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Vitzthum VJ, Thornburg J, McDade TW, Hicks KA, Miller A, Chester EM, Goodlett B, Caceres E, Spielvogel H. C-reactive protein (CRP) in high altitude Bolivian peri-urban adolescents varies by adiposity, current illness, height, socioeconomic status, sex, and menarcheal status: The potential benefits and costs of adipose reserves in arduous environments. Am J Hum Biol 2024:e24107. [PMID: 38828631 DOI: 10.1002/ajhb.24107] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/06/2024] [Accepted: 05/08/2024] [Indexed: 06/05/2024] Open
Abstract
OBJECTIVES In non-industrialized and low-income populations, adipose stores can serve as a valuable buffer against harsh conditions such as seasonal food scarcity. However, these reserves may incur costs due to adipocytes' production of pro-inflammatory cytokines; inflammation is associated with increased risk for cardiometabolic diseases later in life. Life history theory posits that, especially in populations with high juvenile mortality, higher adiposity may nonetheless be advantageous if its benefits in early life outweigh its later costs. Relatively little is known about adolescents' C-reactive protein concentration (CRP; an inflammation biomarker) in such environments. We investigated CRP and its associations with several hypothesized predictors in adolescents in an economically diverse peri-urban Andean community. METHODS We measured CRP in dried blood spots and collected data on anthropometrics, illnesses, socioeconomic status (SES), and menarcheal status in 59 female and 40 male adolescents ("Alteños", 11.0-14.9 years old) with normal vital signs in El Alto, Bolivia (~4150 m amsl). We used Cole's LMS method to standardize all anthropometrics for sex and age, and principal components analysis to construct a "fat-factor" variable loading on these standardized z-scores. We used multiple linear regression to assess the influence of fat-factor and other likely predictors on CRP rank. RESULTS Compared to a national Bolivian growth reference, Alteños were, on average, shorter and leaner; only 6% were classified as overweight and none were obese. Pre-menarche females were on average leaner than post-menarche females. The best-fitting model explained 24% of the variance in CRP rank. Significant predictors were fat-factor, SES, current illness for males and pre-menarche females, and z-height for females. CONCLUSIONS Our results are consistent with a tradeoff between investments in growth versus immune functioning, as might be expected in an environment with limited resources and high pathogen exposure (e.g., soil-transmitted helminths, poor sanitation). Thinner Alteños appear to maintain a minimum CRP concentration independent of fat-factor, while fatter (or less-thin) Alteños' CRP rises with fat-factor. Female Alteños appear to be trading off investment in immune response for investment in growth and maturation. Alteños' high rate of stunting and absence of obesity suggests chronic, presumably multifactorial, stress. Adipose stores likely buffer against some of these stressors and, in an environment such as this-in which many lack sufficient nutritious foods, potable water, adequate sewage, and health care-may confer a net lifetime benefit.
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Affiliation(s)
- Virginia J Vitzthum
- Department of Anthropology, Indiana University, Bloomington, Indiana, USA
- Department of Medicine, Centre for Menstrual Cycle and Ovulation Research, University of British Columbia, Vancouver, British Columbia, Canada
- BKIS Orchards, Thetis Island, British Columbia, Canada
| | - Jonathan Thornburg
- BKIS Orchards, Thetis Island, British Columbia, Canada
- Center for Spacetime Symmetries, Indiana University, Bloomington, Indiana, USA
| | - Thomas W McDade
- Department of Anthropology, Northwestern University, Evanston, Illinois, USA
| | - Kathryn A Hicks
- Department of Anthropology, Northwestern University, Evanston, Illinois, USA
| | - Aaron Miller
- Department of Anthropology, Northwestern University, Evanston, Illinois, USA
| | - Emily M Chester
- Department of Anthropology, Indiana University, Bloomington, Indiana, USA
| | - Baileigh Goodlett
- Human Biology Program, Indiana University, Bloomington, Indiana, USA
| | | | - Hilde Spielvogel
- Instituto Boliviano de Biología de Altura (IBBA), La Paz, Bolivia
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Bernabe-Ortiz A, Mendoza-Quispe D, Jimenez MM, Ugaz ME, Rojas-Dávila CE. Quantifying the childhood and adolescent overnutrition attributable to specific risk factors: The Young Lives Study in Peru. Pediatr Obes 2023; 18:e13002. [PMID: 36646441 DOI: 10.1111/ijpo.13002] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/09/2022] [Revised: 12/12/2022] [Accepted: 01/04/2023] [Indexed: 01/18/2023]
Abstract
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.
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Affiliation(s)
- Antonio Bernabe-Ortiz
- CRONICAS Center of Excellence in Chronic Diseases, Universidad Peruana Cayetano Heredia, Lima, Peru.,School of Health Sciences, Universidad Científica del Sur, Lima, Peru
| | - Daniel Mendoza-Quispe
- CRONICAS Center of Excellence in Chronic Diseases, Universidad Peruana Cayetano Heredia, Lima, Peru
| | - M Michelle Jimenez
- United Nations International Children's Emergency Fund (UNICEF), Lima, Peru
| | - María Elena Ugaz
- United Nations International Children's Emergency Fund (UNICEF), Lima, Peru
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Ancestry, diversity, and genetics of health-related traits in African-derived communities (quilombos) from Brazil. Funct Integr Genomics 2023; 23:74. [PMID: 36867305 PMCID: PMC9982798 DOI: 10.1007/s10142-023-00999-0] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/27/2022] [Revised: 02/22/2023] [Accepted: 02/23/2023] [Indexed: 03/04/2023]
Abstract
Brazilian quilombos are communities formed by enslaved Africans and their descendants all over the country during slavery and shortly after its abolition. Quilombos harbor a great fraction of the largely unknown genetic diversity of the African diaspora in Brazil. Thus, genetic studies in quilombos have the potential to provide important insights not only into the African roots of the Brazilian population but also into the genetic bases of complex traits and human adaptation to diverse environments. This review summarizes the main results of genetic studies performed on quilombos so far. Here, we analyzed the patterns of African, Amerindian, European, and subcontinental ancestry (within Africa) of quilombos from the five different geographic regions of Brazil. In addition, uniparental markers (from the mtDNA and the Y chromosome) studies are analyzed together to reveal demographic processes and sex-biased admixture that occurred during the formation of these unique populations. Lastly, the prevalence of known malaria-adaptive African mutations and other African-specific variants discovered in quilombos, as well as the genetic bases of health-related traits, are discussed here, together with their implication for the health of populations of African descent.
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Bhusal CK, Bhattarai S, Chhetri P, Myia SD. Nutritional status and its associated factors among under five years Muslim children of Kapilvastu district, Nepal. PLoS One 2023; 18:e0280375. [PMID: 36649307 PMCID: PMC9844888 DOI: 10.1371/journal.pone.0280375] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/21/2022] [Accepted: 12/27/2022] [Indexed: 01/18/2023] Open
Abstract
BACKGROUND Malnutrition is a major public health problem throughout the world especially in Southeast Asia. This study aims to find out nutritional status and its associated factors among under five Muslim children of Kapilvastu district Nepal. METHODS Community based cross-sectional study was conducted among 336 under five Muslim children in Kapilvastu district Nepal from December 2021 to May 2022. Multistage probability random sampling was used. Among ten local units, three were selected randomly. Then from selected three units, two wards from each unit which covers large proportion of Muslim were selected purposively. After selecting wards, listing of household having children 6 to 59 months was done with the help of Female Community Health Volunteers and 56 children were selected by simple random sampling from each wards. RESULTS About half of Muslim children were underweight, 0.9% were overweight, 17.3% were wasted and 63.1% were stunted. Children with >4 members in family (AOR = 2.82, CI: 1.25-6.38), joint/extended family (AOR = 0.33, CI: 0.16-0.68), living with other than parents (AOR = 2.68, CI: 1.38-5.21), mother having primary (AOR = 2.59, CI: 1.09-6.10) and fathers having SLC and above education (AOR = 0.41, CI: 0.19-0.89), school going children (AOR = 0.27, CI: 0.15-0.48), no having agricultural land (AOR = 2.68, CI: 1.55-4.65), history of chronic diseases (AOR = 3.01, CI = 1.06-8.54) were significantly associated with underweight. Mothers having secondary (AOR = 0.30, CI: 0.10-0.88) and fathers having primary education (AOR = 3.50, CI: 1.26-9.74), school going children (AOR = 0.16, CI: 0.06-0.41), no having own land (AOR = 4.73, CI: 2.13-10.48), history of child chronic disease (AOR = 3.55, CI = 1.38-9.12) were significantly associated with wasting. Similarly, male children (AOR = 1.70, CI: 1.01-2.85), living in rural area (AOR = 0.17, CI: 0.09-0.31), joint/extended family (AOR = 0.28, CI: 0.13-0.64), living with other than parents (AOR = 3.71, CI: 1.84-7.49), fathers having secondary education (AOR = 0.50, CI: 0.27-0.94) and no having own land (AOR = 1.95, CI: 1.13-3.37) were significantly associated with stunting. CONCLUSIONS Underweight, wasting and stunting in under-five Muslim children were above the cutoff point from the significant level of public health and higher than national data. Hence, this study suggests collaborative and immediate attention from responsible governmental and non-governmental organizations working in nutrition for providing informal learning opportunity, intervention regarding parental support to child, school enrolment at appropriate age, prevention and treatment of children's chronic diseases, intervention for income generating activities and addressing problems of household food insecurity among Muslim communities.
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Affiliation(s)
- Chet Kant Bhusal
- Department of Community Medicine, Universal College of Medical Sciences and Teaching Hospital, Tribhuvan University, Bhairahawa, Rupandehi, Nepal
| | - Sigma Bhattarai
- Department of Nursing, Universal College of Medical Sciences and Teaching Hospital, Tribhuvan University, Bhairahawa, Rupandehi, Nepal
| | - Pradip Chhetri
- Department of Community Medicine, Universal College of Medical Sciences and Teaching Hospital, Tribhuvan University, Bhairahawa, Rupandehi, Nepal
| | - Salau Din Myia
- Department of Public Health, CiST College, Sangamchock, Newbaneshor, Kathmandu, Nepal
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Paiva SG, Rivara AC, de Castro Nóbrega M, de Cesare Parmesan Toledo R, de Nazaré Klautau‐Guimarães M, Madrigal L, de Oliveira SF. Cardiovascular risk factors across different levels of urbanization in Brazilian Afro‐derived communities (
quilombos
). Am J Hum Biol 2022; 35:e23839. [PMID: 36426735 DOI: 10.1002/ajhb.23839] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/28/2022] [Revised: 09/21/2022] [Accepted: 11/07/2022] [Indexed: 11/26/2022] Open
Abstract
OBJECTIVES The frequency of cardiovascular diseases has increased throughout the world. People of African descent have been disproportionately affected, particularly if they reside in urban settings. In this work, we evaluate risk factors associated with cardiovascular diseases (CVD) and other chronic diseases in rural and urban Afro-derived communities (quilombo) in Central Brazil. We also determine if there are associations between the frequency of CVD risk factors, sex, and proximity to urban environments. METHODS Through a cross-sectional study of participants (n = 347) within three Brazilian Afro-derived communities: Kalunga (a semi-isolated rural community; n = 214), Cocalinho (a non-isolated rural village; n = 70), and Pé do Morro (an urban community; n = 63), we collected data regarding chronic disease (i.e., CVD, diabetes, and hypertension) risk through questionnaires, anthropometrics, blood pressure, and blood samples using standard protocols. Differences between variables were tested by the Chi-square test of Pearson and Fisher's Exact Test, independent sample t-tests, analysis of variances, and Kruskal-Wallis tests (p ≤ .05). RESULTS The prevalence of hypertension, overweight, obesity, and other cardiovascular risk factors were higher in the non-isolated rural and urban communities than in the semi-isolated rural community. We found significant sex differences in the distribution of the CVD risk factors, with all occurring at a higher frequency among females. CONCLUSIONS Our findings indicate that Brazilian Afro-derived communities are currently going through an epidemiological transition. The urban lifestyle and its environmental factors are likely contributing to an escalation in cardio-metabolic disease risk. However, the magnitude of this transition differentially impacts the sexes, as females suffer a higher frequency of risk factors compared to males.
