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  • 1
    Keywords: Electronic books.
    Type of Medium: Online Resource
    Pages: 1 online resource (247 pages)
    Edition: 1st ed.
    ISBN: 9783318022704
    Series Statement: Nestlé Nutrition Institute Workshop Series ; v.71
    Language: English
    Note: Cover -- Front Matter -- Contents -- Preface -- Foreword -- Contributors -- Drivers of Growth -- Early Influences of Nutrition on FetalGrowth -- Abstract -- Macronutrient Interventions That Have Varied Energy -- Nutrient Interventions That Do Not Vary Energy -- Conclusions -- References -- Early Influences of Nutritionon Postnatal Growth -- Abstract -- Postnatal Diet, Growth Patterns, and the Later Risk of Obesity and Related Non-Communicable Diseases -- Protective Effects of Breastfeeding on Obesity Risk in Later Life -- Mechanisms of Protective Effects of Breastfeeding: The 'Early Protein Hypothesis' -- Biochemical and Endocrine Markers -- Conclusions -- Appendix -- Acknowledgements -- References -- Genome-Wide Association Studies of Human Growth Traits -- Abstract -- Introduction -- The First Successes for GWA Studies of Growth Traits - FTO and HMGA2 -- Increasing Sample Size by Collaboration and Meta-Analysis Identifies Hundreds of Loci for Adult Height and Other Anthropometric Traits -- GWA Studies of Early Growth -- GWA Studies of Pubertal Growth -- The Genetics of Growth Is More Complex Than Previously Appreciated -- What GWA Studies Have Not Told Us - The Missing Heritability -- Conclusions -- References -- Discussion on Nutrition and Genetics -- Nutrition -- Genetics -- IGF- I in Human Growth: Lessons from Defects in the GH-IGF-I Axis -- Abstract -- Normal Human Growth Is Dependent on IGF-I -- The Human GH-IGF-I Axis in Human Growth -- Defects in the GH-IGF Axis: What Gene Analyses Reveal -- Conclusions -- References -- Non-Imprinted Epigenetics in Fetal and Postnatal Development and Growth -- Abstract -- References -- Epigenetic Anomalies in Childhood Growth Disorders -- Abstract -- Introduction -- Russell-Silver Syndrome -- Beckwith-Wiedemann Syndrome -- Human Multilocus Imprinting Disorders. , Assisted Reproductive Technologies and Loss of Imprinting -- Conclusion -- References -- Early Growth and Development of Later Life Metabolic Disorders -- Abstract -- Introduction -- Physiology of Growth -- Epidemiological Evidence of Early-Life Developmental Programming -- Genetic Factors Modulating Growth and Metabolic Disorder -- Epigenetic Programming -- Other Postulated Mechanisms -- Leptin and the GH-IGF Axis -- Uncertainties -- References -- Summary on Drivers of Growth -- Secular Trends in Growth -- Human Growth: Evolutionary and Life History Perspectives -- Abstract -- Some General Evolutionary Principles -- The Role of Developmental Plasticity -- Life History Theory -- Heritability, Genetics, Non-Genetic Inheritance and Phenotypic-Driven Evolution -- An Evolutionary and Life History Perspective on Human Growth -- Puberty -- Adolescence -- Final Remarks -- Appendix -- Acknowledgements -- References -- Secular Trends in Birthweight -- Abstract -- Introduction -- Trends in Mean Birthweight, Low Birthweight, and High Birthweight -- Gestation Length and Its Determinants -- Fetal Growth and Its Determinants -- Discussion -- Conclusion -- References -- Secular Changes in Childhood, Adolescent and Adult Stature -- Abstract -- Etymology and Usage of 'Secular' -- Secular Changes in Childhood, Adolescence and Adulthood -- Changes in Body Proportions -- Possible and Likely Causes of Secular Changes -- The Case of the Maya -- Is Adult Height Determined by the Age of 2 Years? -- Intergenerational Inertia, Epigenetic Assimilation and Secular Change -- Acknowledgement -- References -- Discussion on Human Biology in Motion -- References -- Economic Drivers and Consequences of Stunting -- Abstract -- Introduction -- Areas of Synergy between Economics and Nutrition -- Role of Income Growth in