Association of maternal pre-pregnancy body mass index and gestational weight gain with Chinese infant growth
| Autor: | Weiwei Zhang, Fenghai Niu, Xueyun Ren |
|---|---|
| Rok vydání: | 2018 |
| Předmět: |
Adult
Male medicine.medical_specialty China Pediatric Obesity Offspring Growth Overweight Body Mass Index 03 medical and health sciences 0302 clinical medicine Child Development Pregnancy 030225 pediatrics Medicine Humans 030212 general & internal medicine Retrospective Studies business.industry Obstetrics Infant Newborn Infant medicine.disease Obesity Gestational Weight Gain Pregnancy Complications Prenatal Exposure Delayed Effects Pediatrics Perinatology and Child Health Gestation Female medicine.symptom business Body mass index Weight gain Cohort study |
| Zdroj: | Journal of paediatrics and child health. 55(6) |
| ISSN: | 1440-1754 |
| Popis: | Aim To evaluate the association of maternal pre-pregnancy body mass index (BMI) and gestational weight gain (GWG) with offspring growth from birth to 12 months in China. Methods A retrospective cohort of 3764 mother-child dyads, with children born between June 2014 and June 2016, was identified in an electronic medical record database. Maternal pre-pregnancy body weight and height measurements throughout pregnancy were extracted, and body weights and lengths of their children had been measured at birth, 3, 6, 9 and 12 months. The association between maternal pre-pregnancy BMI and GWG and offspring growth was evaluated using repeated-measure general linear models and post hoc tests. Results Both pre-pregnancy BMI and GWG were significantly associated with the Z-scores for weight and for length during the first year of age. Moreover, their interactions were associated with a greater risk of overweight/obesity of offspring in early infancy after controlling for potential confounding factors. Defined by the Institute of Medicine guidelines, excessive GWG, especially during the first trimester, was associated with an increased risk of offspring overweight or obesity at 12 months old in all maternal pre-pregnancy BMI categories. Conclusion Maintenance of appropriate body weight before and during pregnancy, especially during the first trimester, is crucial to prevent paediatric obesity. |
| Databáze: | OpenAIRE |
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