Advertisement

DOHaD Interventions: Opportunities During Adolescence and the Periconceptional Period

  • Jacquie BayEmail author
  • Delaney Yaqona
  • Masahito Oyamada
Chapter
Part of the Current Topics in Environmental Health and Preventive Medicine book series (CTEHPM)

Abstract

Collective evidence underpinning the Developmental Origins of Health and Disease (DOHaD) hypothesis demonstrates that interventions to improve the nutritional environment during early life offer an important opportunity for primary prevention of DOHaD-related noncommunicable diseases (NCDs). This evidence has led to important programs targeting pregnancy and early childhood. However, addressing the full potential of the DOHaD paradigm also requires consideration of the periconceptional period, and therefore health behaviors prior to pregnancy and parenthood, alongside the complex array of personal and societal factors influencing these behaviors. Therefore, adolescence, the life stage during which cognitive, psychosocial, and lifestyle behaviors that persist into adulthood are formed, should be a key DOHaD intervention point. Schools and tertiary institutions play a major role in the lives of adolescents, supporting the development of capabilities associated with engaged citizenship including scientific and health literacies and key life competencies. Providing young people who are developing these capabilities with opportunities to examine evidence about NCD risk and prevention can empower adolescents to engage in development of and/or participation in evidence-based actions that can contribute toward interrupting the transgenerational conditioning/programming of NCD vulnerability. Realizing the potential of interventions that target the adolescent life stage requires effective cross-sectoral partnerships between education, science, and public health. Education should be a key partner, bringing important expertise alongside that of health and science to facilitate the task of the translation of DOHaD evidence to adolescents within community settings.

