نبذة مختصرة : Background: Obesity rates in Swedish children are currently not increasing, however socioeconomic disparities are widening. Many children become obese as early as their preschool years. Hereditary and environmental family-related risk factors are the dominating determinants of child obesity, with parental obesity as the most important. Prevention is a high priority, and increased knowledge on risk factors specifically in high-risk populations is of vital importance for the development of efficient preventive interventions. Aims: The primary aim was to analyse the impact of parental adiposity and parental educational level on child relative weight from infancy to adolescence, in high-risk populations. Further, to assess the associations between infant relative weight and early life factors, infant dietary intake, infant eating behaviours and parental food intake. Also, to validate a questionnaire measuring obesity-related eating behaviours in Swedish preschool children. Finally, the aim was to validate the dietary intake in infants and parents using a biomarker for fat intake. Material and methods: Four child-parent populations were studied: 231 obese children followed longitudinally, from the Swedish National Childhood Obesity Centre in Stockholm (Study I); 197 (Study II) and 193 (Study IV) one-year old infants in high- and low-risk families (determined by parental weight status), participating in Early STOPP (Stockholm Obesity Prevention Project) and recruited from child healthcare in Stockholm County; 174 children 1-6 years old recruited from kindergartens in Stockholm (Study III). Study I: Associations between severity of obesity at age 7 and 15, age at onset of obesity and parental BMI were analysed in obese children, using data from BORIS, the Swedish quality registry for childhood obesity. Study II: Infant relative weight at 3, 6 and 12 months and rapid weight gain 0-6 months were analysed in relation to parental adiposity, parental educational level and early life factors. Study III: A factorial ...
Relation: I. Associations between severity of obesity in childhood and adolescence, obesity onset and parental BMI: a longitudinal cohort study. Svensson V, Jacobsson JA, Fredriksson R, Danielsson P, Sobko T, Schiöth HB, Marcus C. International Journal of Obesity. 2011; 35:46–52. ::doi::10.1038/ijo.2010.189 ::pmid::20856258 ::isi::000286094900006; II. Infant growth is associated with parental education but not with parental adiposity – Early Stockholm Obesity Prevention Project. Svensson V, Ek A, Forssén M, Ekbom K, Cao Y, Ebrahim M, Johansson E, Nero H, Hagströmer M, Ekstedt M, Nowicka P, Marcus C. Acta Paediatrica. 2014. ::doi::10.1111/apa.12551 ::pmid::24387055; III. Obesity related eating behaviour patterns in Swedish preschool children and association with age, gender, relative weight and parental weight - factorial validation of the Children’s Eating Behaviour Questionnaire. Svensson V, Lundborg L, Cao Y, Nowicka P, Marcus C, Sobko T. International Journal of Behavioral Nutrition and Physical Activity. 2011; 8:134. ::doi::10.1186/1479-5868-8-134 ::pmid::22152012 ::isi::000300878700001; IV. Dietary behaviours in families with infants at high and low obesity risk - Early Stockholm Obesity Prevention Project. Svensson V, Sobko T, Ek A, Forssén M, Ekbom K, Johansson E, Nowicka P, Westerståhl M, Risérus U, Marcus C. [Manuscript]; http://hdl.handle.net/10616/41924
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