Cover

Obesity Treatment and Prevention: New Directions

73rd Nestlé Nutrition Institute Workshop, Carlsbad, Calif., September 2011

Editor(s): Drewnowski A. (Seattle, Wash.) 
Rolls B.J. (University Park, Pa.) 
Table of Contents
Vol. 73, 2012
Section title: New Directions for Prevention

Starting Early: Obesity Prevention during Infancy

Birch L.L. · Anzman-Frasca S. · Paul I.M.
To view the fulltext, log in and/or choose pay-per-view option

Individual Users: Register with Karger Login Information

Please create your User ID & Password





Contact Information











I have read the Karger Terms and Conditions and agree.

To view the fulltext, please log in

To view the pdf, please log in

Abstract

Obesity prevalence among infants and young children has increased rapidly during the past 4 decades, a disturbing trend given early obesity’s association with later life obesity and its comorbidities. Fortunately, infancy is a period of great behavioral and metabolic plasticity offering numerous targets for preventive interventions. Modifiable factors that may affect early rapid weight gain and obesity risk include infant sleep duration, feeding to soothe infant distress, and the introduction of solid foods and transitional feeding. We discuss evidence linking these factors to weight outcomes, as well as results from behavioral obesity interventions in infancy, from our laboratory and others’. For example, in a recent pilot intervention, we focused on helping new mothers address three areas of infant behavior hypothesized to affect weight gain and early obesity risk: infant sleeping, crying, and feeding. First-time mothers were randomly assigned to receive either a Soothe/Sleep intervention, an Introduction of Solids intervention, both interventions, or no interventions. The interventions were delivered via home visits and showed positive effects on infant behaviors and weight outcomes at 1 year. Based on evidence from such pilot interventions, we assess the plausibility of targeting behavioral factors in infancy and suggest next steps for early prevention research.



Copyright / Drug Dosage

Copyright: All rights reserved. No part of this publication may be translated into other languages, reproduced or utilized in any form or by any means, electronic or mechanical, including photocopying, recording, microcopying, or by any information storage and retrieval system, without permission in writing from the publisher or, in the case of photocopying, direct payment of a specified fee to the Copyright Clearance Center.
Drug Dosage: The authors and the publisher have exerted every effort to ensure that drug selection and dosage set forth in this text are in accord with current recommendations and practice at the time of publication. However, in view of ongoing research, changes in goverment regulations, and the constant flow of information relating to drug therapy and drug reactions, the reader is urged to check the package insert for each drug for any changes in indications and dosage and for added warnings and precautions. This is particularly important when the recommended agent is a new and/or infrequently employed drug.
Disclaimer: The statements, opinions and data contained in this publication are solely those of the individual authors and contributors and not of the publishers and the editor(s). The appearance of advertisements or/and product references in the publication is not a warranty, endorsement, or approval of the products or services advertised or of their effectiveness, quality or safety. The publisher and the editor(s) disclaim responsibility for any injury to persons or property resulting from any ideas, methods, instructions or products referred to in the content or advertisements.