Keywords

Adolescent Periconceptional Primary NCD risk Multi-sectoral Education 

Abbreviations

CBPR

Community-based participatory research

DOHaD

Developmental Origins of Health and Disease

ECHO

Commission on Ending Childhood Obesity

NCD

Noncommunicable disease

PE

Physical education

SIDS

Small Island Developing States

WHO

World Health Organization

References

  1. 1.
    Hanson MA, Gluckman PD. Early developmental conditioning of later health and disease: physiology or pathophysiology? Physiol Rev. 2014;94(4):1027–76.PubMedPubMedCentralCrossRefGoogle Scholar
  2. 2.
    Jiang X. Nutrition in early life, epigenetics, and health. Epigenetics, the environment, and children’s health across lifespans. New York: Springer; 2016. p. 135–58.CrossRefGoogle Scholar
  3. 3.
    Chestnov O, Hilten MV, McIff C, Kulikov A. Rallying United Nations organizations in the fight against noncommunicable diseases. Bull World Health Organ. 2013;91:623-A.CrossRefGoogle Scholar
  4. 4.
    Vickers MH. Developmental programming of the metabolic syndrome—critical windows for intervention. World J Diabetes. 2011;2(9):137–48.PubMedPubMedCentralCrossRefGoogle Scholar
  5. 5.
    Godfrey KM, Sheppard A, Gluckman PD, Lillycrop KA, Burdge GC, McLean C, et al. Epigenetic gene promoter methylation at birth is associated with child’s later adiposity. Diabetes. 2011;60(5):1528–34.PubMedPubMedCentralCrossRefGoogle Scholar
  6. 6.
    Patel N, Poston L. Maternal obesity and gestational weight gain as determinants of long-term health. Parental obesity: intergenerational programming and consequences. New York: Springer; 2016. p. 33–56.CrossRefGoogle Scholar
  7. 7.
    Balbus JM, Barouki R, Birnbaum LS, Etzel RA, Gluckman PD Sr, Grandjean P, et al. Early-life prevention of non-communicable diseases. Lancet. 2013;381(9860):3–4.PubMedCrossRefGoogle Scholar
  8. 8.
    Gillman MW. Early infancy—a critical period for development of obesity. J Dev Orig Health Dis. 2010;1(5):292–9.PubMedPubMedCentralCrossRefGoogle Scholar
  9. 9.
    Crozier SR, Robinson SM, Godfrey KM, Cooper C, Inskip HM. Women’s dietary patterns change little from before to during pregnancy. J Nutr. 2009;139(10):1956–63.PubMedPubMedCentralCrossRefGoogle Scholar
  10. 10.
    Morton SM, Grant CC, Wall CR, Atatoan Carr PE, Bandara DK, Shmidt JM, et al. Adherence to nutritional guidelines in pregnancy: evidence from the Growing Up in New Zealand birth cohort study. Public Health Nutr. 2014;17(9):1919–29.PubMedCrossRefGoogle Scholar
  11. 11.
    Kubota K, Itoh H, Tasaka M, Naito H, Fukuoka Y, Muramatsu Kato K, et al. Changes of maternal dietary intake, bodyweight and fetal growth throughout pregnancy in pregnant Japanese women. J Obstet Gynaecol Res. 2013;39(9):1383–90.PubMedCrossRefGoogle Scholar
  12. 12.
    Blackstone RP. The biology of weight regulation and genetic resetting TM. Obesity. New York: Springer; 2016. p. 41–66.Google Scholar
  13. 13.
    Nicholas LM, McMillen IC. The impact of maternal obesity and weight loss during the periconceptional period on offspring metabolism. In: Green LR, Hester RL, editors. Parental obesity: intergenerational programming and consequences. New York: Springer; 2016. p. 133–61.CrossRefGoogle Scholar
  14. 14.
    Bay JL, Vickers MH. Adolescent education: an opportunity to create a Developmental Origins of Health and Disease (DOHaD) circuit breaker. J Dev Orig Health Dis. 2016;7(5):501–4.PubMedCrossRefGoogle Scholar
  15. 15.
    Bay J, Morton S, Vickers M. Realizing the potential of adolescence to prevent transgenerational conditioning of noncommunicable disease risk: multi-sectoral design frameworks. Healthcare. 2016;4(3):39.PubMedCentralCrossRefGoogle Scholar
  16. 16.
    Bay JL, Hipkins R, Siddiqi K, Huque R, Dixon R, Shirley D, et al. School-based primary NCD risk reduction: education and public health perspectives. Health Promotion Int. 2017;32(2):369–79.Google Scholar
