Paternal factors to the offspring birth weight: the 829 birth cohort study.
Paternal factors to the offspring birth weight: the 829 birth cohort study.
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DOI：
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发表时间：
2015-07
影响因子：
0.1
通讯作者：
Cuifang Fan;Tingting Huang;Fangfang Cui;M. Gao;L. Song;Suqing Wang
中科院分区：
文献类型：
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作者：
Cuifang Fan;Tingting Huang;Fangfang Cui;M. Gao;L. Song;Suqing Wang
目的探讨父母尤其是父亲因素对子代出生体重的影响。方法收集了符合条件的829例活产独生子女。出生后立即测量出生体重，并通过面对面的问卷调查收集有关父母的信息。父母因素和出生体重之间的关联进行了评估，采用单变量线性回归和多项逻辑回归模型。结果父亲居住在农村的子女发生低出生体重儿的风险高于父亲居住在首都的子女。母亲文化程度低、孕期增重少、经产妇、孕周短是低出生体重儿的危险因素。此外，有慢性病史的母亲分娩低出生体重儿的风险较高。相反，孕期增加副食品消费的妇女发生巨大儿妊娠的风险更高。然而，母亲和父亲的生活方式因素，包括饮食，运动，屏幕时间，饮酒和吸烟对胎儿出生体重的影响不大。结论胎儿出生体重受父源因素和母源因素的影响，但母源因素的影响更大。与社会经济和产科因素相比，孕前和孕期生活方式对胎儿出生体重的影响较小，提示农村社会经济地位较低的孕妇应特别重视产前保健。
OBJECTIVE To investigate the contributions of parental, especially paternal factors to the offspring birth weight. METHODS Eligible 829 live-born, singleton children living in Hubei, China were recruited. Birth weight were measured immediately after birth and information about the parents were collected by face-to-face interview using questionnaire. Association between parental factors and birth weight was evaluated using univariate linear regression and multinomial logistic regression models. RESULTS Fathers living in the rural area had offspring with higher risk of low birth weight when compared with fathers who live in the capital city. Maternal lower education, lower gestational weight gain, being primipara and shorter gestational age were risk factors for low birth weight. In addition, Mothers with the history of chronic disease had higher risk to deliver a low birth weight baby. On the contrary, women who increased non-staple food consumption during pregnancy had higher risk to have a macrosomic pregnancy. However, lifestyle factors including diet, exercise, screen time, drinking and smoking from both maternal and paternal exhibited little influence on fetal birth weight. CONCLUSION Paternal as well as maternal factors exert influence on the fetal birth weight, although maternal factors make bigger contributions. Compared with socioeconomic and obstetric factors, lifestyle before and during pregnancy has less influence on fetal birth weight, suggested that special attention should be paid to antenatal care for the pregnant women with lower socioeconomic status in rural area.