Association Between Maternal Lifestyle and Risk of Metabolic Syndrome in Offspring—A Cross-Sectional Study From China

Li, Yanhui; Yang, Zhaogeng; Wang, Xijie; Gao, Di; Zou, Zhiyong; Dong, Bin; Ma, Jun; Arnold, Luke

doi:10.3389/fendo.2020.552054

Cited by 8 publications

(7 citation statements)

References 38 publications

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“…Consistent with our findings, Simonetta ( 42 ) also demonstrated the significant efficacy of lifestyles modification on children blood pressure. These results were also supported by another Chinese study ( 43 ), which reported that the risk of offspring metabolic syndrome was lower in those who had more ideal lifestyle factors. Moreover, given that there is still a p for trend in paternal age in the favourable group, conclusion regarding the offset effect of lifestyle on association of paternal age should be drawn with caution.…”

Section: Discussionsupporting

confidence: 72%

Associations of parental reproductive age and elevated blood pressure in offspring: An observational study

Rui

Zhou

et al. 2023

Front. Pediatr.

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BackgroundIncreased parental reproductive age has been a social trend around the world, and elevated blood pressure in children leads to an approximately two-fold increased risk of hypertension in adulthood. Aim of this study is to assess the associations of parental reproductive age with the risk of elevated blood pressure in offspring, and to explore the influence of offspring lifestyle on the associations.MethodsData was obtained from a national school program conducted in 7 Chinese provinces, and the final sample was 39,190 students aged 7–18 years. Anthropometric measurements and questionnaires were designed to collect data of children blood pressure and information respectively.ResultsIn this study, 26.7% of children were defined as elevated blood pressure. A U-shaped pattern was observed in the relationship between maternal age and risk of elevated blood pressure, while risk of elevated blood pressure decreased continuously with paternal age increased. After adjustment, offspring of paternal age ≤27 & maternal age ≤26 years and those of paternal age >30 & maternal age >32 years were related to great risk of elevated blood pressure (OR = 1.18, 95% CI: 1.08–1.29, P < 0.001; OR = 1.18, 95% CI: 1.01–1.38, P < 0.05). When stratified by lifestyle status, significant associations between maternal/paternal age and risk of elevated blood pressure were only observed in those with worse lifestyle behaviors, but not in offspring with healthier lifestyle.ConclusionOur findings demonstrate that risk of elevated blood pressure in children is independently related to parental reproductive age, and children maintaining a healthy lifestyle may mitigate the adverse effect.

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Section: Discussionsupporting

confidence: 72%

Associations of parental reproductive age and elevated blood pressure in offspring: An observational study

Rui

Zhou

et al. 2023

Front. Pediatr.

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“…In previous studies conducted in children and adolescents, maternal weight, smoking, and alcohol consumption were related to offspring obesity [42] and metabolic syndrome [43,44]. In the present study, maternal healthy lifestyle (characterized by a healthy body mass index, high-quality diet, regular exercise, low screen time, and no smoking) was associated with adherence to MedDiet in offspring, which emphasized the importance of maternal lifestyle, and suggested a combined effect of maternal and offspring lifestyle on child and adolescent diet.…”

Section: Discussionmentioning

confidence: 94%

Determinants of Adherence to the Mediterranean Diet in Spanish Children and Adolescents: The PASOS Study

