Identifying the “Tipping Point” Age for Overweight Pediatric Patients

Harrington, John W.; Nguyen, Vu Q.; Paulson, James F.; Garland, Ruth; Pasquinelli, Lawrence M; Lewis, Donald W.

doi:10.1177/0009922809359418

Cited by 58 publications

(49 citation statements)

References 29 publications

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“…Overweight during childhood has both immediate and longer term health effects, including an increase in the prevalence of early cardiovascular disease and diabetes (Pinhas-Hamiel et al, 1996;Freedman et al, 1999). Programs to address obesity are a high priority for public policy (Gill et al, 2009) especially for young children (Harrington et al, 2010). Research into dietary determinants of obesity is challenging because diets are complex, and both diet and energy expenditure influence weight status.…”

Section: Introductionmentioning

confidence: 99%

Infant and early childhood dietary predictors of overweight at age 8 years in the CAPS population

et al. 2011

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Background/Objectives: Programs to address obesity are a high priority for public policy especially for young children. Research into dietary determinants of obesity is challenging but important for rational planning of interventions to prevent obesity, given that both diet and energy expenditure influence weight status. We investigated whether early life dietary factors were predictive of weight status at 8 years in a cohort of Australian children. Subjects/Methods: We used data from the Childhood Asthma Prevention Study-a birth cohort at high risk of asthma. Dietary data (3-day weighed food records) were collected at 18 months and height, weight and waist circumference were collected at 8 years. We assessed the relationship between dietary predictor variables and measures of adiposity using linear regression. Results: Intakes of protein, meat and fruit at age 18 months were positively associated with measures of adiposity at age 8 years, namely, body mass index and/or waist circumference. We also showed a significant negative relationship between these measures of adiposity at 8 years and intake at 18 months of dairy foods as a percent of total energy, and intake of energy dense cereal-based foods such as cookies and crackers. Conclusions: This birth cohort study with rigorous design, measures and analyses, has shown a number of associations between early dietary intake and subsequent adiposity that contribute to the growing evidence base in this important field.

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Section: Introductionmentioning

confidence: 99%

Infant and early childhood dietary predictors of overweight at age 8 years in the CAPS population

et al. 2011

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“…For example, formula-fed infants have fat deposition and increased number of adipocytes through a greater insulin response compared to those breast-fed 1,29 . In addition, displacement of breast milk containing low protein by earlier introduction of CF including higher energy and protein 30 may lead to high energy 31 and protein intake 32 in early life.…”

Section: Discussionmentioning

confidence: 99%

“…Obesity starts early and tends to persist into childhood and adulthood 1 . Research has therefore focused on identifying the factors attributable to the development of obesity with emphasis on the first year of life as a critical period to target 2 .…”

Section: Introductionmentioning

confidence: 99%

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The influence of breastfeeding duration and introduction of animal source foods, fruit juice and vegetables on the risk of weight gain in Thai children

Hong

Mongkolchati

Pimpak

2017

Sri Lanka J Child Health

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Objective: To examine the influence of infant feeding practices on weight gain in children at 24 months of age.Method: Study data were from 4,245 children from the prospective cohort study of Thai children conducted in [2000][2001][2002]. Information on breast feeding duration and timing of specific types of complementary foods introduction was collected in infancy. Overweight (BMI-for-age >2 SD from WHO standard median) and weight gain (weight at birth minus body weight at 24 months) were evaluated.Results: Breastfeeding for 12 months or more reduced the weight gain (ß=-0.0101, p<0.0001) and the risk of overweight (aOR=0.24, 95% CI=0.15-0.40) after adjustment for confounders. In light of specific types of foods, overweight risk decreased with increasing age at introduction of animal source foods (aOR=0.78, 95% CI=0.67-0.91), vegetables (aOR=0.85, 95% CI=0.76-0.96), and fruit juices (aOR=0.92, 95% CI=0.83-1.01), whereas weight gain had an inverse association with animal source foods (p=0.0004) and vegetables (p<0.0001). _________________________________________

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“…Diabetes is considered to be one of the obesity-related diseases; type 2 diabetes in children has linked with obesity; when the pancreas starts to produce the insulin hormone, excess body fat will not allow child's body to use the insulin as it should be which can lead to being a diabetic patient. [6] Parents should also be aware of the social contexts in which foods are consumed, studies have demonstrated that children develop preferences for foods offered in positive contexts and conversely, are more likely to dislike foods offered in negative contexts. [7] Parents should encourage healthful eating habits at home by making healthful foods available, increasing the number of family meals eaten together, and reducing the availability of sugarsweetened beverages and sodas.…”

Section: Introductionmentioning

confidence: 99%

The childhood obesity epidemic: A mini review

Mahmood¹

2015

Int J Med Public Health

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Obesity is a medical condition resulting from the accumulation of excess fat in the human body to the extent that it might have great harm effects on the human health by increasing the diseases lowering the average life expectancy. A person who has a body mass index (BMI) of more than 30 kg/m 2 is classifi ed as obese; this is how obesity can be defi ned for adult, which is different than that in children. To account for variability by sex and age, BMI in children must be compared with sexand age-specifi c reference values (Centers for Disease Control growth chart). The terminology that is used for high BMI-for-age in children in has been based on the recommendation of an expert committee convened by federal agencies. Parents can be a good example for their children by modeling healthful eating behaviors and being physically active. Parents can also be effective advocates by being involved in efforts in their schools, and community to expand the access and availability of opportunities for physical activity and healthful eating. In the case of being an obese child, that means suffering from many health problems and obesity-related diseases such as elevated blood pressure, high cholesterol, diabetes and heart diseases. Diabetes is considered as one of the obesity-related diseases; type 2 diabetes in children has linked with obesity; when the pancreas starts to produce the insulin hormone, excess body fat will not allow child's body to use the insulin as it should be which can lead to being a diabetic patient. Schools also play a vital role in teaching the students on how to eat properly and select the best meal with keeping their bodies fl exible by doing physical activities. It is important in order to keep children away from being in disasters by having a lot of obesity-related diseases (e.g., heart attacks and diabetes), which can lead to premature death in obese children. Children must be healthy since those children growing up in today's world are tomorrow's future!

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Identifying the “Tipping Point” Age for Overweight Pediatric Patients

Cited by 58 publications

References 29 publications

Infant and early childhood dietary predictors of overweight at age 8 years in the CAPS population

Infant and early childhood dietary predictors of overweight at age 8 years in the CAPS population

The influence of breastfeeding duration and introduction of animal source foods, fruit juice and vegetables on the risk of weight gain in Thai children

The childhood obesity epidemic: A mini review

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