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Parental BMI and country classification by Gross National Income are stronger determinants of prospective BMI deterioration compared to perinatal risk factors at pre-adolescence : Feel4Diabetes study

Yannis Manios, Maria Michelle Papamichael, Niki Mourouti, Matzourana Argyropoulou, Violeta Iotova, Natalya Usheva, Roumyana Dimova, Greet Cardon (UGent) , Päivi Valve, Imre Rurik, et al.
(2023) NUTRITION. 114.
Author
Organization
Project
  • Feel4Diabetes (Developing and implementing a community-based intervention to create a more supportive social and physical environment for lifestyle changes to prevent diabetes in vulnerable families across Europe)
Abstract
Objectives: This study aimed to evaluate all known risk factors, from perinatal to adolescence and identify those predominantly related with prospective BMI deterioration. Methods: Prospective data analysis from the European Feel4Diabetes-study involving 12,211 children from six countries. Details on perinatal and sociodemographic characteristics were collected by parental self-reported questionnaires. Children’s anthropometric data were measured by research personnel. Associations between risk factors and children’s BMI deterioration (i.e increase) from baseline (mean age 8.2 § 0.98 years) to the 2-year follow-up (10.3 § 1.0 years) were explored by applying logistic regression analyses. Results: Univariate analysis revealed that all known risk factors for early overweight/obesity development, remained dominant in prospective BMI deterioration. When multivariate analysis was applied including additional variables such as parents’ current BMI status, family socio-demographic characteristics and country economic classification based on Gross National Income, most perinatal risk factors were no longer significant. Multivariate analysis revealed that pre-pregnancy maternal overweight/obesity (OR, 95%CI: 2.71, 1.67- 4.38), early introduction of solid foods (2.54, 1.21-5.31), parental current BMI status (3.53, 2.17-5.72) and country economic classification (low income: 4.67, 2.20-9.93; under austerity measures: 6.78, 3.18-14.48) were the only parameters associated with higher odds for children’s BMI deterioration from the study baseline to 2-year follow-up after adjusting for children’s gender. Conclusions: The most predominant risk factors influencing children’s prospective BMI deterioration were parental BMI and country economic classification as compared to perinatal. These findings should guide public health initiatives aiming to tackle the childhood obesity epidemic and social inequalities on a European level.
Keywords
Nutrition and Dietetics, Endocrinology, Diabetes and Metabolism, Perinatal, overweight, obesity, socio-demographics, country economic, classi fication, Gross National Income, children, HOME FOOD ENVIRONMENT, BODY-MASS INDEX, CHILDHOOD OBESITY, MATERNAL OBESITY, WEIGHT, HEALTH, METAANALYSIS, IMPACT, DIET

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MLA
Manios, Yannis, et al. “Parental BMI and Country Classification by Gross National Income Are Stronger Determinants of Prospective BMI Deterioration Compared to Perinatal Risk Factors at Pre-Adolescence : Feel4Diabetes Study.” NUTRITION, vol. 114, Elsevier BV, 2023, doi:10.1016/j.nut.2023.112128.
APA
Manios, Y., Papamichael, M. M., Mourouti, N., Argyropoulou, M., Iotova, V., Usheva, N., … Study Grp, F. (2023). Parental BMI and country classification by Gross National Income are stronger determinants of prospective BMI deterioration compared to perinatal risk factors at pre-adolescence : Feel4Diabetes study. NUTRITION, 114. https://doi.org/10.1016/j.nut.2023.112128
Chicago author-date
Manios, Yannis, Maria Michelle Papamichael, Niki Mourouti, Matzourana Argyropoulou, Violeta Iotova, Natalya Usheva, Roumyana Dimova, et al. 2023. “Parental BMI and Country Classification by Gross National Income Are Stronger Determinants of Prospective BMI Deterioration Compared to Perinatal Risk Factors at Pre-Adolescence : Feel4Diabetes Study.” NUTRITION 114. https://doi.org/10.1016/j.nut.2023.112128.
Chicago author-date (all authors)
Manios, Yannis, Maria Michelle Papamichael, Niki Mourouti, Matzourana Argyropoulou, Violeta Iotova, Natalya Usheva, Roumyana Dimova, Greet Cardon, Päivi Valve, Imre Rurik, Emese Antal, Stavros Liatis, Konstantinos Makrilakis, Luis Moreno, George Moschonis, and Feel4Diabetes Study Grp. 2023. “Parental BMI and Country Classification by Gross National Income Are Stronger Determinants of Prospective BMI Deterioration Compared to Perinatal Risk Factors at Pre-Adolescence : Feel4Diabetes Study.” NUTRITION 114. doi:10.1016/j.nut.2023.112128.
Vancouver
1.
Manios Y, Papamichael MM, Mourouti N, Argyropoulou M, Iotova V, Usheva N, et al. Parental BMI and country classification by Gross National Income are stronger determinants of prospective BMI deterioration compared to perinatal risk factors at pre-adolescence : Feel4Diabetes study. NUTRITION. 2023;114.
IEEE
[1]
Y. Manios et al., “Parental BMI and country classification by Gross National Income are stronger determinants of prospective BMI deterioration compared to perinatal risk factors at pre-adolescence : Feel4Diabetes study,” NUTRITION, vol. 114, 2023.
@article{01HRPQQ6MSC8ME6MVXCBCP7QAX,
  abstract     = {{Objectives: This study aimed to evaluate all known risk factors, from perinatal to adolescence and identify
those predominantly related with prospective BMI deterioration.

