Abstract
Background/objectives
The study purpose was to assess the impact of birth weight and breastfeeding duration on physical fitness components.
Subjects/methods
Study participants were 985 adolescents boys and 1246 girls (12.5–17.5 years) participating in the HELENA study. Standardised physical fitness procedures included: cardio-respiratory fitness, flexibility, upper body muscular strength, and lower body explosive strength. Birth weight and breastfeeding duration were assessed by parents’ questionnaire. Associations between neonatal data and physical fitness were investigated using linear mixed models.
Results
Significant associations between body muscular strength, and breastfeeding duration were observed in the unadjusted analyses for boys. When adjusting for potential confounding factors (z-score body mass index, fat-free mass, fat mass), only lower body muscular strength, by standing broad jump-a proxy measure of muscular explosivity- was positively associated with breastfeeding duration. Furthermore, significant associations were observed between upper body muscular strength (by hand grip),—a proxy measure of muscular power—in boys as well as in girls.
Conclusions
Birth weight and breastfeeding duration have different effects on muscular strength components. The present results suggest that birth weight positively influences the development of muscular power, while breastfeeding duration positively influences muscular explosivity.
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References
Mintjens S, Menting MD, Daams JG, van Poppel MNM, Roseboom TJ, Gemke RJBJ. Cardiorespiratory fitness in childhood and adolescence affects future cardiovascular risk factors. a systematic review of longitudinal studies. Sports Med. 2018;48:2577–605.
Ruiz JR, Castro-Pinero J, Artero EG, Ortega FB, Sjostrom M, Suni J, et al. Predictive validity of health-related fitness in youth: a systematic review. Br J Sports Med. 2009;43:909–23.
Caspersen CJ, Powell KE, Christenson GM. Physical activity, exercise, and physical fitness: definitions and distinctions for health-related research. Public Health Rep. 1985;100:126–31.
Pate RR, Pratt M, Blair SN, Haskell WL, Macera CA, Bouchard C, et al. Physical activity and public health—a recommendation from the centers for disease control and prevention and the american college of sports medicine. JAMA. 1995;273:402–7.
Blair SN, Kohl HW 3rd, Paffenbarger RS Jr, Clark DG, Cooper KH, Gibbons LW. Physical fitness and all-cause mortality. a prospective study of healthy men and women. JAMA. 1989;262:2395–401.
Ortega FB, Ruiz JR, Castillo MJ, Sjostrom M. Physical fitness in childhood and adolescence: a powerful marker of health. Int J Obes. 2008;32:1–11.
Reed T, Fabsitz RR, Selby JV, Carmelli D. Genetic influences and grip strength norms in the NHLBI twin study males aged 59–69. Ann Hum Biol. 1991;18:425–32.
Kostek MH, Pescatello LS. The role of genetic variation in muscle strength. State of the art. American J Lifestyle Med. 2011:1–5.
Teran-Garcia M, Rankinen T, Bouchard C. Genes, exercise, growth, and the sedentary, obese child. J Appl Physiol. 2008;105:988–1001.
Bouchard C, An P, Rice T, Skinner JS, Wilmore JH, Gagnon J, et al. Perusse L. Familial aggregation of VO2max response to exercise training: results from the HERITAGE family study. J Appl Physiol. 1999;87:1003–8.
Paterson DH, Warburton DE. Physical activity and functional limitations in older adults: a systematic review related to Canada’s Physical Activity Guidelines. Int J Behav Nutr Phys Act. 2010;7:38–42.
Barker DJP, Osmond C, Golding J, Kuh D, Wadsworth ME. Growth in utero, blood pressure in childhood and adult life, and mortality from cardiovascular disease. BMJ. 1989;298:564–7.
Barker DJP. Adult consequences of fetal growth restriction. Clin Obstet Gynecol. 2006;49:270–83.
Barker DJP. The origins of the developmental origins theory. J Intern Med. 2007;261:412–7.
Gluckman PD, Hanson MA, Mitchell MD. Developmental origins of health and disease: reducing the burden of chronic disease in the next generation. Genome Med. 2010;2:5–11.
