PMID- 33072431 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20220417 IS - 2161-8674 (Print) IS - 2161-864X (Electronic) IS - 2161-864X (Linking) VI - 9 IP - 3 DP - 2020 TI - Caffeine Intake During Pregnancy and Risk of Childhood Obesity: A Systematic Review. PG - 364-380 LID - 10.21106/ijma.387 [doi] AB - OBJECTIVE: This paper evaluates the association between caffeine consumption during pregnancy and overweight or obesity in the offspring. METHODS: Following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines, a literature search was conducted using MedLine, PubMed, CINAHL-Plus and Google Scholar databases. Inclusion criteria were cohort studies on participants with live singleton births at >/=28 weeks gestation who had consumed caffeine during pregnancy. Included were studies reporting both measurement of maternal caffeine intake and offspring anthropometric measurements. Studies reporting serum paraxanthine, a measurement of caffeine intake, were also included. RESULTS: After final elimination, there were eight studies meeting our inclusion criteria. From these studies, we deduced that caffeine intake during pregnancy between 50 mg and <150 mg/day was associated with increased risk of overweight and obesity by excess fat deposition or increased weight, and elevated BMI per International Obesity Task Force (IOTF) criteria using a reference population. The majority of studies reported the strongest association with maternal caffeine intake during pregnancy and overweight and obesity risk beginning at >/=300 mg/day. CONCLUSIONS AND GLOBAL HEALTH IMPLICATION: The risk of childhood overweight or obesity was associated with caffeine consumption at 50 mg/day during pregnancy with a stronger association at intakes >/=300 mg/day and higher. The current recommendation of <200 mg/day of caffeine during pregnancy is likely associated with lower risk of overweight or obesity in offspring but avoidance of the substance is recommended. CI - Copyright (c) 2020 Frayer and Kim et al. FAU - Frayer, Natalie C AU - Frayer NC AD - Nutrition and Dietetics Program, Central Michigan University, 1200 S. Franklin St. Mount Pleasant, MI 48859, USA. FAU - Kim, Yeonsoo AU - Kim Y AD - Nutrition and Dietetics Program, Central Michigan University, 207 Wightman Hall 1202 S. Washington St. Mount Pleasant, MI 48859, USA. LA - eng PT - Journal Article DEP - 20200919 PL - United States TA - Int J MCH AIDS JT - International journal of MCH and AIDS JID - 101677679 PMC - PMC7545400 OTO - NOTNLM OT - Caffeine intake OT - Childhood OT - Obesity OT - Overweight OT - Pregnancy OT - Prenatal OT - Serum paraxanthine OT - Systematic review COIS- Conflicts of Interest: The authors declare no conflicts of interest. EDAT- 2020/10/20 06:00 MHDA- 2020/10/20 06:01 PMCR- 2020/09/19 CRDT- 2020/10/19 05:57 PHST- 2020/10/19 05:57 [entrez] PHST- 2020/10/20 06:00 [pubmed] PHST- 2020/10/20 06:01 [medline] PHST- 2020/09/19 00:00 [pmc-release] AID - IJMA-9-364 [pii] AID - 10.21106/ijma.387 [doi] PST - ppublish SO - Int J MCH AIDS. 2020;9(3):364-380. doi: 10.21106/ijma.387. Epub 2020 Sep 19.