  17. 17.
    Craigie AM, Lake AA, Kelly SA, Adamson AJ, Mathers JC. Tracking of obesity-related behaviours from childhood to adulthood: a systematic review. Maturitas. 2011;70(3):266–84.PubMedCrossRefGoogle Scholar
  18. 18.
    Steinberg L. Cognitive and affective development in adolescence. Trends Cogn Sci. 2005;9(2):69–74.PubMedCrossRefGoogle Scholar
  19. 19.
    Chandola T, Deary IJ, Blane D, Batty GD. Childhood IQ in relation to obesity and weight gain in adult life: the National Child Development (1958) Study. Int J Obes (Lond). 2006;30(9):1422–32.CrossRefGoogle Scholar
  20. 20.
    Alberga AS, Sigal RJ, Goldfield G, Prud'homme D, Kenny GP. Overweight and obese teenagers: why is adolescence a critical period? Pediatr Obes. 2012;7(4):261–73.PubMedCrossRefGoogle Scholar
  21. 21.
    Darnton-Hill I, Nishida C, James WPT. A life course approach to diet, nutrition and the prevention of chronic diseases. Public Health Nutr. 2004;7(1a):101–21.PubMedCrossRefGoogle Scholar
  22. 22.
    Sawyer SM, Afifi RA, Bearinger LH, Blakemore SJ, Dick B, Ezeh AC, et al. Adolescence: a foundation for future health. Lancet. 2012;379(9826):1630–40.PubMedCrossRefGoogle Scholar
  23. 23.
    Patton GC, Olsson CA, Skirbekk V, Saffery R, Wlodek ME, Azzopardi PS, et al. Adolescence and the next generation. Nature. 2018;554:458.  https://doi.org/10.1038/nature25759.PubMedCrossRefGoogle Scholar
  24. 24.
    Watkins AJ, Lucas ES, Fleming TP. Impact of the periconceptual environment on the programming of adult disease. J Dev Orig Health Dis. 2010;1(2):87–95.PubMedCrossRefGoogle Scholar
  25. 25.
    Fullston T, Shehadeh HS, Schjenken JE, McPherson NO, Robertson SA, Zander-Fox D, et al. Paternal obesity and programming of offspring health. Parental obesity: intergenerational programming and consequences. New York: Springer; 2016. p. 105–31.CrossRefGoogle Scholar
  26. 26.
    Catalano PM, Ehrenberg HM. Review article: the short- and long-term implications of maternal obesity on the mother and her offspring. BJOG. 2006;113(10):1126–33.PubMedCrossRefGoogle Scholar
  27. 27.
    Victora CG, Adair L, Fall C, Hallal PC, Martorell R, Richter L, et al. Maternal and child undernutrition: consequences for adult health and human capital. Lancet. 2008;371(9609):340–57.PubMedPubMedCentralCrossRefGoogle Scholar
  28. 28.
    Lindsay AC, Sussner KM, Kim J, Gortmaker S. The role of parents in preventing childhood obesity. Future Child. 2006;16(1):169–86.PubMedCrossRefGoogle Scholar
  29. 29.
    Birch LL, Fisher JO. Development of eating behaviors among children and adolescents. Pediatrics. 1998;101(Suppl 2):539–49.PubMedGoogle Scholar
  30. 30.
    Videon TM, Manning CK. Influences on adolescent eating patterns: the importance of family meals. J Adolesc Health. 2003;32(5):365–73.PubMedCrossRefGoogle Scholar
  31. 31.
    Smith AD, Fildes A, Cooke L, Herle M, Shakeshaft N, Plomin R, et al. Genetic and environmental influences on food preferences in adolescence. Am J Clin Nutr. 2016;104(2):446–53.PubMedPubMedCentralCrossRefGoogle Scholar
  32. 32.
    Salvy S-J, de la Haye K, Bowker JC, Hermans RCJ. Influence of peers and friends on children’s and adolescents’ eating and activity behaviors. Physiol Behav. 2012;106(3):369–78.PubMedPubMedCentralCrossRefGoogle Scholar
  33. 33.
    Todd AS, Street SJ, Ziviani J, Byrne NM, Hills AP. Overweight and obese adolescent girls: the importance of promoting sensible eating and activity behaviors from the start of the adolescent period. Int J Environ Res Public Health. 2015;12(2):2306–29.PubMedPubMedCentralCrossRefGoogle Scholar
  34. 34.
    Hu T, Jacobs DR Jr, Larson NI, Cutler GJ, Laska MN, Neumark-Sztainer D. Higher diet quality in adolescence and dietary improvements are related to less weight gain during the transition from adolescence to adulthood. J Pediatr. 2016;178:188–93.e3.PubMedPubMedCentralCrossRefGoogle Scholar
