Fetal macrosomia and adolescence obesity: results from a longitudinal cohort study

Wang, Y; Gao, Ersheng; Wu, Jian; Zhou, Jian; Yang, Qian; Walker, Mark; Mbikay, Majambu; Sigal, Ronald J.; Nair, Rama C.; Wen, Shi Wu

doi:10.1038/ijo.2009.131

Cited by 56 publications

(50 citation statements)

References 31 publications

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“…It is considered that low birth weight infants were susceptible to obesity at the age of 5 years [24]. On the other hand, studies found that macrosomia was also an independent risk factor for childhood and adolescent obesity [30]. Our study confirmed this finding: birth weight of 4,000 g or greater (i.e., macrosomia) was a risk factor of childhood obesity.…”

Section: Discussionsupporting

confidence: 88%

Risk factors of obesity in preschool children in an urban area in China

Zhou

Zhang

et al. 2011

Eur J Pediatr

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To assess risk factors of childhood obesity, we carried out a case-control study in ten kindergartens in Changsha, the capital city in the Chinese province of Hunan, between July 1 and December 31, 2007. Height and weight measurements were obtained from annual physical examinations for children attending these kindergartens. Obesity was defined according to the International Obesity Task Force cutoff for body mass index (BMI). For each obese child, one child with normal BMI, matched by kindergarten class, sex, age (within 3 months), and height (within 3 cm) were chosen as controls. The parents of the study subjects were asked to complete a questionnaire about their children, including perinatal factors, infant feeding, and current lifestyle factors. Univariate analysis was performed first to compare the distribution of risk factors between cases and controls. Conditional logistic regression analysis was used to assess independent risk factors of childhood obesity. A total of 162 subjects (81 pairs of cases and controls) were included in the final analysis. The results showed that the adjusted odds ratios and 95% confidence intervals for childhood obesity were 8.88 (2.41-32.70), 5.23 (1.24-22.04), 10.96 (2.08-21.64), and 6.72 (1.55-29.12), respectively, for macrosomia, cesarean delivery, early solid foods initiation (<4 months), and fetal musical education. We conclude that macrosomia, cesarean delivery, early initiation of solid foods, and fetal musical education are associated with increased risk of obesity in preschool children in urban China.

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Section: Discussionsupporting

confidence: 88%

Risk factors of obesity in preschool children in an urban area in China

Zhou

Zhang

et al. 2011

Eur J Pediatr

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“…Because children with low or high birth weight may have a different obesity risk later in life and because size at birth may have been influenced by intrauterine exposures, we conducted sensitivity analyses restricting the sample to children in the normal range of weight at birth (2,500–4,000 g; n = 318) (Oken and Gillman 2003; Wang et al 2009; Wojtyniak et al 2010). As a sensitivity analysis we also assessed the effect of excluding those assumed to be diet misreporters.…”

Section: Methodsmentioning

confidence: 99%

Prenatal Concentrations of Polychlorinated Biphenyls, DDE, and DDT and Overweight in Children: A Prospective Birth Cohort Study

Valvi

Mendez

Martínez

et al. 2012

Environ Health Perspect

207

178

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Background: Recent experimental evidence suggests that prenatal exposure to endocrine-disrupting chemicals (EDCs) may increase postnatal obesity risk and that these effects may be sex or diet dependent.Objectives: We explored whether prenatal organochlorine compound (OC) concentrations [polychlorinated biphenyls (PCBs), dichlorodiphenyldichloroethylene (DDE), and dichlorodiphenyltrichloroethane (DDT)] were associated with overweight at 6.5 years of age and whether child sex or fat intakes modified these associations.Methods: We studied 344 children from a Spanish birth cohort established in 1997–1998. Overweight at 6.5 years was defined as a body mass index (BMI) z-score ≥ 85th percentile of the World Health Organization reference. Cord blood OC concentrations were measured and treated as categorical variables (tertiles). Children’s diet was assessed by food frequency questionnaire. Relative risks (RRs) were estimated using generalized linear models.Results: After multivariable adjustment, we found an increased RR of overweight in the third tertile of PCB exposure [RR = 1.70; 95% confidence interval (CI): 1.09, 2.64] and the second tertile of DDE exposure (RR = 1.67; 95% CI: 1.10, 2.55), but no association with DDT exposure in the population overall. Associations between overweight and PCB and DDE concentrations were strongest in girls (p-interaction between 0.01 and 0.28); DDT was associated with overweight only in boys. For DDT we observed stronger associations in children with fat intakes at or above compared with below the median, but this interaction was not significant (p-interaction > 0.05).Conclusions: This study suggests that prenatal OC exposures may be associated with overweight in children and that sex and high-fat intake may influence susceptibility.

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“…[22][23][24] In addition, there are many factors that influence infants' weight after they are born, such as gender, the duration of breastfeeding, and the quality and quantity of formula feeding. [25][26][27][28][29] In the first 3 months of their lives, there are no significant differences in weight among the infants with respect to gender and temperament group. We have two explanations for this: Firstly, from the 42nd day of birth to 3 months, the weight of an infant is highly influenced by his or her birth weight.…”

Section: Physical Developmentmentioning

confidence: 95%

Longitudinal study on infants’ temperament and physical development in Beijing, China

Gong

Shan

2013

Int J Nurs Pract

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The objective of this longitudinal study is to explore the relationship between temperament and physical development among infants in Beijing, China. A total of 1117 term, normal and singleton infants were followed regularly for 12 months. Body weight and horizontal length were measured at 42 days and monthly from the third to twelfth month of their lives. Infants' temperament was assessed using the revised Chinese infants' temperament scale when the infants were 6 months. There was a significant difference on temperament dimensions between infants' genders (P < 0.05). Infants' weight and length were significantly related to their parents' weight and height. Infants with positive temperaments (easy and intermediate) were heavier than those with negative temperaments (difficult and slow to warm up) (P < 0.05). The horizontal length of boys was related to their temperament categories (P < 0.05). Infants' weight and length were significantly related to their temperament category and parents' weight and height.

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Fetal macrosomia and adolescence obesity: results from a longitudinal cohort study

Abstract: Objective: To assess the association between fetal macrosomia and adolescent obesity. Design: Longitudinal cohort study of the association between macrosomia and adolescent obesity.

Cited by 56 publications

References 31 publications

Risk factors of obesity in preschool children in an urban area in China

Risk factors of obesity in preschool children in an urban area in China

Prenatal Concentrations of Polychlorinated Biphenyls, DDE, and DDT and Overweight in Children: A Prospective Birth Cohort Study

Longitudinal study on infants’ temperament and physical development in Beijing, China

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