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Overcoming Childhood Obesity: The Lifecourse Framework Rafael Pérez-Escamilla, PhD Professor of Epidemiology & Public Health

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Presentation on theme: "Overcoming Childhood Obesity: The Lifecourse Framework Rafael Pérez-Escamilla, PhD Professor of Epidemiology & Public Health"— Presentation transcript:

1 Overcoming Childhood Obesity: The Lifecourse Framework Rafael Pérez-Escamilla, PhD Professor of Epidemiology & Public Health YSPH Alumni Day New Haven, June 1 st 2012

2 Prevalence of High Weight for Recumbent Length Among US Children From Birth to 2 Years of Age, a,b Ogden, C. L. et al. JAMA 2010;303:

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4 Pre-pregnancy BMI Gestational weight gain Post-partum weight retention Neonatal predisposition Suboptimal Infant feeding Infancy weight gain rate Early childhood obesity risk The childhood obesity epidemic: Lifecourse framework A B Pérez-Escamilla & Bermudez (2012)

5 Odds of each childhood obesity risk factor in black and Hispanic participants, relative to white participants* Taveras E M et al. Pediatrics 2010;125: ©2010 by American Academy of Pediatrics *Odds ratios adjusted for maternal age, education, parity, and prepregnancy BMI; paternal BMI; household income; and child gender..

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9 Social-ecological framework depicting the multiple influences on what people eat

10 Pre-pregnancy BMI Gestational weight gain Post-partum weight retention Neonatal predisposition Suboptimal Infant feeding Infancy weight gain rate Early childhood obesity risk The childhood obesity epidemic: Lifecourse framework A B Pérez-Escamilla & Bermudez (2012)

11 Integrate through 2015 Dietary Guidelines?

12 Recommendation: Multi-component “lifecourse” indicator proportion of women who: enter pregnancy with appropriate weight gain weight during gestation within recommendations return to pre-pregnancy weight by 6 months post- partum breastfeed their babies exclusively for 6 months introduce nutritious complementary foods at 6 months continue breastfeeding until child is one year old

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