Abstract
BackgroundTo analyze the influence of socioeconomic determinants on the development of overweight and obesity in the mother-child binomial.MethodsThis is a study based on a prospective cohort of the mother-child binomial. Using STATA software, the association between the mothers’ body mass index and the nutritional status of minors was analyzed using a logistic regression model with socioeconomic and demographic variables.ResultsThe combined prevalence of overweight and obesity in cohort mothers was 53.2%. A statistically significant association was found between the overweight mothers and minors with possible risk of overweight (p 0.001) and with overweight (p 0.001). The logistic regression model was adjusted by age and marital status and linked maternal overweight and obesity with the following variables: severe food insecurity (RR 1.17, CI 0.04–1.31), having a health problem (RR 1.5, CI 0.86–2.05), income (RR 0.79, CI .49–1.30), smoking (RR 1.1, CI 0.80–1.37) and dietary pattern (RR 1.5, CI 0.38–1.87).ConclusionsThe study highlights the importance of paying attention to risk factors starting at the gestational stage, since at this time the mother’s nutritional status has an influence on the offspring’s growth and development. Evidences exist of an association between intergenerational transmission of obesity and socioeconomic aspects of the mother. These evidences must be considered in the revision and adjustments to health system interventions for the prevention of obesity in the mother-child binomial.
Highlights
To analyze the influence of socioeconomic determinants on the development of overweight and obesity in the mother-child binomial
The study population consists of the mothers who belong to the Name of the cohort (NUTTSEA) cohort and their children [15, 16]
Health Anthropometric measurements taken after pregnancy show that the mean weight was 59.7 kg (SD 12.7 kg), height was 1.53 m (SD 0.5 m) and body mass indexes (BMI) was 25.2 (SD 5.1), this last one being three points under the one reported during pregnancy, which was 28 (SD 4.7); during pregnancy, the gestational BMI was taken as the cohort point
Summary
To analyze the influence of socioeconomic determinants on the development of overweight and obesity in the mother-child binomial. Overweight and obesity are the fastest growing public health problems in developing countries and Mexico is a middle income country with rapid epidemiological and nutritional transitions [1, 2]. One of the critical periods for women is gestation, where specially their pregestational and gestational body mass indexes (BMI) have an influence on the offsprings’ nutritional status [5, 6]. The associations between nutritional status in early childhood and future risk of chronic diseases have been well studied; these associations may be linked to genetic or environmental factors during pregnancy [7,8,9].
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