | |
| 0.050.21520Odds ratio (log scale) |
Childhood overweight/obesity — smoking during pregnancy
| OR (95% CI) | ||
|---|---|---|
| Smoking during pregnancy | 1.59 (1.20–2.10) | |
| 0.512Odds ratio (log scale) |
Childhood overweight/obesity — born small-for-gestational-age
| OR (95% CI) | ||
|---|---|---|
| Small-for-gestational-ageLower odds | 0.57 (0.36–0.89) | |
| 0.20.5125Odds ratio (log scale) |
Childhood overweight/obesity — born long-for-gestational-age
| OR (95% CI) | ||
|---|---|---|
| Long-for-gestational-ageHigher odds | 1.49 (1.15–1.92) | |
| 0.512Odds ratio (log scale) |
Childhood overweight/obesity — rapid weight gain during the first 6 months
| OR (95% CI) | ||
|---|---|---|
| Rapid weight gain during the first 6 monthsPositively associated | 1.30 (1.04–1.63) | |
| 0.512Odds ratio (log scale) |
| Outcome | OR (95% CI) |
|---|---|
| Childhood overweight/obesity — excessive gestational weight gainEstimate outside its printed interval | 2.00 (2.59–2.53) |
Mediation of the maternal education-child obesity link
- Maternal pre-pregnancy weight status
- 16.6%
- Rapid weight gain in the first 6 months
- 8.4%
- Gestational weight gain
- 7.8%
Original publication
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