  35. 35.
    World Health Organization. Global action plan for the prevention and control of noncommunicable diseases 2013-2020; 2013.Google Scholar
  36. 36.
    United Nations General Assembly. Political declaration of the high-level meeting of the General Assembly on the prevention and control of non-communicable diseases. New York: United Nations; 2011.Google Scholar
  37. 37.
    World Health Organization. Report of the commission on ending childhood obesity. Geneva: World Health Organization; 2016.Google Scholar
  38. 38.
    Khambalia AZ, Dickinson S, Hardy LL, Gill T, Baur LA. A synthesis of existing systematic reviews and meta-analyses of school-based behavioural interventions for controlling and preventing obesity. Obes Rev. 2012;13(3):214–33.PubMedCrossRefGoogle Scholar
  39. 39.
    Waters E, de Silva-Sanigorski A, Hall BJ, Brown T, Campbell KJ, Gao Y, et al. Interventions for preventing obesity in children. Cochrane Database Syst Rev. 2011;(12):CD001781.Google Scholar
  40. 40.
    Wildridge V, Childs S, Cawthra L, Madge B. How to create successful partnerships—a review of the literature. Health Info Libr J. 2004;21:3–19.PubMedCrossRefGoogle Scholar
  41. 41.
    Keshavarz Mohammadi N, Rowling L, Nutbeam D. Acknowledging educational perspectives on health promoting schools. Health Educ. 2010;110(4):240–51.CrossRefGoogle Scholar
  42. 42.
    Haque B. Changing our secondary schools. Wellington: NZCER Press; 2015.Google Scholar
  43. 43.
    Tucker C, Taylor D. Good science: principles of community-based participatory research. Race Poverty Environ. 2004;11(2):27–9.Google Scholar
  44. 44.
    Rychen DS, Salganik LH, editors. Key competencies for a successful life and well-functioning society. Cambridge: Hogrefe Publishing; 2003.Google Scholar
  45. 45.
    Perkins D. Future wise: educating our children for a changing world. New York: Wiley; 2014.Google Scholar
  46. 46.
    Hipkins R, Bolstad R, Boyd S, McDowall S. Key competencies for the future. Wellington: NZCER Press; 2014.Google Scholar
  47. 47.
    Kahn S, Zeidler DL. Using our heads and HARTSS*: developing perspective-taking skills for socioscientific reasoning (*Humanities, ARTs, and Social Sciences). J Sci Teach Educ. 2016;27(3):261–81.CrossRefGoogle Scholar
  48. 48.
    Bronfenbrenner U. Ecological systems theory. Ann Child Dev. 1989;6:187–224.Google Scholar
  49. 49.
    Eidelson RJ. Complex adaptive systems in the behavioral and social sciences. Rev Gen Psychol. 1997;1(1):42–71.CrossRefGoogle Scholar
  50. 50.
    Bronfenbrenner U. Making human beings human: bioecological perspectives on human development. Sage: Thousand Oaks; 2005.Google Scholar
  51. 51.
    Endo A, Oyamada M. On Japanese female university students’ perception of developmental origins of health and disease: a questionnaire survey. J Dev Orig Health Dis. 2013;4(Suppl 2):S162.Google Scholar
  52. 52.
    Bay J, Dixon R, Morgan S, Wall C, Oyamada M. Characterising public understanding of DOHaD to inform communication strategies. J Dev Orig Health Dis. 2015;6:S2.CrossRefGoogle Scholar
  53. 53.
    Bay JL, Mora HA, Sloboda DM, Morton SM, Vickers MH, Gluckman PD. Adolescent understanding of DOHaD concepts: a school-based intervention to support knowledge translation and behaviour change. J Dev Orig Health Dis. 2012;3(6):469–82.PubMedPubMedCentralCrossRefGoogle Scholar
  54. 54.
    Bay JL, Spiroski AM, Fogg-Rogers L, McCann CM, Faull RL, Barber PA. Stroke awareness and knowledge in an urban New Zealand population. J Stroke Cerebrovasc Dis. 2015;24(6):1153–62.PubMedCrossRefGoogle Scholar
  55. 55.
    Bay JL, Yaqona D, Tairea K, Morgan S, Morgan T, Vickers MH, Barrett-Watson C, Martin J, Herrmann U. The healthy start to life education for adolescents project: indicators of early success in adaptation for use in Small Island Developing States. J Dev Orig Health Dis. 2015;6(S2):S77.Google Scholar
