Italian Journal of Pediatrics (Jun 2024)

Nutritional counselling and risk factors for obesity: an observational study in toddlers

  • Raffaele Limauro,
  • Luigi Cioffi,
  • Vincenzo Bianco,
  • Vincenzo Caruso,
  • Antonella Casani,
  • Donatella Del Gaizo,
  • Aldo Esposito,
  • Evelina Farris,
  • Patrizia Gallo,
  • Maria Giuliano,
  • Agnese Iannone,
  • Annamaria Izzo,
  • Maria Teresa La Vecchia,
  • Luca Raineri,
  • Patrizia Sabetti,
  • Roberto Sassi,
  • Carmela Servodidio,
  • Nunziatina Sorice,
  • Valentina Cioffi,
  • Angelo Antignani,
  • Giuliana Valerio

DOI
https://doi.org/10.1186/s13052-024-01668-z
Journal volume & issue
Vol. 50, no. 1
pp. 1 – 7

Abstract

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Abstract Background Nutrition exerts a fundamental role in the prevention of obesity (OB). The aim of this study was to assess the extent to which well recognized risk factors for early OB can be associated to overweight (OW) or OB under a standardized nutritional approach and surveillance in toddlers. Methods The eligible population was represented by 676 toddlers aged 24–36 months, assigned to 18 primary care pediatricians trained on nutritional issues who shared a standardized nutritional approach. Six-hundred-twenty-nine children (333 boys), mean age 27.8 ± 4.2 months were effectively included in this observational study. Parents received nutritional advice with particular emphasis to proteins and sugar composition supported by leaflets and reinforced at each visit. Body mass index was assessed at the age of 24–36 months. The following individual and family risk factors were considered: gestational age, birth weight, eutocic/caesarean delivery, milk feeding history, household smoking or antibiotics exposure, parents’ weight, height and educational level. Prevalence of OW/OB was compared to a group of 742 toddlers (373 boys) under usual care. Results Under a standardized nutritional counselling, 28.1% toddlers were classified as OW/OB compared to 36.9% toddlers under usual care (p = 0.005). In unadjusted models, parental OW/OB was significantly associated to OW/OB in toddlers (p < 0.01), while high birth weight did not reach statistical significance (p = 0.07). In adjusted models, including all the explanatory variables studied, only paternal OW/OB vs. normal weight was significantly associated to OW/OB in toddlers (OR 2.035, 95% confidence interval 1.206–3.436). No protective effect of exclusive breast feeding during the first 6 months of age was demonstrated. Conclusions Toddlers under a standardized nutrition counselling focused to limit protein and simple sugars, showed lower prevalence of OW/OB compared to usual care. Healthy promotion activities should take into account the influence of paternal BMI on the offspring adiposity.

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