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Affiliation(s)
- Sabrina Guimarães Paiva
- Instituto de Ciências Biológicas Universidade de Brasília Brasília Distrito Federal Brazil
- Instituto Federal de Educação, Ciência e Tecnologia do Tocantins Araguaína Tocantins Brazil
- Programa de Pós‐Graduação (Mestrado) em Demandas Populares e Dinâmicas Regionais (PPGDire) Universidade Federal do Norte do Tocantins Araguaína Tocantins Brazil
| | - Anna C. Rivara
- Department of Chronic Disease Epidemiology, School of Public Health Yale University New Haven Connecticut USA
| | - Matheus de Castro Nóbrega
- Instituto de Ciências Biológicas Universidade de Brasília Brasília Distrito Federal Brazil
- Programa de Pós‐Graduação em Genética e Biologia Molecular Universidade Federal do Rio Grande do Sul Porto Alegre Brazil
| | | | | | - Lorena Madrigal
- Department of Anthropology University of South Florida Tampa Florida USA
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Bernabé-Ortiz A, Quinteros-Reyes C, Carrillo-Larco RM. Double burden of malnutrition as a risk factor for overweight and obesity. Rev Saude Publica 2022; 56:93. [PMID: 36383806 PMCID: PMC9635849 DOI: 10.11606/s1518-8787.2022056004205] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/09/2021] [Accepted: 01/28/2022] [Indexed: 12/03/2022] Open
Abstract
OBJECTIVE To assess the longitudinal effect of double burden of malnutrition (DBM) on the risk of developing child and adolescent overweight or obesity. METHODS Analysis of the Peruvian Young Lives Study, younger cohort: baseline (2002) and 4 follow-ups (2006-2007, 2009-2010, 2013-2014, and 2016-2017). Outcomes were the incidence of overweight and obesity as defined by the World Health Organization standards. The exposure comprised a variable with 4 categories: non-stunted child with a non-overweight mother (reference group), non-stunted child with an overweight mother, stunted child with a non-overweight mother, and stunted child with an overweight mother (i.e., DBM). Poisson regression models were built to assess the association of interest, and relative risks (RR) and 95%CI were reported. RESULTS Data from 2,034 children; 50.0% were girls and the mean age was 12.0 (3.6) months at baseline. Non-stunted children with an overweight mother had greater risk (RR = 1.64; 95%CI: 1.35-1.99) of developing overweight, compared with the risk for stunted children with a non-overweight mother (RR = 1.38; 95%CI: 1.10-1.72), and for those with DBM (RR = 1.28; 95%CI: 1.02-1.61). When compared with the reference group, obesity risk was greater among non-stunted children with an overweight mother (RR = 2.33; 95%CI: 1.68-3.22), greater among stunted children with a non-overweight mother (RR = 2.59; 95%CI: 1.75-3.84), and greater among those with DBM (RR = 2.14; 95%CI: 1.39-3.28). CONCLUSIONS DBM is a risk factor for childhood overweight and obesity in Peru. Dual-duty policies tackling both undernutrition in children and overweight in mothers are needed to reduce DBM and its future effects in Peru.
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Affiliation(s)
- Antonio Bernabé-Ortiz
- Universidad Peruana Cayetano HerediaCenter of Excellence in Chronic DiseasesLimaPeru Universidad Peruana Cayetano Heredia. Center of Excellence in Chronic Diseases. Lima, Peru,Universidad Científica del SurLimaPeru Universidad Científica del Sur. Lima, Peru
| | - Carmen Quinteros-Reyes
- Universidad Peruana Cayetano HerediaCenter of Excellence in Chronic DiseasesLimaPeru Universidad Peruana Cayetano Heredia. Center of Excellence in Chronic Diseases. Lima, Peru
| | - Rodrigo M. Carrillo-Larco
- Universidad Peruana Cayetano HerediaCenter of Excellence in Chronic DiseasesLimaPeru Universidad Peruana Cayetano Heredia. Center of Excellence in Chronic Diseases. Lima, Peru,Imperial College LondonSchool of Public HealthDepartment of Epidemiology and BiostatisticsLondonUK Imperial College London. School of Public Health. Department of Epidemiology and Biostatistics. London, UK
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Ghosh S, Peseyie V. Prevalence of hypertension among the indigenous population in North-East India: Is this a consequence of "nutritional transition"? Am J Hum Biol 2022; 34:e23789. [PMID: 36193634 DOI: 10.1002/ajhb.23789] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/17/2022] [Revised: 07/22/2022] [Accepted: 07/24/2022] [Indexed: 01/25/2023] Open
Abstract
OBJECTIVES This article aims to understand the influence of residential status on the prevalence of cardiovascular disease (CVD) risk factors among adult Angami Naga of Nagaland. METHODS A total number of 194 (100 rural and 94 urban) adult Angami Naga participated in the study. Blood pressure, both systolic and diastolic, was measured for each participant. Nutritional status was evaluated through body mass index. Metabolic health was measured through waist circumference, waist-hip ratio and percent body fat (%BF). Multiple regression analysis was done to examine the influence of residential status and other bio-social factors on the prevalence of obesity and hypertension. RESULTS Results indicate high prevalence of systolic hypertension among urban residents, in both males (29.6%Urban vs. 20.4%Rural ; p > .05) and females (17.4%Urban vs. 11.6%Rural ; p > .05), with gender inequality favoring females. Similar trend was observed in diastolic hypertension as well. On the other hand, obesity was found to be greater in rural males (8.3%Urban vs.10.2%Rural ; p = .002), and urban females (11.6%Urban vs. 3.5%Rural ; p > .05). However in %BF, only negligible percentages of urban females (2.3%Urban vs. 0.0%Rural ; p > .05) were found to be moderately overweight or obese and no males were found to be overweight. Further, regression analyzes indicate that age, sex, and residential status are the most important (p < .001) causal factors behind the prevalence of obesity and hypertension among the Angami Naga. CONCLUSIONS It was observed that elderly urban males were the most susceptible section of this community in developing CVD risk factors related vulnerabilities. However, we propose understanding this prevalence from an evolutionary approach of physiological mechanism toward nutritional transition in Angami Naga, like many other indigenous populations of northeast India.
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Affiliation(s)
- Sudipta Ghosh
- Department of Anthropology, North-Eastern Hill University, Shillong, India
| | - Viserano Peseyie
- Department of Anthropology, North-Eastern Hill University, Shillong, India
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Congdon P, Amugsi D. Editorial: The obesity epidemic: Causes, context, prevention. Front Public Health 2022; 10:1030180. [PMID: 36225791 PMCID: PMC9549261 DOI: 10.3389/fpubh.2022.1030180] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/28/2022] [Accepted: 09/09/2022] [Indexed: 01/29/2023] Open
Affiliation(s)
- Peter Congdon
- School of Geography, Queen Mary University of London, London, United Kingdom,*Correspondence: Peter Congdon
| | - Dickson Amugsi
- African Population and Health Research Center, Nairobi, Kenya
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Wells JCK, Cole TJ, Cortina-Borja M, Sear R, Leon DA, Marphatia AA, Murray J, Wehrmeister FC, Oliveira PD, Gonçalves H, Oliveira IO, Menezes AMB. Life history trade-offs associated with exposure to low maternal capital are different in sons compared to daughters: Evidence from a prospective Brazilian birth cohort. Front Public Health 2022; 10:914965. [PMID: 36203666 PMCID: PMC9532015 DOI: 10.3389/fpubh.2022.914965] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/07/2022] [Accepted: 08/10/2022] [Indexed: 01/22/2023] Open
Abstract
Background Environmental exposures in early life explain variability in many physiological and behavioural traits in adulthood. Recently, we showed that exposure to a composite marker of low maternal capital explained the clustering of adverse behavioural and physical traits in adult daughters in a Brazilian birth cohort. These associations were strongly mediated by whether or not the daughter had reproduced by the age of 18 years. Using evolutionary life history theory, we attributed these associations to trade-offs between competing outcomes, whereby daughters exposed to low maternal capital prioritised investment in reproduction and defence over maintenance and growth. However, little is known about such trade-offs in sons. Methods We investigated 2,024 mother-son dyads from the same birth cohort. We combined data on maternal height, body mass index, income, and education into a composite "maternal capital" index. Son outcomes included reproductive status at the age of 18 years, growth trajectory, adult anthropometry, body composition, cardio-metabolic risk, educational attainment, work status, and risky behaviour (smoking, violent crime). We tested whether sons' early reproduction and exposure to low maternal capital were associated with adverse outcomes and whether this accounted for the clustering of adverse outcomes within individuals. Results Sons reproducing early were shorter, less educated, and more likely to be earning a salary and showing risky behaviour compared to those not reproducing, but did not differ in foetal growth. Low maternal capital was associated with a greater likelihood of sons' reproducing early, leaving school, and smoking. High maternal capital was positively associated with sons' birth weight, adult size, and staying in school. However, the greater adiposity of high-capital sons was associated with an unhealthier cardio-metabolic profile. Conclusion Exposure to low maternal investment is associated with trade-offs between life history functions, helping to explain the clustering of adverse outcomes in sons. The patterns indicated future discounting, with reduced maternal investment associated with early reproduction but less investment in growth, education, or healthy behaviour. However, we also found differences compared to our analyses of daughters, with fewer physical costs associated with early reproduction. Exposure to intergenerational "cycles of disadvantage" has different effects on sons vs. daughters, hence interventions may have sex-specific consequences.
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Affiliation(s)
- Jonathan C. K. Wells
- Policy, Population and Practice Research and Teaching Department, University College London Great Ormond Street Institute of Child Health, London, United Kingdom,*Correspondence: Jonathan C. K. Wells
| | - Tim J. Cole
- Policy, Population and Practice Research and Teaching Department, University College London Great Ormond Street Institute of Child Health, London, United Kingdom
| | - Mario Cortina-Borja
- Policy, Population and Practice Research and Teaching Department, University College London Great Ormond Street Institute of Child Health, London, United Kingdom
| | - Rebecca Sear
- Faculty of Epidemiology and Population Health, London School of Hygiene and Tropical Medicine, London, United Kingdom
| | - David A. Leon
- Faculty of Epidemiology and Population Health, London School of Hygiene and Tropical Medicine, London, United Kingdom,Department of Community Medicine, UiT the Arctic University of Norway, Tromsø, Norway
| | - Akanksha A. Marphatia
- Policy, Population and Practice Research and Teaching Department, University College London Great Ormond Street Institute of Child Health, London, United Kingdom,Department of Geography, University of Cambridge, Cambridge, United Kingdom
| | - Joseph Murray
- Federal University of Pelotas – Postgraduate Program in Epidemiology, Pelotas, Brazil
| | | | - Paula D. Oliveira
- Federal University of Pelotas – Postgraduate Program in Epidemiology, Pelotas, Brazil
| | - Helen Gonçalves
- Federal University of Pelotas – Postgraduate Program in Epidemiology, Pelotas, Brazil
| | - Isabel O. Oliveira
- Federal University of Pelotas – Postgraduate Program in Epidemiology, Pelotas, Brazil
| | - Ana Maria B. Menezes
- Federal University of Pelotas – Postgraduate Program in Epidemiology, Pelotas, Brazil
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Simões-Alves AC, Arcoverde-Mello APFC, Campos JDO, Wanderley AG, Leandro CVG, da Costa-Silva JH, de Oliveira Nogueira Souza V. Cardiometabolic Effects of Postnatal High-Fat Diet Consumption in Offspring Exposed to Maternal Protein Restriction In Utero. Front Physiol 2022; 13:829920. [PMID: 35620602 PMCID: PMC9127546 DOI: 10.3389/fphys.2022.829920] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/06/2021] [Accepted: 03/29/2022] [Indexed: 01/01/2023] Open
Abstract
In recent decades, the high incidence of infectious and parasitic diseases has been replaced by a high prevalence of chronic and degenerative diseases. Concomitantly, there have been profound changes in the behavior and eating habits of families around the world, characterizing a “nutritional transition” phenomenon, which refers to a shift in diet in response to modernization, urbanization, or economic development from undernutrition to the excessive consumption of hypercaloric and ultra-processed foods. Protein malnutrition that was a health problem in the first half of the 20th century has now been replaced by high-fat diets, especially diets high in saturated fat, predisposing consumers to overweight and obesity. This panorama points us to the alarming coexistence of both malnutrition and obesity in the same population. In this way, individuals whose mothers were undernourished early in pregnancy and then exposed to postnatal hyperlipidic nutrition have increased risk factors for developing metabolic dysfunction and cardiovascular diseases in adulthood. Thus, our major aim was to review the cardiometabolic effects resulting from postnatal hyperlipidic diets in protein-restricted subjects, as well as to examine the epigenetic repercussions occasioned by the nutritional transition.
