Anthropometric relationships between parents and children throughout childhood:: the Fleurbaix-Laventie Ville Sante Study

Anthropometric relationships between parents and children throughout childhood:: the Fleurbaix-Laventie Ville Sante Study
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DOI:
10.1038/sj.ijo.0802920
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发表时间:
2005-10-01
影响因子:
4.9
通讯作者:
Charles, MA
Charles, MA
中科院分区:
医学2区
文献类型:
--
作者:
Heude, B;Kettaneh, A;Charles, MA

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背景:亲子人体测量关系及其随时间演变的研究可能有助于更好地了解儿童肥胖的家族危险因素。方法:在以人群为基础的124个核心家庭队列(Fleurbaix-Laventie Ville Sante Study (FLVS) I和II)中,对父母及其子女的各种人体测量参数进行了测量,首先是在孩子青春期前,然后是在青春期结束时。通过计算环形与周围皮肤褶皱的比值和腰臀围比来估计环形脂肪的再分配。出生和婴儿期的身高和体重也从儿童健康小册子中获得。父母与孩子之间的相关性在婴儿期、青春期之前和青春期结束时进行了评估。根据父母相应的基线值,进行前瞻性分析以预测儿童青春期测量值的变化。结果:出生时体重指数与母亲的相关性高(0.30),与父亲的相关性低(0.0.10),在2岁时趋于中间水平,此后保持在0.2 - 0.3之间。腰围的相关性在青春期前就已经存在,并且在青春期后也保持在相同的水平,而皮下脂肪(通过四个皮肤褶皱测量)和脂肪分布(通过比例测量)的相关性在青春期后更高。此外,前瞻性方法显示,母亲的BMI预测了孩子青春期BMI的演变,而这种关系更具体地观察到父亲的肥胖分布参数。结论:母亲肥胖可能在生命早期对儿童肥胖起作用。在儿童肥胖发展的两个关键时期,如产前和青春期,母亲和父亲的肥胖似乎有相当不同的影响。
BACKGROUND: The study of parent-child anthropometric relationships and their evolution over time may help to better understand familial risk factors for childhood obesity.METHODS: In a population-based cohort of 124 nuclear families (Fleurbaix-Laventie Ville Sante Study (FLVS) I and II), various anthropometric parameters were measured in both parents and their children, first when the children were prepubescent and again at the end of puberty. Troncular adiposity repartition was estimated by calculating troncular to peripheral skinfolds ratio and waist-to-hip circumferences ratio. Birth and infancy heights and weights were also obtained from the children's health booklets. Parent-child correlations were estimated in infancy, before and at the end of the child's puberty. A prospective analysis was performed to predict the changes in the children's measurements over puberty according to their parents' corresponding baseline values.RESULTS: BMI and weight correlations at birth were high (> 0.30) with the mother and low (o0.10) with the father, then they converged to an intermediate level at 2y and remained between 0.2 and 0.3 thereafter. Correlations for waist circumference were already present at the prepubertal period and persisted on the same level at the postpubertal period, whereas correlations for subcutaneous adiposity-measured by four skinfolds- and for adiposity distribution - measured by ratios - were higher at the postpubertal period. Moreover, the prospective approach showed that mother's BMI predicted the evolution of her children's BMI over puberty, whereas this relationship was observed more specifically with the father concerning adiposity distribution parameters.CONCLUSION: Maternal adiposity may act early in life on the adiposity of the child. Maternal and paternal adiposities seem to have quite distinct effects at two key periods of the child's adiposity development such as the prenatal and pubertal periods.