Excessive Gestational Weight Gain: Long-Term Consequences for the Child.

Excessive Gestational Weight Gain: Long-Term Consequences for the Child.
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DOI:
10.3390/jcm9123795
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发表时间:
2020-11-24
影响因子:
3.9
通讯作者:
Mazur A
Mazur A
中科院分区:
医学2区
文献类型:
--
作者:
Baran J;Weres A;Czenczek-Lewandowska E;Leszczak J;Kalandyk-Osinko K;Łuszczki E;Sobek G;Mazur A

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背景资料:这项研究的目的是分析母亲的妊娠期体重增加(GWG)和出生年龄对学龄前和学龄儿童超重和肥胖的长期风险的影响。方法:该研究涉及749名年龄在4至15岁之间的母亲和儿童。评估每名儿童的身高和体重,然后根据受试者的性别和年龄,根据体重指数(BMI)百分位数确定体重类别。超重和肥胖的围产期危险因素的信息来自儿童的健康卡或母亲的孕产卡。它们包含了母亲分娩时的年龄和母亲怀孕期间的妊娠期体重增加的信息。结果如下:在7-11岁儿童组中,肥胖儿童的母亲怀孕期间体重增加高于正常体重儿童(18.8 kg vs. 14.3 kg; p = 0.002)。这种关系在7-11岁男孩组中也类似(20.6 kg vs. 15.1 kg; p = 0.005)。母亲的妊娠期体重增加和整个组的BMI百分比之间也呈正相关(p = 0.004)。在母亲的年龄的情况下,没有发现统计学上的显着关系与儿童的体重类别。结论:母亲在怀孕期间体重增加是促进儿童超重和肥胖的一个因素。母亲出生时的年龄似乎不会导致孩子在以后的生活中超重和肥胖的倾向。
Background: The aim of the study was to analyse the impact of mothers’ gestational weight gain (GWG) and age at birth on the long-term risk of overweight and obesity in preschool and school-aged children. Methods: The study involved 749 mothers and children at ages between four and 15 years old. Each child was assessed for height and body weight, and then, the body mass category was determined based on the body mass index (BMI) percentile according to the sex and age of the subjects. Information on the perinatal risk factors for overweight and obesity came from the child’s health card or mother’s maternity card. They contained information about the mother’s age at the time of childbirth and the mother’s gestational weight gain during pregnancy. Results: In the group of 7–11-year-olds, the maternal weight gain during pregnancy was higher in obese children than in children with normal weight (18.8 kg vs. 14.3 kg; p = 0.002). This relationship was shown analogously in the group of 7–11-years-olds boys (20.6 kg vs. 15.1 kg; p = 0.005). Positive correlations were also shown between mother’s gestational weight gain and the BMI percentage of the whole group (p = 0.004). In the case of the mother’s age, no statistically significant relationship was found with the child’s weight category. Conclusions: Mothers’ weight gain during pregnancy is a factor that promotes overweightness and obesity in the child. Maternal age at birth does not appear to lead to any propensity toward overweightness and obesity in the later life of a child.
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