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Affiliation(s)
- Aiany Cibelle Simões-Alves
- Laboratory of Nutrition, Physical Activity and Phenotypic Plasticity, Department of Physical Education and Sport Sciences, Universidade Federal de Pernambuco UFPE, Vitória de Santo Antão, Brazil
| | - Ana Paula Fonseca Cabral Arcoverde-Mello
- Laboratory of Nutrition, Physical Activity and Phenotypic Plasticity, Department of Physical Education and Sport Sciences, Universidade Federal de Pernambuco UFPE, Vitória de Santo Antão, Brazil
| | - Jéssica de Oliveira Campos
- Laboratory of Nutrition, Physical Activity and Phenotypic Plasticity, Department of Physical Education and Sport Sciences, Universidade Federal de Pernambuco UFPE, Vitória de Santo Antão, Brazil
| | | | - Carol Virginia Gois Leandro
- Laboratory of Nutrition, Physical Activity and Phenotypic Plasticity, Department of Physical Education and Sport Sciences, Universidade Federal de Pernambuco UFPE, Vitória de Santo Antão, Brazil
| | - João Henrique da Costa-Silva
- Laboratory of Nutrition, Physical Activity and Phenotypic Plasticity, Department of Physical Education and Sport Sciences, Universidade Federal de Pernambuco UFPE, Vitória de Santo Antão, Brazil
| | - Viviane de Oliveira Nogueira Souza
- Laboratory of Nutrition, Physical Activity and Phenotypic Plasticity, Department of Physical Education and Sport Sciences, Universidade Federal de Pernambuco UFPE, Vitória de Santo Antão, Brazil
- *Correspondence: Viviane de Oliveira Nogueira Souza,
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Leone A, Fico G, Bertoli S, Battezzati A. Editorial: Plant-Based Products, Phytochemicals and Glycemic Control. Front Endocrinol (Lausanne) 2022; 13:906690. [PMID: 35573997 PMCID: PMC9096071 DOI: 10.3389/fendo.2022.906690] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 03/28/2022] [Accepted: 04/05/2022] [Indexed: 11/23/2022] Open
Affiliation(s)
- Alessandro Leone
- International Center for the Assessment of Nutritional Status (ICANS), Department of Food, Environmental and Nutritional Sciences (DeFENS), University of Milan, Milan, Italy
- *Correspondence: Alessandro Leone,
| | - Gelsomina Fico
- Department of Pharmaceutical Sciences (DISFARM), University of Milan, Milan, Italy
- Botanic Garden G.E. Ghirardi, Department of Pharmaceutical Sciences (DISFARM), University of Milan, Toscolano Maderno, Italy
| | - Simona Bertoli
- International Center for the Assessment of Nutritional Status (ICANS), Department of Food, Environmental and Nutritional Sciences (DeFENS), University of Milan, Milan, Italy
- Lab of Nutrition and Obesity Research, Istituto Auxologico Italiano, Istituti di Ricovero e Cura a Carattere Scientifico (IRCCS), Milan, Italy
| | - Alberto Battezzati
- International Center for the Assessment of Nutritional Status (ICANS), Department of Food, Environmental and Nutritional Sciences (DeFENS), University of Milan, Milan, Italy
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12
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Shattuck EC. Networks, cultures, and institutions: Toward a social immunology. Brain Behav Immun Health 2021; 18:100367. [PMID: 34761241 PMCID: PMC8566934 DOI: 10.1016/j.bbih.2021.100367] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/15/2021] [Revised: 10/08/2021] [Accepted: 10/08/2021] [Indexed: 12/26/2022] Open
Abstract
This paper calls for increased attention to the ways in which immune function – including its behavioral aspects – are responsive to social contexts at multiple levels. Psychoneuroimmunology has demonstrated that the quantity and quality of social connections can affect immune responses, while newer research is finding that sickness temporarily affects these same social networks and that some aspects of culture can potentially “get under the skin” to affect inflammatory responses. Social immunology, the research framework proposed here, unifies these findings and also considers the effects of structural factors – that is, a society's economic, political, and environmental landscape – on exposure to pathogens and subsequent immune responses. As the COVID-19 pandemic has highlighted, a holistic understanding of the effects of social contexts on the patterning of morbidity and mortality is critically important. Social immunology provides such a framework and can highlight important risk factors related to impaired immune function.
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Affiliation(s)
- Eric C Shattuck
- Institute for Health Disparities Research, University of Texas at San Antonio, San Antonio, TX, USA.,Department of Public Health, University of Texas at San Antonio, San Antonio, TX, USA
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13
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Voglino C, Tirone A, Ciuoli C, Benenati N, Bufano A, Croce F, Gaggelli I, Vuolo ML, Badalucco S, Berardi G, Cuomo R, Castagna MG, Vuolo G. Controlling Nutritional Status (CONUT) Score and Micronutrient Deficiency in Bariatric Patients: Midterm Outcomes of Roux-en-Y Gastric Bypass Versus One Anastomosis Gastric Bypass/Mini Gastric Bypass. Obes Surg 2021; 31:3715-3726. [PMID: 34031850 DOI: 10.1007/s11695-021-05486-8] [Citation(s) in RCA: 11] [Impact Index Per Article: 3.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/05/2021] [Revised: 05/11/2021] [Accepted: 05/14/2021] [Indexed: 12/17/2022]
Abstract
BACKGROUND Two of the most common bariatric procedures performed worldwide are Roux-en-Y gastric bypass (RYGB) and one anastomosis gastric bypass (OAGB). Comparative data regarding nutritional status are lacking and no previous study focus on malnutrition according to a validated score. METHODS Retrospective data from a single institution were reviewed. Anthropometric variables and nutritional data were assessed. The primary aim was to analyze and compare the nutritional status before and 3 years after RYGB vs OAGB using the controlling nutritional status (CONUT) score. The incidence of micronutrient deficiency and the remission of comorbidities in each group were defined as secondary outcomes. RESULTS Fifty-seven patients in each arm were enrolled. A 3-year mild malnutrition (CONUT score 2-3) was found in 38% and 37.05% in the RYGB and OAGB groups, respectively (p > 0.05). In terms of percentage of total weight loss (%TWL) and percentage of adjustable weight loss (%AWL), no differences were found between OAGB and RYGB groups. OAGB and RYGB patients had similar vitamin deficiencies. Anemia, hypoproteinemia, hypoalbuminemia, and hypocalcemia were comparable between groups. At 3-year follow-up, total protein and albumin values were similar between arms while prealbumin deficit was more frequent after OAGB than after RYGB. The rate of type 2 diabetes (87.5% in OAGB and 92% in RYGB), arterial hypertension (51.6% in OAGB and 58.3% in RYGB), and dyslipidemia (69.7% in OAGB and 78.6% in RYGB) remission was not significantly different between the two groups. CONCLUSIONS Postoperative CONUT score, micronutrient deficiency, comorbidity remission, and improvement of anthropometric parameters 3 years postoperatively were comparable between RYGB and OAGB groups.
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Affiliation(s)
- Costantino Voglino
- Department of general and specialized surgery - Unit of Bariatric Surgery, University of Siena, Policlinico "Le Scotte", Viale Bracci 14, 53100, Siena, Italy.
| | - Andrea Tirone
- Department of general and specialized surgery - Unit of Bariatric Surgery, University of Siena, Policlinico "Le Scotte", Viale Bracci 14, 53100, Siena, Italy
| | - Cristina Ciuoli
- Department of medicine, surgery and neurosciences - Unit of Endocrinology, University of Siena, Viale Bracci - Policlinico "Le Scotte", 53100, Siena, Italy
| | - Nicoletta Benenati
- Department of medicine, surgery and neurosciences - Unit of Endocrinology, University of Siena, Viale Bracci - Policlinico "Le Scotte", 53100, Siena, Italy
| | - Annalisa Bufano
- Department of medicine, surgery and neurosciences - Unit of Endocrinology, University of Siena, Viale Bracci - Policlinico "Le Scotte", 53100, Siena, Italy
| | - Federica Croce
- Department of Diagnostic Imaging - Hospital Campostaggia, Campostaggia, 53036, Poggibonsi, SI, Italy
| | - Ilaria Gaggelli
- Department of general and specialized surgery - Unit of Bariatric Surgery, University of Siena, Policlinico "Le Scotte", Viale Bracci 14, 53100, Siena, Italy
| | - Maria Laura Vuolo
- Department of general and specialized surgery - Unit of Bariatric Surgery, University of Siena, Policlinico "Le Scotte", Viale Bracci 14, 53100, Siena, Italy
| | - Simona Badalucco
- Department of general and specialized surgery - Unit of Bariatric Surgery, University of Siena, Policlinico "Le Scotte", Viale Bracci 14, 53100, Siena, Italy
| | - Giovanna Berardi
- Department of Advanced Biomedical Science, Federico II University of Naples, Via Pansini 5, 80131, Naples, Italy
| | - Roberto Cuomo
- Department of Medicine, Surgery and Neurosciences - Unit of Plastic Surgery, University of Siena, Policlinico "Le Scotte", Viale Bracci 14, 53100, Siena, Italy
| | - Maria Grazia Castagna
- Department of medicine, surgery and neurosciences - Unit of Endocrinology, University of Siena, Viale Bracci - Policlinico "Le Scotte", 53100, Siena, Italy
| | - Giuseppe Vuolo
- Department of general and specialized surgery - Unit of Bariatric Surgery, University of Siena, Policlinico "Le Scotte", Viale Bracci 14, 53100, Siena, Italy
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14
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Levy SB, Klimova TM, Zakharova RN, Fedorov AI, Fedorova VI, Baltakhinova ME, Leonard WR. Evidence for a sensitive period of plasticity in brown adipose tissue during early childhood among indigenous Siberians. AMERICAN JOURNAL OF PHYSICAL ANTHROPOLOGY 2021; 175:834-846. [PMID: 33913150 DOI: 10.1002/ajpa.24297] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 01/22/2021] [Revised: 04/06/2021] [Accepted: 04/17/2021] [Indexed: 12/19/2022]
Abstract
OBJECTIVES Evolutionary theorists have debated the adaptive significance of developmental plasticity in organisms with long lifespans such as humans. This debate in part stems from uncertainty regarding the timing of sensitive periods. Does sensitivity to environmental signals fluctuate across development or does it steadily decline? We investigated developmental plasticity in brown adipose tissue (BAT) among indigenous Siberians in order to explore the timing of phenotypic sensitivity to cold stress. METHODS BAT thermogenesis was quantified using infrared thermal imaging in 78 adults (25 men; 33 women). Cold exposure during gestation, infancy, early childhood, middle childhood, and adolescence was quantified using: (1) the average ambient temperature across each period; (2) the number of times daily temperature dropped below -40°F during each period. We also assessed past cold exposure with a retrospective survey of participation in outdoor activities. RESULTS Adult BAT thermogenesis was significantly associated with the average temperature (p = 0.021), the number of times it was below -40°F (p = 0.026), and participation in winter outdoor activities (p = 0.037) during early childhood. CONCLUSIONS Our results suggest that early childhood represents an important stage for developmental plasticity, and that culture may play a critical role in shaping the timing of environmental signals. The findings highlight a new pathway through which the local consequences of global climate change may influence human biology, and they suggest that ambient temperature may represent an understudied component of the developmental origins of health and disease.
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Affiliation(s)
- Stephanie B Levy
- Department of Anthropology, CUNY Hunter College, New York, New York, USA
- New York Consortium in Evolution Primatology, New York, New York, USA
| | - Tatiana M Klimova
- North-Eastern Federal University Named M. K. Ammosov, Yakutsk, Russia
- Yakutsk Scientific Center for Complex Medical Problems, Yakutsk, Russia
| | - Raisa N Zakharova
- North-Eastern Federal University Named M. K. Ammosov, Yakutsk, Russia
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15
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Abstract
INTRODUCTION Precision health is a nascent field of research that would benefit from clearer operationalisation and distinction from adjacent fields like precision medicine. This clarification is necessary to enable precision health science to tackle some of the most complex and significant health problems that are faced globally. There is a pressing need to examine the progress in human precision health research in the past 10 years and analyse this data to first, find similarities and determine discordances in how precision health is operationalised in the literature and second, identify gaps and future directions for precision health research. METHODS AND ANALYSIS To define precision health and map research in this field, a scoping review will be undertaken and reported according to Preferred Reporting Items for Systematic Reviews and Meta-Analyses - Scoping Review Extension guidelines. Systematic searches of scientific databases (Medline, Embase, Scopus, Web of Science and PsycINFO) and grey literature sources (Google Scholar, Google Patents) identified 8053 potentially eligible articles published from 1 January 2010 to 30 June 2020. Following removal of duplicates, a total of 3190 articles were imported for screening. Article data will be extracted using a customised extraction template on Covidence and analysed descriptively using narrative synthesis. ETHICS AND DISSEMINATION Ethics approval is not required. Findings will be disseminated through professional networks, conference presentations and publication in a scientific journal.
