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Change in modifiable maternal characteristics and behaviours between consecutive pregnancies and offspring adiposity: a systematic review

Change in modifiable maternal characteristics and behaviours between consecutive pregnancies and offspring adiposity: a systematic review
Change in modifiable maternal characteristics and behaviours between consecutive pregnancies and offspring adiposity: a systematic review
Causal evidence links modifiable maternal exposures during the periconceptional period with offspring obesity. The interconception period may be an important time to intervene. We systematically identified studies examining change in modifiable maternal exposures between pregnancies and offspring adiposity. We searched for longitudinal studies published between 1990 and 2019, which included measurements taken on at least two occasions in the period from 1 year prior to the conception of the first birth to the time of the second birth, and which included a measure of adiposity in second, or higher order, siblings. Age, ethnicity and genetics were not considered modifiable; all other factors including length of the interpregnancy interval were. Eleven studies satisfied the inclusion criteria. Higher interpregnancy weight gain or loss, maternal smoking inception, mothers smoking in their first pregnancy and quitting, increasing the number of cigarettes smoked and longer interpregnancy intervals were positively associated with adiposity in second or higher order children. Vaginal birth after caesarean delivery was protective. Further research is needed to ascertain whether the risk of adiposity is fixed based on first pregnancy exposures or if interpregnancy change alters the risk for a subsequent child. This can inform the type and effectiveness of interventions for mothers prior to a subsequent pregnancy.
adiposity, childhood, interpregnancy, obesity
1467-7881
Taylor, Elizabeth, Jane
a45380e3-a636-4614-94b8-27ca4c306d14
Wilding, Sam
a026cae1-cc72-49b5-a52b-ec1d931d72e1
Ziauddeen, Nida
8b233a4a-9763-410b-90c7-df5c7d1a26e4
Godfrey, Keith
0931701e-fe2c-44b5-8f0d-ec5c7477a6fd
Berrington, Ann
bd0fc093-310d-4236-8126-ca0c7eb9ddde
Alwan, Nisreen
0d37b320-f325-4ed3-ba51-0fe2866d5382
Taylor, Elizabeth, Jane
a45380e3-a636-4614-94b8-27ca4c306d14
Wilding, Sam
a026cae1-cc72-49b5-a52b-ec1d931d72e1
Ziauddeen, Nida
8b233a4a-9763-410b-90c7-df5c7d1a26e4
Godfrey, Keith
0931701e-fe2c-44b5-8f0d-ec5c7477a6fd
Berrington, Ann
bd0fc093-310d-4236-8126-ca0c7eb9ddde
Alwan, Nisreen
0d37b320-f325-4ed3-ba51-0fe2866d5382

Taylor, Elizabeth, Jane, Wilding, Sam, Ziauddeen, Nida, Godfrey, Keith, Berrington, Ann and Alwan, Nisreen (2020) Change in modifiable maternal characteristics and behaviours between consecutive pregnancies and offspring adiposity: a systematic review. Obesity Reviews, 21 (11), [e13048]. (doi:10.1111/obr.13048).

Record type: Article

Abstract

Causal evidence links modifiable maternal exposures during the periconceptional period with offspring obesity. The interconception period may be an important time to intervene. We systematically identified studies examining change in modifiable maternal exposures between pregnancies and offspring adiposity. We searched for longitudinal studies published between 1990 and 2019, which included measurements taken on at least two occasions in the period from 1 year prior to the conception of the first birth to the time of the second birth, and which included a measure of adiposity in second, or higher order, siblings. Age, ethnicity and genetics were not considered modifiable; all other factors including length of the interpregnancy interval were. Eleven studies satisfied the inclusion criteria. Higher interpregnancy weight gain or loss, maternal smoking inception, mothers smoking in their first pregnancy and quitting, increasing the number of cigarettes smoked and longer interpregnancy intervals were positively associated with adiposity in second or higher order children. Vaginal birth after caesarean delivery was protective. Further research is needed to ascertain whether the risk of adiposity is fixed based on first pregnancy exposures or if interpregnancy change alters the risk for a subsequent child. This can inform the type and effectiveness of interventions for mothers prior to a subsequent pregnancy.

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Accepted/In Press date: 21 April 2020
e-pub ahead of print date: 29 May 2020
Keywords: adiposity, childhood, interpregnancy, obesity

Identifiers

Local EPrints ID: 440700
URI: http://eprints.soton.ac.uk/id/eprint/440700
ISSN: 1467-7881
PURE UUID: bc79ad53-faa6-4a32-8487-2f9adedd6eef
ORCID for Sam Wilding: ORCID iD orcid.org/0000-0003-4184-2821
ORCID for Keith Godfrey: ORCID iD orcid.org/0000-0002-4643-0618
ORCID for Ann Berrington: ORCID iD orcid.org/0000-0002-1683-6668
ORCID for Nisreen Alwan: ORCID iD orcid.org/0000-0002-4134-8463

Catalogue record

Date deposited: 13 May 2020 17:06
Last modified: 26 Nov 2021 06:15

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Contributors

Author: Sam Wilding ORCID iD
Author: Nida Ziauddeen
Author: Keith Godfrey ORCID iD
Author: Ann Berrington ORCID iD
Author: Nisreen Alwan ORCID iD

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