A randomized controlled trial to test the efficacy of a brief Triple P discussion group to increase healthy feeding practices and reduce risk factors for infant obesity DOI Creative Commons

Agnes Gelmini,

Cassandra L. Tellegen, Alina Morawska

et al.

Journal of Pediatric Psychology, Journal Year: 2024, Volume and Issue: unknown

Published: Sept. 9, 2024

Abstract Objective Test the efficacy of a brief 2-hr parenting intervention in increasing protective factors against and reducing risk for infant obesity. Method A 2 (Baby Healthy Living Triple P vs. care-as-usual) × 3 (baseline, postintervention, 6-month follow-up) design was used. Eighty-two parents 4- to 18-month-old infants meeting at least two early childhood obesity (e.g., parent/child overweight, low education level) were randomized (n = 42) or control group 40). Parents questionnaires child weight status measured. Results showed an effect on primary outcome, feeding practices (restrictive: d 0.44, 95% CI [−0.01,0.88], pressuring: 0.11, [−0.32,0.54], nonresponsive behaviors: (d 0.32, [−0.11,0.75]), secondary beliefs 0.29, [−0.14,0.73]). No beneficial impact found other outcomes (responsiveness feeding: quantity 0.50, [−0.03,1.03]) nutritive 0.52, [−0.03,1.07], mealtime environment: 0.35, [−0.78,0.08], self-efficacy responsive 0.21, [−0.22,0.64]), (parental self-efficacy: 0.08, [−0.50,0.35]), parent emotional eating 0.01, [−0.43,0.43]), food restraint 0.42, [−0.85,0.02]), body satisfaction [−0.43,0.43]) [−0.54,0.32]). Conclusions Promising though limited support demonstrated brief, low-intensity program help prevention risk.

Language: Английский

Prenatal polycyclic aromatic hydrocarbons exposure and child growth and adiposity: A longitudinal study DOI
Sarvenaz Shahin, Akhgar Ghassabian,

Sophia M. Blaauwendraad

et al.

Environmental Research, Journal Year: 2025, Volume and Issue: 268, P. 120756 - 120756

Published: Jan. 4, 2025

Language: Английский

Citations

1
Subtypes of Gestational Diabetes Mellitus Are Differentially Associated With Newborn and Childhood Metabolic Outcomes DOI Open Access

Meredith Osmulski,

Yuanzhi Yu, Alan Kuang

et al.

Diabetes Care, Journal Year: 2025, Volume and Issue: unknown

Published: Jan. 9, 2025

OBJECTIVE Subtypes of gestational diabetes mellitus (GDM) based on insulin sensitivity and secretion have been described. We addressed the hypothesis that GDM subtypes are differentially associated with newborn child anthropometric glycemic outcomes. RESEARCH DESIGN AND METHODS Newborn (age 11–14 years) outcomes were examined in 7,970 4,160 mother-offspring dyads, respectively, who participated Hyperglycemia Adverse Pregnancy Outcome Study (HAPO) Follow-Up Study. was classified as insulin-deficient (insulin <25th percentile preserved sensitivity), insulin-resistant secretion), or mixed-defect (both percentile). Regression models for included adjustment field center, maternal BMI, other pregnancy covariates. Child also age, sex, family history diabetes. RESULTS Compared mothers normal glucose tolerance, all three birth weight sum skinfolds >90th percentile. Insulin-resistant higher risk cord C-peptide levels neonatal hypoglycemia. hypoglycemia childhood obesity (odds ratio [OR] 1.53, 95% CI 1.127–2.08). The child-impaired tolerance (OR 2.21, 1.50–3.25) 3.01, 1.47–6.19). CONCLUSIONS Better characterizing individuals could help identify at-risk offspring to offer targeted, preventative interventions early life.

Language: Английский

Citations

1
Multisystem Interconnected Lifestyle Framework: A Holistic Approach to Examining the Lifestyle Determinants of Obesity in Early Childhood DOI Creative Commons
Lenna Ontai, Leah C. Hibel

Journal of Nutrition Education and Behavior, Journal Year: 2025, Volume and Issue: unknown

Published: Jan. 1, 2025

This report proposes the multisystem interconnected lifestyle (MIL) framework to describe how behaviors (i.e., sleep, stress, activity, diet) work together create profiles of young children's obesogenic risk. argues that considering collectively within and across days more accurately captures complexity obesity The MIL builds on social ecological models situate behavior connections contexts lives. potentiates next generation research, reflecting a holistic understanding engagement could inform effective targeted education intervention approaches.

