Possible role of birth weight on general and central obesity in Chinese children and adolescents: a cross-sectional study

Yuan, Zhe-pin; Yang, Min; Liang, Li; Fu, Junfen; Xiong, Feng; Liu, Geli; Gong, Chunxiu; Luo, Feihong; Chen, Shao-Ke; Zhang, Dandan; Zhang, Shuai; Zhu, Yu

doi:10.1016/j.annepidem.2015.05.011

Cited by 44 publications

(54 citation statements)

References 42 publications

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“…The data from Bulgaria, Croatia, France, Italy, Poland and Romania showed that children who were preterm at birth had a higher risk of being obese, compared to children who were full-term babies. These results are consistent with those of previous cohort studies that showed high birth weight to be associated with being overweight during childhood [23, 29, 56, 57]. The relationship between high birth weight and later obesity might be explained by disturbances during critical periods of development (such as intrauterine growth and infancy), which may cause permanent metabolic, physiological and structural adaptations [29].…”

Section: Discussionsupporting

confidence: 82%

Association between Characteristics at Birth, Breastfeeding and Obesity in 22 Countries: The WHO European Childhood Obesity Surveillance Initiative – COSI 2015/2017

et al. 2019

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Background: In Europe, although the prevalence of childhood obesity seems to be plateauing in some countries, progress on tackling this important public health issue remains slow and inconsistent. Breastfeeding has been described as a protective factor, and the more exclusively and the longer children are breastfed, the greater their protection from obesity. Birth weight has been shown to have a positive association with later risk for obesity. Objectives: It was the aim of this paper to investigate the association of early-life factors, namely breastfeeding, exclusive breastfeeding and birth weight, with obesity among children. Method: Data from 22 participating countries in the WHO European COSI study (round 4: 2015/2017) were collected using cross-sectional, nationally representative samples of 6- to 9-year-olds (n = 100,583). The children’s standardized weight and height measurements followed a common WHO protocol. Information on the children’s birth weight and breastfeeding practice and duration was collected through a family record form. A multivariate multilevel logistic regression analysis regarding breastfeeding practice (both general and exclusive) and characteristics at birth was performed. Results: The highest prevalence rates of obesity were observed in Spain (17.7%), Malta (17.2%) and Italy (16.8%). A wide between-country disparity in breastfeeding prevalence was found. Tajikistan had the highest percentage of children that were breastfed for ≥6 months (94.4%) and exclusively breastfed for ≥6 months (73.3%). In France, Ireland and Malta, only around 1 in 4 children was breastfed for ≥6 months. Italy and Malta showed the highest prevalence of obesity among children who have never been breastfed (21.2%), followed by Spain (21.0%). The pooled analysis showed that, compared to children who were breastfed for at least 6 months, the odds of being obese were higher among children never breastfed or breastfed for a shorter period, both in case of general (adjusted odds ratio [adjOR] [95% CI] 1.22 [1.16–1.28] and 1.12 [1.07–1.16], respectively) and exclusive breastfeeding (adjOR [95% CI] 1.25 [1.17–1.36] and 1.05 [0.99–1.12], respectively). Higher birth weight was associated with a higher risk of being overweight, which was reported in 11 out of the 22 countries. Bulgaria, Croatia, France, Italy, Poland and Romania showed that children who were preterm at birth had higher odds of being obese, compared to children who were full-term babies. Conclusion: The present work confirms the beneficial effect of breastfeeding against obesity, which was highly increased if children had never been breastfed or had been breastfed for a shorter period. Nevertheless, adoption of exclusive breastfeeding is below global recommendations and far from the target endorsed by the WHO Member States at the World Health Assembly Global Targets for Nutrition of increasing the prevalence of exclusive breastfeeding in the first 6 months up to at least 50% by 2025.

