Early childhood diarrhea and cardiometabolic risk factors in adulthood: the Institute of Nutrition of Central America and Panama Nutritional Supplementation Longitudinal Study
| Autor: | Reynaldo Martorell, Aryeh D. Stein, David R Burt, Mark D. DeBoer, Max Luna, Manuel Ramirez-Zea, Richard L. Guerrant, David Chen |
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| Rok vydání: | 2013 |
| Předmět: |
Adult
Diarrhea Male Longitudinal study Pediatrics medicine.medical_specialty Waist Nutritional Supplementation Panama Epidemiology Article Risk Factors Confidence Intervals Odds Ratio Prevalence Humans Medicine Longitudinal Studies Metabolic Syndrome business.industry Malnutrition Infant Odds ratio Nutrition Surveys medicine.disease Logistic Models Female medicine.symptom Metabolic syndrome business Body mass index |
| Zdroj: | Annals of Epidemiology. 23:314-320 |
| ISSN: | 1047-2797 |
| DOI: | 10.1016/j.annepidem.2013.03.012 |
| Popis: | Background Nutritional deficits in early life have been associated with a higher prevalence of the metabolic syndrome (MetS) in adulthood. Early childhood diarrhea contributes to undernutrition and may potentially increase the risk for adult noncommunicable diseases. Our objective was to examine associations between early childhood diarrhea burden and later development of MetS. Methods We studied individuals who participated in the Institute of Nutrition of Central America and Panama Nutritional Supplementation Longitudinal Study (1969–1977) and were followed up in 2002–2004. We used logistic regression to determine associations of diarrhea burden at ages 0 to 6, 6 to 12, and 12 to 24 months with odds of MetS and elevations in its components as adults. Results Among 389 adults age 25 to 42 years at follow-up, the prevalence of MetS was 29%. Adjusting for several confounders including adult body mass index (BMI), each absolute 1% increase in diarrhea burden at age 0 to 6 months (but not at other time periods) was associated with increased odds of MetS (odds ratio [OR], 1.03; 95% confidence interval [CI], 1.01–1.06). This was attributable primarily to associations with elevated blood pressure (OR, 1.03; 95% CI, 1.00–1.06) and waist circumference (OR, 1.03; 95% CI, 1.00–1.06). Conclusions Childhood diarrhea burden at 0 to 6 months is associated with MetS in adulthood after controlling for childhood growth parameters and adult BMI. |
| Databáze: | OpenAIRE |
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