TY - JOUR
T1 - Quantifying the childhood and adolescent overnutrition attributable to specific risk factors
T2 - The Young Lives Study in Peru
AU - Bernabe-Ortiz, Antonio
AU - Mendoza-Quispe, Daniel
AU - Jimenez, M. Michelle
AU - Ugaz, María Elena
AU - Rojas-Dávila, Carlos E.
N1 - Publisher Copyright:
© 2023 World Obesity Federation.
PY - 2023/4
Y1 - 2023/4
N2 - Objective: Launching priority actions demand a comprehensive appraisal of the size effect that risk factors have on the burden of overweight and obesity. This study aimed to estimate the incidence of overweight and obesity among children and adolescents, with special emphasis on the role of specific risk factors. Materials and Methods: Secondary analysis of data from the younger cohort of the Young Lives Study in Peru (2002–2017). The outcomes were: overweight and obesity, defined by the World Health Organization standards; whereas the exposures included caesarean birth, physical activity levels, sodas and sugar-sweetened beverages consumption, snacks consumption, and maternal body mass index (BMI). We used multilevel Poisson regression models, considering the repetitive nature of data, to estimate incidence rate ratios (IRRs) and population attributable fractions (PAFs). Results: A total of 2052 children, mean age 1 (SD 0.4) year, and 50% girls, were enrolled at baseline. After 14 (SD 0.5) years of follow-up, the incidence of overweight and obesity were 7.9 (95% CI 7.6–8.2) and 2.2 (95% CI 2.0–2.4) per 100 person-year, respectively. Maternal BMI (IRRs 3.51; PAF 31.8%), low physical activity (IRR 1.64; PAF 27.4%), caesarean birth (IRR 1.63; PAF 11.4%), almost daily snack consumption (IRR 1.60; PAF 32.1%), and almost daily consumption of sweetened beverages (IRR 1.47; PAF 26.0%) increased the risk of developing obesity. Conclusions: This study provides evidence on the risk of overweight and obesity attributable to diet habits, physical activity and the obesogenic niche among children and adolescents in Peru, which may guide the implementation of evidence-based interventions.
AB - Objective: Launching priority actions demand a comprehensive appraisal of the size effect that risk factors have on the burden of overweight and obesity. This study aimed to estimate the incidence of overweight and obesity among children and adolescents, with special emphasis on the role of specific risk factors. Materials and Methods: Secondary analysis of data from the younger cohort of the Young Lives Study in Peru (2002–2017). The outcomes were: overweight and obesity, defined by the World Health Organization standards; whereas the exposures included caesarean birth, physical activity levels, sodas and sugar-sweetened beverages consumption, snacks consumption, and maternal body mass index (BMI). We used multilevel Poisson regression models, considering the repetitive nature of data, to estimate incidence rate ratios (IRRs) and population attributable fractions (PAFs). Results: A total of 2052 children, mean age 1 (SD 0.4) year, and 50% girls, were enrolled at baseline. After 14 (SD 0.5) years of follow-up, the incidence of overweight and obesity were 7.9 (95% CI 7.6–8.2) and 2.2 (95% CI 2.0–2.4) per 100 person-year, respectively. Maternal BMI (IRRs 3.51; PAF 31.8%), low physical activity (IRR 1.64; PAF 27.4%), caesarean birth (IRR 1.63; PAF 11.4%), almost daily snack consumption (IRR 1.60; PAF 32.1%), and almost daily consumption of sweetened beverages (IRR 1.47; PAF 26.0%) increased the risk of developing obesity. Conclusions: This study provides evidence on the risk of overweight and obesity attributable to diet habits, physical activity and the obesogenic niche among children and adolescents in Peru, which may guide the implementation of evidence-based interventions.
KW - Peru
KW - diet patterns
KW - obesity
KW - overweight
KW - physical activity
UR - http://www.scopus.com/inward/record.url?scp=85146315927&partnerID=8YFLogxK
U2 - 10.1111/ijpo.13002
DO - 10.1111/ijpo.13002
M3 - Artículo
C2 - 36646441
AN - SCOPUS:85146315927
SN - 2047-6302
VL - 18
JO - Pediatric Obesity
JF - Pediatric Obesity
IS - 4
M1 - e13002
ER -