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High maternal sweetened beverage intake may increase obesity in school-aged children

Elaine Soliven
18 Aug 2017

Women who consume high amounts of sugar sweetened beverages (SSBs) during the second trimester of pregnancy may increase the risk of their children developing obesity at school-going age, according to a recent study.

This prospective prebirth cohort study analysed 1,078 mother-child pairs (mean maternal age 32.1 years, mean maternal SSB intake 0.6 servings per day) from Project Viva*. The mean BMI z-score and fat mass index (FMI) in school-aged children (age 8 years) were 0.38 and 4.4 kg/m2, respectively. Other measurements taken were sum of subscapular (SS) plus triceps (TR) skinfold thickness, ratio of SS:TR, and waist circumference. Almost 58 percent of pregnant women consumed <0.5 servings of SSB per day, and 25.2 percent of children were obese or overweight at age 8 years.

Compared with school-aged children of women who consumed 0 to <0.05 servings of SSB per day during their second trimester, school-aged children whose mothers consumed 2 to <3 servings of SSB per day had higher BMI z-score (0.56 vs 0.32), FMI (4.8 vs 4.3 kg/m2), SS plus TR (22.5 vs 19.0 mm), SS:TR (73.8 vs 69.1), and waist circumference (61.7 vs 59.2 cm). [Pediatrics 2017;140:e20170031]

After adjusting for multiple mother-child covariates, each additional serving per day was associated with higher BMI z-score (0.07), FMI (0.15 kg/m2), SS plus TR (0.85 mm), and waist circumference (0.65 cm).

The effect of high maternal SSB intake (≥2 vs <2 servings per day during the second trimester) on high BMI z-scores was evident in children with low and high SSB intake (adjusted odds ratio [adjOR], 0.22, 95 percent confidence interval [CI], -0.37 to 0.80 and adjOR, 0.29, 95 percent CI, 0.01 to 0.56).

These associations were predominantly driven by maternal intake and potentially due to prenatal programming of susceptibility to obesity, said the researchers.

“These findings suggest that efforts to limit SSB consumption once women become pregnant could help stem the tide of childhood obesity,” said the researchers.

“Given the combination of physiologic, behavioural, and social barriers, weight control after the onset of obesity is particularly challenging, implying that early prevention is paramount,” they added.

 

*Project Viva: A Longitudinal Study of Health for the Next Generation
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Most Read Articles
Vincent YT Cheung, 01 Dec 2015

Ultrasonography has been widely used as a routine component of antenatal care. During the assessment of the foetus and the placenta, an adnexal mass may be discovered at the time of the ultrasound examination. Occasionally, an adnexal mass can also be suspected either on physical examination or as a result of clinical symptoms.
Roshini Claire Anthony, 06 Apr 2018

A better quality of diet during pregnancy is associated with lower neonatal adiposity and longer infant length at birth, according to findings from the GUSTO* study.

07 Apr 2018
Female cyclists do not have significantly worse urinary or sexual function compared with other athletes, a recent study has shown. However, other genitourinary conditions, such as saddle sores and genital numbness, are associated with cycling and may lead to sexual dysfunction.
26 Feb 2017
Placement of cervical pessary in women with short cervices and singleton pregnancies does not lower the risk of having preterm births, according to the results of a meta-analysis.