Addressing Nutrition. , Some Implications of the Double Burden of Malnutrition -- Additional Perspective: Are We Targeting the Right Outcome? -- Acknowledgements -- References -- Discussion on Economic Drivers and Consequences of Stunting -- Epidemiologic Transitions: Migration and Development of Obesity and Cardiometabolic Disease in the Developing World -- Abstract -- Introduction -- Obesity and Comorbidities -- Energy Balance: Activity Energy Expenditure and Population Weight Gain -- Energy Balance: Dietary Energy Intake and Population Weight Gain -- Conclusions -- References -- Discussion on Migration and Development of Obesity and Cardiometabolic Disease in theDeveloping World -- References -- What Is Healthy Growth? -- State of the Art of Growth Standards -- Abstract -- Introduction -- Early History of Child Rearing and Anthropometry -- Early History of Weighing and Charting -- French Consultations de Nourrissons and Gouttes de Lait -- Variability of Growth in 20th Century -- Universal but Provisional Growth Standards -- Conclusions -- References -- Healthy Infant Growth: What Are the Trade-Offs in the Developed World? -- Abstract -- Overview of Trade-Offs -- Trade-Offs for Full-Term Infants -- Trade-Offs for Preterm Infants -- Trade-Offs for SGA Infants -- Conclusions and Recommendations for Future Research -- References -- Discussion on Growth Standards and Trade-Offs in Healthy Infant Growth -- Introduction -- Describing Infant Growth -- Interpreting Infant Growth -- Recommendations for Research -- References -- Relationship between Childhood Growth and Later Outcomes -- Abstract -- References -- Public Policy Implications of Promoting Growth -- Abstract -- Complexity and Norms of Reaction -- Predictive Utility and the Scale of Impact -- Amenability to Intervention -- Constructing a Policy Response -- Enhancing the Knowledge Base -- Crafting Social Strategies. , Building Political Will -- References -- Pharmacological Interventions for Short Stature: Pros and Cons -- Abstract -- The Growth Hormone Era -- Efficacy -- Cost -- Safety -- Conclusions -- References -- Discussion on Childhood Growth and Later Outcomes, Policy Implications and Treatment of Short Stature -- References -- Concluding Remarks -- Subject Index -- Cover.
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  • 2
    Publication Date: 2013-06-08
    Description: Animal models indicate that exposure to choline in utero improves visual memory through cholinergic transmission and/or epigenetic mechanisms. Among 895 mothers in Project Viva (eastern Massachusetts, 1999–2002 to 2008–2011), we estimated the associations between intakes of choline, vitamin B 12 , betaine, and folate during the first and second trimesters of pregnancy and offspring visual memory (measured by the Wide Range Assessment of Memory and Learning, Second Edition (WRAML2), Design and Picture Memory subtests) and intelligence (measured using the Kaufman Brief Intelligence Test, Second Edition (KBIT-2)) at age 7 years. Mean second-trimester intakes were 328 (standard deviation (SD), 63) mg/day for choline, 10.5 (SD, 5.1) µg/day for vitamin B 12 , 240 (SD, 104) mg/day for betaine, and 1,268 (SD, 381) µg/day for folate. Mean age 7 test scores were 17.2 (SD, 4.4) points on the WRAML 2 Design and Picture Memory subtests, 114.3 (SD, 13.9) points on the verbal KBIT-2, and 107.8 (SD, 16.5) points on the nonverbal KBIT-2. In a model adjusting for maternal characteristics, the other nutrients, and child's age and sex, the top quartile of second-trimester choline intake was associated with a child WRAML2 score 1.4 points higher (95% confidence interval: 0.5, 2.4) than the bottom quartile ( P -trend = 0.003). Results for first-trimester intake were in the same direction but weaker. Intake of the other nutrients was not associated with the cognitive tests administered. Higher gestational choline intake was associated with modestly better child visual memory at age 7 years.