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Affiliation(s)
- Jillian C Ryan
- Precision Health Future Science Platform, Commonwealth Scientific and Industrial Research Organisation, Adelaide, South Australia, Australia
- Health and Biosecurity, Commonwealth Scientific and Industrial Research Organisation, Adelaide, South Australia, Australia
| | - John Noel Viana
- Responsible Innovation Future Science Platform, Commonwealth Scientific and Industrial Research Organisation, Brisbane, Queensland, Australia
- Australian National Centre for the Public Awareness of Science, Australian National University, Canberra, Australian Capital Territory, Australia
| | - Hamza Sellak
- Precision Health Future Science Platform, Commonwealth Scientific and Industrial Research Organisation, Adelaide, South Australia, Australia
- Data 61, Commonwealth Scientific and Industrial Research Organisation, Melbourne, Victoria, Australia
| | - Shakuntla Gondalia
- Precision Health Future Science Platform, Commonwealth Scientific and Industrial Research Organisation, Adelaide, South Australia, Australia
- Health and Biosecurity, Commonwealth Scientific and Industrial Research Organisation, Adelaide, South Australia, Australia
| | - Nathan O'Callaghan
- Precision Health Future Science Platform, Commonwealth Scientific and Industrial Research Organisation, Adelaide, South Australia, Australia
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16
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Dancause KN, Olszowy KM. Identifying actionable lifestyle risk factors for obesity research and intervention: Challenges and opportunities for Pacific Island health researchers. THE LANCET REGIONAL HEALTH. WESTERN PACIFIC 2020; 4:100040. [PMID: 34327388 PMCID: PMC8315331 DOI: 10.1016/j.lanwpc.2020.100040] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 09/22/2020] [Accepted: 09/22/2020] [Indexed: 11/25/2022]
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17
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Overweight/obesity among 15- to 24-year-old women in Ghana: 21-year trend, future projections and socio-demographic correlates. J Biosoc Sci 2020; 53:839-855. [PMID: 33054884 DOI: 10.1017/s0021932020000565] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/05/2022]
Abstract
Although developing countries are experiencing some of the fastest rises in the prevalence of adult overweight and obesity, little is known about the pace of the problem among young people in transition from adolescence to adulthood. This study examined the trend and associated socio-demographic predictors of overweight/obesity (BMI ≥25kg/m2) from 1993 to 2014 among women aged 15-24 years in Ghana and projected the future prevalence from 2019 to 2040. Descriptive statistics, the arithmetic linear change model, and binary logistic regression were applied to data on women aged 15-24 years from five nationally representative Ghana Demographic and Health Surveys conducted in 1993 (N=488), 1998 (N=517), 2003 (N=1832), 2008 (N=1693) and 2014 (N=1491). Overall, overweight/obesity among women aged 15-24 years almost tripled between the 1993 (6.8%; 95% CI=4.9-9.3) and 2014 (19.5%; 95% CI=17.3-21.2) surveys. Based on the arithmetic linear change model, overweight/obesity is projected to increase linearly to over 35% among the 15-24 year cohort of women by 2040. Age, educational level, wealth status, occupation, type of locality, ethnicity, frequency of viewing TV per week, parity and contraceptive use were found to be significant predictors of overweight/obesity among this sub-group of women. The trend of overweight/obesity demonstrated in this group of women could potentially provide momentum for further increases in the prevalence of overweight/obesity and associated health outcomes in the coming years in Ghana. This underscores the need for urgent national-level public health intervention efforts to curtail the problem.
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18
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Accelerated reproduction is not an adaptive response to early-life adversity in wild baboons. Proc Natl Acad Sci U S A 2020; 117:24909-24919. [PMID: 32958642 PMCID: PMC7547275 DOI: 10.1073/pnas.2004018117] [Citation(s) in RCA: 22] [Impact Index Per Article: 5.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/24/2022] Open
Abstract
In humans and other long-lived species, harsh conditions in early life often lead to profound differences in adult life expectancy. In response, natural selection is expected to accelerate the timing and pace of reproduction in individuals who experience some forms of early-life adversity. However, the adaptive benefits of reproductive acceleration following early adversity remain untested. Here, we test a recent version of this theory, the internal predictive adaptive response (iPAR) model, by assessing whether accelerating reproduction following early-life adversity leads to higher lifetime reproductive success. We do so by leveraging 48 y of continuous, individual-based data from wild female baboons in the Amboseli ecosystem in Kenya, including prospective, longitudinal data on multiple sources of nutritional and psychosocial adversity in early life; reproductive pace; and lifetime reproductive success. We find that while early-life adversity led to dramatically shorter lifespans, individuals who experienced early adversity did not accelerate their reproduction compared with those who did not experience early adversity. Further, while accelerated reproduction predicted increased lifetime reproductive success overall, these benefits were not specific to females who experienced early-life adversity. Instead, females only benefited from reproductive acceleration if they also led long lives. Our results call into question the theory that accelerated reproduction is an adaptive response to both nutritional and psychosocial sources of early-life adversity in baboons and other long-lived species.
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19
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Ellis BJ, Shakiba N, Adkins DE, Lester BM. Early external-environmental and internal-health predictors of risky sexual and aggressive behavior in adolescence: An integrative approach. Dev Psychobiol 2020; 63:556-571. [PMID: 32869286 DOI: 10.1002/dev.22029] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/14/2019] [Revised: 06/14/2020] [Accepted: 08/04/2020] [Indexed: 11/10/2022]
Abstract
External predictive adaptive response (PAR) models assume that developmental exposures to stress carry predictive information about the future state of the environment, and that development of a faster life history (LH) strategy in this context functions to match the individual to this expected harsh state. More recently internal PAR models have proposed that early somatic condition (i.e., physical health) critically regulates development of LH strategies to match expected future somatic condition. Here we test the integrative hypothesis that poor physical health mediates the relation between early adversity and faster LH strategies. Data were drawn from a longitudinal study (birth to age 16; N = 1,388) of mostly African American participants with prenatal substance exposure. Results demonstrated that both external environmental conditions early in life (prenatal substance exposure, socioeconomic adversity, caregiver distress/depression, and adverse family functioning) and internal somatic condition during preadolescence (birthweight/gestational age, physical illness) uniquely predicted the development of faster LH strategies in adolescence (as indicated by more risky sexual and aggressive behavior). Consistent with the integrative hypothesis, the effect of caregiver distress/depression on LH strategy was mostly mediated by worse physical health. Discussion highlights the implications of these findings for theory and research on stress, development, and health.
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Affiliation(s)
- Bruce J Ellis
- Departments of Psychology and Anthropology, University of Utah, Salt Lake City, UT, USA
| | - Nila Shakiba
- Department of Psychology, University of Utah, Salt Lake City, UT, USA
| | - Daniel E Adkins
- Departments of Sociology and Psychiatry, University of Utah, Salt Lake City, UT, USA
| | - Barry M Lester
- Center for the Study of Children at Risk, Alpert Medical School of Brown University and Women and Infants Hospital of Rhode Island, Providence, RI, USA
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20
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Costa D, Cunha M, Ferreira C, Gama A, Machado-Rodrigues AM, Rosado-Marques V, Mendes LL, Nogueira H, Pessoa M, Silva MRG, Velasquez-Melendez G, Padez C. Socioeconomic inequalities in children's health-related quality of life according to weight status. Am J Hum Biol 2020; 33:e23453. [PMID: 32578372 DOI: 10.1002/ajhb.23453] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/09/2019] [Revised: 04/29/2020] [Accepted: 05/22/2020] [Indexed: 12/13/2022] Open
Abstract
OBJECTIVES This study explores the association between socioeconomic position (SEP) and health-related quality of life (HRQoL) among Portuguese children according to their weight status. METHODS A total of 1215 primary school-aged children (mean age 8.78 years) from three Portuguese districts (Lisbon, Porto, Coimbra) were assessed during 2016/2017. Father and mother's education (low, medium, high) and work status (employed, unemployed/retired) were used as SEP indicators. Self-reported HRQoL was assessed with the KIDSCREEN-27. Height and weight were objectively measured and body mass index categorized in normal, overweight or obese. Age, sex, and district-adjusted linear regression models were fitted to estimate associations between SEP indicators and HRQoL dimensions, according to weight status. RESULTS We found that 24.9% of children were categorized as having overweight/obesity. The mean scores of the Physical Well-Being, and School Environment dimensions of HRQoL were lower among children classified with overweight/obesity compared to children with normal weight (57.21 vs 54.11, P < .001 and 57.85 vs 56.04, P = .010, respectively). Father's education was significantly associated with all HRQoL dimensions in children with a normal weight, but the same was not observed among children presenting overweight/obesity. An increase in the level of maternal education was also significantly associated with all HRQoL dimensions among children classified with a normal weight, and only for the School Environment dimension among children classified with overweight/obesity. CONCLUSIONS These results suggest the presence of socioeconomic inequalities in self-reported HRQoL from early age, particularly among children with normal weight.
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Affiliation(s)
- Diogo Costa
- Research Centre for Anthropology and Health, Department of Life Sciences, University of Coimbra, Coimbra, Portugal
| | - Marina Cunha
- CINEICC - Center for Research in Neuropsychology and Cognitive and Behavioral Intervention, Faculty of Psychology and Educational Sciences, University of Coimbra, Coimbra, Portugal
| | - Cláudia Ferreira
- CINEICC - Center for Research in Neuropsychology and Cognitive and Behavioral Intervention, Faculty of Psychology and Educational Sciences, University of Coimbra, Coimbra, Portugal
| | - Augusta Gama
- Research Centre for Anthropology and Health, Department of Life Sciences, University of Coimbra, Coimbra, Portugal.,Department of Animal Biology, Faculty of Sciences of the University of Lisbon, Lisbon, Portugal
| | - Aristides M Machado-Rodrigues
- Research Centre for Anthropology and Health, Department of Life Sciences, University of Coimbra, Coimbra, Portugal.,High School of Education, Polytechnic Institute of Viseu, Viseu, Portugal
| | - Vítor Rosado-Marques
- Research Centre for Anthropology and Health, Department of Life Sciences, University of Coimbra, Coimbra, Portugal.,Faculdade de Motricidade Humana, Universidade de Lisboa, Lisbon, Portugal
| | - Larissa L Mendes
- Department of Nutrition, Federal University of Minas Gerais, Belo Horizonte, Brazil
| | - Helena Nogueira
- Research Centre for Anthropology and Health, Department of Life Sciences, University of Coimbra, Coimbra, Portugal.,Department of Geography and Tourism, University of Coimbra, Coimbra, Portugal
| | - Milene Pessoa
- Department of Nutrition, Federal University of Minas Gerais, Belo Horizonte, Brazil
| | - Maria-Raquel G Silva
- Research Centre for Anthropology and Health, Department of Life Sciences, University of Coimbra, Coimbra, Portugal.,Faculty of Health Sciences, University Fernando Pessoa, Porto, Portugal
| | - Gustavo Velasquez-Melendez
- Departamento de Enfermagem Materno-Infantil e Saúde Pública, Escola de Enfermagem, Universidade Federal de Minas Gerais, Belo Horizonte, Brazil
| | - Cristina Padez
- Research Centre for Anthropology and Health, Department of Life Sciences, University of Coimbra, Coimbra, Portugal
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21
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Wells JCK. Developmental plasticity as adaptation: adjusting to the external environment under the imprint of maternal capital. Philos Trans R Soc Lond B Biol Sci 2020; 374:20180122. [PMID: 30966888 DOI: 10.1098/rstb.2018.0122] [Citation(s) in RCA: 19] [Impact Index Per Article: 4.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/06/2023] Open
Abstract
Plasticity is assumed to enable beneficial adjustment to the environment. In this context, developmental plasticity is generally approached within a two-stage framework, whereby adjustments to ecological cues in stage 1 are exposed to selection in stage 2. This conceptual approach may have limitations, because in species providing parental investment, particularly placental mammals such as humans, initial adjustments are not to the environment directly, but rather to the niche generated by parental phenotype (in mammals, primarily that of the mother). Only as maternal investment is withdrawn is the developing organism exposed directly to prevailing ecological conditions. A three-stage model may therefore be preferable, where developmental trajectory first adjusts to maternal investment, then to the external environment. Each offspring experiences a trade-off, benefitting from maternal investment during the most vulnerable stages of development, at the cost of exposure to investment strategies that maximize maternal fitness. Maternal life-history trade-offs impact the magnitude and schedule of her investment in her offspring, generating lifelong effects on traits related to health outcomes. Understanding the imprint of maternal capital on offspring is particularly important in species demonstrating social hierarchy. Interventions targeting maternal capital might offer new opportunities to improve health outcomes of both mother and offspring. This article is part of the theme issue 'Developing differences: early-life effects and evolutionary medicine'.
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Affiliation(s)
- Jonathan C K Wells
- Childhood Nutrition Research Centre, UCL Great Ormond Street Institute of Child Health , 30 Guilford Street, London WC 1N 1EH , UK
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22
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Chang L, Lu HJ, Lansford JE, Bornstein MH, Steinberg L, Chen BB, Skinner AT, Dodge KA, Deater-Deckard K, Bacchini D, Pastorelli C, Alampay LP, Tapanya S, Sorbring E, Oburu P, Al-Hassan SM, Di Giunta L, Malone PS, Uribe Tirado LM, Yotanyamaneewong S. External environment and internal state in relation to life-history behavioural profiles of adolescents in nine countries. Proc Biol Sci 2019; 286:20192097. [PMID: 31847773 PMCID: PMC6939920 DOI: 10.1098/rspb.2019.2097] [Citation(s) in RCA: 13] [Impact Index Per Article: 2.6] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/10/2019] [Accepted: 11/22/2019] [Indexed: 12/24/2022] Open
Abstract
The external environment has traditionally been considered as the primary driver of animal life history (LH). Recent research suggests that animals' internal state is also involved, especially in forming LH behavioural phenotypes. The present study investigated how these two factors interact in formulating LH in humans. Based on a longitudinal sample of 1223 adolescents in nine countries, the results show that harsh and unpredictable environments and adverse internal states in childhood are each uniquely associated with fast LH behavioural profiles consisting of aggression, impulsivity, and risk-taking in adolescence. The external environment and internal state each strengthened the LH association of the other, but overall the external environment was more predictive of LH than was the internal state. These findings suggest that individuals rely on a multitude and consistency of sensory information in more decisively calibrating LH and behavioural strategies.