Language: Английский

Citations

0
A Callout for Obesity Prevention Trials in Early Childhood DOI
Richard E. Boles,

Ihuoma Eneli

PEDIATRICS, Journal Year: 2025, Volume and Issue: unknown

Published: April 1, 2025

Rapid weight gain in infancy and early childhood are risk factors for obesity subsequent years.1 There several reasons this pattern of gain, some occurring before during the pregnancy (eg, high pre-pregnancy [body mass index >30], excessive gestational diabetes, epigenetic programming fetus pregnancy), others feeding behaviors that neglect infant hunger satiety cues, social environmental such as low socioeconomic status adiposity rebound).1 This has led to a call maternal child interventions from prenatal period (first 1000 days) prevent obesity. Several randomized controlled trials have demonstrated critical can excess birth preschool, with short-term success (ie, generally less than 3 years), although reports longer-term outcomes by preschool age limited.2–4The study Kim et al issue Pediatrics examines whether positive effects Starting Early Program (StEP), an prevention program delivered within primary care setting third trimester until was 33 months, on trajectory prevalence 2 years sustained into years.5 The also sought investigate prior findings StEP trial—the effect support/drivers health assessed at baseline dose intervention child's weight—endured ages 4 5 years.Their were consistent most childhood, treatment preventing but not sustained.4 However, adjusted logistic regression analysis, participants group higher attendance (11–15 sessions) vs lower (0–10 had statistically significant or age, encouraging signal.5Since United States Preventive Services Task Force recommendation 26 contact hours over 6 12 months necessary lifestyle older children (≥ years) clinically reduction weight,6 there been considerable debate field about practicality meeting practice, cadence manner (in person, telehealth, telephone) which should be delivered, variability response depending characteristics population white minoritized populations status). Compared much amount recommended (≥26 hours) changes among who already obesity, possibility families attend fewer sessions is particularly appealing. Heerman al, comparable low-income Hispanic mothers young children, found mode delivery does all need occur face-to-face visits, easing burden participation families.7 We more studies affirm right intensity prevention, determine delivery, identify key targets bolster durability programs children.In examining their secondary outcomes, only support defined "the number people participant turn to" moderator. Interestingly, analysis yielded diametrically opposed control group. average weight-for-age z-scores (WFAz) reported (≥2 people) pregnancy, whereas WFAz scores (<2 people). In case, construct relation unclear. For instance, what seeking when turning others? And how relate developing childhood? Other drivers (SDoH)—marital status, food insecurity, housing, financial challenges—were significant, though power may reduced given dichotomous nature these variables. Composite combine each variables create sensitive continuous variable, psychometric evaluations required validate approach.The loss follow-up (∼42%) occurred subgroups raising concerns attrition bias. interpretation would strengthened describing differences interest confounders, dose, race/ethnicity, birthweight between retained lost 4- 5-year visits). These data points collected visit available participants. Also, height measures obtained trained staff use outcome instead body index, commonly used measure, confusing. limitation potentially inaccurate similarly applicable assessing prevalence, since based index.Even limitations hinder relevance study, strengths. very intensive embedded settings, helpful scalability our ability reach families. SDoH moderate growth provide additional study. Finally, considering recent attention treating around medications like glucagon-like peptide-1, once again reminds us importance part armamentarium tackling pediatric

Language: Английский

Citations

0
Transgender healthcare: metabolic outcomes and cardiovascular risk DOI
Dorte Glintborg, Louise Lehmann Christensen, Marianne Andersen

et al.

Diabetologia, Journal Year: 2024, Volume and Issue: 67(11), P. 2393 - 2403

Published: July 3, 2024

Language: Английский

Citations

2
Secular trends in frailty among community-dwelling 75–95-year-old cohorts over three decades in Helsinki, Finland DOI Creative Commons
Kaisu Pitkälä, Ulla L. Aalto, Hanna‐Maria Roitto

et al.

Age and Ageing, Journal Year: 2024, Volume and Issue: 53(8)

Published: Aug. 1, 2024

Abstract Background Frailty Index (FI) reflects health, functioning and well-being of older people. It is valuable to compare how frailty has changed over time in ageing cohorts. This study aims examine trends among 75–95-year-old men women three decades. Methods The Helsinki Ageing Study started 1989 includes repeated cross-sectional postal surveys every 10 years examining community-dwelling cohorts people (75, 80, 85, 90 95 years). FI comprises the same 36 items each cohort. Results mean was 0.22 (SD 0.12), 0.25 0.15), 0.26 0.15) 0.23 1989, 1999, 2009 2019, respectively (P for linearity crude values .11). Adjusted age sex, four differed their 2019 cohort having lowest FI. sex-adjusted difference seen 75-, 80-, 85- 90-year-olds but not 95-year-olds. decreased more than &lt;.001, P sex &lt;.01, interaction = .19). Conclusions prevalence individuals aged 75, 85 years—but those years—has significantly last positive trend may have important implications health policies societies with increasing longevity.

Language: Английский

Citations

2
A randomized controlled trial to test the efficacy of a brief Triple P discussion group to increase healthy feeding practices and reduce risk factors for infant obesity DOI Creative Commons

Agnes Gelmini,

Cassandra L. Tellegen, Alina Morawska

et al.

Journal of Pediatric Psychology, Journal Year: 2024, Volume and Issue: unknown

Published: Sept. 9, 2024

Abstract Objective Test the efficacy of a brief 2-hr parenting intervention in increasing protective factors against and reducing risk for infant obesity. Method A 2 (Baby Healthy Living Triple P vs. care-as-usual) × 3 (baseline, postintervention, 6-month follow-up) design was used. Eighty-two parents 4- to 18-month-old infants meeting at least two early childhood obesity (e.g., parent/child overweight, low education level) were randomized (n = 42) or control group 40). Parents questionnaires child weight status measured. Results showed an effect on primary outcome, feeding practices (restrictive: d 0.44, 95% CI [−0.01,0.88], pressuring: 0.11, [−0.32,0.54], nonresponsive behaviors: (d 0.32, [−0.11,0.75]), secondary beliefs 0.29, [−0.14,0.73]). No beneficial impact found other outcomes (responsiveness feeding: quantity 0.50, [−0.03,1.03]) nutritive 0.52, [−0.03,1.07], mealtime environment: 0.35, [−0.78,0.08], self-efficacy responsive 0.21, [−0.22,0.64]), (parental self-efficacy: 0.08, [−0.50,0.35]), parent emotional eating 0.01, [−0.43,0.43]), food restraint 0.42, [−0.85,0.02]), body satisfaction [−0.43,0.43]) [−0.54,0.32]). Conclusions Promising though limited support demonstrated brief, low-intensity program help prevention risk.

Language: Английский

Citations

0