The effects of birth weight and postnatal linear growth retardation on body mass index, fatness and fat distribution in mid and late childhood
The effects of birth weight and postnatal linear growth retardation on body mass index, fatness and fat distribution in mid and late childhood
复制标题
出生体重及产后线性生长迟缓对儿童中后期体重指数、脂肪及脂肪分布的影响
作者：
S. Walker;P. Gaskin;C. Powell;F. Bennett
摘要目的：探讨出生体重和儿童早期发育迟缓对7岁和11岁儿童体重指数(BMI)、体脂及脂肪分布的影响及其在7~11岁的变化。设计：前瞻性队列研究。地点：牙买加金斯敦。研究对象：116名发育迟缓儿童(国家卫生统计中心参考资料中身高低于两个标准差(<；-2SD))和190名非发育迟缓儿童(身高为年龄身高-1SD)，年龄在9-24个月。发育迟缓组被分为先前发育迟缓组(年龄身高为11岁≥-1SD)和慢性发育迟缓组(年龄身高-1SD)。结果：出生体重与儿童BMI呈正相关，与体脂含量无关。出生体重与11岁时肩胛骨下/三头肌皮褶厚度(SSF/TSF)比值以及7至11岁之间的变化呈负相关。控制出生体重，慢性发育迟缓组在两个年龄段都明显小于非发育迟缓组，除SSF/TSF比率在7岁时显著增加外，其他所有指标从7岁到11岁的增长都较小。在7岁时，发育迟缓组的体重指数和体脂百分比显著低于非发育迟缓组。除TSF增加较小外，7~11岁的变化与非发育迟缓组无显著差异。在11岁时，他们的TSF和体脂百分比明显较低。结论：与非发育迟缓儿童相比，儿童早期发育不良儿童的脂肪较少，BMI也较低，但脂肪分布更集中，部分原因是他们出生时体重较低。出生体重和中心脂肪分布之间的联系在7到11岁之间发展起来。
Abstract Objective: To determine the effects of birth weight and early childhood stunting on body mass index (BMI), body fat and fat distribution at ages 7 and 11 years, and the change from 7 to 11 years. Design: Prospective cohort study. Setting: Kingston, Jamaica. Subjects: One hundred and sixteen stunted children (height-for-age below two standard deviations (<-2SD) of the National Center for Health Statistics (NCHS) references) and 190 non-stunted children (height-for-age > -1SD), identified at age 9–24 months. The stunted group was divided into a previously stunted group (height-for-age at 11 years ≥ -1SD) and a chronically stunted group (height-for-age <-1SD). Results: Birth weight was positively related to the children's BMI but not to measures of body fat. Birth weight was negatively associated with the subscapular/triceps skinfold (SSF/TSF) ratio at age 11 years, and to the change between 7 and 11 years. Controlling for birth weight, the chronically stunted group remained significantly smaller than the non-stunted children at both ages and increased less from 7 to 11 years in all measures except the SSF/TSF ratio, which was significantly greater at age 7 years. The previously stunted group had significantly lower BMI and percentage body fat at age 7 years than the non-stunted group. Change from 7 to 11 years was not significantly different from that of the non-stunted group except for a smaller increase in TSF. At age 11 years they had significantly lower TSF and percentage body fat1. Conclusions: Children stunted in early childhood had less fat and lower BMI than non-stunted children but had a more central fat distribution that was partially explained by their lower birth weights. The association between birth weight and central fat distribution developed between 7 and 11 years.
身材矮小、身高别体重高的秘鲁儿童的身体成分。
DOI：
10.1093/ajcn/46.3.411
发表时间：
1987
期刊：
The American journal of clinical nutrition
影响因子：
--
作者：
Trowbridge,FL;Marks,JS;LopezdeRomana,G;Madrid,S;Boutton,TW;Klein,PD
通讯作者：
Klein,PD
影响因子：
5
作者：
Schroeder, DG;Martorell, R;Flores, R
通讯作者：
Flores, R
影响因子：
7.1
作者：
DIETZ, WH
通讯作者：
DIETZ, WH