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Maternal and pediatric nutrition

Parental body mass index and its association with body composition, physical fitness and lifestyle factors in their 4-year-old children: results from the MINISTOP trial

Subjects

Abstract

Background/Objectives:

To examine the association between parental body mass index (BMI) and their offspring’s body composition, physical fitness and lifestyle factors (that is, sedentary time, physical activity and diet).

Subjects/Methods:

A total of 307 preschoolers (4.5±0.1 years) and their parents (fathers: 38.1±5.1 years and mothers: 35.6±4.2 years) participated in this study. Parental BMI was calculated using self-reported weight and height. Preschoolers body composition was assessed using: BMI, fat mass percentage, fat mass index, fat-free mass index (measured via air-displacement plethysmography) and waist circumference. Physical fitness was assessed by the PREFIT fitness battery. Lifestyle factors were assessed using the ActiGraph wGT3x-BT (sedentary time and physical activity), and the mobile-phone based tool for energy balance in children (diet).

Results:

Parental BMI were positively associated with their offspring’s BMI (paternal BMI: standardised beta, β=0.233, P<0.001; maternal BMI: β=0.186, P=0.001), fat mass index (paternal BMI: β=0.130, P=0.026; maternal BMI: β=0.163, P=0.005), fat-free mass index (paternal BMI: β=0.214, P<0.001; maternal BMI: β=0.119, P=0.036) and waist circumference (paternal BMI: β=0.178, P=0.001; maternal BMI: β=0.179, P=0.001). A negative association was found between maternal BMI and their offspring’s standing long jump test (β=−0.132, P=0.022). Paternal BMI was associated with their offspring’s sedentary time (β=0.100, P=0.026), whereas parental BMI was not associated with neither physical activity nor diet (all P0.104).

Conclusions:

Parental BMI was positively associated with their offspring’s BMI, fat as well as fat-free mass index and waist circumference. Moreover, a higher paternal and maternal BMI were related to higher levels of sedentary time and a lower performance in the standing long jump test of their offspring, respectively.

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References

  1. Brisbois TD, Farmer AP, McCargar LJ . Early markers of adult obesity: a review. Obes Rev 2012; 13: 347–367.

    Article  CAS  Google Scholar 

  2. Parsons TJ, Power C, Logan S, Summerbell CD . Childhood predictors of adult obesity: a systematic review. Int J Obes Relat Metab Disord 1999; 23 (Suppl 8), S1–107.

    Google Scholar 

  3. Fantin R, Delpierre C, Dimeglio C, Lamy S, Barboza Solis C, Charles MA et al. Disentangling the respective roles of the early environment and parental BMI on BMI change across childhood: a counterfactual analysis using the Millennium Cohort Study. Prev Med 2016; 89: 146–153.

    Article  Google Scholar 

  4. Ohlund I, Hernell O, Hornell A, Stenlund H, Lind T . BMI at 4 years of age is associated with previous and current protein intake and with paternal BMI. Eur J Clin Nutr 2009; 64: 138–145.

    Article  Google Scholar 

  5. Sijtsma A, Sauer PJ, Corpeleijn E . Parental correlations of physical activity and body mass index in young children- the GECKO Drenthe cohort. Int J Behav Nutr Phys Act 2015; 12: 132.

    Article  Google Scholar 

  6. Devakumar D, Grijalva-Eternod C, Cortina-Borja M, Williams J, Fewtrell M, Wells J . Disentangling the associations between parental BMI and offspring body composition using the four-component model. Am J Hum Biol 2016; 28: 524–533.

    Article  Google Scholar 

  7. Forsum E, Flinke Carlsson E, Henriksson H, Henriksson P, Lof M . Total body fat content versus BMI in 4-year-old healthy Swedish children. J Obes 2013; 2013: 206715.

    Article  Google Scholar 

  8. Labayen I, Ruiz JR, Ortega FB, Loit H, Harro J, Veidebaum T et al. Intergenerational cardiovascular disease risk factors involve both maternal and paternal BMI. Diabetes Care 2010; 33: 894–900.

    Article  Google Scholar 

  9. Ortlieb S, Schneider G, Koletzko S, Berdel D, von Berg A, Bauer CP et al. Physical activity and its correlates in children: a cross-sectional study (the GINIplus and LISAplus studies). BMC Public Health 2013; 13: 349.

    Article  Google Scholar 

  10. Pei Z, Flexeder C, Fuertes E, Standl M, Berdel D, von Berg A et al. Mother/'s body mass index and food intake in school-aged children: results of the GINIplus and the LISAplus studies. Eur J Clin Nutr 2014; 68: 898–906.

    Article  CAS  Google Scholar 

  11. Delisle C, Sandin S, Forsum E, Henriksson H, Trolle-Lagerros Y, Larsson C et al. A web- and mobile phone-based intervention to prevent obesity in 4-year-olds (MINISTOP): a population-based randomized controlled trial. BMC Public Health 2015; 15: 95.

    Article  Google Scholar 

  12. Delisle Nyström C, Forsum E, Henriksson H, Trolle-Lagerros Y, Larsson C, Maddison R et al. A mobile phone based method to assess energy and food intake in young children: a validation study against the doubly labelled water method and 24 h dietary recalls. Nutrients 2016; 8: 50.

    Article  Google Scholar 

  13. Henriksson P, Cadenas-Sanchez C, Leppänen M, Delisle Nyström C, Ortega FB, Pomeroy J et al. Associations of fat mass and fat-free mass with physical fitness in 4-year-old children: results from the MINISTOP trial. Nutrients 2016; 8: 473.