Cooper Institute for Aerobics Research FITNESSGRAM test administration manual. Human Kinetics, Champaign. 1999.
Committee of Experts on Sport Research EUROFIT. Handbook for the EUROFIT Tst of Physical Fitness. Council of Europe, Strabourg. 1993.
Ruiz JR, Ortega FB, Gutierrez A, Meusel D, Sjöström M, Castillo MJ. Health-related fitness assessment in childhood and adolescence: a European approach based on the AVENA, EYHS and HELENA studies. J Public Health. 2006;14:269–77.
Henriques-Neto D, Magalhaes JP, Hetherington-Rauth M, Santos DA, Baptista F, Sardinha LB. Physical fitness and bone health in young athletes and nonathletes. Sports Health Multidiscip Approach. 2020;12:441–8.
Agostinis-Sobrinho C, García-Hermoso A, Ramírez-Vélez R, Moreira C, Lopes L, et al. Longitudinal association between ideal cardiovascular health status and muscular fitness in adolescents. The LabMed Physical Activity Study. Nutr, Metab, cardiovascular Dis. 2018;28:892–9.
Trudeau F, Shephard RJ, Arsenault F, Laurencelle L. Tracking of physical fitness from childhood to adulthood. Can J Appl Physiol. 2003;28:257–71.
Fraser BJ, Blizzard L, Buscot MJ, Schmidt MD, Dwyer T, Venn AJ, et al. Muscular strength across the life course: the tracking and trajectory patterns of muscular strength between childhood and mid-adulthood in an Australian cohort. J Sci Med Sport. 2021;16:23–9.
Garcia-Hermoso A, Ramirez-Campillo R, Izquierdo M. Is muscular fitness associated with future health benefits in children and adolescents? A systematic review and meta-analysis of longitudinal studies. Sports Med. 2019;49:1079–94.
Rantanen T, Guralnik JM, Foley D, Masaki K, Leveille S, Curb JD, et al. Midlife hand grip strength as a predictor of old age disability. JAMA. 1999;281:558–60.
Heshmati J, Sepidarkish M, Shidfar F, Shokri F, Vesali S, Akbari M, et al. Effect of breastfeeding in early life on cardiorespiratory and physical fitness: a systematic review and meta-analysis. Breastfeed Med. 2018;13:248–58.
Dodds R, Denison HJ, Ntani G, Cooper R, Cooper C, Sayer AA, et al. Birth weight and muscle strength: a systematic review and meta-analysis. J Nutr Health Aging. 2012;16:609–15.
Moreno LA, De Henauw S, Gonzalez-Gross M, Kersting M, Molnar D, Gottrand F, et al. Design and implementation of the Healthy Lifestyle in Europe by Nutrition in Adolescence Cross-Sectional Study. Int J Obes. 2008;32:S4–11.
Iliescu C, Béghin L, Maes L, De Bourdeaudhuij I, Libersa C, Vereecken C, et al. Socioeconomic questionnaire and clinical assessment in the HELENA cross-sectional study: methodology. Int J Obes. 2008;32:S19–S25.
World Medical Association Declaration of Helsinki. Ethical principles for medical research involving human subjects. Bull World Health Organ. 2001;79:373–4.
Béghin L, Castera M, Manios Y, Gilbert CC, Kersting M, De Henauw S, et al. Quality assurance of ethical issues and regulatory aspects relating to good clinical practices in the HELENA Cross-Sectional Study. Int J Obes. 2008;32:S12–S18.
Béghin L, Huybrechts I, Vicente-Rodriguez G, De Henauw S, Gottrand F, Gonzalez-Gross M, et al. Main characteristics and participation rate of European adolescents included in the HELENA study. Arch Public Health. 2012;70:1–11.
van Deutekom AW, Chinapaw MJM, Vrijkotte TGM, Gemke R. The association of birth weight and infant growth with physical fitness at 8-9 years of age-the ABCD study. Int J Obes. 2015;39:593–600.
