Overweight and obesity in children and adolescents are among the most crucial public health issues of the 21st century and are already determined in the prenatal period. In order to prevent the development of overweight and obesity, examining and changing their risk factors is important to reduce the current epidemic of overweight and obesity. Therefore, the aim of this thesis was to investigate risk factors of overweight and obesity from the prenatal period to childhood and to examine the preceding determinants of those risk factors. On the basis of three studies, the influence of maternal risk factors on maternal mental health during pregnancy (Study 1) and maternal mental health during pregnancy on birth outcomes and weight status in early childhood (Study 2), and the associations of parental feeding practices and weight status during childhood (Study 3) were examined. The results showed that pregnant women with higher pre pregnancy body mass index, sleep problems, and who did not plan pregnancy were at higher risk for mental health problems during pregnancy (Study 1), which in turn adversely affected birth weight and gestational age at birth (Study 2). Furthermore, weight status during childhood was found to be the cause of parents employing controlling feeding practices during childhood but weight status seemed to be largely unaffected by such practices (Study 3). Overall, study results were interpreted within the context of the current state of research and implications of the results for future research and practice were discussed.:Abbreviations
Bibliographic summary
1 Introduction
1.1 Overweight and obesity in children and adolescents
1.1.1 Prevalence rates
1.1.2 Developmental dynamics
1.1.3 Consequences on health
1.1.4 Prevention and intervention
1.2 Parental predictors of overweight and obesity in children and adolescents
1.2.1 Prenatal predictors
1.2.1.1 Maternal anthropometric risk factors and medical conditions
1.2.1.2 Maternal behavioral risk factors
1.2.1.3 Maternal psychosocial and mental risk factors
1.2.2 Predictors during childhood
1.2.2.1 Parental feeding practices
2 Research needs and study objectives
2.1 Mental health in pregnant women and its influence on birth outcomes
2.1.1 Study objectives and hypotheses: Manuscript 1
2.1.2 Study objectives and hypotheses: Manuscript 2
2.2 Anthropometric development during childhood and parental feeding practices
2.2.1 Study objectives and hypotheses: Manuscript 3
3 Publication manuscripts
3.1 Gestational weight gain, physical activity, sleep problems, substance use, and food intake as proximal risk factors of stress and depressive symptoms during pregnancy
3.2 Maternal depressive symptoms and stress during pregnancy as predictors of gestational age at birth and standardized body mass index from birth up to 2 years of age
3.3 Stability, continuity, and bi directional associations of parental feeding practices and standardized child body mass index in children from 2 to 12 years of age
4 Summary
5 References
6 Appendix
6.1 Declaration of unaffiliation
6.2 Curriculum vitae and publication list
6.3 Acknowledgment
| Identifer | oai:union.ndltd.org:DRESDEN/oai:qucosa:de:qucosa:78251 |
| Date | 02 March 2022 |
| Creators | Eichler, Janina |
| Contributors | Hilbert, Anja, Schmidt, Ricarda, Exner, Cornelia, Legenbauer, Tanja, Universität Leipzig |
| Source Sets | Hochschulschriftenserver (HSSS) der SLUB Dresden |
| Language | English |
| Detected Language | English |
| Type | info:eu-repo/semantics/publishedVersion, doc-type:doctoralThesis, info:eu-repo/semantics/doctoralThesis, doc-type:Text |
| Rights | info:eu-repo/semantics/openAccess |
| Relation | https://doi.org/10.1186/s12884-019-2328-1, https://doi.org/10.1186/s12884-021-04111-x, https://doi.org/10.3390/nu11081751 |
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