Methods: Prospective data analysis from the European Feel4Diabetes-study involving 12,211 children
from six countries. Details on perinatal and sociodemographic characteristics were collected by parental self-reported questionnaires. Children’s anthropometric data were measured by research personnel.
Associations between risk factors and children’s BMI deterioration (i.e increase) from baseline (mean
age 8.2 § 0.98 years) to the 2-year follow-up (10.3 § 1.0 years) were explored by applying logistic
regression analyses.

Results: Univariate analysis revealed that all known risk factors for early overweight/obesity development,
remained dominant in prospective BMI deterioration. When multivariate analysis was applied including
additional variables such as parents’ current BMI status, family socio-demographic characteristics and country economic classification based on Gross National Income, most perinatal risk factors were no longer significant. Multivariate analysis revealed that pre-pregnancy maternal overweight/obesity (OR, 95%CI: 2.71, 1.67-
4.38), early introduction of solid foods (2.54, 1.21-5.31), parental current BMI status (3.53, 2.17-5.72) and
country economic classification (low income: 4.67, 2.20-9.93; under austerity measures: 6.78, 3.18-14.48)
were the only parameters associated with higher odds for children’s BMI deterioration from the study baseline to 2-year follow-up after adjusting for children’s gender.

Conclusions: The most predominant risk factors influencing children’s prospective BMI deterioration were
parental BMI and country economic classification as compared to perinatal. These findings should guide public health initiatives aiming to tackle the childhood obesity epidemic and social inequalities on a European
level.}},
  articleno    = {{112128}},
  author       = {{Manios, Yannis and Papamichael, Maria Michelle and Mourouti, Niki and Argyropoulou, Matzourana and Iotova, Violeta and Usheva, Natalya and Dimova, Roumyana and Cardon, Greet and Valve, Päivi and Rurik, Imre and Antal, Emese and Liatis, Stavros and Makrilakis, Konstantinos and Moreno, Luis and Moschonis, George and Study Grp, Feel4Diabetes}},
  issn         = {{0899-9007}},
  journal      = {{NUTRITION}},
  keywords     = {{Nutrition and Dietetics,Endocrinology, Diabetes and Metabolism,Perinatal,overweight,obesity,socio-demographics,country economic,classi fication,Gross National Income,children,HOME FOOD ENVIRONMENT,BODY-MASS INDEX,CHILDHOOD OBESITY,MATERNAL OBESITY,WEIGHT,HEALTH,METAANALYSIS,IMPACT,DIET}},
  language     = {{eng}},
  pages        = {{9}},
  publisher    = {{Elsevier BV}},
  title        = {{Parental BMI and country classification by Gross National Income are stronger determinants of prospective BMI deterioration compared to perinatal risk factors at pre-adolescence : Feel4Diabetes study}},
  url          = {{http://doi.org/10.1016/j.nut.2023.112128}},
  volume       = {{114}},
  year         = {{2023}},
}
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