Cesarean section may increase the risk of both overweight and obesity in preschool children.
Cesarean section may increase the risk of both overweight and obesity in preschool children.
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剖腹产可能会增加学龄前儿童超重和肥胖的风险
DOI：
10.1186/s12884-016-1131-5
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发表时间：
2016-11-03
影响因子：
3.1
通讯作者：
Tao F
中科院分区：
文献类型：
--
作者：
Rutayisire E;Wu X;Huang K;Tao S;Chen Y;Tao F
背景剖宫产率的增加与儿童超重/肥胖的急剧增加是同步发生的。在中国，剖腹产率在过去20年里呈指数级增长，现在已经超过了世界卫生组织(WHO)的建议。如此高的发病率要求对儿童健康的长期后果有所了解。本研究旨在探讨学龄前儿童认知障碍与超重及肥胖风险的关系。方法对中国东部4个城市35所幼儿园的9 103名儿童进行调查。儿童的人体测量由训练有素的人员亲自进行。分娩方式分为阴道分娩或剖宫产，在子分析中我们将剖宫产分为选择性剖宫产和非选择性剖宫产。分娩方式和其他父母信息由父母自行报告。结果在我们对8900名3~6岁学龄前儿童的横断面研究中，67.3%的儿童出生于CS，其中15.7%的儿童肥胖。在学龄前儿童中，剖宫产与超重[OR1.24；(95%CI1.07-1.44)；p= 0.003]和肥胖风险[OR1.29；(95%CI1.13-1.49；p<； 0.001]显著相关。在调整了儿童特征、父母因素和家庭收入后，选育儿童超重和肥胖的比数分别为1.35和1.25。结论学龄前儿童CS与超重/肥胖的关系受潜在混杂因素的影响。选择性或非选择性CS分娩的两个孩子都有超重/肥胖的风险。应在卫生保健专业人员和育龄妇女中讨论CS对儿童健康的潜在后果。
BackgroundThe increase rates of cesarean section (CS) occurred at the same period as the dramatic increase of childhood overweight/obesity. In China, cesarean section rates have exponentially increased in the last 20 years and they now exceed World Health Organization (WHO) recommendation. Such high rates demand an understanding to the long-term consequences on child health. We aim to examine the association between CS and risk of overweight and obesity among preschool children.MethodWe recruited 9103 children from 35 kindergartens in 4 cities located in East China. Children anthropometric measurements were taken in person by trained personnel. The mode of delivery was classified as vaginal or CS, in sub-analyses we divided cesarean delivery into elective or non-elective. The mode of delivery and other parental information were self-reported by parents. Multivariate logistic regression analysis was used to examine the associations.ResultsIn our cross-sectional study of 8900 preschool children aged 3–6 years, 67.3 % were born via CS, of whom 15.7 % were obese. Cesarean delivery was significantly associated with the risk of overweight [OR 1.24; (95 % CI 1.07–1.44);p= 0.003], and the risk of obesity [OR 1.29; (95 % CI 1.13–1.49);p< 0.001] in preschool children. After adjusted for child characteristics, parental factors and family income, the odd of overweight was 1.35 and of obesity was 1.25 in children delivered by elective CS.ConclusionThe associations between CS and overweight/obesity in preschool children are influenced by potential confounders. Both children delivered by elective or non-elective CS are at increased risk of overweight/obesity. Potential consequences of CS on the health of the children should be discussed among both health care professionals and childbearing women.
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影响因子：
2.3
作者：
Cassidy-Bushrow, Andrea E.;Wegienka, Ganesa;Havstad, Suzanne;Levin, Albert M.;Lynch, Susan V.;Ownby, Dennis R.;Rundle, Andrew G.;Woodcroft, Kimberley J.;Zoratti, Edward M.;Johnson, Christine Cole
通讯作者：
Johnson, Christine Cole
影响因子：
6.1
作者：
Su C;Zhang B;Wang YF;Jia XF;Xue H;Wang HJ
通讯作者：
Wang HJ
影响因子：
4.9
作者：
Ajslev, T. A.;Andersen, C. S.;Jess, T.
通讯作者：
Jess, T.
影响因子：
2.7
作者：
Carrillo-Larco, Rodrigo M.;Jaime Miranda, J.;Bernabe-Ortiz, Antonio
通讯作者：
Bernabe-Ortiz, Antonio
影响因子：
7.1
作者：
Popkin, Barry M.
通讯作者：
Popkin, Barry M.