    Print ISSN: 0002-9262
    Electronic ISSN: 1476-6256
    Topics: Medicine
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  • 3
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    American Heart Association (AHA)
    Publication Date: 2015-02-18
    Keywords: Nutrition, Primary prevention, Risk Factors, Epidemiology
    Electronic ISSN: 1524-4539
    Topics: Medicine
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  • 4
    Publication Date: 2016-06-22
    Description: Background— Our aim was to identify genetic variants associated with blood pressure (BP) in childhood and adolescence. Methods and Results— Genome-wide association study data from participating European ancestry cohorts of the Early Genetics and Lifecourse Epidemiology (EAGLE) Consortium was meta-analyzed across 3 epochs; prepuberty (4–7 years), puberty (8–12 years), and postpuberty (13–20 years). Two novel loci were identified as having genome-wide associations with systolic BP across specific age epochs: rs1563894 ( ITGA11 , located in active H3K27Ac mark and transcription factor chromatin immunoprecipitation and 5'-C-phosphate-G-3' methylation site) during prepuberty ( P =2.86 x 10 –8 ) and rs872256 during puberty ( P =8.67 x 10 –9 ). Several single-nucleotide polymorphism clusters were also associated with childhood BP at P 〈5 x 10 –3 . Using a P value threshold of 〈5 x 10 –3 , we found some overlap in variants across the different age epochs within our study and between several single-nucleotide polymorphisms in any of the 3 epochs and adult BP-related single-nucleotide polymorphisms. Conclusions— Our results suggest that genetic determinants of BP act from childhood, develop over the lifecourse, and show some evidence of age-specific effects.
    Keywords: Epidemiology, Genetic, Association Studies, High Blood Pressure, Meta Analysis
    Print ISSN: 1942-325X
    Electronic ISSN: 1942-3268
    Topics: Medicine
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  • 5
    Publication Date: 2014-08-06
    Description: Background: Observational studies suggest that breastfeeding benefits later maternal child-feeding practices, which in turn may contribute to positive eating attitudes. We investigated the effect of a randomized intervention to increase duration and exclusivity of breastfeeding on pre-adolescent eating attitudes. Methods: Long-term follow-up of the Promotion of Breastfeeding Intervention Trial (PROBIT), a cluster-randomized trial in 31 maternity hospitals and affiliated polyclinics in Belarus. Sites were randomly assigned an experimental intervention to promote longer duration and exclusivity of breastfeeding in mothers who initiated breastfeeding ( n = 16 sites), or a control intervention of continuing usual care ( n = 15 sites); 17 046 healthy infants were enrolled in 1996–7, of whom 13 751 (80.7%) completed the Children’s Eating Attitude Test (ChEAT) at 11.5 years of age. A ChEAT score ≥22.5 (85th percentile) was used as an indicator of problematic eating attitudes. Analysis was based on intention-to-treat, accounting for clustering within hospitals/clinics. Results: Compared with the control arm, the experimental intervention substantially increased breastfeeding exclusivity (43.3% vs 6.4% exclusively breastfed at 3 months of age) and duration of any breastfeeding throughout infancy. The proportion of children with ChEAT scores ≥22.5 was lower in the experimental than control arm (boys 11.4% vs 17.2%; girls 18.5% vs 23.4%) [cluster-adjusted odds ratio (OR), boys: 0.44; 95% confidence interval (CI): 0.21,0.93; girls: 0.51; 95% CI: 0.27,0.99). Results were robust to adjustment for potential confounders and using a ChEAT score ≥25.5 (91st percentile) as the outcome (OR: 0.53; 95% CI: 0.28,1.03). Conclusions: An intervention to improve the duration and exclusivity of breastfeeding among term infants in Belarus was associated with a reduction in problematic eating attitudes at 11.5 years of age.
