Obesity does not discriminate on any line prevention of obesity is better than cure especially in children
Obesity is a condition which has been for a long time been seen to be a problem of choice and an unfortunate failure of will and self-restraint by many in the society. However it has much deeper and more complex roots, which we are going to discuss in this article so that we get to know more about the origins of obesity. For instance genes clearly play a role in driving an individual’s propensity to gain excess weight, as does the environment and gene environment interactions. Early-life influences, beginning with the intrauterine environment and continuing through the first few years of life, also shape the trajectory of weight gain and body fatness throughout the life course.
If a mother smokes during pregnancy or gains too much weight, there’s a greater chance that her child will be obese. Lack of sleep or too-rapid weight gain during infancy may also increase obesity risk. A proposal has been made by researchers that coronary heart disease, type 2 diabetes, hypertension and other chronic diseases develop in part due to inadequate nutrition during life and infancy.
The gathered data is showing that higher birth weight is also associated with obesity, diabetes, and other adult diseases has helped extend this concept into the developmental origins hypothesis which encompasses the preconception period as well as many critical periods of fetal and infant development. During each of these periods, several factors appear to have a substantial impact on obesity in childhood and adulthood. I will be discussing some of the outlines of the key prenatal and early life influences on the development of adult weight and obesity, I want therefore to request you to keep reading and be adequately informed at the end of this article.
The warm, nutrient- and hormone-rich environment of the uterus has a profound effect on fetal development. Brief or fluctuating changes in the intrauterine environment at critical or sensitive periods of the developmental process, as well as longer term alterations, could have irreversible, lifelong consequences. Three modifiable prenatal factors that appear to shape fetal nutrition and health in later life are:
- The mother’s smoking habits during pregnancy.
- The mother’s weight gain during pregnancy.
- The mother’s blood sugar levels during pregnancy, specifically, when she develops pregnancy-related (gestational) diabetes.
It makes intuitive sense that the mother’s diet during pregnancy should also affect fetal development and birth weight, but evidence for this is inconsistent.
Although smoking during pregnancy tends to slow the rate of fetal growth children born of women who smoke during pregnancy are more likely to be obese than the children of women who don’t. In a meta-analysis of 14 studies, maternal smoking during pregnancy was associated with a 50 percent higher risk of childhood obesity. Most of the studies looked at children’s obesity status at ages 3 to 7; one study assessed obesity at age 14, and another tracked the children all the way to young adulthood.
Excessive weight gain during pregnancy is more common now than it was in 1990 when the Institute of Medicine (IOM) first offered recommendations for pregnancy-related weight gain. In addition, more women are beginning pregnancy overweight or obese. These worrisome changes prompted the IOM to reevaluate what constitutes healthy weight gain during pregnancy, with new evidence suggesting that weight gain once considered normal by the IOM actually increases the risk of childhood obesity. Further studies revealed that children born of women who gained excessive amount of weight had above four times risk of being overweight at age 3 compared with children born of women who gained an inadequate amount of weight. Even women who gained what was considered to be an adequate amount of weight bore children who were nearly four times more likely to be overweight at age 3 than children of women who gained an inadequate amount of weight.
Weight gained during pregnancy is primarily adipose (fat) tissue. Proliferation of adipose tissue is often accompanied by a state of relative insulin resistance starting in mid-pregnancy. This adaptive response allows for more efficient transfer of glucose and other fuels across the placenta, so the fetus can grow. But it may also subject the fetus to periods of high blood glucose and elevated insulin. These can lead to increased body fat, which generally manifests as larger size at birth. Many studies show that birth weight is directly associated with later BMI, so it makes sense that gestational diabetes in a mother may contribute to obesity in her child.
Maternal BMI at the beginning of pregnancy is a strong risk factor for offspring obesity and other conditions. Once pregnancy begins, however, it is not a modifiable factor and no one is recommending that women try to lose weight during pregnancy. That is why achieving a healthy BMI before pregnancy begins is one of the most important goals for preventing obesity across generations.
Environmental influences don’t stop with birth. Instead, they merely shift from a small, confined space largely controlled by the mother’s genes, lifestyle, and physiology to an unbounded environment with equally influential effects. Three modifiable postnatal factors during infancy that influence weight in later life include
- How rapidly an infant gains weight.
- How long an infant is breast fed.
- How much an infant sleep.
Breastfeeding and Obesity Risk
The initiation and duration of breastfeeding may influence obesity in later life, although this is a controversial area of research. In two meta-analyses of breastfeeding versus bottle feeding, breastfeeding was associated with a 13 percent and a 22 percent reduced risk of obesity in later life. Duration of breastfeeding may matter: A meta-analysis of 17 studies of breastfeeding duration found that each additional month that infants were breastfed was associated with a 4 percent lower risk of obesity later in life.
It is not clear that breastfeeding itself actually prevents obesity, however, as both breastfeeding and obesity may be influenced by similar socioeconomic and cultural factors. Although debate lingers over whether breastfeeding protects against childhood obesity, breastfeeding has many other proven health benefits for infants and their mothers, and it should be promoted regardless of its relationship to childhood obesity.
Healthy Behaviors During and Even Before Pregnancy Can Help Prevent Obesity
Nutrition and other lifestyle factors during several early periods in the lifecycle just before conception, the months spent in utero, and the months after birth can have profound effects on an individual’s weight at birth, during childhood, and on into adulthood. These are also potentially optimal times for intervention, for two reasons:
Women may be more receptive to making lifestyle changes as they prepare to get pregnant and when they are pregnant to increase the likelihood of having a healthy baby. And after giving birth, many women are willing to make substantial changes to raise a healthy infant. Here are five key messages for clinicians to give to women of childbearing age that could help improve their health and the health of their children, and limit the current epidemic of obesity:
- Strive for a healthy weight before pregnancy.
- Don’t smoke during pregnancy.
- Aim for a reasonable weight gain during pregnancy.
- Breastfeed (preferably without other liquids for 4–6 months and some breastfeeding for at least 12 months).
- Ensure infants get adequate sleep during the first few years of life.
Finally as I conclude this article, having known the causes you can evaluate yourself and if you feel disturbed by your weight you can visit AWAREmed Health and Wellness Resource Center under Doctor Akoury’s care for treatment. You will be handles with experts who will focus on Neuroendocrine Restoration (NER) to reinstate normality through realization of the oneness of Spirit, Mind, and Body, Unifying the threesome into ONE to make you get better and enjoy your life to the fullest.
