MRC Lifecourse Epidemiology Centre, University of Southampton, Southampton SO16 6YD, UK.
Paediatric Endocrinology, University Hospital Southampton NHS Foundation Trust, Southampton SO16 6YD, UK.
J Clin Endocrinol Metab. 2023 Aug 18;108(9):e726-e733. doi: 10.1210/clinem/dgad128.
Children born to parents who are overweight or obese have a high risk of adult obesity, but it is unclear if transgenerational associations relating to unfavorable body composition differ by parent.
To examine differential mother-offspring and father-offspring associations in body composition in early childhood.
A total of 240 mother-father-offspring trios from a prospective UK population-based pre-birth cohort (Southampton Women's Survey) were included for anthropometry and dual-energy x-ray absorptiometry assessment of whole-body-less-head body composition in the offspring at 3 different ages (4, 6-7, and 8-9 years) and in the mother and father at the 8- to 9-year offspring visit. Associations were assessed using linear regression adjusting for the other parent.
Positive associations between mother-daughter body mass index (BMI) and fat mass were observed at ages 6 to 7 (BMI: β = .29 SD/SD, 95% CI = .10, .48; fat mass β = .27 SD/SD, 95% CI = .05, .48) and 8 to 9 years (BMI: β = .33 SD/SD, 95% CI = .13, .54; fat mass β = .31 SD/SD, 95% CI = .12, .49), with similar associations at age 4 years but bounding the 95% CI. The mother-son, father-son, and father-daughter associations for BMI and fat mass were weaker at each of the ages studied.
A strong association between the fat mass of mothers and their daughters but not their sons was observed. In contrast, father-offspring body composition associations were not evident. The dimorphic parent-offspring effects suggest particular attention should be given to early prevention of unfavorable body composition in girls born to mothers with excess adiposity.
父母超重或肥胖的孩子成年后患肥胖症的风险很高,但尚不清楚与不利身体成分相关的跨代关联是否因父母而异。
在儿童早期检查身体成分中母亲-子女和父亲-子女的差异关联。
总共纳入了来自前瞻性英国人群出生前队列(南安普顿妇女调查)的 240 个母子-父子三对,对后代在 3 个不同年龄(4、6-7 和 8-9 岁)和母亲和父亲在 8-9 岁后代访问时进行了全身(不包括头部)身体成分的人体测量和双能 X 射线吸收法评估。使用线性回归调整另一位家长的关联。
在 6 至 7 岁(BMI:β=0.29 SD/SD,95%CI=0.10,0.48;脂肪量β=0.27 SD/SD,95%CI=0.05,0.48)和 8 至 9 岁(BMI:β=0.33 SD/SD,95%CI=0.13,0.54;脂肪量β=0.31 SD/SD,95%CI=0.12,0.49)时,观察到母亲-女儿体重指数(BMI)和脂肪量之间存在正相关,在 4 岁时也存在类似的关联,但 95%CI 边界。在每个研究年龄,母亲-儿子、父亲-儿子和父亲-女儿的 BMI 和脂肪量的关联较弱。
观察到母亲的脂肪量与其女儿之间存在很强的关联,但与其儿子没有关联。相比之下,父子身体成分的关联并不明显。这种有区别的父母-子女效应表明,对于肥胖母亲所生的女孩,应特别注意早期预防不利的身体成分。