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Affiliation(s)
- Lei Chang
- Department of Psychology, University of Macau, Taipa, Macau, People's Republic of China
| | - Hui Jing Lu
- The Hong Kong Polytechnic University, Hong Kong, People's Republic of China
| | | | - Marc H. Bornstein
- Eunice Kennedy Shriver National Institute of Child Health and Human Development, Bethesda, MD, USA
- Institute for Fiscal Studies, London, UK
| | - Laurence Steinberg
- Temple University, Philadelphia, PA, USA
- King Abdulaziz University, Jeddah, Saudi Arabia
| | - Bin-Bin Chen
- Fudan University, Shanghai, People's Republic of China
| | | | | | | | | | | | | | | | | | | | - Suha M. Al-Hassan
- Hashemite University, Zarqa, Jordan
- Emirates College for Advanced Education, Abu Dhabi, UAE
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23
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Wells JCK. The diabesity epidemic in the light of evolution: insights from the capacity-load model. Diabetologia 2019; 62:1740-1750. [PMID: 31451870 PMCID: PMC6731192 DOI: 10.1007/s00125-019-4944-8] [Citation(s) in RCA: 26] [Impact Index Per Article: 5.2] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 03/17/2019] [Accepted: 05/21/2019] [Indexed: 12/21/2022]
Abstract
The global nutrition transition, which embraces major changes in how food is produced, distributed and consumed, is associated with rapid increases in the prevalence of obesity, but the implications for diabetes differ between populations. A simple conceptual model treats diabetes risk as the function of two interacting traits: 'metabolic capacity,' which promotes glucose homeostasis, and 'metabolic load', which challenges glucose homoeostasis. Population variability in diabetes prevalence is consistent with this conceptual model, indicating that the effect of obesity varies by ethnicity. Evolutionary life history theory can help explain why variability in metabolic capacity and metabolic load emerges. At the species level (hominin evolution), across human populations and within individual life courses, phenotypic variability emerges under selective pressure to maximise reproductive fitness rather than metabolic health. Those exposed to adverse environments may express or develop several metabolic traits that are individually beneficial for reproductive fitness, but which cumulatively increase diabetes risk. Public health interventions can help promote metabolic capacity, but there are limits to the benefits that can emerge within a single generation. This means that efforts to curb metabolic load (obesity, unhealthy lifestyles) must remain at the forefront of diabetes prevention. Such efforts should go beyond individuals and target the broader food system and socioeconomic factors, in order to maximise their efficacy.
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Affiliation(s)
- Jonathan C K Wells
- Childhood Nutrition Research Centre, UCL Great Ormond Street Institute of Child Health, 30 Guilford Street, London, WC1N 1EH, UK.
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Bhattarai S, Bhusal CK. Prevalence and associated factors of malnutrition among school going adolescents of Dang district, Nepal. AIMS Public Health 2019; 6:291-306. [PMID: 31637278 PMCID: PMC6779600 DOI: 10.3934/publichealth.2019.3.291] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Abstract] [Key Words] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/12/2019] [Accepted: 08/04/2019] [Indexed: 12/31/2022] Open
Abstract
Background Malnutrition is a quiet emergency and one of the most widespread causes of morbidity and mortality among children and adolescent throughout the world; however there are very limited indications about the cause of malnutrition among adolescents. This study aimed to find out the prevalence and associated factors of malnutrition among school going adolescents of Dang district, Nepal. Methods School based descriptive cross-sectional research design among 510 school adolescents studying in grade 9 and 10 between ages 14–17 years on April–October 2017 was conducted in Dang district Nepal. Among total 130 secondary schools, 10 schools were selected; one government and one private from each 5 electoral constituency using multistage probability random sampling. Results The mean age and family size was 15.28 ± 0.77 and 5.25 ± 1.56 respectively. Among the total 25.7% of the adolescents are malnourished where 21.8% underweight, 3.1% overweight and 0.8% obese. After adjustment some of the variables such as religion (OR = 0.19; CI = 0.05–0.65, p = 0.008), family type (OR = 0.28; CI = 0.13–0.61, p = 0.001), school type (OR = 0.46; CI = 0.22–0.98, p = 0.044), earning status of family (OR = 4.52; CI = 1.44–14.16, p = 0.010), daily intake of green leafy vegetables (OR = 0.49; CI = 0.26–0.93, p = 0.031) and school sports (OR = 0.49; CI = 0.25–0.96, p = 0.040) were significantly associated with the underweight of adolescent. Similarly, variables such as gender (OR = 0.20; CI = 0.04–0.97, p = 0.046) and religion (OR = 9.75; CI = 2.24–42.39, p = 0.002) were significantly associated with the overweight/obesity of adolescent. Conclusion Malnutrition was significantly higher among adolescents living in joint family, family having no earning status. Male adolescents were found more likely to be overweight and obesity. Hence to tie up the good nutrition it is recommended that integrated nutritional intervention and health related services should also be focused on adolescents.
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Affiliation(s)
- Sigma Bhattarai
- Nursing Department, Universal College of Medical Science and Teaching Hospital, Tribhuvan University, Bhairahawa, Rupandehi Nepal
| | - Chet Kant Bhusal
- Department of Community Medicine, Universal College of Medical Science and Teaching Hospital, Tribhuvan University, Bhairahawa, Rupandehi Nepal
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Hruschka DJ, Hackman JV, Stulp G. Identifying the limits to socioeconomic influences on human growth. ECONOMICS AND HUMAN BIOLOGY 2019; 34:239-251. [PMID: 30658943 DOI: 10.1016/j.ehb.2018.12.005] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 07/27/2018] [Revised: 12/17/2018] [Accepted: 12/19/2018] [Indexed: 06/09/2023]
Abstract
Contemporary humans occupy the widest range of socioeconomic environments in their evolutionary history, and this has revealed unprecedented environmentally-induced plasticity in physical growth. This plasticity also has limits, and identifying those limits can help researchers: (1) parse when population differences arise from environmental inputs or not and (2) determine when it is possible to infer socioeconomic disparities from disparities in body form. To illustrate potential limits to environmental plasticity, we analyze body mass index (BMI) and height data from 1,768,962 women and 207,341 men (20-49 y) living in households exhibiting 1000-fold variation in household wealth (51 countries, 1985-2017, 164 surveys) across four world regions-sub-Saharan Africa, South Asia, Latin America, and North Africa and the Middle East. We find that relationships of environmental inputs with both mean height and BMI bottom out at roughly 100-700 USD per capita household wealth (2011 international units, PPP), but at different basal BMIs and basal heights for different regions. The relationship with resources tops out for BMI at around 20 K-35 K USD for women, with growth potential due to environmental inputs in the range of 6.2-8.4 kg/m2. By contrast, mean BMI for men and mean height for both sexes remains sensitive to environmental inputs even at levels far above the low- and middle-income samples studied here. This suggest that further work integrating comparable data from low- and high-income samples should provide a better picture of the full range of environmental inputs on human height and BMI. We conclude by discussing how neglecting such population-specific limits to human growth can lead to erroneous inferences about population differences.
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Affiliation(s)
- Daniel J Hruschka
- School of Human Evolution and Social Change, Arizona State University, Tempe, AZ, United States.
| | - Joseph V Hackman
- School of Human Evolution and Social Change, Arizona State University, Tempe, AZ, United States
| | - Gert Stulp
- Department of Sociology, University of Groningen, Inter-University Center for Social Science Theory and Methodology (ICS), Groningen, The Netherlands
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Nutrition, the visceral immune system, and the evolutionary origins of pathogenic obesity. Proc Natl Acad Sci U S A 2018; 116:723-731. [PMID: 30598443 PMCID: PMC6338860 DOI: 10.1073/pnas.1809046116] [Citation(s) in RCA: 52] [Impact Index Per Article: 8.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/11/2022] Open
Abstract
The global obesity epidemic is the subject of an immense, diversely specialized research effort. An evolutionary analysis reveals connections among disparate findings, starting with two well-documented facts: Obesity-associated illnesses (e.g., type-2 diabetes and cardiovascular disease), are especially common in: (i) adults with abdominal obesity, especially enlargement of visceral adipose tissue (VAT), a tissue with important immune functions; and (ii) individuals with poor fetal nutrition whose nutritional input increases later in life. I hypothesize that selection favored the evolution of increased lifelong investment in VAT in individuals likely to suffer lifelong malnutrition because of its importance in fighting intraabdominal infections. Then, when increased nutrition violates the adaptive fetal prediction of lifelong nutritional deficit, preferential VAT investment could contribute to abdominal obesity and chronic inflammatory disease. VAT prioritization may help explain several patterns of nutrition-related disease: the paradoxical increase of chronic disease with increased food availability in recently urbanized and migrant populations; correlations between poor fetal nutrition, improved childhood (catch-up) growth, and adult metabolic syndrome; and survival differences between children with marasmus and kwashiorkor malnutrition. Fats and sugars can aggravate chronic inflammation via effects on intestinal bacteria regulating gut permeability to visceral pathogens. The extremes in a nutrition-sensitive trade-off between visceral (immune-function) vs. subcutaneous (body shape) adiposity may have been favored by selection in highly stratified premedicine societies. Altered adipose allocation in populations with long histories of social stratification and malnutrition may be the result of genetic accommodation of developmental responses to poor maternal/fetal conditions, increasing their vulnerability to inflammatory disease.
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Guedine CRDC, Pordeus LCDM, Riul TR, Jordão AA, Almeida SS. Cafeteria diet during lactation and/or post-lactation altered lipid profile/lipid peroxidation and increased anxiety-like behavior in male rat offspring. Nutr Neurosci 2018; 23:526-536. [PMID: 30289019 DOI: 10.1080/1028415x.2018.1529283] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/28/2022]
Abstract
Objective: Evaluate the impact of the cafeteria diet during lactation and/or post-lactation on physiological parameters and anxiety in the offspring of Wistar rats. Methods: Male offspring of Wistar rats (n = 60) were randomized into four groups: Control (C), Lactation Cafeteria (LC), Post-lactation Cafeteria (PC) and Total Cafeteria (TC). Later in adult life the animals were submitted to the behavioral (elevated plus-maze and open field) and biological (body weight, consumption and food preference, glycemia, total cholesterol, LDL cholesterol, HDL cholesterol, VLDL cholesterol, triglycerides, total proteins, urea, creatinine, bilirubin, serum glutamic oxaloacetic transaminase, serum glutamic pyruvic transaminase, serum protein, and oxidative stress) evaluations. The data were submitted to ANOVA, followed by the Newman-Keuls test (p < 0.05). Results: Animals treated with the cafeteria diet presented greater weight measurements compared to the control group. Triglyceride levels were higher in the PC group than in the other groups. MDA levels were higher in the PC and TC group than CL and C. The animals of the PC and TC groups presented higher levels of anxiety compared to the C and LC groups. No significant differences due to diet were observed in the locomotor and exploratory behaviors. Conclusions: The cafeteria diet ingestion was capable of triggering biological and behavioral alterations in rats.
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Affiliation(s)
| | | | - Tania Regina Riul
- Nutrition Department, FCBS, UFVJM, Rodovia MGT 367, KM 583, Alto da Jacuba, 5000, Diamantina, MG 39100-000, Brazil
| | - Alceu Afonso Jordão
- Metabolism and Nutrition Laboratory, FMRP, University of São Paulo, Avenida dos Bandeirantes, 3900, Ribeirão Preto, SP 14040-901, Brazil
| | - Sebastião Sousa Almeida
- Behavior and Nutrition Laboratory, FFLCLRP, University of São Paulo, Avenida dos Bandeirantes, 3900, Ribeirão Preto, SP 14040-901, Brazil
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Frankenhuis WE, Nettle D, McNamara JM. Echoes of Early Life: Recent Insights From Mathematical Modeling. Child Dev 2018; 89:1504-1518. [PMID: 29947096 PMCID: PMC6175464 DOI: 10.1111/cdev.13108] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/23/2022]
Abstract
In the last decades, developmental origins of health and disease (DOHaD) has emerged as a central framework for studying early‐life effects, that is, the impact of fetal and early postnatal experience on adult functioning. Apace with empirical progress, theoreticians have built mathematical models that provide novel insights for DOHaD. This article focuses on three of these insights, which show the power of environmental noise (i.e., imperfect indicators of current and future conditions) in shaping development. Such noise can produce: (a) detrimental outcomes even in ontogenetically stable environments, (b) individual differences in sensitive periods, and (c) early‐life effects tailored to predicted future somatic states. We argue that these insights extend DOHaD and offer new research directions.
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Abstract
Nettle et al. miss the crucial difference between adaptive models of storing energy and explanations for the pathological metabolic state of obesity. I suggest that the association of food insecurity with obesity in women from industrialized settings is most likely due to reverse causation: Poverty reduces agency to resist obesogenic foods, and this scenario is compounded by perturbations of insulin metabolism stemming from high adiposity and lipogenic diets.
