The association between maternal pre-pregnancy BMI, gestational weight gain and child adiposity: A racial-ethnically diverse cohort of children.

The association between maternal pre-pregnancy BMI, gestational weight gain and child adiposity: A racial-ethnically diverse cohort of children.
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DOI:
10.1111/ijpo.12911
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发表时间:
2022-08
期刊:
影响因子:
3.8
通讯作者:
Vena, John E.
Vena, John E.
中科院分区:
医学3区
文献类型:
--
作者:
Hunt, Kelly J.;Ferguson, Pamela L.;Neelon, Brian;Commodore, Sarah;Bloom, Michael S.;Sciscione, Anthony C.;Grobman, William A.;Kominiarek, Michelle A.;Newman, Roger B.;Tita, Alan T.;Nageotte, Michael P.;Palomares, Kristy;Skupski, Daniel W.;Zhang, Cuilin;Hinkle, Stefanie;Wapner, Ronald;Vena, John E.

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The prevalence of obesity in US children has more than tripled in the past 40 years; hence, it is critical to identify potentially modifiable factors that may mitigate the risk. To examine the association between maternal pre-pregnancy body mass index (BMI), gestational weight gain (GWG), and child adiposity as measured by BMI, waist circumference and percent body fat in a racial-ethnically diverse cohort. In a prospective cohort study of healthy women without chronic disease, we examined the association between pre-pregnancy BMI, GWG and child adiposity. Children ages 4–8 years (n=816) in the Environmental Influences on Child Health Outcomes-NICHD Fetal Growth Studies were assessed. Trained study staff ascertained maternal pre-pregnancy BMI, GWG, and child adiposity. The odds of child obesity (≥95th BMI percentile) increased independently for each unit increase in maternal pre-pregnancy BMI [OR=1.12 (95% CI: 1.08, 1.17)] and for each 5-kg increase in GWG [OR=1.25 (95% CI: 1.07, 1.47)]. The odds of child waist circumference (≥85th percentile) also increased independently for pre-pregnancy BMI [OR=1.09 (95% CI: 1.05, 1.12)] and GWG [OR=1.18 (95% CI: 1.04, 1.34)]. Maternal pre-pregnancy BMI and GWG were each independently and positively associated with child obesity and high child waist circumference.
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