Cafiero G, Fintini D, Brufani C, Fiori R, Giordano U, Turchetta A, et al. Cardiovascular fitness is impaired in children born small for gestational age. Acta Paediatr. 2014;103:E219–E221.
Toschke AM, Martin RM, von Kries R, Wells J, Smith GD, Ness AR. Infant feeding method and obesity: body mass index and dual-energy X-ray absorptiometry measurements at 9–10 y of age from the Avon Longitudinal Study of Parents and Children (ALSPAC). Am J Clin Nutr. 2007;85:1578–85.
Ortega FB, Artero EG, Ruiz JR, Vicente-Rodriguez G, Bergman P, Hagstromer M, et al. Reliability of health-related physical fitness tests in European adolescents. The HELENA Study. Int J Obes. 2008;32:S49–S57.
Ortega FB, Artero EG, Ruiz JR, Espana-Romero V, Jimenez-Pavon D, Vicente-Rodriguez G, et al. Physical fitness levels among European adolescents: the HELENA study. Br J Sports Med. 2011;45:20–9.
Ruiz JR, Larrarte E, Margareto J, Ares R, Alkorta P, Labayen I. Preliminary findings on the role of PLIN1 polymorphisms on body composition and energy metabolism response to energy restriction in obese women. Br J Nutr. 2011;106:486–90.
Léger LA, Mercier D, Gadoury C, Lambert J. The multistage 20 metre shuttle run test for aerobic fitness. J Sports Sci. 1988;6:93–101.
Espana-Romero V, Ortega FB, Ruiz JR, Artero EG, Martinez-Gomez D, Vicente-Rodriguez G. Role of cardiorespiratory fitness on the association between physical activity and abdominal fat content in adolescents: the HELENA study. Int J Sports Med. 2010;31:679–82.
Metter EJ, Talbot LA, Schrager M, Conwit R. Skeletal muscle strength as a predictor of all-cause mortality in healthy men. J Gerontol Ser A Biol Sci Med Sci. 2002;57:B359–B365.
Ruiz LR, Espana-Romero V, Ortega FB, Sjostrom M, Castillo MJ, Gutierrez A. Hand span influences optimal grip span in male and female teenagers. J Hand Surg Am Vol. 2006;31A:1367–72.
Ruiz JR, Ortega FB, Martinez-Gomez D, Labayen I, Moreno LA, De Bourdeaudhuij II, et al. Objectively measured physical activity and sedentary time in European adolescents: the HELENA study. Am J Epidemiol. 2011;174:173–84.
Riddoch CJ, Bo AL, Wedderkopp N, Harro M, Klasson-Heggebo L, Sardinha LB, et al. Physical activity levels and patterns of 9- and 15-yr-old European children. Med Sci Sports Exerc. 2004;36:86–92.
Tanner JM, Whitehouse RH. Clinical longitudinal standards for height, weight, height velocity, weight velocity, and stages of puberty. Arch Dis Child. 1976;51:170–9.
Cole TJ, Green PJ. Smoothing reference centile curves. The LMS method. Stat Med. 1992;11:1305–19.
Cole TJ, Bellizzi MC, Flegal KM, Dietz WH. Establishing a standard definition for child overweight and obesity worldwide: international survey. BMJ. 2000;320:1240–3.
Cole TJ. The LMS method for constructing normalized growth standards. Eur J Clin Nutr. 1990;44:45–60.
Cole TJ, Freeman JV, Preece MA. Body mass index reference curves for the UK, 1990. Arch Dis Child. 1995;73:25–9.
Nagy E, Vicente-Rodriguez G, Manios Y, Béghin L, Iliescu C, Censi L, et al. Harmonization process and reliability assessment of anthropometric measurements in a multicenter study in adolescents. Int J Obes. 2008;32:S58–S65.
Slaughter MH, Lohman TG, Boileau RA, Horswill CA, Stillman RJ, Van Loan MD, et al. Skinfold equations for estimation of body fatness in children and youth. Hum Biol. 1988;60:709–23.
van Buuren S, Groothuis-Oudshoorn K. Multivariate imputation by chained equations in R. J Stat Softw. 2011;45:1–67.
