Early child care and obesity at 12 months of age in the Danish National Birth Cohort.
Early child care and obesity at 12 months of age in the Danish National Birth Cohort.
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DOI：
10.1038/ijo.2014.173
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发表时间：
2015-01
影响因子：
4.9
通讯作者：
Sorensen, T. I. A.
中科院分区：
文献类型：
--
作者：
Neelon, S. E. Benjamin;Andersen, C. Schou;Morgen, C. Schmidt;Kamper-Jorgensen, M.;Oken, E.;Gillman, M. W.;Sorensen, T. I. A.
有证据表明，托儿所环境可能比家庭环境更容易导致肥胖，之前的研究也发现，托儿所的使用可能与儿童肥胖有关。然而，很少有研究关注婴儿期的儿童保育，这可能是一个特别脆弱的时期。这项研究调查了一个带薪产假很普遍且早期儿童保育并不像其他发达国家那样普遍的国家中婴儿期儿童保育的使用情况以及 12 个月大时的体重状况。我们研究了参加丹麦国家出生队列 (DNBC) 的母亲所生的 27821 名儿童，这是一项针对 1997 年至 2002 年间登记的孕妇的纵向研究，这些妇女也被纳入儿童保育数据库（丹麦儿童保育使用情况的国家记录）。暴露时间为从出生到 12 个月期间在托儿所的天数。结果是 12 个月时的性别特异性体重指数 (BMI) z 评分和超重/肥胖（根据世界卫生组织分类，BMI ≥ 85%）。我们进行了多变量线性和逻辑回归分析，检查儿童保育的使用和体重结果。共有 17,721 名 (63.7%) 儿童在出生第一年接受托儿服务。调整潜在混杂因素后，30 天的儿童保育增量与 12 个月时稍高的 BMI z 分数相关（0.03 个单位；95% CI：0.01、0.05；p=0.003）。同样，使用儿童保育服务与 12 个月大时超重/肥胖的几率增加相关（OR 1.05；95% CI：1.01，1.10；p=0.047）。出生第一年的儿童保育与 12 个月时体重稍高有关，这表明儿童保育环境可能是婴儿期预防肥胖的重要目标。
Evidence suggests that the child care environment may be more obesogenic than the family home, and previous studies have found that child care use may be associated with obesity in children. Few studies, however, have focused on child care during infancy, which may be an especially vulnerable period. This study examined child care use in infancy and weight status at 12 months of age in a country where paid maternity leave is common and early child care is not as prevalent as in other developed countries. We studied 27821 children born to mothers participating in the Danish National Birth Cohort (DNBC), a longitudinal study of pregnant women enrolled between 1997 and 2002, who were also included in the Childcare Database, a national record of child care use in Denmark. The exposure was days in child care from birth to 12 months. The outcomes were sex-specific body mass index (BMI) z-score and overweight/obesity (BMI ≥85th percentile based on the World Health Organization classification) at 12 months. We conducted multivariable linear and logistic regression analyses examining child care use and weight outcomes. A total of 17721 (63.7%) children attended child care during their first year of life. After adjustment for potential confounders, a 30-day increment of child care was associated with a modestly higher BMI z-score at 12 months (0.03 units; 95% CI: 0.01, 0.05; p=0.003). Similarly, child care use was associated with increased odds of being overweight/obese at 12 months of age (OR 1.05; 95% CI: 1.01, 1.10; p=0.047). Child care in the first year of life was associated with slightly higher weight at 12 months, suggesting that child care settings may be important targets for obesity prevention in infancy.
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影响因子：
8
作者：
Maher, Erin J.;Li, Guanghui;Johnson, Donna B.
通讯作者：
Johnson, Donna B.
影响因子：
4.9
作者：
Gubbels, J. S.;Kremers, S. P. J.;Thijs, C.
通讯作者：
Thijs, C.
影响因子：
7.7
作者：
Lin, Shi Lin;Leung, Gabriel M.;Schooling, C. Mary
通讯作者：
Schooling, C. Mary
影响因子：
3.4
作者：
Kamper-Jorgensen, Mads;Wohlfahrt, Jan;Benn, Christine S.
通讯作者：
Benn, Christine S.
影响因子：
5.1
作者：
Fitzgibbon, ML;Stolley, M;Dyer, A
通讯作者：
Dyer, A