Prepartum
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Smoking during pregnancy |
Own causal effect (risk factor) e.g. through fetal growth retardation and subsequent developmental adaptations [46], [47]. |
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Possible confounder: Parental energy intake [47], parental socioeconomic status [46]. |
Gestational weight gain |
Own causal effect (risk factor) e.g. through shared genetic factors (on weight gain), shared environment (e.g. diet), fetal programming [48], [49]. |
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Possible confounder: Maternal BMI [49]. |
Gestational diabetes |
Own causal effect (risk factor) e.g. through shared genetic factors, shared environment, fetal programming [50]. |
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Possible confounder: Maternal BMI. |
Peripartum
|
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Birth weight |
Own causal effect (risk factor) reflecting fetal growth, programming for lean mass and fat distribution [32]. |
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Possible artifact due to high correlation of BMI and lean body mass [32]. |
Caesarian section |
Own causal effect (risk factor) e.g. through differences in colonizing bacteria species [34]. |
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Possible confounder: Maternal BMI, maternal smoking during pregnancy, breastfeeding [34]. |
Postpartum
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Breastfeeding (initiation and duration) |
Own causal effect (protective factor) e.g. through nutritional programming [51], [52], moderation of genetic effects [53], reduced risk of overfeeding [54]. |
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Known confounder: parental obesity, maternal smoking during pregnancy, parental socioeconomic status; might completely remove the effect [55]. |
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Association possibly artificial due to lower breastfeeding success in obese and/or smoking mothers [10], [26]. |
Early introduction of solid foods |
Own causal effect (risk factor) e.g. through nutritional programming [56]. |
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Possible confounder: Parental socioeconomic status [57], breastfeeding [58], [59]. |