Adverse birth outcomes and childhood overweight at age of 3-8 years in a prospective cohort study in Tianjin, China
© Author(s) (or their employer(s)) 2024. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ..
OBJECTIVES: To explore associations between adverse birth outcomes and childhood overweight at 3-8 years of age.
DESIGN: A prospective cohort study.
SETTING: Six central urban districts of Tianjin, China.
PARTICIPANTS: 1681 woman-child pairs.
METHODS: 1681 woman-child pairs were followed up for 8 years in Tianjin, China. Demographic and clinical information including birth outcomes was collected longitudinally, commencing from first antenatal care visit till postpartum period. Offspring height and weight were measured at 3-8 years of age. High and low weight/length ratios (WLR) at birth were, respectively, defined as ≥90th and ≤10th gestational week and sex-specific percentiles. Overweight for children at 3-5 and 6-8 years of age were, respectively, defined as body mass index (BMI)-for-age and -sex above the 2 z-score and 1 z-score curves of the WHO's child growth standards. Binary logistic regression analysis was used to obtain ORs and 95% CI with a stepwise backward selection method to select independent predictors.
PRIMARY OUTCOMES MEASURES: Childhood overweight.
RESULTS: Of 1681 children, 10.7% (n=179) and 27.8% (n=468) developed overweight at 3-5 and 6-8 years of age, respectively. Large for gestational age (LGA) was associated with increased risk of overweight at 3-5 years of age (aOR: 1.86, 95% CI: 1.27 to 2.72) while high WLR at birth was associated with increased risk of overweight at 6-8 years of age (1.82, 1.41 to 2.34). Low WLR at birth was associated with decreased risk of overweight at 6-8 years of age (0.52, 0.30 to 0.90).
CONCLUSIONS: LGA and high WLR at birth predicted childhood overweight at 3-5 and 6-8 years of age, respectively. Low WLR at birth was associated with decreased risk of childhood overweight at 6-8 years of age.
| Medienart: |
E-Artikel |
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| Erscheinungsjahr: |
2024 |
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| Erschienen: |
2024 |
| Enthalten in: |
Zur Gesamtaufnahme - volume:14 |
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| Enthalten in: |
BMJ open - 14(2024), 3 vom: 12. März, Seite e076438 |
| Sprache: |
Englisch |
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| Beteiligte Personen: |
Zhang, Rui [VerfasserIn] |
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| Links: |
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| Themen: |
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| Anmerkungen: |
Date Completed 15.03.2024 Date Revised 15.03.2024 published: Electronic Citation Status MEDLINE |
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| doi: |
10.1136/bmjopen-2023-076438 |
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| funding: |
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| Förderinstitution / Projekttitel: |
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| PPN (Katalog-ID): |
NLM369694457 |
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| 245 | 1 | 0 | |a Adverse birth outcomes and childhood overweight at age of 3-8 years in a prospective cohort study in Tianjin, China |
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| 500 | |a Citation Status MEDLINE | ||
| 520 | |a © Author(s) (or their employer(s)) 2024. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ. | ||
| 520 | |a OBJECTIVES: To explore associations between adverse birth outcomes and childhood overweight at 3-8 years of age | ||
| 520 | |a DESIGN: A prospective cohort study | ||
| 520 | |a SETTING: Six central urban districts of Tianjin, China | ||
| 520 | |a PARTICIPANTS: 1681 woman-child pairs | ||
| 520 | |a METHODS: 1681 woman-child pairs were followed up for 8 years in Tianjin, China. Demographic and clinical information including birth outcomes was collected longitudinally, commencing from first antenatal care visit till postpartum period. Offspring height and weight were measured at 3-8 years of age. High and low weight/length ratios (WLR) at birth were, respectively, defined as ≥90th and ≤10th gestational week and sex-specific percentiles. Overweight for children at 3-5 and 6-8 years of age were, respectively, defined as body mass index (BMI)-for-age and -sex above the 2 z-score and 1 z-score curves of the WHO's child growth standards. Binary logistic regression analysis was used to obtain ORs and 95% CI with a stepwise backward selection method to select independent predictors | ||
| 520 | |a PRIMARY OUTCOMES MEASURES: Childhood overweight | ||
| 520 | |a RESULTS: Of 1681 children, 10.7% (n=179) and 27.8% (n=468) developed overweight at 3-5 and 6-8 years of age, respectively. Large for gestational age (LGA) was associated with increased risk of overweight at 3-5 years of age (aOR: 1.86, 95% CI: 1.27 to 2.72) while high WLR at birth was associated with increased risk of overweight at 6-8 years of age (1.82, 1.41 to 2.34). Low WLR at birth was associated with decreased risk of overweight at 6-8 years of age (0.52, 0.30 to 0.90) | ||
| 520 | |a CONCLUSIONS: LGA and high WLR at birth predicted childhood overweight at 3-5 and 6-8 years of age, respectively. Low WLR at birth was associated with decreased risk of childhood overweight at 6-8 years of age | ||
| 650 | 4 | |a Journal Article | |
| 650 | 4 | |a EPIDEMIOLOGIC STUDIES | |
| 650 | 4 | |a Obesity | |
| 650 | 4 | |a PAEDIATRICS | |
| 700 | 1 | |a Gao, Ming |e verfasserin |4 aut | |
| 700 | 1 | |a Li, Weiqin |e verfasserin |4 aut | |
| 700 | 1 | |a Liu, Hongyan |e verfasserin |4 aut | |
| 700 | 1 | |a Wang, Shuting |e verfasserin |4 aut | |
| 700 | 1 | |a Wang, Hui |e verfasserin |4 aut | |
| 700 | 1 | |a Li, Ninghua |e verfasserin |4 aut | |
| 700 | 1 | |a Li, Jing |e verfasserin |4 aut | |
| 700 | 1 | |a Yu, Zhijie |e verfasserin |4 aut | |
| 700 | 1 | |a Hu, Gang |e verfasserin |4 aut | |
| 700 | 1 | |a Leng, Junhong |e verfasserin |4 aut | |
| 700 | 1 | |a Yang, Xilin |e verfasserin |4 aut | |
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