References

  1. Ogden CL, Carroll MD, Curtin LR, et al: Prevalence of high body mass index in U.S. children and adolescents, 2007-2008. J Am Med Assoc 2010;303:242-249
  2. Summerbell CD, Waters E, Edmunds L, et al: Interventions for preventing obesity in children. Cochrane Database Syst Rev 2005;CD001871;
  3. Cole TJ: Children grow and horses race: is the adiposity rebound a critical period for later obesity?. BMC Pediatr 2004;4:6
  4. Taveras EM, Rifas-Shiman SL, Belfort MB, et al: Weight status in the first 6 months of life and obesity at 3 years of age. Pediatrics 2009;123:1177-1183
  5. Stettler N, Stallings VA, Troxel AB, et al: Weight gain in the first week of life and overweight in adulthood: a cohort study of European American subjects fed formula milk. Circulation 2005;111:1897-1903
  6. Gluckman PD, Hanson MA: Developmental and epigenetic pathways to obesity: an evolutionary-developmental perspective. Int J Obes 2008;32:S62-S71
  7. Hesketh KD, Campbell KJ: Interventions to prevent obesity in 0-5 year olds: an updated systematic review of the literature. Obesity 2010;18:S27-S35
  8. Nestle Nutrition Institute: Feeding Infants and Toddlers Study 2008 preliminary findings: what are the youngest American children eating?. http://medical.gerber.com/nirf/cm2/upload/20446F1F-6EB9-4D23-9151-759BC6F598B3/2385_FITS08-PrelimFind-FINALv2-05.pdf accessed October 20, 2011
  9. Paul IM, Bartok CJ, Downs DS, et al: Opportunities for the primary prevention of obesity during infancy. Adv Pediatr 2009;56:107-133
  10. (eds) Birch LL, Parker L, Burns A: Early Childhood Obesity Prevention Policies Washington, Institute of Medicine, 2011;
  11. Harder T, Bergmann R, Kallischnigg G, Plagemann A: Duration of breastfeeding and risk of overweight: a meta-analysis. Am J Epidemiol 2005;162:397-403
  12. Gillman MW: Commentary: breastfeeding and obesity - the 2011 scorecard. Int J Epidemiol 2011;40:681-684
  13. Brion MA, Lawlor DA, Matijasevich A, et al: What are the causal effects of breastfeeding on IQ, obesity, and blood pressure? Evidence from comparing high-income with middle-income countries. Int J Epidemiol 2011;40:670-680
  14. Tikotzky L, De Marcas G, Har-Toov J, et al: Sleep and physical growth in infants during the first 6 months. J Sleep Res 2010;19:103-110
  15. Hiscock H, Scalzo K, Canterford L, Wake M: Sleep duration and body mass index in 0-7-year olds. Arch Dis Child 2011;96:735-739
  16. Baughcum AE, Burklow KA, Deeks CM, et al: Maternal feeding practices and childhood obesity. Arch Pediatr Adolesc Med 1998;152:1010-1014
  17. Stifter CS, Anzman-Frasca S, Birch LL, Voegtline K: Parent use of food to soothe infant/toddler distress and child weight status: an exploratory study. Appetite 2011;57:693-699
  18. Wasser H, Bentley M, Borja J, et al: Infants perceived as ‘fussy’ are more likely to receive complementary foods before 4 months. Pediatrics 2011;127:229-237
  19. Huh SY, Rifas-Shiman SL, Taveras EM, et al: Timing of solid food introduction and risk of obesity in preschool-aged children. Pediatrics 2011;127:e544-e551
  20. Birch LL, Anzman SL: Learning to prefer the familiar in obesogenic environments. (eds) van Goudoever H, Guandalini S, Kleinman R: Early Nutrition: Impact on Short and Long-Term Health. Nestle Nutr Workshop Ser Pediatr Program. Vevey, Nestec/Basel, Karger. 2011;68:187-199
  21. Wen LM, Domenico MD, Elliott D, et al: Evaluation of a feasibility study addressing risk factors for childhood obesity through home visits. J Paediatr Child Health 2009;45:577-581
  22. Wen LM, Baur LA, Simpson JM, et al: Effectiveness of an early intervention on infant feeding practices and ‘tummy time’. Arch Pediatr Adolesc Med 2011;165:701-707
  23. Taveras EM, Blackburn K, Gillman MW, et al: First steps for mommy and me: a pilot intervention to improve nutrition and physical activity behaviors of postpartum mothers and their infants. Matern Child Health J 2011;15:1217-1227
  24. Paul IM, Savage JS, Anzman SL, et al: Preventing obesity during infancy: a pilot study. Obesity 2011;19:353-361
  25. Grummer-Strawn LM, Reinold C, Krebs NF: Centers for Disease Control and Prevention: Use of World Health Organization and CDC growth charts for children aged 0-59 months in the United States. Morbidity and Mortality Weekly Report Recommendations and Reports;. http://www.cdc.gov/mmwr/pdf/rr/rr5909.pdf
  26. Rabiner LR: A tutorial on hidden Markov models and selected applications in speech recognition. Proc IEEE 1989;77:267-295
  27. Anzman-Frasca S, Liu S, Gates KM, et al: Infant transitions out of a fussing/crying state are modifiable and have implications for weight status, under review.


Pay-per-View Options
Direct payment This item at the regular price: USD 33.00
Payment from account With a Karger Pay-per-View account (down payment USD 150) you profit from a special rate for this and other single items.
This item at the discounted price: USD 23.00