Maternal and child factors associated with child body fatness in a Ghanaian cohort

Datos Bibliográficos

ID15095096
AutoresSika M Kumordzie (0000-0002-0389-819X, University of California, Davis, autor de correspondencia), Harriet Okronipa (0000-0002-5373-6754, University of California, Davis), Mary Arimond (0000-0003-1357-9077, University of California, Davis), Seth Adu-Afarwuah (0000-0002-2720-5474, University of Ghana), Maku E Ocansey (0000-0001-9275-7526, University of California, Davis), Rebecca R Young (0000-0002-5694-5308, University of California, Davis), Helena Bentil (0000-0001-8728-6715, University of Ghana), Helena J Bentil, Solace M Tamakloe (University of Ghana), Brietta M Oaks (0000-0001-6056-0585, University of California, Davis), Kathryn G Dewey (0000-0002-4185-3451, University of California, Davis)
Año2020
Volumen23
Número2
Páginas309-318
Fecha de publicación2020-02-01
Peer ReviewedSí
Open AccessSí
TipoARTICLE
RevistaPublic Health Nutrition (JOURNAL)
Identificadores de la revistaISSN: 1368-9800 • E-ISSN: 1475-2727
EditorialCambridge University Press (CUP) (PUBLISHER)
DOI10.1017/s1368980019001745
PMID31340880
OpenAlexW2962965498
IdiomaEN
Citas recibidas1
Referencias citadas37

Objective: We aimed to identify factors (child diet, physical activity; maternal BMI) associated with body composition of Ghanaian pre-school children. Design: Longitudinal analysis of the International Lipid-Based Nutrient Supplements (iLiNS)-DYAD-Ghana randomized trial, which enrolled 1320 pregnant women at ≤20 weeks’ gestation and followed them and their infants until 6 and 18 months postpartum, respectively. At follow-up, child age 4–6 years, we collected data on body composition (by 2 H dilution), physical activity and diet, extracted dietary patterns using factor analysis, and examined the association of children’s percentage body fat with maternal and child factors by regression analysis. Setting: Eastern Region, Ghana. Participants: Children 4–6 years of age. Results: The analysis included 889 children with percentage body fat and dietary data at follow-up. We identified two major dietary patterns, a snacking and a cooked foods pattern. Percentage body fat was positively associated (standardized β ( se )) with maternal BMI at follow-up (0·10 (0·03); P = 0·003) and negatively associated with physical activity (−0·15 (0·05); P = 0·003, unadjusted for child gender), but not associated with the snacking (0·06 (0·03); P = 0·103) or cooked foods (−0·05 (0·07); P = 0·474) pattern. Boys were more active than girls (1470 v. 1314 mean vector magnitude counts/min; P v. 16·9 %; P Conclusions: In this population, maternal overweight and child physical activity, especially among girls, may be key factors for addressing child overweight/obesity. We did not demonstrate a relationship between the dietary patterns and body fatness, which may be related to limitations of the dietary data available

Body mass index · Childhood obesity · Cohort · Environmental health · Obesity · Overweight · Population · Snacking · Birth, Development, and Health · Child Nutrition and Water Access · Demography · Medicine · Obesity, Physical Activity, Diet · Endocrinology · Internal Medicine · Pediatrics