Entwicklungsmodell der Adipositas im Kindesalter

Zusammenfassung

Es gibt mittlerweile Hinweise darauf, dass sich die Ursachen von Übergewicht und Adipositas bereits pränatal und in der frühen Kindheit manifestieren. Dabei wurden einige kritische Altersstufen von besonders hoher Vulnerabilität für die Entwicklung von Übergewicht und Adipositas identifiziert. Hierzu zählen mütterliches Übergewicht, mütterliches Rauchen während der Schwangerschaft, zu hohes oder niedriges Geburtsgewicht des Kindes, schnelles Wachstum während der ersten beiden Lebensjahre und früher Adipositas rebound. Diese Arbeit fokussiert auf einer systematischen Darstellung der bisher identifizierten Risikofaktoren im Hinblick auf ihre differenzielle Wirkung auf die jeweilige Altersstufe des Kindes in Form eines Entwicklungsmodells. Verdeutlicht werden soll, ob und wie Risikofaktoren altersgruppenspezifisch und in gegenseitiger Wechselwirkung das Übergewichtsrisiko beeinflussen können.

Abstract

Periods of heightened vulnerability to weight gain have been identified, and research supports the notion that obesity has its origins in early life. Maternal overweight, maternal smoking during pregnancy, high or low birth weight, rapid growth in early infancy, and early adiposity rebound all have been implicated in the development of obesity. This paper focuses on susceptibility to increased overweight and adiposity during the prenatal period, infancy and mid-childhood, and on how factors operating in each of these periods by their timing and duration, and also whether other co-factors are present. The persistence of obesity from early childhood emphasizes the importance of understanding growth trajectories, and a developmental view on early risk factors of adiposity. A systematic review of early risk factors may help developing prevention strategies to overcome strong influences of obesigenic environments at young age.

