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      Parental Obesity, Lifestyle Factors and Obesity in Preschool Children: Results of the Toyama Birth Cohort Study

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          Abstract

          The aim of this study was to clarify the impact of parental obesity and lifestyle factors on obesity in preschool children. The subjects consisted of 8941 children aged 3 years, born in 1989. Anthropometric measurements and questionnaire surveys were conducted between 1992 and 1994. Subjects of body mass index (BMI; (weight (kg)) / (height (m)) 2) more than the age- and sex-specific centiles linked to adult overweight were defined as obese subjects. Parental obesity was defined as BMI of 25 kg/m 2 or more. Logistic regression analysis was performed to clarify the strengths of parental and lifestyle factors on childhood obesity, adjusted for possible confounding factors. Odds ratios (ORs) of paternal and maternal obesity for childhood obesity were 1.70(1.43-2.02) and 2.56(2.07-3.17), respectively. There was a dose-response relationship between short sleeping hours and obesity. Compared to subjects taking 11 hours sleep or more, the adjusted OR was 1.20(0.97-1.49) for those taking 10 to 11 hours sleep, 1.34(1.05-1.72) for those taking 9 to 10 hours sleep, and 1.57(0.90-2.75) for those taking less than 9 hours sleep. Eating and exercising habits were not significantly associated with obesity. These results indicate that parental obesity and short sleeping hours are possible risk factors for obesity in preschool children.

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          Establishing a standard definition for child overweight and obesity worldwide: international survey.

          To develop an internationally acceptable definition of child overweight and obesity, specifying the measurement, the reference population, and the age and sex specific cut off points. International survey of six large nationally representative cross sectional growth studies. Brazil, Great Britain, Hong Kong, the Netherlands, Singapore, and the United States. 97 876 males and 94 851 females from birth to 25 years of age. Body mass index (weight/height(2)). For each of the surveys, centile curves were drawn that at age 18 years passed through the widely used cut off points of 25 and 30 kg/m(2) for adult overweight and obesity. The resulting curves were averaged to provide age and sex specific cut off points from 2-18 years. The proposed cut off points, which are less arbitrary and more internationally based than current alternatives, should help to provide internationally comparable prevalence rates of overweight and obesity in children.
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            Impact of sleep debt on metabolic and endocrine function

            The Lancet, 354(9188), 1435-1439
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              Predicting obesity in young adulthood from childhood and parental obesity.

              Childhood obesity increases the risk of obesity in adulthood, but how parental obesity affects the chances of a child's becoming an obese adult is unknown. We investigated the risk of obesity in young adulthood associated with both obesity in childhood and obesity in one or both parents. Height and weight measurements were abstracted from the records of 854 subjects born at a health maintenance organization in Washington State between 1965 and 1971. Their parents' medical records were also reviewed. Childhood obesity was defined as a body-mass index at or above the 85th percentile for age and sex, and obesity in adulthood as a mean body-mass index at or above 27.8 for men and 27.3 for women. In young adulthood (defined as 21 to 29 years of age), 135 subjects (16 percent) were obese. Among those who were obese during childhood, the chance of obesity in adulthood ranged from 8 percent for 1- or 2-year-olds without obese parents to 79 percent for 10-to-14-year-olds with at least one obese parent. After adjustment for parental obesity, the odds ratios for obesity in adulthood associated with childhood obesity ranged from 1.3 (95 percent confidence interval, 0.6 to 3.0) for obesity at 1 or 2 years of age to 17.5 (7.7 to 39.5) for obesity at 15 to 17 years of age. After adjustment for the child's obesity status, the odds ratios for obesity in adulthood associated with having one obese parent ranged from 2.2 (95 percent confidence interval, 1.1 to 4.3) at 15 to 17 years of age to 3.2 (1.8 to 5.7) at 1 or 2 years of age. Obese children under three years of age without obese parents are at low risk for obesity in adulthood, but among older children, obesity is an increasingly important predictor of adult obesity, regardless of whether the parents are obese. Parental obesity more than doubles the risk of adult obesity among both obese and nonobese children under 10 years of age.
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                Author and article information

                Journal
                J Epidemiol
                J Epidemiol
                JE
                Journal of Epidemiology
                Japan Epidemiological Association
                0917-5040
                1349-9092
                30 November 2007
                2002
                : 12
                : 1
                : 33-39
                Affiliations
                [1 ]Department of Welfare Promotion and Epidemiology, Toyama Medical and Pharmaceutical University.
                [2 ]Takaoka Public Health Center.
                [3 ]Division of Environmental Epidemiology, National Children’s Hospital.
                [4 ]Health Center, Keio University.
                [5 ]Department of Epidemiology, National Institute of Public Health.
                [6 ]Department of Clinical Epidemiology, University of Occupational and Environmental Health.
                [7 ]Department of Preventive Medicine, St. Marianna University.
                Author notes

                Address for correspondence : Michikazu Sekine, Department of Welfare Promotion and Epidemiology, Toyama Medical and Pharmaceutical University, Faculty of Medicine, 2630 Sugitani, Toyama, Toyama 930-0194, Japan.

                Article
                12.33
                10.2188/jea.12.33
                10432255
                11848182
                8541210c-21b3-4606-9133-74bc083b0363
                © 2002 Japan Epidemiological Association.

                This is an open access article distributed under the terms of Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

                History
                : 20 June 2001
                : 17 October 2001
                Categories
                Original Article

                child,parent,sleep,obesity,cross-sectional study
                child, parent, sleep, obesity, cross-sectional study

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