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Early life conditions, reproductive and sexuality-related life history outcomes among human males: A systematic review and meta-analysis. EVOL HUM BEHAV 2018. [DOI: 10.1016/j.evolhumbehav.2017.08.005] [Citation(s) in RCA: 29] [Impact Index Per Article: 4.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/03/2023]
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31
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Hujoel PP, Masterson EE, Bollen AM. Lower face asymmetry as a marker for developmental instability. Am J Hum Biol 2017; 29. [DOI: 10.1002/ajhb.23005] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/14/2016] [Revised: 01/23/2017] [Accepted: 03/11/2017] [Indexed: 12/22/2022] Open
Affiliation(s)
- Philippe P. Hujoel
- Oral Health Sciences; School of Dentistry, University of Washington; Box 357475, Seattle WA 98115
| | - Erin E. Masterson
- Oral Health Sciences; School of Dentistry, University of Washington; Box 357475, Seattle WA 98115
| | - A-M Bollen
- Orthodontics; School of Dentistry, University of Washington, Health Sciences; Box 357446, Seattle WA 98115
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Tchamo ME, Moura-Dos-Santos MA, Dos Santos FK, Prista A, Leandro CG. Deficits in anthropometric indices of nutritional status and motor performance among low birth weight children from Maputo City, Mozambique. Am J Hum Biol 2017; 29. [PMID: 28176405 DOI: 10.1002/ajhb.22949] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/28/2016] [Revised: 10/26/2016] [Accepted: 11/22/2016] [Indexed: 12/21/2022] Open
Abstract
OBJECTIVE To evaluate associations between low birth weight (LBW) and anthropometry, body composition, physical fitness, and gross motor coordination among schoolchildren from Maputo, Mozambique. METHODS A total of 353 children aged 7 to 10 years old from both genders born in Maputo (Mozambique) were sampled. The sample was divided into two groups: LBW (n = 155) and normal birth weight (NBW, n = 198). Body composition measurements and indices weight-for-age, height-for-age, and weight-for-height were assessed. Physical fitness was assessed by handgrip strength, flexibility, agility, long jump, and running speed. Gross motor coordination was evaluated by using the Korper Koordination Test fur Kinder (KTK) battery. RESULTS LBW children were lighter and smaller than NBW children with reduced indices for weight-for-age and height-for-age. They also showed a reduced performance in handgrip strength and sideways movement tests. These differences remained significant even after adjustment for age, gender, body size, and fatness skinfold thickness. CONCLUSION LBW seems to be the major factor that influences anthropometry, and is a predictor of low muscle strength and low performance on sideways movement tests. This result suggests that growth faltering in LBW children is associated with adverse health consequences, even after controlling for gender, age, fatness, and body size.
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Affiliation(s)
- Mario Eugénio Tchamo
- Faculty of Physical Education and Sports, Pedagogic University of Mozambique.,Department of Nutrition, Federal University of Pernambuco, Brazil
| | | | | | - António Prista
- Research Group for Physical Activity and Health - CIDAF -FEFD, Pedagogic University of Mozambique
| | - Carol Góis Leandro
- Department of Nutrition, Federal University of Pernambuco, Brazil.,Department of Physical Education and Sports Science, CAV, Federal University of Pernambuco, Brazil
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Piperata BA, McSweeney K, Murrieta RS. Conditional Cash Transfers, Food Security, and Health: Biocultural Insights for Poverty-Alleviation Policy from the Brazilian Amazon. CURRENT ANTHROPOLOGY 2016. [DOI: 10.1086/688912] [Citation(s) in RCA: 19] [Impact Index Per Article: 2.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/03/2022]
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34
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Costa-Silva JH, Simões-Alves AC, Fernandes MP. Developmental Origins of Cardiometabolic Diseases: Role of the Maternal Diet. Front Physiol 2016; 7:504. [PMID: 27899895 PMCID: PMC5110566 DOI: 10.3389/fphys.2016.00504] [Citation(s) in RCA: 20] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/21/2016] [Accepted: 10/14/2016] [Indexed: 01/21/2023] Open
Abstract
Developmental origins of cardiometabolic diseases have been related to maternal nutritional conditions. In this context, the rising incidence of arterial hypertension, diabetes type II, and dyslipidemia has been attributed to genetic programming. Besides, environmental conditions during perinatal development such as maternal undernutrition or overnutrition can program changes in the integration among physiological systems leading to cardiometabolic diseases. This phenomenon can be understood in the context of the phenotypic plasticity and refers to the adjustment of a phenotype in response to environmental input without genetic change, following a novel, or unusual input during development. Experimental studies indicate that fetal exposure to an adverse maternal environment may alter the morphology and physiology that contribute to the development of cardiometabolic diseases. It has been shown that both maternal protein restriction and overnutrition alter the central and peripheral control of arterial pressure and metabolism. This review will address the new concepts on the maternal diet induced-cardiometabolic diseases that include the potential role of the perinatal malnutrition.
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Affiliation(s)
- João H Costa-Silva
- Departamento de Educação Física e Ciências do Esporte, Centro Acadêmico de Vitória, Universidade Federal de Pernambuco Pernambuco, Brazil
| | - Aiany C Simões-Alves
- Departamento de Educação Física e Ciências do Esporte, Centro Acadêmico de Vitória, Universidade Federal de Pernambuco Pernambuco, Brazil
| | - Mariana P Fernandes
- Departamento de Educação Física e Ciências do Esporte, Centro Acadêmico de Vitória, Universidade Federal de Pernambuco Pernambuco, Brazil
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Tuoyire DA, Kumi-Kyereme A, Doku DT. Socio-demographic trends in overweight and obesity among parous and nulliparous women in Ghana. BMC OBESITY 2016; 3:44. [PMID: 27826451 PMCID: PMC5093993 DOI: 10.1186/s40608-016-0124-2] [Citation(s) in RCA: 14] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 07/06/2016] [Accepted: 10/18/2016] [Indexed: 12/15/2022]
Abstract
Background Overweight and obesity are among the leading threats to global health because of their association with increased risk of morbidity and mortality. Much of the research on overweight and obesity among women largely generalize without due cognisance to differences in their reproductive history. This study explored differences in trends in overweight/obesity, and associated factors between parous and nulliparous women in Ghana. Methods Anthropometric measurements from three nationally representative Ghana Demographic and Health Surveys (2003, 2008 and 2014) were analysed using descriptive statistics and multivariate binary logistic regression. Results Over all, overweight/obesity increased between 2003 and 2014, with disproportionately higher rates among parous women (from about 30 % in 2003 to about 48 % in 2014) than nulliparous women (from about 15 % in 2003 to about 24 % in 2014). Age, wealth quintile and marital status were associated with overweight/obesity similarly in both women groups. However, there were variations in the association between parous and nulliparious women by educational level, type of locality, occupation and ethnicity. Conclusion The trend of overweight/obesity in Ghana warrants urgent national level public health attention to help curb the situation. Such interventions should be tailored bearing in mind the peculiar differences in associated factors between parous and nulliparous women.
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Affiliation(s)
| | - Akwasi Kumi-Kyereme
- Department of Population & Health, University of Cape Coast, Cape Coast, Ghana
| | - David Teye Doku
- Department of Population & Health, University of Cape Coast, Cape Coast, Ghana ; School of Health Sciences, University of Tampere, Tampere, Finland
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Kumpulainen SM, Heinonen K, Salonen MK, Andersson S, Wolke D, Kajantie E, Eriksson JG, Raikkonen K. Childhood cognitive ability and body composition in adulthood. Nutr Diabetes 2016; 6:e223. [PMID: 27525818 PMCID: PMC5022144 DOI: 10.1038/nutd.2016.30] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 11/18/2015] [Revised: 07/01/2016] [Accepted: 07/05/2016] [Indexed: 12/31/2022] Open
Abstract
Background: Childhood cognitive ability has been identified as a novel risk factor for adulthood overweight and obesity as assessed by adult body mass index (BMI). BMI does not, however, distinguish fat-free and metabolically harmful fat tissue. Hence, we examined the associations between childhood cognitive abilities and body fat percentage (BF%) in young adulthood. Methods: Participants of the Arvo Ylppö Longitudinal Study (n=816) underwent tests of general reasoning, visuomotor integration, verbal competence and language comprehension (M=100; s.d.=15) at the age of 56 months. At the age of 25 years, they underwent a clinical examination, including measurements of BF% by the InBody 3.0 eight-polar tactile electrode system, weight and height from which BMI (kg m−2) was calculated and waist circumference (cm). Results: After adjustments for sex, age and BMI-for-age s.d. score at 56 months, lower general reasoning and visuomotor integration in childhood predicted higher BMI (kg m−2) increase per s.d. unit decrease in cognitive ability (−0.32, 95% confidence interval −0.60,−0.05; −0.45, −0.75,−0.14, respectively) and waist circumference (cm) increase per s.d. unit decrease in cognitive ability (−0.84, −1.56,−0.11; −1.07,−1.88,−0.26, respectively) in adulthood. In addition, lower visuomotor integration predicted higher BF% per s.d. unit decrease in cognitive ability (−0.62,−1.14,−0.09). Associations between general reasoning and BMI/waist were attenuated when adjusted for smoking, alcohol consumption, intake of fruits and vegetables and physical activity in adulthood, and all associations, except for visuomotor integration and BMI, were attenuated when adjusted for parental and/or own attained education and/or birth weight. Conclusions: Of the measured childhood cognitive abilities, only lower visuomotor integration was associated with BF% in adulthood. This challenges the view that cognitive ability, at least when measured in early childhood, poses a risk for adiposity in adulthood, as characterized by higher BF%.
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Affiliation(s)
- S M Kumpulainen
- Institute of Behavioral Sciences, University of Helsinki, Helsinki, Finland
| | - K Heinonen
- Institute of Behavioral Sciences, University of Helsinki, Helsinki, Finland
| | - M K Salonen
- National Institute for Health and Welfare, Helsinki, Finland.,Folkhälsan Research Unit, Helsinki, Finland
| | - S Andersson
- Children's Hospital, Helsinki University Central Hospital and University of Helsinki, Helsinki, Finland
| | - D Wolke
- Department of Psychology, University of Warwick, Coventry, UK
| | - E Kajantie
- National Institute for Health and Welfare, Helsinki, Finland.,Institute for Health and Welfare, Oulu, Finland
| | - J G Eriksson
- Folkhälsan Research Unit, Helsinki, Finland.,Department of General Practice and Primary Health Care, University of Helsinki, Helsinki, Finland
| | - K Raikkonen
- Institute of Behavioral Sciences, University of Helsinki, Helsinki, Finland
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Azcorra H, Dickinson F, Datta Banik S. Maternal height and its relationship to offspring birth weight and adiposity in 6- to 10-year-old Maya children from poor neighborhoods in Merida, Yucatan. AMERICAN JOURNAL OF PHYSICAL ANTHROPOLOGY 2016; 161:571-579. [PMID: 27465976 DOI: 10.1002/ajpa.23057] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 12/16/2015] [Revised: 07/07/2016] [Accepted: 07/11/2016] [Indexed: 12/17/2022]
Abstract
OBJECTIVE To analyze the relationship between maternal height, offspring birth weight, and adiposity at 6-10 years of age in a sample of 197 mother-child dyads from Merida, Mexico. MATERIALS AND METHODS During 2008-2009 and 2011-2013, measurements were taken of maternal height and weight; and height, waist circumference (WC), and skinfolds (triceps, subscapular, and suprailiac) of their children. Participant body composition was estimated using a bioelectrical impedance analyzer. A questionnaire was applied to document household socioeconomic conditions. Multiple linear regression models were used to study the association between maternal height, offspring birth weight and fat mass index (FMI), WC, and sum of skinfolds (SumSkfZ) in boys and girls, separately. RESULTS After adjusting for child age and household socioeconomic conditions, maternal height was identified to be significantly associated (p < .05) with FMI, WC, and SumSkf only in boys. In all models, child adiposity was inversely related to maternal height. Offspring birth weight was not associated with any adiposity parameter. DISCUSSION The results suggest that maternal nutritional history as reflected in short maternal stature is associated with higher body fat in children, and that male offspring are more vulnerable to intergenerational influences.