    Print ISSN: 0300-5771
    Electronic ISSN: 1464-3685
    Topics: Medicine
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  • 6
    Publication Date: 2014-03-01
    Description: Background In children being taller is associated with higher blood pressure (BP), but few studies have divided height into its components: trunk and leg length. We examined the associations of total height, trunk length and leg length with systolic BP (SBP), diastolic BP (DBP) and pulse pressure (PP) at early childhood and mid-childhood visits, as well as change between the two visits. Methods We obtained five measures of SBP and DBP at the early childhood visit (N = 1153, follow-up rate = 54% ) and at the mid-childhood visit (N = 1086, follow-up rate = 51%) respectively, in Project Viva, a US cohort study. We measured total height and sitting height (a measure of trunk length that includes head and neck) and calculated leg length as the difference between the two. Using mixed models, we adjusted the cross-sectional analyses for leg length when trunk length was the exposure of interest, and vice versa. We also adjusted for maternal race/ethnicity, child age, sex, overall adiposity and BP measurement conditions. Results At the mid-childhood visit, total height was positively associated with SBP [0.34 (0.24; 0.45) mmHg/cm] but not with DBP [0.07 (–0.003; 0.15)]. In models examining trunk and leg length separately, each was positively associated with SBP [0.72 (0.52; 0.92) and 0.33 (0.16; 0.49) respectively]. In a fully adjusted model with both leg and trunk length, only trunk length remained associated with BP. For a given leg length, a 1-cm increment in trunk length was associated with a 0.63-mmHg (0.42; 0.83) higher SBP and a 0.17-mmHg (0.02; 0.31) higher DBP. For a given trunk length, however, the associations of leg length with SBP [0.13 (–0.03; 0.30)] and with DBP [0.002 (–0.11; 0.12)] were null. These patterns were similar at the early childhood visit. Conclusions Children with greater trunk lengths have higher BPs, perhaps because of the additional pressure needed to overcome gravity to perfuse the brain.
    Print ISSN: 0300-5771
    Electronic ISSN: 1464-3685
    Topics: Medicine
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  • 7
    Publication Date: 2015-02-26
    Description: We established Project Viva to examine prenatal diet and other factors in relation to maternal and child health. We recruited pregnant women at their initial prenatal visit in eastern Massachusetts between 1999 and 2002. Exclusion criteria included multiple gestation, inability to answer questions in English, gestational age ≥22 weeks at recruitment and plans to move away before delivery. We completed in-person visits with mothers during pregnancy in the late first (median 9.9 weeks of gestation) and second (median 27.9 weeks) trimesters. We saw mothers and children in the hospital during the delivery admission and during infancy (median age 6.3 months), early childhood (median 3.2 years) and mid-childhood (median 7.7 years). We collected information from mothers via interviews and questionnaires, performed anthropometric and neurodevelopmental assessments and collected biosamples. We have collected additional information from medical records and from mailed questionnaires sent annually to mothers between in-person visits and to children beginning at age 9 years. From 2341 eligible women, there were 2128 live births; 1279 mother-child pairs provided data at the mid-childhood visit. Primary study outcomes include pregnancy outcomes, maternal mental and cardiometabolic health and child neurodevelopment, asthma/atopy and obesity/cardiometabolic health. Investigators interested in learning more about how to obtain Project Viva data can contact Project_Viva@hphc.org .
    Print ISSN: 0300-5771
    Electronic ISSN: 1464-3685
    Topics: Medicine
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  • 8
    Publication Date: 2014-01-21
    Description: Background— The duration and exclusivity of breastfeeding in infancy have been inversely associated with future cardiometabolic risk. We investigated the effects of an experimental intervention to promote increased duration of exclusive breastfeeding on cardiometabolic risk factors in childhood. Methods and Results— We followed-up children in the Promotion of Breastfeeding Intervention Trial, a cluster-randomized trial of a breastfeeding promotion intervention based on the World Health Organization/United Nations Children’s Fund Baby-Friendly Hospital Initiative. In 1996 to 1997, 17 046 breastfeeding mother-infant pairs were enrolled from 31 Belarusian maternity hospitals and affiliated polyclinics (16 intervention versus 15 control sites); 13 879 (81.4%) children were followed up at 11.5 years, with 13 616 (79.9%) who had fasted and did not have diabetes mellitus. The outcomes were blood pressure; fasting insulin, adiponectin, glucose, and apolipoprotein A1; and the presence of metabolic syndrome. Analysis was by intention to treat, accounting for clustering within hospitals/clinics. The intervention substantially increased breastfeeding duration and exclusivity in comparison with the control arm (43% versus 6% and 7.9% versus 0.6% exclusively breastfed at 3 and 6 months, respectively). Cluster-adjusted mean differences at 11.5 years between experimental versus control groups were as follows: 1.0 mm Hg (95% confidence interval, –1.1 to 3.1) for systolic and 0.8 mm Hg (–0.6 to 2.3) for diastolic blood pressure; –0.1 mmol/L (–0.2 to 0.1) for glucose; 8% (–3% to 34%) for insulin; –0.3 μg/mL (–1.5 to 0.9) for adiponectin; and 0.0 g/L (–0.1 to 0.1) for apolipoprotein A1. The cluster-adjusted odds ratio for metabolic syndrome, comparing experimental versus control groups, was 1.21 (0.85 to 1.72). Conclusions— An intervention to improve breastfeeding duration and exclusivity among healthy term infants did not influence cardiometabolic risk factors in childhood. Clinical Trial Registration— Current Controlled Trials: ISRCTN37687716 ( http://www.controlled-trials.com/ISRCTN37687716 ). URL: http://clinicaltrials.gov . Unique identifier: NCT01561612.
