Obesity prevention starts early -- really, really early

It's never too late for parents and doctors to help children who are overweight or obese to lose weight. But obesity research is pointing more and more to a pivotal time of life when the parameters for future weight appear to be established. And that time period is before conception to age 2.

Harvard University researchers writing in the March issue of the journal Pediatrics say such factors as the mother's pre-pregnancy weight, weight gain during pregnancy and how the infant is fed are emerging as significant determinants of future risk of being overweight or obese. Moreover, when this time period becomes the focus, it becomes clear how and why minority and poor children are at much higher risk for becoming overweight or obese. Cultural traditions, such as how a baby is fed, and factors related to early child care may contribute to the problem.

"If we wait until children are in preschool to address this problem, we may be missing the boat in reducing disparities in childhood obesity among racial and ethnic minority groups," the lead author of the study, Dr. Elsie Taveras, said in a news release.

Researchers tracked large groups of white, black and Latino mother-child pairs to identify the factors that emerged as important. The best news is that most of these factors, such as how the infant is fed, can be addressed with behavior changes.

It's time for doctors and parents to target the pre-conception-through-toddler period as the obesity-prevention years. That means a big focus on reproductive-age women and the parents of infants and toddlers. The March 8 Times Health section will feature more information on the key components of this early-life strategy.

-- Shari Roan

Photo: A woman breast-feeding her baby. Being breast-fed for at least six months may lower the risk of  obesity in a child. Credit: Ricardo DeAratanha / Los Angeles Times

Comments

[Ched]

Obesity is something we should definitely guard against, because it's really hard to battle because food is just TOO GOOD! I'm pregnant now and it drives me crazy every time there's something on the table that I'm not supposed to eat. I end up eating it anyway. I hope my baby doesn't become obese!

P.S. Fat isn't necessarily bad, of course. In defense of some people who really do try to lose weight but can't anymore, there is such a thing as being fit and fat, as you will read in this article http://budurl.com/8u98. This isn't necessarily the better alternative.

[dice8up]

i agree that fat is nnot bad at all.. but being obese is certainly is...