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Affiliation(s)
- Hugo Azcorra
- Department of Human Ecology, Centro de Investigación y de Estudios Avanzados del Instituto Politécnico Nacional, Antigua Carretera a Progreso Km. 6, Merida, Yucatan, 97310, Mexico
| | - Federico Dickinson
- Department of Human Ecology, Centro de Investigación y de Estudios Avanzados del Instituto Politécnico Nacional, Antigua Carretera a Progreso Km. 6, Merida, Yucatan, 97310, Mexico
| | - Sudip Datta Banik
- Department of Human Ecology, Centro de Investigación y de Estudios Avanzados del Instituto Politécnico Nacional, Antigua Carretera a Progreso Km. 6, Merida, Yucatan, 97310, Mexico
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Chirita-Emandi A, Barbu CG, Cinteza EE, Chesaru BI, Gafencu M, Mocanu V, Pascanu IM, Tatar SA, Balgradean M, Dobre M, Fica SV, Ichim GE, Pop R, Puiu M. Overweight and Underweight Prevalence Trends in Children from Romania - Pooled Analysis of Cross-Sectional Studies between 2006 and 2015. Obes Facts 2016; 9:206-20. [PMID: 27319017 PMCID: PMC5644837 DOI: 10.1159/000444173] [Citation(s) in RCA: 34] [Impact Index Per Article: 4.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/19/2015] [Accepted: 01/14/2016] [Indexed: 01/03/2023] Open
Abstract
AIM High-quality national representative data on obesity in Romanian children are needed to shape public health policies. To provide a unified data landscape on national prevalence, trends and other factors associated with underweight, overweight, and obesity in Romanian children aged 6-19 years, across the last decade (2006-2015). METHODS Using a common protocol, we selected published and unpublished studies that measured Romanian children in schools between 2006 and 2015. Children's BMI was classified using the current WHO, IOTF, and CDC references. RESULTS 25,060 children from 8 Romanian counties were included in the analysis. The prevalence of underweight children was 5%/4.5%/8.5% (WHO/IOTF/CDC), while the prevalence of overweight (including obese) children was 28.3%/23%/23.2% (WHO/IOTF/CDC). The prevalence of overweight children did not change significantly over the last decade (chi-square test p = 0.6). Male gender (odds ratio (OR) 1.37; 95% CI 1.29-1.45, compared to female); prepubertal age (OR = 3.86; 95% CI 3.41-4.36,compared to postpubertal age), and urban environment (OR 1.12; 95% CI 1.01-1.26, compared to rural environment) had higher risk for overweight. CONCLUSION While the prevalence of underweight children was low, almost one in four children in Romania was overweight or obese (according to WHO criteria) between 2006 and 2015. This prevalence remained relatively stable over the last decade. Male gender, prepubertal age, and urban environment, were the most relevant risk factors associated with overweight status in Romanian children.
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Affiliation(s)
- Adela Chirita-Emandi
- Genetics Department, University of Medicine and Pharmacy x2018;Victor Babes', Timisoara, Romania
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Downey G. Being Human in Cities: Phenotypic Bias from Urban Niche Construction. CURRENT ANTHROPOLOGY 2016. [DOI: 10.1086/685710] [Citation(s) in RCA: 20] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/03/2022]
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40
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Nettle D, Bateson M. Adaptive developmental plasticity: what is it, how can we recognize it and when can it evolve? Proc Biol Sci 2016. [PMID: 26203000 DOI: 10.1098/rspb.2015.1005] [Citation(s) in RCA: 148] [Impact Index Per Article: 18.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/21/2023] Open
Abstract
Developmental plasticity describes situations where a specific input during an individual's development produces a lasting alteration in phenotype. Some instances of developmental plasticity may be adaptive, meaning that the tendency to produce the phenotype conditional on having experienced the developmental input has been under positive selection. We discuss the necessary assumptions and predictions of hypotheses concerning adaptive developmental plasticity (ADP) and develop guidelines for how to test empirically whether a particular example is adaptive. Central to our analysis is the distinction between two kinds of ADP: informational, where the developmental input provides information about the future environment, and somatic state-based, where the developmental input enduringly alters some aspect of the individual's somatic state. Both types are likely to exist in nature, but evolve under different conditions. In all cases of ADP, the expected fitness of individuals who experience the input and develop the phenotype should be higher than that of those who experience the input and do not develop the phenotype, while the expected fitness of those who do not experience the input and do not develop the phenotype should be higher than those who do not experience the input and do develop the phenotype. We describe ancillary predictions that are specific to just one of the two types of ADP and thus distinguish between them.
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Affiliation(s)
- Daniel Nettle
- Centre for Behaviour and Evolution and Institute of Neuroscience, Newcastle University, Newcastle, UK
| | - Melissa Bateson
- Centre for Behaviour and Evolution and Institute of Neuroscience, Newcastle University, Newcastle, UK
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Wells JCK, Yao P, Williams JE, Gayner R. Maternal investment, life-history strategy of the offspring and adult chronic disease risk in South Asian women in the UK. EVOLUTION MEDICINE AND PUBLIC HEALTH 2016; 2016:133-45. [PMID: 26988862 PMCID: PMC4826584 DOI: 10.1093/emph/eow011] [Citation(s) in RCA: 20] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 11/24/2015] [Accepted: 03/02/2016] [Indexed: 12/26/2022]
Abstract
BACKGROUND AND OBJECTIVES Patterns of development predict cardiovascular disease (CVD) risk, and ethnic differences therein, but it remains unclear why apparently 'adaptive plasticity' in early life should generate health costs in later life. We hypothesized that offspring receiving low maternal investment during fetal life, the primary period of organogenesis, should predict a shorter reproductive career and develop a fast life-history strategy, prioritizing reproduction over growth and homeostatic maintenance. METHODOLOGY We studied 58 young adult South Asian women living in the UK, a group with high susceptibility to CVD. We obtained gestational age, birth weight (BW) and menarcheal age by recall and measured anthropometry, body composition, resting metabolic rate (RMR) and blood pressure (BP). RESULTS BW and gestational age were inversely associated with menarcheal age, indicating that lower maternal investment is associated with faster maturation. Menarcheal age was positively associated with height but inversely with adiposity, indicating that rapid maturation prioritizes lipid stores over somatic growth. BW was inversely associated with BP, whereas adiposity was positively associated, indicating that lower maternal investment reduces BP homeostasis. BW was positively associated with RMR, whereas menarche was inversely associated, indicating that maternal investment influences adult metabolism. CONCLUSIONS AND IMPLICATIONS Supporting our hypothesis, low maternal investment promoted faster life histories, demonstrated by earlier menarche, reduced growth and elevated adiposity. These traits were associated with poorer BP regulation. This is the first study demonstrating strategic adjustment of the balance between reproduction and metabolic health in response to the level of maternal investment during fetal life.
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Affiliation(s)
- Jonathan C K Wells
- Childhood Nutrition Research Centre, UCL Institute of Child Health, 30 Guilford Street, London, WC 1N 1EH, UK
| | - Pallas Yao
- Childhood Nutrition Research Centre, UCL Institute of Child Health, 30 Guilford Street, London, WC 1N 1EH, UK
| | - Jane E Williams
- Childhood Nutrition Research Centre, UCL Institute of Child Health, 30 Guilford Street, London, WC 1N 1EH, UK
| | - Rebecca Gayner
- Childhood Nutrition Research Centre, UCL Institute of Child Health, 30 Guilford Street, London, WC 1N 1EH, UK
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Higginson AD, McNamara JM, Houston AI. Fatness and fitness: exposing the logic of evolutionary explanations for obesity. Proc Biol Sci 2016; 283:20152443. [PMID: 26740612 PMCID: PMC4721100 DOI: 10.1098/rspb.2015.2443] [Citation(s) in RCA: 26] [Impact Index Per Article: 3.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/14/2015] [Accepted: 11/19/2015] [Indexed: 01/30/2023] Open
Abstract
To explore the logic of evolutionary explanations of obesity we modelled food consumption in an animal that minimizes mortality (starvation plus predation) by switching between activities that differ in energy gain and predation. We show that if switching does not incur extra predation risk, the animal should have a single threshold level of reserves above which it performs the safe activity and below which it performs the dangerous activity. The value of the threshold is determined by the environmental conditions, implying that animals should have variable 'set points'. Selection pressure to prevent energy stores exceeding the optimal level is usually weak, suggesting that immediate rewards might easily overcome the controls against becoming overweight. The risk of starvation can have a strong influence on the strategy even when starvation is extremely uncommon, so the incidence of mortality during famine in human history may be unimportant for explanations for obesity. If there is an extra risk of switching between activities, the animal should have two distinct thresholds: one to initiate weight gain and one to initiate weight loss. Contrary to the dual intervention point model, these thresholds will be inter-dependent, such that altering the predation risk alters the location of both thresholds; a result that undermines the evolutionary basis of the drifty genes hypothesis. Our work implies that understanding the causes of obesity can benefit from a better understanding of how evolution shapes the mechanisms that control body weight.
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Affiliation(s)
- Andrew D Higginson
- Centre for Research in Animal Behaviour, College of Life and Environmental Sciences, University of Exeter, Exeter EX4 4QG, UK School of Biological Sciences, Life Sciences Building, University of Bristol, 24 Tyndall Avenue, Bristol BS8 1TQ, UK
| | - John M McNamara
- School of Mathematics, University of Bristol, University Walk, Bristol BS8 1TW, UK
| | - Alasdair I Houston
- School of Biological Sciences, Life Sciences Building, University of Bristol, 24 Tyndall Avenue, Bristol BS8 1TQ, UK
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Wells JCK. Between Scylla and Charybdis: renegotiating resolution of the 'obstetric dilemma' in response to ecological change. Philos Trans R Soc Lond B Biol Sci 2016; 370:20140067. [PMID: 25602071 DOI: 10.1098/rstb.2014.0067] [Citation(s) in RCA: 41] [Impact Index Per Article: 5.1] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/09/2023] Open
Abstract
Hominin evolution saw the emergence of two traits-bipedality and encephalization-that are fundamentally linked because the fetal head must pass through the maternal pelvis at birth, a scenario termed the 'obstetric dilemma'. While adaptive explanations for bipedality and large brains address adult phenotype, it is brain and pelvic growth that are subject to the obstetric dilemma. Many contemporary populations experience substantial maternal and perinatal morbidity/mortality from obstructed labour, yet there is increasing recognition that the obstetric dilemma is not fixed and is affected by ecological change. Ecological trends may affect growth of the pelvis and offspring brain to different extents, while the two traits also differ by a generation in the timing of their exposure. Two key questions arise: how can the fit between the maternal pelvis and the offspring brain be 'renegotiated' as the environment changes, and what nutritional signals regulate this process? I argue that the potential for maternal size to change across generations precludes birthweight being under strong genetic influence. Instead, fetal growth tracks maternal phenotype, which buffers short-term ecological perturbations. Nevertheless, rapid changes in nutritional supply between generations can generate antagonistic influences on maternal and offspring traits, increasing the risk of obstructed labour.
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Affiliation(s)
- Jonathan C K Wells
- Childhood Nutrition Research Centre, UCL Institute of Child Health, 30 Guilford St., London WC1N 1EH, UK
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Costa-Silva JH, de Brito-Alves JL, Barros MADV, Nogueira VO, Paulino-Silva KM, de Oliveira-Lira A, Nobre IG, Fragoso J, Leandro CG. New Insights on the Maternal Diet Induced-Hypertension: Potential Role of the Phenotypic Plasticity and Sympathetic-Respiratory Overactivity. Front Physiol 2015; 6:345. [PMID: 26635631 PMCID: PMC4656835 DOI: 10.3389/fphys.2015.00345] [Citation(s) in RCA: 12] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/02/2015] [Accepted: 11/06/2015] [Indexed: 12/25/2022] Open
Abstract
Systemic arterial hypertension (SAH) is an important risk factor for cardiovascular disease and affects worldwide population. Current environment including life style coupled with genetic programming have been attributed to the rising incidence of hypertension. Besides, environmental conditions during perinatal development such as maternal malnutrition can program changes in the integration among renal, neural, and endocrine system leading to hypertension. This phenomenon is termed phenotypic plasticity and refers to the adjustment of a phenotype in response to environmental stimuli without genetic change, following a novel or unusual input during development. Human and animal studies indicate that fetal exposure to an adverse maternal environment may alter the renal morphology and physiology that contribute to the development of hypertension. Recently, it has been shown that the maternal protein restriction alter the central control of SAH by a mechanism that include respiratory dysfunction and enhanced sympathetic-respiratory coupling at early life, which may contribute to adult hypertension. This review will address the new insights on the maternal diet induced-hypertension that include the potential role of the phenotypic plasticity, specifically the perinatal protein malnutrition, and sympathetic-respiratory overactivity.
