Association of child weight with attendance at a healthy lifestyle service among women with obesity during pregnancy

FAIR, Frankie J. and SOLTANI, Hora (2024). Association of child weight with attendance at a healthy lifestyle service among women with obesity during pregnancy. Maternal & Child Nutrition: e13629.

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Abstract

Women with obesity during pregnancy are at increased risk of excessive gestational weight gain (GWG) and other maternal and infant adverse outcomes, which all potentially increase childhood obesity. This study explored infant weight outcomes for women with a body mass index (BMI) ≥ 35 kg/m² who were offered an antenatal healthy lifestyle service. A retrospective cohort study, including linking data from two separate health care Trusts, was undertaken. Data were collected from maternity records for women with a BMI ≥ 35 kg/m2 referred to an antenatal healthy lifestyle service from 2009 to 2015. The respective child's weight outcome data was additionally collected from health and National Child Measurement Programme records. Univariate logistic regression determined the odds of childhood overweight, obesity and severe obesity according to attendance at the antenatal healthy lifestyle service, GWG and sociodemographic characteristics. Factors significant (p < 0.05) within the univariate analysis were entered into multiple logistic regression models. Among women with a BMI ≥ 35 kg/m², 30.4% of their children were obese at school entry and 13.3% severely obese. Healthy lifestyle service attendance was not associated with childhood overweight or obesity at any point within the univariate analysis. At school age multiple regression analysis showed the odds of overweight and obesity increased with excessive GWG and the odds of obesity decreased with a parent in a professional occupation, additionally having a mother who smoked in pregnancy increased severe obesity. Women should be supported to optimise their BMI before pregnancy. Additionally, rather than exclusively focusing on changing an individual's behaviour, future interventions should consider external influences such as the woman's family, friends and sociodemographic background.

Item Type:	Article
Additional Information:	** Article version: VoR ** From Wiley via Jisc Publications Router ** Licence for VoR version of this article: http://creativecommons.org/licenses/by/4.0/ **Journal IDs: issn 1740-8695; issn 1740-8709 **Article IDs: publisher-id: mcn13629 **History: published_online 04-02-2024; accepted 08-01-2024; rev-recd 13-11-2023; submitted 22-06-2023
Uncontrolled Keywords:	maternal obesity, gestational weight gain, childhood obesity, developmental origins of disease, healthy lifestyle
Identification Number:	https://doi.org/10.1111/mcn.13629
SWORD Depositor:	Colin Knott
Depositing User:	Colin Knott
Date Deposited:	07 Feb 2024 14:04
Last Modified:	07 Feb 2024 14:15
URI:	https://shura.shu.ac.uk/id/eprint/33125

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