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Childhood obesity prevention: a life-course framework
International Journal of Obesity Supplements Pub Date : 2013-05-16 , DOI: 10.1038/ijosup.2013.2
R Pérez-Escamilla 1 , G Kac 2
Affiliation  

Overweight/obese women are more likely to deliver newborns that also have a predisposition to store excessive amounts of fat since the early infancy period. Two evidence-based cycles are considered on the explanation of the maternal–child life-course approach for obesity prevention. The ‘maternal’ cycle indicates that pre-pregnancy overweight primiparous women are more likely to gain excessive weight during gestation and to retain excessive weight postpartum. The ‘offspring’ cycle indicates that newborns of pre-pregnancy overweight/obese women are more likely themselves to store excessive body fat starting very early on in life. The social ecological model (SEM) has been adopted as the framework needed to guide obesity prevention initiatives. The SEM considers the complex interrelationship among highly interconnected systems embedded within each other and having the individual on its inner most. Recommendations to women should include prevention of overweight/obesity prenatally, to attain adequate gestational weight and to lose the weight normally gained as part of the physiological response to pregnancy in the postpartum period. For the ‘offspring’ the aims should be to promote optimal breastfeeding and complementary feeding practices, and to foster physical activity and adequate dietary habits. Well-coordinated inter-sectorial national obesity prevention programs built upon the life-course framework foundation requires in-depth early life systems analyses driven by the SEM.



中文翻译:

儿童肥胖预防:生命历程框架

自婴儿早期以来,超重/肥胖的女性更有可能生下的新生儿也有储存过多脂肪的倾向。在解释预防肥胖的母婴生命历程方法时,考虑了两个循证周期。“母体”周期表明,孕前超重的初产女性更有可能在妊娠期间体重增加过多,产后体重仍然过重。“后代”周期表明,孕前超重/肥胖妇女的新生儿更有可能在生命的早期就开始储存过多的身体脂肪。社会生态模型 (SEM) 已被用作指导肥胖预防计划所需的框架。SEM 考虑了高度互连的系统之间复杂的相互关系,这些系统相互嵌入,并且将个体置于其最深处。对女性的建议应包括在产前预防超重/肥胖,以达到足够的孕期体重,并减轻产后生理反应中正常增加的体重。对于“后代”,目标应该是促进最佳母乳喂养和补充喂养实践,并培养身体活动和适当的饮食习惯。建立在生命历程框架基础上的协调良好的跨部门国家肥胖预防计划需要由 SEM 驱动的深入的早期生命系统分析。对女性的建议应包括在产前预防超重/肥胖,以达到足够的孕期体重,并减轻产后生理反应中正常增加的体重。对于“后代”,目标应该是促进最佳母乳喂养和补充喂养实践,并培养身体活动和适当的饮食习惯。建立在生命历程框架基础上的协调良好的跨部门国家肥胖预防计划需要由 SEM 驱动的深入的早期生命系统分析。对女性的建议应包括在产前预防超重/肥胖,以达到足够的孕期体重,并减轻产后生理反应中正常增加的体重。对于“后代”,目标应该是促进最佳母乳喂养和补充喂养实践,并培养身体活动和适当的饮食习惯。建立在生命历程框架基础上的协调良好的跨部门国家肥胖预防计划需要由 SEM 驱动的深入的早期生命系统分析。对于“后代”,目标应该是促进最佳母乳喂养和补充喂养实践,并培养身体活动和适当的饮食习惯。建立在生命历程框架基础上的协调良好的跨部门国家肥胖预防计划需要由 SEM 驱动的深入的早期生命系统分析。对于“后代”,目标应该是促进最佳母乳喂养和补充喂养实践,并培养身体活动和适当的饮食习惯。建立在生命历程框架基础上的协调良好的跨部门国家肥胖预防计划需要由 SEM 驱动的深入的早期生命系统分析。

更新日期:2013-05-16
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