et al. 2022

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A progressive shift away from traditional healthy dietary patterns, such as the Mediterranean diet (MedDiet), has been observed in recent decades. The aim of this study was to assess determinants of optimal adherence to the MedDiet in Spanish children and adolescents. A cross-sectional analysis was included in the PASOS nationwide representative study in Spain. Participants were 3607 children and adolescents; 8–16 years old. Primary and secondary outcome measures of weight and height were measured. Adherence to the MedDiet, physical activity, and sedentary behavior in children and adolescents, as well as parental physical activity and dietary habits, were assessed. Optimal adherence to the MedDiet was observed in 45.5% of primary school students and 34.8% of secondary school students (OR: 0.65; 95%CI: 0.56–0.75). Optimal adherence to the MedDiet was higher in children/adolescents meeting daily recommended moderate and vigorous physical activity (OR: 2.39, 95%CI: 1.97–2.89) and in those meeting daily recommended screen time on weekdays (OR: 2.05, 95%CI: 1.77–2.38) and weekends (OR: 1.76, 95%CI: 1.48–2.10). Participants with optimal adherence to the MedDiet were more likely to have mothers with a high-level education and high-tercile of SDQS, mothers who never smoked or were former smokers, and mothers who met the recommended physical activity and screen time. It can be concluded that a low prevalence of optimal adherence to the MedDiet was found among current Spanish children and adolescents. Optimal adherence to the MedDiet was associated with reaching the recommendations on physical activity and screen time, with the highest maternal educational level, and healthier maternal lifestyles.

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“…The term “health lifestyle” pertains to the collective patterns of health-related behavior that individuals adopt based on the choices within the context of their life circumstances. 34 In order to comprehensively assess the health lifestyle of the participants, this study incorporated five commonly utilized behavioral indicators from previous researches, 19 , 35 , 36 namely smoking status, alcohol consumption, sleep duration, physical examination attendance, and physical activity. Following the scoring methodology employed in previous researches, this study assigned scores to various manifestations of these five health-related behaviors, which reflected their degree of alignment with established public health recommendations.…”

Section: Methodsmentioning

confidence: 99%

The Relationship Between the Number of Chronic Diseases and Health-Related Quality of Life Among Middle-Aged and Older Adults in Rural Areas of Yunnan Province, China: moderating Effect of Health Lifestyle

Chen,

Xiao,

Yan

et al. 2024

JMDH

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Purpose With population aging, individuals in underdeveloped areas may experience a higher prevalence of chronic non-communicable diseases (NCDs), a lower level of health-related quality of life (HRQoL), and distinct lifestyles. However, this triadic association remains inadequately studied, particularly regarding the role of health lifestyle. This study aims to examine the relationship between the number of NCDs and HRQoL, while considering the moderating effect of health lifestyle among middle-aged and older adults residing in resource-limited areas. Methods This cross-sectional study was conducted in Yunnan Province from July to December 2022. Participants completed a self-report questionnaire related to socio-demographic information, NCDs conditions, health lifestyle status, and HRQoL, which was assessed using the EuroQol five-dimension five-level (EQ-5D-5L) scale. Hierarchical regression and simple slope tests were used to examine the moderating effect of health lifestyle. Results Out of the total 2704 participants, 57.91% presented at least one NCD. The mean scores for health lifestyle and health utility value were 11.109 and 0.944 respectively. The number of NCDs was negatively associated with health utility value, while positively correlated with the health lifestyle score ( P <0.001). The results of hierarchical regression indicated that health lifestyle exerted a negative moderating effect on the relationship between the number of NCDs and HRQoL ( β =0.006, P <0.001), which was also observed for specific health-related behaviors such as sleep duration ( β =0.013, P <0.001), physical examination attendance ( β =0.006, P <0.05) and physical activity ( β =0.013, P <0.001). Conclusion These findings highlight the crucial role of a healthy lifestyle in attenuating the association between the number of NCDs and HRQoL. Recognizing the potential modulating influence of a healthy lifestyle in this relationship could be pivotal for developing effective interventions for this population, even within resource-constrained rural settings.

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Association Between Maternal Lifestyle and Risk of Metabolic Syndrome in Offspring—A Cross-Sectional Study From China

Cited by 8 publications

References 38 publications

Associations of parental reproductive age and elevated blood pressure in offspring: An observational study

Associations of parental reproductive age and elevated blood pressure in offspring: An observational study

Determinants of Adherence to the Mediterranean Diet in Spanish Children and Adolescents: The PASOS Study

The Relationship Between the Number of Chronic Diseases and Health-Related Quality of Life Among Middle-Aged and Older Adults in Rural Areas of Yunnan Province, China: moderating Effect of Health Lifestyle

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