medigraphic.com
ISSN 2007-932X (Electronic)
Órgano Oficial de Difusión de la Comisión Nacional de Arbitraje Médico

2020, Number 2

<< Back Next >>

Rev CONAMED 2020; 25 (2)

Influence of perinatal and dietary factors on the development of overweight and obesity in infants

Alarcón-Domínguez EE, Velasco-González LE, Medina-Carrillo L, Zamora-Gasga VM

Language: Spanish
References: 21
Page: 66-74
PDF size: 161.04 Kb.


ABSTRACT

Introduction: Child overweight and obesity represent a health problem public and a prevalence of 8.2 and 6.3%, respectively, has been reported in Mexican infants. Some research includes as risk factors for the development of overweight and obesity, high birth weight, rapid increase in infant weight, the absence of breastfeeding during the first year of life, among others. In Nayarit, there are no reports of the causes associated with this pathology. Objective: To assess the influence of perinatal and dietary factors on the development of overweight and obesity in infants in a first-level medical unit of public sector care in Tepic, Nayarit. Methods: An observational, retrospective, cross-sectional study of cases (overweight-obesity, n = 30) and controls (normal weight, n = 60) was performed. The current nutritional status, weight at birth, feeding type, duration of breastfeeding, age and start food of the complementary feeding were evaluated. Data analysis was performed using the student t test, the χ2 test and a logistic regression analysis with the STATISTICA version 12 (α = 0.05). Results: In the prevalence of breastfeeding, a 10% greater difference was observed in the control group (23.33%) than in the case group (13.33%), however, mixed complementary feeding was predominant in infants (› 70%). The main starting food was vegetables with 50% for cases and 38.33% for controls. The case group presented smaller height (79.56 cm) than the control group (82.40 cm) and the duration of breastfeeding was associated as a protective factor towards the development of overweight and obesity (Odds ratio = 0.896). Conclusions: The results of this work show the importance of increasing the period of breastfeeding, either exclusive or mixed, as a possible strategy to reduce problems of excessive weight in infants.


REFERENCES

  1. Aguilar CM, Sánchez LA, Madrid BN, Mur VN, Expósito RM, Hermoso RE. Lactancia materna como prevención del sobrepeso y la obesidad en el niño y el adolescente: revisión sistemática. Nutr Hosp. 2015; 31 (2): 606-620.

  2. Niño R, Silva G, Atalah E. Factores asociados a la lactancia materna exclusiva. Rev Chil Pediatr. 2012; 83 (2): 161-169.

  3. Gutiérrez J, Rivera-Dommarco J, Shamah-Levy T, Oropeza-Abúndez C, Hernández Ávila M. Encuesta Nacional de Salud y Nutrición 2012, resultados por entidad federativa. Cuernavaca, Morelos, México: Instituto Nacional de Salud Pública; 2012. Disponible en: https://ensanut.insp.mx/informes/Nayarit-OCT.pdf.

  4. Hörnell A, Lagström H, Lande B, Thorsdottir I. Breastfeeding, introduction of other foods and effects on health: a systematic literature review for the 5th Nordic Nutrition Recommendations. Food Nutr Res. 2013; 57 (1): 21667.

  5. Torrejón S, Osorio J, Vildoso F, Castillo C. Alimentación del niño menor de 2 años: recomendaciones de la Rama de Nutrición de la Sociedad Chilena de Pediatría. Rev Chil Pediatr. 2005; 76 (1): 91-97.

  6. Osorio E, Weisstaub N, Castillo D. Desarrollo de la conducta alimentaria en la infancia y sus alteraciones. Rev Chil Nutr. 2002; 29 (3): 280-285.

  7. Kramer MS, Kakuma R. Optimal duration of exclusive breastfeeding. Cochrane Database Syst Rev. 2012; (8): 1-42.

  8. Shamah-Levy T, Cuevas-Nasu L, Gaona-Pineda EB, Gómez-Acosta LM, Morales-Ruán MC, Hernández-Ávila M et al. Sobrepeso y obesidad en niños y adolescentes en México, actualización de la Encuesta Nacional de Salud y Nutrición de Medio Camino 2016. Salud Publ Mex. 2018; 60 (3): 244-253.

  9. Camacho-Guerrero I, Rodríguez-Zepeda JJ, Oswaldo-Sánchez E, Rodríguez-Arellano ME, Musalem-Younes C. Prevalence of obesity in preschoolers, students and adolescents at Hospital Regional Licenciado Adolfo López Mateos from ISSSTE. Rev Esp Med Quir. 2015; 20 (2): 152-157.

  10. Wollenstein-Seligson D, Iglesias-Leboreiro J, Bernárdez-Zapata I, Braverman-Bronstein A. Prevalencia de sobrepeso y obesidad infantil en un Hospital Privado de la Ciudad de México. Rev Mex Pediatr. 2016; 83 (4): 108-114.

  11. Cu L, Villarreal E, Rangel B, Galicia L, Vargas E, Martínez L. Factores de riesgo para sobrepeso y obesidad en lactantes. Rev Chil Nutr. 2015;42(2):139-44.

  12. Baidal JAW, Locks LM, Cheng ER, Blake-Lamb TL, Perkins ME, Taveras EM. Risk factors for childhood obesity in the first 1,000 days: a systematic review. Am J Prev Med. 2016; 50 (6): 761-779.

  13. Larqué E, Labayen I, Flodmark CE, Lissau I, Czernin S, Moreno LA et al. From conception to infancy-early risk factors for childhood obesity. Nat Rev Endocrinol. 2019; 15 (8): 456-478.

  14. Balaban G, Motta MEFA, Silva GAP. Early weaning and other potential risk factors for overweight among preschool children. Clinics. 2010; 65 (2): 181-187.

  15. Onis M. WHO Child Growth Standards based on length/height, weight and age. Acta Paediatr. 2006; 95 (S450): 76-85.

  16. Morán RM, Naveiro RJ, Blanco FE, Cabañeros AI, Rodríguez FM, Peral CA. Prevalencia y duración de la lactancia materna: Influencia sobre el peso y la morbilidad. Nutr Hosp. 2009; 24 (2): 213-217.

  17. Anzman SL, Rollins BY, Birch LL. Parental influence on children’s early eating environments and obesity risk: implications for prevention. Int J Obes. 2010; 34 (7): 1116-1124.

  18. Kim J, Peterson KE, Scanlon KS, Fitzmaurice GM, Must A, Oken E et al. Trends in overweight from 1980 through 2001 among preschool‐aged children enrolled in a health maintenance organization. Obesity. 2006; 14 (7): 1107-1112.

  19. Reyes D, Reyes H, Sánchez C, Alonso C, Toledo M. Alimentos contenidos en loncheras de niños que acuden a preescolar. Bol Clin Hosp Infant Edo Son. 2010; 27 (1): 35-40.

  20. Farrow C, Haycraft E, Mitchell G. Milk feeding, solid feeding, and obesity risk: a review of the relationships between early life feeding practices and later adiposity. Curr Obes Rep. 2013; 2 (1): 58-64.

  21. Cosío-Martínez TG, Hernández-Cordero S, Rivera-Dommarco J, Hernández-Ávila M. Recomendaciones para una política nacional de promoción de la lactancia materna en México: postura de la Academia Nacional de Medicina. Salud Publ Mex. 2017; 59: 106-113.




2020     |     www.medigraphic.com