    Keywords: Risk Factors, Other diabetes, Other etiology, Epidemiology, Lipid and lipoprotein metabolism
    Electronic ISSN: 1524-4539
    Topics: Medicine
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  • 9
    Publication Date: 2015-11-25
    Description: Background Middle-aged adults with ideal blood pressure, cholesterol, and glucose levels exhibit substantially lower cardiovascular mortality than those with unfavorable levels. Four healthy lifestyle components—optimal body weight, diet, physical activity, and not smoking—are recommended for cardiovascular health (CVH). This study quantified associations between combinations of healthy lifestyle components measured in young adulthood and loss of the ideal CVH profile into middle age. Methods and Results Analyses included 2164 young adults in the Coronary Artery Risk Development in Young Adults study with the ideal CVH profile (defined as untreated blood pressure 〈120/80 mm Hg, total cholesterol 〈200 mg/dL, fasting blood glucose 〈100 mg/dL, and absence of cardiovascular disease) at baseline. Cox proportional hazards regression models estimated hazard ratios for loss of the ideal CVH profile over 25 years according to 4 individual and 16 combinations of optimal healthy lifestyle components measured in young adulthood: body mass index, physical activity, nonsmoking status, and diet quality. Models were adjusted for age, sex, race, education, study center, and baseline blood pressure, cholesterol, and glucose. Eighty percent (n=1737) of participants lost the ideal CVH profile by middle age; loss was greatest for young adults with no optimal healthy lifestyle components at baseline. Relative to young adults with no optimal healthy lifestyle components, those with all 4 were less likely to lose the ideal CVH profile (hazard ratio 0.59, 95% CI 0.44–0.80). Combinations that included optimal body mass index and nonsmoking status were each associated with lower risk. Conclusions Optimal body mass index and not smoking in young adulthood were protective against loss of the ideal CVH profile through middle age. Importance of diet and physical activity may be included through their effects on healthy weight.
    Electronic ISSN: 2047-9980
    Topics: Medicine
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  • 10
    Publication Date: 2016-01-14
    Description: In recent years, the prevalence of hypertension and prehypertension increased markedly among children and adolescents, highlighting the importance of identifying determinants of elevated blood pressure early in life. Low birth weight and rapid early childhood weight gain are associated with higher future blood pressure. However, few studies have examined the timing of postnatal weight gain in relation to later blood pressure, and little is known regarding the contribution of linear growth. We studied 957 participants in Project Viva, an ongoing US prebirth cohort. We examined the relations of gains in body mass index z-score and length/height z-score during 4 early life age intervals (birth to 6 months, 6 months to 1 year, 1 to 2 years, and 2 to 3 years) with blood pressure during mid-childhood (6–10 years) and evaluated whether these relations differed by birth size. After accounting for confounders, each additional z-score gain in body mass index during birth to 6 months and 2 to 3 years was associated with 0.81 (0.15, 1.46) and 1.61 (0.33, 2.89) mm Hg higher systolic blood pressure, respectively. Length/height gain was unrelated to mid-childhood blood pressure, and there was no evidence of effect modification by birth size for body mass index or length/height z-score gain. Our findings suggest that more rapid gain in body mass index during the first 6 postnatal months and in the preschool years may lead to higher systolic blood pressure in mid-childhood, regardless of size at birth. Strategies to reduce accrual of excess adiposity during early life may reduce mid-childhood blood pressure, which may also impact adult blood pressure and cardiovascular health.
    Keywords: Epidemiology, Obesity, Pediatrics, Risk Factors, High Blood Pressure
    Print ISSN: 0194-911X
    Topics: Medicine
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