Childhood obesity is a global health concern.
1,2 More than 20% of preschool-aged children in Canada are overweight or obese (OWOB).
3 Also on the rise is maternal OWOB during pregnancy
4-6 and associated higher rates of birth by cesarean delivery.
6-8 Furthermore, carrying OWOB into pregnancy presents, at minimum, a 2-fold greater risk of obesity in offspring.
7,9,10 Some of this excess risk can be attributed to cesarean delivery, as children delivered by this method are 30% more likely to develop OWOB compared with those delivered vaginally.
11 However, while the epidemiologic evidence is strong that prenatal maternal obesity predisposes newborns to develop OWOB, the mechanism behind this intergenerational association has not, to our knowledge, been delineated by known genetic or lifestyle factors shared between mothers and their offspring.
12