Toutenburg HR. D.B.: Multiple imputation for nonresponse in surveys. Stat Pap. 1990;31:180–180.
Martin RM, Holly JM, Smith GD, Ness AR, Emmett P, Rogers I, et al. Could associations between breastfeeding and insulin-like growth factors underlie associations of breastfeeding with adult chronic disease? The Avon Longitudinal Study of Parents and Children. Clin Endocrinol. 2005;62:728–37.
Savino F, Liguori SA, Lupica MM. Adipokines in breast milk and preterm infants. Early Hum Dev. 2010;86:77–80.
Harvey NC, Moon RJ, Sayer AA, Ntani G, Davies JH, Javaid MK, et al. Maternal antenatal vitamin D status and offspring muscle development: findings from the Southampton Women’s Survey. J Clin Endocrinol Metab. 2014;99:330–7.
Simmons R. Developmental origins of adult metabolic disease. concepts and controversies. Trends Endocrinol Metab. 2005;16:390–4.
Ylihärsilä H, Kajantie E, Osmond C, Forsén T, Barker DJ, Eriksson JG. Birth size, adult body composition and muscle strength in later life. Int J Obes. 2007;31:1392–9.
Agosti M, Tandoi F, Morlacchi L, Bossi A. Nutritional and metabolic programming during the first thousand days of life. La Pediatr Med e Chirurgica: Med Surg Pediatr. 2017;39:157–64.
Smith JH. Relation of body size to muscle cell size and number in the chicken. Poult Sci. 1963;12:283–90.
Ahlqvist VH, Persson M, Ortega FB, Tynelius P, Magnusson C, Berglind D. Birth weight and grip strength in young Swedish males: a longitudinal matched sibling analysis and across all body mass index ranges. Sci Rep. 2019;9:15–23.
Appelqvist-Schmidlechner K, Vaara JP, Vasankari T, Hakkinen A, Mantysaari M, Kyrolainen H. Muscular and cardiorespiratory fitness are associated with health-related quality of life among young adult men. BMC Public Health. 2020;20:36–44.
WHO: Global strategy for infant and young child feeding. The optimal duration of exclusive breastfeeding. 2001; A54/INF.DOC./4.
Acknowledgements
The content of this article reflect only the authors’ views and the European Commission is not liable for any use that may be made of the information contained herein. We thank Muriel BEUVRY and Anne GAUTREAU (CIC-1403-CHU-Inserm de Lille, France) for help in typing this manuscript.
Funding
The HELENA Study took place with the financial support of the European Commission Sixth RTD Framework Programme (Contract FOOD-CT-20056007034). This study was also supported by grants from Spanish Ministry of Science and Innovation (AP 2008-03806).
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Laurent Béghin and Jérémy Vanhelst designed the data collection instruments, coordinated and supervised data collection, conducted the initial analyses and drafted the initial manuscript. Elodie Drumez conducted the initial analyses, statistical analysis and drafted the initial manuscript. Mathilde Kersting, Denes Molnar, Anthony Kafatos and Eva Karaglani designed data collection instruments, coordinated and supervised data collection and critically reviewed the manuscript for important intellectual content. Stefaan De Henauwn, Kurt Wildhalm, Luis A. Moreno and Frédéric Gottrand conceptualised and designed the study, supervised data collection, coordinated the study and critically reviewed the manuscript for important intellectual content. And all authors approved the final manuscript as submitted and agree to be accountable for all aspects of the work.
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Frédéric Gottrand has received consulting fees from Nestlé, and grant support from Lactalis. The remaining authors state no conflict of interest. The content of this article reflect only the authors’ views and the European Community is not liable for any use that may be made of the information contained therein.
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Béghin, L., Vanhelst, J., Drumez, E. et al. Birth weight and breastfeeding are differentially associated with physical fitness components. Eur J Clin Nutr 76, 871–878 (2022). https://doi.org/10.1038/s41430-021-01038-6
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DOI: https://doi.org/10.1038/s41430-021-01038-6