Entwicklungsmodell - Übergewicht - Adipositas - Risikofaktoren - Kindesalter

developmental model - overweight - obesity - risk factors - childhood

Literatur

• 1 Noeker M, Petermann F. Entwicklungsorientierte Betrachtung chronischer Krankheiten im Kindes- und Jugendalter.  Z Klin Psychol Psychiatr Psychother. 2003;  51 191-229
• 2 Warschburger P, Fromme C, Petermann F. et al . Conceptualisation and evaluation of a cognitive-behavioural training programme for children and adolescents with obesity.  Int J Obes. 2001;  25 S93-S95
• 3 Nader PR, O’Brien M, Houts R. et al . Identifying risk for obesity in early childhood.  Pediatrics. 2006;  118 594-601
• 4 Mei Z, Grummer-Strawn LM, Scalon KS. Does overweight in infancy persist through the preschool years? An analysis of CDC Pediatric Nutrition Surveillance System data.  Soz Präventivmed. 2003;  48 161-167
• 5 Johannsson E, Arngrimsson SA, Thorsdottir I. et al . Tracking of overweight from early childhood to adolescence in cohorts born 1988 and 1994: overweight in a high birth weight population.  Int J Obes. 2006;  8 1265-1271
• 6 Dietz WH. Periods of risk in childhood for the development of adult obesity-what do we need to learn?.  J Nutr. 1997;  127 1884-1886
• 7 Dennison BA, Edmunds LS, Stratton HH. et al . Rapid infant weight gain predicts childhood overweight.  Obesity. 2006;  14 491-499
• 8 Reilly JJ, Armstrong J, Dorosty AR. et al . Early life risk factors for obesity in childhood: cohort study.  BMJ. 2005;  330 1357
• 9 Zafon C. Oscillations in total body fat content through life: an evolutionary perspective.  Obes Rev. 2007;  8 525-530
• 10 Schmelzle HR, Fusch C. Body fat in neonates and young infants: validation of skinfold thickness versus dual-energy X-ray absorptiometry.  Am J Clin Nutr. 2002;  76 1096-1100
• 11 Catalano PM, Kirwan JP, Haugel-de Mouzon S. et al . Gestational diabetes and insulin resistance: role in short- and long-term implications for mother and fetus.  J Nutr. 2003;  133 1674-1683
• 12 Dabelea RL, Hanson RL, Lindsay RS. et al . Intrauterine exposure to diabetes conveys risks for type 2 diabetes and obesity: a study of discordant sibships.  Diabetes. 2000;  49 2208-2211
• 13 Gillman MW, Rifas-Shiman S, Berkey CS. et al . Maternal gestational diabetes, birth weight, and adolescent obesity.  Pediatrics. 2003;  111 221-226
• 14 Knight B, Shields BM, Hill A. et al . The impact of maternal glycemia and obesity on early postnatal growth in a nondiabetic Caucasian population.  Diabetes Care. 2007;  30 777-783
• 15 Ong KK. Size at birth, postnatal growth and risk of obesity.  Horm Res. 2006;  65 65-69
• 16 Whitaker RC. Predicting preschoolers obesity at birth: the role of maternal obesity in early pregnancy.  Pediatrics. 2004;  114 29-36
• 17 Wrotniak BH, Shults J, Butts S. et al . Gestational weight gain and risk of overweight in the offspring at age 7 years in a multicenter, multiethnic cohort study.  Am J Clin Nutr. 2008;  87 1818-1824
• 18 Dubois L, Girard M. Early determinants of overweight at 4.5 years in a population-based longitudinal study.  Int J Obes. 2006;  30 610-617
• 19 Knerr I, Topf HG, Hablawetz B. et al . Early factors influencing body weight and prevalence of overweight in 4610 children prior to school entry in the Erlangen District (Northern Bavaria).  Gesundheitswesen. 2005;  67 183-188
• 20 Huus K, Ludvigsson JF, Enskär K. et al . Risk factors in childhood obesity-findings from the All Babies In Southeast Sweden (ABIS) cohort.  Acta Paediatr. 2007;  96 1321-1325
• 21 Blair NJ, Thompson JM, Black PN. et al . Risk factors for obesity in 7-year-old European children: the Auckland Birthweight Collaborative Study.  Arch Dis Child. 2007;  92 866-871
• 22 Chomtho S, Wells JC, Williams JE. et al . Infant growth and later body composition: evidence from the 4-component model.  Am J Clin Nutr. 2008;  87 1776-1784
• 23 Ekelund U, Ong K, Linné Y. et al . Upward weight percentile crossing in infancy and early childhood independently predicts fat mass in young adults: the Stockholm Weight Development Study (SWEDES).  Am J Clin Nutr. 2006;  83 324-330
• 24 Monteiro PO, Victora CG. Rapid growth in infancy and childhood and obesity in later life – a systematic review.  Obes Rev. 2005;  6 143-154
• 25 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 infant formula.  Circulation. 2005;  111 1897-1903
• 26 Toschke AM, Beyerlein A, Kries R von. Children at high risk for overweight: a classification and regression trees analysis approach.  Obes Res. 2005;  13 1270-1274
• 27 Karaolis-Danckert N, Buyken AE, Kulig M. et al . How pre- and postnatal risk factors modify the effect of rapid weight gain in infancy and early childhood on subsequent fat mass development: results from the Multicenter Allergy Study 90.  Am J Clin Nutr. 2008;  87 1356-1364
