Morbidity of overweight (≥85th percentile) in the first 2 years of life
Morbidity of overweight (≥85th percentile) in the first 2 years of life
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DOI：
10.1542/peds.2007-2867
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发表时间：
2008-08-01
期刊：
影响因子：
8
通讯作者：
Shaoul, Ron
中科院分区：
文献类型：
--
作者：
Shibli, Rana;Rubin, Lisa;Shaoul, Ron
目标。我们的假设是，与超重/肥胖相关的发病率在婴儿和幼儿中已经很明显。这项研究的主要目的是(1)评估住院婴儿样本中超重的患病率和(2)评估社区样本中超重婴儿的患病率。方法：住院研究人群包括2139名婴儿，=第85个身高体重百分位数，=2个测量值，=95个百分位数，入院人数超过预期，以及重复入院人数。在研究的第二部分，我们发现发育迟缓(主要是粗大运动技能迟缓)和鼾声的发生率在<gt；=85百分位数的婴儿中显著更高。此外，尽管结果在统计上没有显著意义，但超重的婴儿更容易出现呼吸问题，如哮喘和喘鸣。当母亲被要求评估他们的孩子是否超重时，只有31.6%的超重儿童的母亲认为孩子超重。结论>；=95%的婴儿入院率高，超重婴儿的呼吸道发病率、鼾声和大运动技能迟缓的发生率高，支持了我们关于超重相关早期发病率的假设。
OBJECTIVES. Our hypothesis was that morbidity related to overweight/obesity is already evident in infants and young toddlers. The major objectives of this study were (1) to assess the prevalence of overweight in a sample of hospitalized infants and (2) to assess the prevalence of morbidity in overweight infants in a community-based sample.METHODS. The hospital admission study population included 2139 infants, = 85th weight-for-height percentile in >= 2 measurements, >= 3 months apart), = 95th percentile had more admissions than expected, as well as a larger number of repeated admissions. In the second part of the study, we found that rates of developmental delays (mainly delayed gross motor skills) and snoring were significantly higher in infants of >= 85th percentile. In addition, although the results were not statistically significant, infants with overweight suffered more frequently from breathing problems, such as asthma and stridor. When the mothers were asked to assess whether their child was overweight, only 31.6% of mothers of overweight children thought that the child was overweight.CONCLUSIONS. The high admission rates for infants of >= 95th percentile and the high incidence rates of respiratory morbidity, snoring, and delayed gross motor skills in overweight infants support our hypothesis regarding early morbidity associated with overweight.