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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
KY Leung, 01 Feb 2014

Group B Streptococcus (GBS) is the commonest cause of severe early-onset neonatal infection, which is associated with a high rate of morbidity and mortality (5–10%).1-3 About half of GBS meningitis will be complicated by neurodevelopment impairment. Because the early-onset disease develops shortly and rapidly after birth, there has been little improvement in the disease treatment, and the focus thus lies in disease prevention.

Dr. Tan Toh Lick, Jemar Nicdao, 22 Jun 2017
Dr Tan Toh Lick, Consultant Obstetrician and Gynaecologist at Thomson Women’s Clinic, and Thomson Wellth Clinic Singapore, shares the complexities of diagnosing polycystic ovarian syndrome in adolescent girls
Jairia Dela Cruz, 23 Oct 2017
Evacuation proctography, magnetic resonance imaging, and transperineal and endovaginal ultrasonography demonstrate similar diagnostic test accuracy for posterior pelvic floor disorders in women with obstructed defecation syndrome, a recent study has shown.
Dr. Joseph Delano Fule Robles, 14 Oct 2016

Results of a recent clinical trial showed that treatment with niraparib, a poly ADP ribose polymerase (PARP) inhibitor,  improved progression-free survival (PFS) by more than 15 months in patients with recurrent ovarian cancer responding to platinum.