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Affiliation(s)
- João H Costa-Silva
- Department of Physical Education and Sport Science, Academic Center of Vitoria, Federal University of Pernambuco Vitória de Santo Antão, Brazil
| | - José L de Brito-Alves
- Department of Physical Education and Sport Science, Academic Center of Vitoria, Federal University of Pernambuco Vitória de Santo Antão, Brazil
| | - Monique Assis de V Barros
- Department of Physical Education and Sport Science, Academic Center of Vitoria, Federal University of Pernambuco Vitória de Santo Antão, Brazil
| | - Viviane Oliveira Nogueira
- Department of Physical Education and Sport Science, Academic Center of Vitoria, Federal University of Pernambuco Vitória de Santo Antão, Brazil
| | - Kássya M Paulino-Silva
- Department of Physical Education and Sport Science, Academic Center of Vitoria, Federal University of Pernambuco Vitória de Santo Antão, Brazil
| | - Allan de Oliveira-Lira
- Department of Physical Education and Sport Science, Academic Center of Vitoria, Federal University of Pernambuco Vitória de Santo Antão, Brazil
| | - Isabele G Nobre
- Department of Physical Education and Sport Science, Academic Center of Vitoria, Federal University of Pernambuco Vitória de Santo Antão, Brazil
| | - Jéssica Fragoso
- Department of Physical Education and Sport Science, Academic Center of Vitoria, Federal University of Pernambuco Vitória de Santo Antão, Brazil
| | - Carol G Leandro
- Department of Physical Education and Sport Science, Academic Center of Vitoria, Federal University of Pernambuco Vitória de Santo Antão, Brazil
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Abstract
Tackling increasing rates of obesity is likely to be a defining feature of health care over the next several decades. Adult obesity is a persistent and treatment-resistant problem. Consequently, an emerging theme in the literature is to commence prevention efforts earlier in the developmental time course. This view is based primarily on epidemiological data demonstrating a link between traits manifesting early during development and increased obesity risk in adulthood. Physical activity is a perennial factor in discussions of obesity prevention. However, the optimal timing and type of physical activity interventions to commence remains unclear. Critical developmental windows of plasticity may afford time-limited opportunities to shape body composition across the life course; however, physical activity has not been explicitly considered in these discussions. Although animal models suggest that physical activity commenced earlier in development has differential effects on obesity onset compared to physical activity commenced in adulthood, human research is lacking. In this conceptual review, we consider physical activity during critical developmental periods as a way to mitigate obesity risk later in life.
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Affiliation(s)
- S J Street
- Mater Health Services South Brisbane, Brisbane, Queensland, Australia.,Mater Research, Centre for Nutrition and Exercise, South Brisbane, Queensland, Australia
| | - J C K Wells
- Childhood Nutrition Research Centre, University College London Institute of Child Health, London, England
| | - A P Hills
- Mater Health Services South Brisbane, Brisbane, Queensland, Australia.,Mater Research, Centre for Nutrition and Exercise, South Brisbane, Queensland, Australia.,Griffith Health Institute, Griffith University, Gold Coast, Queensland, Australia
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Abstract
OBJECTIVE To evaluate the correlation among nutritional status, tooth wear and quality of life in Brazilian schoolchildren. DESIGN The study followed a cross-sectional design. Nutritional status was measured via anthropometry using BMI and tooth wear was measured using the Dental Wear Index; both these assessments were carried out by a trained recorder according to standard criteria. A modified version of the Child Oral Impacts on Daily Performances was used to assess quality of life. SETTING City of Bauru, in Brazil. SUBJECTS A cluster sample of 396 schoolchildren (194 boys and 202 girls) aged 7-10 years. RESULTS The anthropometric assessment showed similar situations for both sexes regarding underweight (31·40 % in boys and 30·20 % in girls) and overweight/obesity (33·96 % in boys and 33·17 % in girls). The underweight children showed a greater severity of tooth wear in the primary teeth (OR=0·72; CI 0·36, 1·42), although in the permanent dentition the obese children had a greater severity of tooth wear (OR=1·42; 95 % CI 0·31, 6·55). The tooth wear was correlated with age for both dentitions. CONCLUSIONS Tooth wear in the primary and permanent dentition may be related to nutritional status. Tooth wear and obesity did not have a significant impact on the schoolchildren's perception of quality of life.
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Perspectives of Fijian Policymakers on the Obesity Prevention Policy Landscape. BIOMED RESEARCH INTERNATIONAL 2015; 2015:926159. [PMID: 26380307 PMCID: PMC4561938 DOI: 10.1155/2015/926159] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 11/21/2014] [Accepted: 03/10/2015] [Indexed: 01/07/2023]
Abstract
In Fiji and other Pacific Island countries, obesity has rapidly increased in the past decade. Therefore, several obesity prevention policies have been developed. Studies show that their development has been hampered by factors within Fiji's policy landscape such as pressure from industry. Since policymakers in the Fijian national government are primarily responsible for the development of obesity policies, it is important to understand their perspectives; we therefore interviewed 15 policymakers from nine Fijian ministries. By applying the "attractor landscape" metaphor from dynamic systems theory, we captured perceived barriers and facilitators in the policy landscape. A poor economic situation, low food self-sufficiency, power inequalities, inappropriate framing of obesity, limited policy evidence, and limited resource sharing hamper obesity policy developments in Fiji. Facilitators include policy entrepreneurs and policy brokers who were active when a window of opportunity opened and who strengthened intersectoral collaboration. Fiji's policy landscape can become more conducive to obesity policies if power inequalities are reduced. In Fiji and other Pacific Island countries, this may be achievable through increased food self-sufficiency, strengthened intersectoral collaboration, and the establishment of an explicit functional focal unit within government to monitor and forecast the health impact of policy changes in non-health sectors.
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Abstract
The high prevalence of obesity is a major public health issue and contributes to the 'double burden' of disease in developing countries. Early exposure to poor nutrition may cause metabolic adaptations that, when accompanied by exposure to 'affluent' nutrition, may increase the risk for obesity and other metabolic disorders. The aim of this study was to determine differences in energy metabolism and nutritional status between normal-height and growth-retarded North Korean children living in South Korea. A total of 29 children were recruited and underwent measurements of resting energy expenditure (REE), respiratory quotient (RQ), anthropometrics and dietary intake. There was no difference in REE or any assessment of obesity between the growth-retarded and normal-height children. Children who were classified as growth retarded (HAZ<-1.0) or stunted (HAZ<-2.0) had a significantly higher RQ (β=0.036 or 0.060, respectively, P=0.018 or 0.016), independent of sex, age, fat-free mass, fat mass and food quotient, compared with children with normal height. The results from this study, the first from an Asian population, add to the growing body of literature suggesting that undernutrition early in life results in adaptations in energy metabolism that favor fat deposition, increasing the risk of stunted children becoming overweight or obese later in life. Continued research on this topic is warranted, given the continued rise in the prevalence of the double burden in transitional countries.
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Olaya B, Moneta MV, Pez O, Bitfoi A, Carta MG, Eke C, Goelitz D, Keyes KM, Kuijpers R, Lesinskiene S, Mihova Z, Otten R, Fermanian C, Haro JM, Kovess V. Country-level and individual correlates of overweight and obesity among primary school children: a cross-sectional study in seven European countries. BMC Public Health 2015; 15:475. [PMID: 25952506 PMCID: PMC4429414 DOI: 10.1186/s12889-015-1809-z] [Citation(s) in RCA: 57] [Impact Index Per Article: 6.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/07/2014] [Accepted: 04/29/2015] [Indexed: 11/10/2022] Open
Abstract
BACKGROUND The present study aims to estimate childhood overweight and obesity prevalence and their association with individual and population-level correlates in Eastern and Western European countries. METHODS Data were obtained from the School Children Mental Health in Europe, a cross-sectional survey conducted in 2010 in Italy, Germany, the Netherlands, Romania, Bulgaria, Lithuania and Turkey. The sample consists of 5,206 school children aged 6 to 11 years old. Information on socio-demographics, children's height and weight, life-style and parental attitude were reported by the mothers. Country-level indicators were obtained through several data banks. Overweight and obesity in children were calculated according to the international age and gender-specific child Body Mass Index cut-off points. Multivariable logistic regression models included socio-demographic, lifestyle, mothers' attitude, and country-level indicators to examine the correlates of overweight. RESULTS Overall prevalence was 15.6% (95% CI = 19.3-21.7%) for overweight and 4.9% (95% CI = 4.3-5.6%) for obesity. In overweight (including obesity), Romanian children had the highest prevalence (31.4%, 95% CI = 28.1-34.6%) and Italian the lowest (10.4%, 95% CI = 8.1-12.6%). Models in the pooled sample showed that being younger (aOR = 0.93, 95% = CI 0.87-0.97), male (aOR = 1.24, 95% CI = 1.07-1.43), an only child (aOR = 1.40, 95% CI = 1.07-1.84), spending more hours per week watching TV (aOR = 1.01, 95% CI =1.002-1.03), and living in an Eastern Country were associated with greater risk of childhood overweight (including obesity). The same predictors were significantly associated with childhood overweight in the model conducted in the Eastern region, but not in the West. Higher Gross Domestic Product and Real Domestic Product, greater number of motor and passenger vehicles, higher percentage of energy available from fat, and more public sector expenditure on health were also associated with lower risk for childhood overweight after adjusting for covariables in the pooled sample and in the east of Europe, but not in the West. CONCLUSIONS Prevalence rates of overweight and obesity in school children is still high, especially in Eastern regions, with some socio-demographic factors and life-styles associated with being overweight. It is also in the Eastern region itself where better macro-economic indicators are related with lower rates of childhood overweight. This represents a public health concern that deserves special attention in those countries undertaking economic and political transitions.
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Affiliation(s)
- Beatriz Olaya
- Research, Innovation and Teaching Unit, Parc Sanitari Sant Joan de Déu (Universitat de Barcelona), Sant Boi de Llobregat, Spain.
- Instituto de Salud Carlos III, Centro de Investigación Biomédica en Red de Salud Mental (CIBERSAM), Madrid, Spain.
| | - Maria Victoria Moneta
- Research, Innovation and Teaching Unit, Parc Sanitari Sant Joan de Déu (Universitat de Barcelona), Sant Boi de Llobregat, Spain.
- Instituto de Salud Carlos III, Centro de Investigación Biomédica en Red de Salud Mental (CIBERSAM), Madrid, Spain.
| | - Ondine Pez
- EHESP Rennes, Sorbonne Paris Cité, EA 4069 Université Paris Descartes, Paris, France.
- Departmental House for Adolescents (Maison Départementale des Adolescents), Hautes-Alpes, France.
| | - Adina Bitfoi
- The Romanian League for Mental Health, Bucharest, Romania.
| | - Mauro Giovanni Carta
- Liaison Pyschiatric Unit, Department of Public Health, University of Cagliari, Cagliari, Italy.
| | - Ceyda Eke
- Yeniden Health and Education Society, Istanbul, Turkey.
| | - Dietmar Goelitz
- Institute of Psychology, University of Koblenz-Landau (Campus Koblenz), Koblenz, Germany.
| | | | - Rowella Kuijpers
- Behavioural Science Institute, Radboud University Nijmegen, Nijmegen, Netherlands.
| | - Sigita Lesinskiene
- Clinic of Psychiatry, Faculty of Medicine, University of Vilnius, Vilnius, Lithuania.
| | | | - Roy Otten
- Behavioural Science Institute, Radboud University Nijmegen, Nijmegen, Netherlands.
- Netherlands Institute of Mental Health and Addiction (Trimbos Institute), Utrecht, Netherlands.
| | - Christophe Fermanian
- EHESP Rennes, Sorbonne Paris Cité, EA 4069 Université Paris Descartes, Paris, France.
| | - Josep Maria Haro
- Research, Innovation and Teaching Unit, Parc Sanitari Sant Joan de Déu (Universitat de Barcelona), Sant Boi de Llobregat, Spain.
- Instituto de Salud Carlos III, Centro de Investigación Biomédica en Red de Salud Mental (CIBERSAM), Madrid, Spain.
| | - Viviane Kovess
- EHESP Rennes, Sorbonne Paris Cité, EA 4069 Université Paris Descartes, Paris, France.
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Calibration of bioelectrical impedance analysis for body composition assessment in Ethiopian infants using air-displacement plethysmography. Eur J Clin Nutr 2015; 69:1099-104. [PMID: 25828629 DOI: 10.1038/ejcn.2015.51] [Citation(s) in RCA: 13] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/06/2014] [Revised: 02/16/2015] [Accepted: 02/26/2015] [Indexed: 01/18/2023]
Abstract
BACKGROUND/OBJECTIVES Assessment of infant body composition (BC) is crucial to understand the consequences of suboptimal nutritional status and postnatal growth, and the effects of public health interventions. Bioelectrical impedance analysis (BIA) is a feasible, relatively inexpensive and noninvasive method for assessing BC. However, very little research has been conducted in low- and middle-income populations, where efforts to prevent or treat malnutrition in early life are a public health priority. We aimed to develop equations for predicting fat-free mass (FFM) and fat mass (FM) based on BIA in 0- to 6-month-old Ethiopian infants. SUBJECTS/METHODS The study comprised a total of 186 BC assessments performed in 101 healthy infants, delivered at Jimma University Specialized Hospital. Infant air-displacement plethysmography (IADP) was the criterion method, whereas weight, length, sex, age and an impedance index (L(2)/Z50) were predictors. Prediction equations were developed using stepwise multiple linear regression and the accuracy was evaluated with a 10-fold cross-validation approach. RESULTS A linear regression model based on body weight, age and sex predicted FFM, estimated by IADP, with an adjusted R(2) and root mean square error (RMSE) of 0.94 and 200 g, respectively. Adding impedance index to the model resulted in a significantly improved model fit (R(2)=0.95; RMSE=181 g). For infants below 3 months of age, inclusion of impedance index did not contribute to an improved model fit for predicting FFM compared with a model already comprising weight, sex and age. CONCLUSIONS The derived equations predicted FFM with acceptable accuracy and may be used in future field surveys, epidemiological studies and clinical trials conducted in similar sub-Saharan African population groups aged 0-6 months.
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