    Article  Google Scholar 

  14. Leppanen MH, Nystrom CD, Henriksson P, Pomeroy J, Ruiz JR, Ortega FB et al. Physical activity intensity, sedentary behavior, body composition and physical fitness in 4-year-old children: results from the Ministop trial. Int J Obes (Lond) 2016; 40: 1126–1133.

    Article  CAS  Google Scholar 

  15. Cadenas-Sanchez C, Nyström C, Sanchez-Delgado G, Martinez-Tellez B, Mora-Gonzalez J, Risinger AS et al. Prevalence of overweight/obesity and fitness level in preschool children from the north compared with the south of Europe: an exploration with two countries. Pediatr Obes 2016; 11: 403–410.

    Article  CAS  Google Scholar 

  16. Fields DA, Allison DB . Air-displacement plethysmography pediatric option in 2–6 years old using the 4-compartment model as a criterion method. Obesity 2012; 20: 1732–1737.

    Article  Google Scholar 

  17. Cadenas-Sanchez C, Martinez-Tellez B, Sanchez-Delgado G, Mora-Gonzalez J, Castro-Pinero J, Löf M et al. Assessing physical fitness in preschool children: feasibility, reliability and practical recommendations for the PREFIT battery. J Sci Med Sport 2016; 19: 910–915.

    Article  Google Scholar 

  18. World Health Organization. Obesity: preventing and managing the global epidemic. World Health Organ Tech Rep Ser 894. World Health Organization: Geneva, 2000.

  19. Linabery AM, Nahhas RW, Johnson W, Choh AC, Towne B, Odegaard AO et al. Stronger influence of maternal than paternal obesity on infant and early childhood BMI: the Fels Longitudinal Study. Pediatr Obes 2013; 8: 159–169.

    Article  CAS  Google Scholar 

  20. Steffen LM, Sinaiko AR, Zhou X, Moran A, Jacobs Jr DR, Korenfeld Y et al. Relation of adiposity, television and screen time in offspring to their parents. BMC Pediatr 2013; 13: 133.

    Article  Google Scholar 

  21. Lawlor DA, Timpson NJ, Harbord RM, Leary S, Ness A, McCarthy MI et al. Exploring the developmental overnutrition hypothesis using parental–offspring associations and FTO as an instrumental variable. PLOS Med 2008; 5: e33.

    Article  Google Scholar 

  22. Bigaard J, Frederiksen K, Tjønneland A, Thomsen BL, Overvad K, Heitmann BL et al. Body fat and fat-free mass and all-cause mortality. Obes Res 2004; 12: 1042–1049.

    Article  Google Scholar 

  23. Ortega FB, Ruiz JR, Castillo MJ, Sjostrom M . Physical fitness in childhood and adolescence: a powerful marker of health. Int J Obes (Lond) 2008; 32: 1–11.

    Article  CAS  Google Scholar 

  24. Celis-Morales C, Livingstone KM, Woolhead C, Forster H, O'Donovan CB, Macready AL et al. How reliable is internet-based self-reported identity, socio-demographic and obesity measures in European adults? Genes Nutr 2015; 10: 476.

    Google Scholar 

  25. Lioret S, Touvier M, Balin M, Huybrechts I, Dubuisson C, Dufour A et al. Characteristics of energy under-reporting in children and adolescents. Br J Nutr 2011; 105: 1671–1680.

    Article  CAS  Google Scholar 

  26. Cole TJ, Lobstein T . Extended international (IOTF) body mass index cut-offs for thinness, overweight and obesity. Pediatr Obes 2012; 7: 284–294.

    Article  CAS  Google Scholar 

  27. Chandler JL, Brazendale K, Beets MW, Mealing BA . Classification of physical activity intensities using a wrist-worn accelerometer in 8-12-year-old children. Pediatr Obes 2016; 11: 120–127.

    Article  CAS  Google Scholar 

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Acknowledgements

The research team would like to acknowledge the participating parents and their four-year-old children for their valuable contribution to this study. Marie Löf received grants from the Swedish Research Council for Health, Working Life and Welfare, as well as the Swedish Research Council to conduct this study. Cristina Cadenas-Sanchez’s work was supported by a grant from the Spanish Ministry of Economy and Competitiveness. (BES-2014-068829) MINISTOP is registered as a clinical trial (https://clinicaltrials.gov/: NCT02021786). Pontus Henriksson is supported by Henning and Johan Throne-Holst Foundation. Hanna Henriksson is supported by grants from the Swedish Society of Medicine and the County Council of Östergötland, Sweden. Jonatan R Ruiz and FB Ortega are supported by grant from the Spanish Ministry of Science and Innovation (RYC-2010-05957 and RYC-2011-09011, respectively). Additional funding was obtained from the University of Granada, Plan Propio de Investigación 2016, Excellence actions: Units of Excellence; Unit of Excellence on Exercise and Health (UCEES). In addition, funding was provided by the SAMID III network, RETICS, the PN I+D+I 2017-2021 (Spain), ISCIII- Sub-Directorate General for Research Assessment and Promotion, the European Regional Development Fund (ERDF) (RD16/0022) and the EXERNET Research Network on Exercise and Health in Special Populations (DEP2005-00046/ACTI). This study is part of a PhD Thesis conducted in the Biomedicine Doctoral Studies of the University of Granada, Spain.

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Correspondence to C Cadenas-Sanchez.

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Cadenas-Sanchez, C., Henriksson, P., Henriksson, H. et al. Parental body mass index and its association with body composition, physical fitness and lifestyle factors in their 4-year-old children: results from the MINISTOP trial. Eur J Clin Nutr 71, 1200–1205 (2017). https://doi.org/10.1038/ejcn.2017.62

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