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Article

The Effects of a Preconception Lifestyle Intervention on Childhood Cardiometabolic Health—Follow-Up of a Randomized Controlled Trial

1
Department of Pediatrics, Emma Children’s Hospital, Amsterdam UMC, 1105 AZ Amsterdam, The Netherlands
2
Department of Obstetrics and Gynecology, Amsterdam UMC, 1105 AZ Amsterdam, The Netherlands
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Department of Pediatrics, NYC Health & Hospitals/Lincoln, New York, NY 10451, USA
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Amsterdam Public Health Research Institute, Amsterdam UMC, 1105 AZ Amsterdam, The Netherlands
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Institute of Sport Science, University of Graz, 8010 Graz, Austria
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Department of Epidemiology, University of Groningen, University Medical Center Groningen, 9700 RB Groningen, The Netherlands
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Department of Obstetrics and Gynecology, University of Groningen, University Medical Center Groningen, 9700 RB Groningen, The Netherlands
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Department of Obstetrics and Gynecology, Monash University, Monash Medical Center, Clayton, VIC 3800, Australia
*
Author to whom correspondence should be addressed.
Academic Editors: Lon J. van Winkle and Anthony Ashton
Cells 2022, 11(1), 41; https://doi.org/10.3390/cells11010041
Received: 19 October 2021 / Revised: 1 December 2021 / Accepted: 15 December 2021 / Published: 24 December 2021
Maternal obesity is associated with adverse metabolic outcomes in her offspring, from the earliest stages of development leading to obesity and poorer cardiometabolic health in her offspring. We investigated whether an effective preconception lifestyle intervention in obese women affected cardiometabolic health of their offspring. We randomly allocated 577 infertile women with obesity to a 6-month lifestyle intervention, or to prompt infertility management. Of the 305 eligible children, despite intensive efforts, 17 in the intervention and 29 in the control group were available for follow-up at age 3–6 years. We compared the child’s Body Mass Index (BMI) Z score, waist and hip circumference, body-fat percentage, blood pressure Z scores, pulse wave velocity and serum lipids, glucose and insulin concentrations. Between the intervention and control groups, the mean (±SD) offspring BMI Z score (0.69 (±1.17) vs. 0.62 (±1.04)) and systolic and diastolic blood pressure Z scores (0.45 (±0.65) vs. 0.54 (±0.57); 0.91 (±0.66) vs. 0.96 (±0.57)) were similar, although elevated compared to the norm population. We also did not detect any differences between the groups in the other outcomes. In this study, we could not detect effects of a preconception lifestyle intervention in obese infertile women on the cardiometabolic health of their offspring. Low follow-up rates, perhaps due to the children’s age or the subject matter, combined with selection bias abating contrast in periconceptional weight between participating mothers, hampered the detection of potential effects. Future studies that account for these factors are needed to confirm whether a preconception lifestyle intervention may improve the cardiometabolic health of children of obese mothers. View Full-Text
Keywords: maternal obesity; childhood obesity; lifestyle intervention; cardiometabolic health; programming; follow-up maternal obesity; childhood obesity; lifestyle intervention; cardiometabolic health; programming; follow-up
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MDPI and ACS Style

Mintjens, S.; van Poppel, M.N.M.; Groen, H.; Hoek, A.; Mol, B.W.; Painter, R.C.; Gemke, R.J.B.J.; Roseboom, T.J. The Effects of a Preconception Lifestyle Intervention on Childhood Cardiometabolic Health—Follow-Up of a Randomized Controlled Trial. Cells 2022, 11, 41. https://doi.org/10.3390/cells11010041

AMA Style

Mintjens S, van Poppel MNM, Groen H, Hoek A, Mol BW, Painter RC, Gemke RJBJ, Roseboom TJ. The Effects of a Preconception Lifestyle Intervention on Childhood Cardiometabolic Health—Follow-Up of a Randomized Controlled Trial. Cells. 2022; 11(1):41. https://doi.org/10.3390/cells11010041

Chicago/Turabian Style

Mintjens, Stijn, Mireille N. M. van Poppel, Henk Groen, Annemieke Hoek, Ben Willem Mol, Rebecca C. Painter, Reinoud J. B. J. Gemke, and Tessa J. Roseboom. 2022. "The Effects of a Preconception Lifestyle Intervention on Childhood Cardiometabolic Health—Follow-Up of a Randomized Controlled Trial" Cells 11, no. 1: 41. https://doi.org/10.3390/cells11010041

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