  56. 56.
    Grace M, Woods-Townsend K, Griffiths J, Godfrey K, Hanson M, Galloway I, et al. Developing teenagers’ views on their health and the health of their future children. Health Educ. 2012;112(6):543–59.CrossRefGoogle Scholar
  57. 57.
    Gage H, Raats M, Williams P, Egan B, Jakobik V, Laitinen K. Developmental origins of health and disease: the views of first-time mothers in 5 European countries on the importance of nutritional influences in the first year of life. Am J Clin Nutr. 2011;94(6 Suppl):2018S–24S.PubMedCrossRefGoogle Scholar
  58. 58.
    Bay JL, Vickers MH, Mora HA, Sloboda DM, Morton SM. Adolescents as agents of healthful change through scientific literacy development: a school-university partnership program in New Zealand. Int J STEM Educ. 2017;4(1):15.  https://doi.org/10.1186/s40594-017-0077-0.CrossRefGoogle Scholar
  59. 59.
    Grace M, Bay J. Developing a pedagogy to support science for health literacy. Asia-Pac Forum Sci Learn Teach. 2011;12(2):1–13.Google Scholar
  60. 60.
    Bay JL. My First 1000 Days. Auckland: Read Pacific Publishers Ltd; 2016.Google Scholar
  61. 61.
    Bay JL, Sloboda DM, Vickers MH, Mora HA. Multi-dimensional connections. In: France B, Compton V, editors. Bringing communities together: connecting learners with scientists or technologists. Rotterdam: Sense Publishers; 2012. p. 161–73.CrossRefGoogle Scholar
  62. 62.
    New Zealand Ministry of Health. Understanding excess body weight: New Zealand health survey. Wellington: New Zealand Ministry of Health; 2015.Google Scholar
  63. 63.
    Gates MF. Putting women and girls at the center of development. Science. 2014;345(6202):1273–5.PubMedCrossRefGoogle Scholar
  64. 64.
    Richardson SS, Daniels CR, Gillman MW, Golden J, Kukla R, Kuzawa C, et al. Society: don’t blame the mothers. Nature. 2014;512:131–2.PubMedCrossRefGoogle Scholar
  65. 65.
    Lane M, Zander-Fox DL, Robker RL, McPherson NO. Peri-conception parental obesity, reproductive health, and transgenerational impacts. Trends Endocrinol Metab. 2015;26(2):84–90.PubMedCrossRefGoogle Scholar
  66. 66.
    Bay JL, Mora HA, Tairea K, Yaqona D, Sloboda DM, Vickers MH. Te maki toto vene (T2): e manamanata no toku iti tangata. Teacher resource. Auckland: Read Pacific Publishers Ltd; 2016.Google Scholar
  67. 67.
    Bay JL, Fehoko F, La’akulu M, Leota O, Pulotu L, Tu’ipoloto S, Tutoe S, Tovo O, Vekoso A, Pouvalu EH. Questioning in Tongan science classrooms: a pilot study to identify current practice, barriers and facilitators. Asia Pac Forum Sci Learn Teach. 2016;17(2):Article 10.Google Scholar
  68. 68.
    Ora TM. Ministry of Health Cook Islands. Cook Islands STEPS survey 2004 vs 2015 fact sheet. Cook Islands Ministry of Health.Google Scholar
  69. 69.
    Neely E, Walton M, Stephens C. Young people’s food practices and social relationships. A thematic synthesis. Appetite. 2014;82:50–60.  https://doi.org/10.1016/j.appet.2014.07.005.PubMedCrossRefGoogle Scholar
  70. 70.
    United Nations General Assembly. Universal declaration of human rights: United Nations, 217A, Article 27(i), 1948. www.un.org/en/universal-declaration-human-rights. Accessed 3 Jan 2017.
  71. 71.
    Crosbie J. Ending childhood obesity—a youth perspective: address to the WHA Side Event, Ending Childhood Obesity: securing the future for our children. Sixty-ninth World Health Assembly May 26, 2016; Geneva, Switzerland. http://www.who.int/end-childhood-obesity/news/wha69-event/en/. Accessed 3 Jan 2017.

Copyright information

© Springer Nature Singapore Pte Ltd. 2019

Authors and Affiliations

  1. 1.Liggins InstituteUniversity of AucklandAucklandNew Zealand
  2. 2.Nukutere CollegeRarotongaCook Islands
  3. 3.Department of Food Science and Human NutritionFuji Women’s UniversitySapporoJapan

Personalised recommendations