Transmission of energy-saving efficiency from obese parents to their offspring: the Korean National Health and Nutrition Examination Survey 2007–2011

Abstract

Concerns of a growing obesity epidemic have increased since the association between obesity in parents and that in offspring was reported. However, the evidence regarding whether the energy-saving efficiency of obese parents is conveyed to their offspring and the duration of the expression of such transmitted efficiency is limited. We included 7647 matching sets of parent-offspring trios from South Korea. Multiple linear regression models were performed to estimate the energy-saving efficiency, as assessed by the associations between energy intake and obesity-related indices (waist-to-height ratio, waist circumference and body mass index z-score), and to compare the energy-saving efficiency of offspring of obese and non-obese parents. All analyses were based on a complex sample design and were stratified by gender and age. We identified a parental influence on obesity, that is, the more obese the parent, the higher the obesity-related indices of their offspring, in both genders and all age groups. The energy-saving efficiency of child offspring was highest when both parents were obese and lowest when both were non-obese; this difference was significant (P<0.05) with regard to the energy-saving efficiency of all types of intake studied, except fat. However, the energy-saving efficiency of obese and non-obese parents did not differ when their offspring were adolescents and adults. The critical window for transmission of energy-saving efficiency is limited to childhood. These findings suggest that children of obese parents should be more emphatically advised to maintain a balanced diet and to engage in regular physical activity.