• 28 Baird J, Fisher D, Lucas P. et al . Being big or growing fast: systematic review of size and growth in infancy and later obesity.  BMJ. 2005;  331 929
• 29 Botton J, Heude B, Maccario J. et al . Postnatal weight and height growth velocities at different ages between birth and 5 years and body composition in adolescent boys and girls.  Am J Clin Nutr. 2008;  87 1760-1768
• 30 Harder T, Bergmann R, Kallischnigg G. et al . Duration of breastfeeding and risk of overweight: a meta-analysis.  Am J Epidemiol. 2005;  162 397-403
• 31 Horta BL, Bahl R, Martines JC. et al .Evidence on the long-term effects of breastfeeding: systematic review and meta-analyses. World Health Organization, Geneva, Switzerland 2007
• 32 Owen CG, Martin RM, Whincup GD. et al . Effect of infant feeding on the risk of obesity across the life course: a quantitative review of published evidence.  Pediatrics. 2005;  115 1367-1377
• 33 Schack-Nielsen L, Michaelsen KF. Breast feeding and future health.  Curr Opin Clin Nutr Metab Care. 2006;  9 289-296
• 34 Nelson MC, Gordon-Larsen P, Adair LS. Are adolescents who were breast-fed less likely to be overweight? Analyses of sibling pairs to reduce confounding.  Epidemiology. 2005;  16 247-253
• 35 Michels KB, Willett WC, Graubard BI. et al . A longitudinal study of infant feeding and obesity throughout life course.  Int J Obes. 2007;  31 1078-1085
• 36 Buyken AE, Karaolis-Danckert N, Remer T. et al . Effects of breastfeeding on trajectories of body fat and BMI throughout childhood.  Obesity. 2008;  16 389-395
• 37 Briefel R, Ziegler P, Nowak T. et al . Feeding Infants and Toddlers Study: characteristics and usual nutrient intake of Hispanic and non-Hispanic infants and toddlers.  J Am Diet Assoc. 2006;  106 84-95
• 38 Burdette HL, Whitaker RC, Hall WC. et al . Breastfeeding, introduction of complementary foods, and adiposity at 5 y of age.  Am J Clin Nutr. 2006;  83 550-558
• 39 Dorosty AR, Emmett PM, Cowin S. et al . Factors associated with early adiposity rebound. ALSPAC Study Team.  Pediatrics. 2000;  105 1115-1118
• 40 Freedman DS, Kettel L, Khan L. et al . BMI rebound, childhood height and obesity among adults: the Bogalusa Heart Study.  Int J Obes Relat Metab Disord. 2001;  25 543-549
• 41 Kries R von, Toschke AM, Wurmser H. et al . Reduced risk for overweight and obesity in 5- and 6-y-old children by duration of sleep – a cross-sectional study.  Int J Obes Relat Metab Disord. 2002;  26 710-716
• 42 Taveras EM, Rifas-Shiman SL, Oken E. et al . Short sleep duration in infancy and risk of childhood overweight.  Arch Pediatr Adolesc Med. 2008;  162 305-311
• 43 Hancox RJ, Poulton R. Watching television is associated with childhood obesity: but is it clinically important?.  Int J Obes. 2006;  30 171-175
• 44 Lumeng JC, Rahnama S, Appugliese D. et al . Television exposure and overweight risk in preschoolers.  Arch Pediatr Adolesc Med. 2006;  160 417-422
• 45 Epstein LH, Roemmich JN, Robinson JL. et al . A randomized trial of the effects of reducing television viewing and computer use on body mass index in young children.  Arch Pediatr Adolesc Med. 2008;  162 239-245
• 46 Kurth B-M, Schaffrath Rosario A. Die Verbreitung von Übergewicht und Adipositas bei Kindern und Jugendlichen in Deutschland. Ergebnisse des bundesweiten Kinder- und Jugendgesundheitssurveys (KiGGS).  Bundesgesundheitsblatt Gesundheitsforschung Gesundheitsschutz. 2007;  50 736-743
• 47 Langnäse K, Mast M, Mueller MJ. Social class differences in overweight in pre-pubertal children in northwest Germany.  Int J Obes. 2002;  26 566-572
• 48 Li C, Goran MI, Kaur H. et al . Developmental trajectories of overweight during childhood: role of early life factors.  Obesity. 2007;  15 760-771
• 49 Gillman MW, Rifas-Shiman SL, Kleinman K. et al . Developmental origins of childhood overweight: potential public health impact.  Obesity. 2008;  16 1651-1656
• 50 Petermann F, Schmidt MH. Ressourcen – ein Grundbegriff der Entwicklungspsychologie und Entwicklungspsychopathologie?.  Kindheit und Entwicklung. 2006;  15 118-127
• 51 Valerio G, DŽAmico O, Adinolfi M. et al . Determinants of weight gain in children from 7 to 10 years.  Nutr Metab Cardiovasc Dis. 2006;  16 272-278
• 52 Toschke AM, Kries R von, Beyerlein A. et al . Risk factors for childhood obesity: shift of the entire BMI distribution vs. shift of the upper tail only in a cross sectional study.  BMC Public Health. 2008;  8 115
• 53 Dyer AS, Blomeyer D, Laucht M. et al . Psychische Folgen des Übergewichts im Grundschulalter.  Kindheit und Entwicklung. 2007;  16 190-198
• 54 Vries U de, Koletzko B, Petermann F. Adipositas im Kindes- und Jugendalter. Elternzentrierte Intervention.  Monatsschr Kinderheilkd. 2008;  156 177-184

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