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Section: Discussionsupporting

confidence: 82%

Association between Characteristics at Birth, Breastfeeding and Obesity in 22 Countries: The WHO European Childhood Obesity Surveillance Initiative – COSI 2015/2017

et al. 2019

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“…Our finding also is concordant with other findings that shown HBW is associated with obesity in later life, and prenatal period is a critical period for the development of adiposity. 41 Yuan et al found that the association of BW and BMI is J-shaped in Chinese pediatric population. 41 The results of some other studies have documented the relationships of BW with anthropometric measures including BMI, WC, hip and wrist circumference.…”

Section: Discussionmentioning

confidence: 99%

Association of birth weight with abdominal obesity and weight disorders in children and adolescents: the weight disorder survey of the CASPIAN-IV Study

Ansari

Qorbani

Rezaei

et al. 2017

J Cardiovasc Thorac Res

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Introduction: This study aims to evaluate the association of birth weight (BW) with weight disorders in a national sample of Iranian pediatric population. Methods: This nationwide survey was conducted among 25000 student’s aged 6-18 year-old students, who were selected using multistage cluster random sampling from 30 provinces of Iran in 2011-2012. Anthropometric measures were measured under standard protocols by using calibrated instruments. Abdominal obesity was defined based on waist circumference (WC) ≥90th percentile value for age and sex. The WHO criterion was used to categorize BMI. Students’ BW was asked from parents using validate questionnaire and was categorized as low BW (LBW) (BW <2500 g), normal BW (NBW) (BW: 2500-4000 g) and high BW (HBW) (BW>4000 g). Results: This national survey was conducted among 23043 school students (participation rate: 92.6%). The mean age of participants (50.8% boys) was 12.54 ± 3.31 years. Results of multivariate logistic regression show that LBW increased odds of underweight (OR [odds ratio]: 1.61; 95% CI: 1.37, 1.89) and students with HBW had decreased odds of underweight (OR: 0.74; 95% CI: 0.58, 0.93) compared to students with NBW. Students with LBW compared to student with NBW had decreased odds of overweight (OR: 0.83; 95% CI: 0.69, 0.98) and general obesity (OR: 0.73; 95% CI: 0.56, 0.95). On the other hand, HBW increased odd of overweight (OR: 1.28; 95% CI: 1.09, 1.50), generalized obesity (OR: 1.59; 95% CI: 1.29, 1.96) and abdominal obesity (OR: 1.29; 95% CI: 1.11, 1.49) compared to NBW group. Conclusion: BW is a determinant of weight disorders and abdominal obesity in childhood and adolescence. This finding underscores the importance of prenatal care as well as close monitoring of the growth pattern of children born with low or high BW.

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“…In fact, adiposity seems to be a pathogenic denominator of many chronic diseases, such as atherosclerosis, 25,[28][29][30] and birth weight has been frequently related to obesity during adolescence. 3,8,31 However, the relationship Table 3. Linear regression between birth weight, intima-media thickness, and inflammation in adolescents (Brazil, n = 265).…”

Section: Discussionmentioning

confidence: 99%

“…The "Barker's hypothesis" or "fetal origins of adult disease" hypothesis states that adverse events found during intrauterine life (e.g. inadequate diet and dyslipidemia, smoking) [1][2][3] can lead to metabolic alterations in the infant, which may result in increased risk of chronic diseases throughout the life span. 4 In fact, the impact of birth weight, a proxy of the fetal conditions in the uterus, 5 on health outcomes during childhood and adolescence has been widely investigated.…”

Section: Introductionmentioning

confidence: 99%

“…For example, scientific literature has pointed out that extremes of birth weight (low and high [macrosomia]) lead to higher adiposity during childhood and adolescence, 3,5,6,7 while it is believed that its impact on adiposity and low-grade inflammation attributed to adiposity might be relevant mediators in the harmful impact of extremes of birth weight on cardiovascular and metabolic outcomes. [8][9][10][11] In terms of cardiovascular aspects, intima-media thickness is a relevant measure of atherogenesis and its relationship with birth weight seems to be affected by macrosomia.…”

Section: Introductionmentioning

confidence: 99%

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Sports participation and adiposity do not mediate the relationship between birth weight and arterial thickness in adolescents: ABCD Growth Study

et al. 2019

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Objective:To analyse the relationship of altered birth weight with metabolic and cardiovascular outcomes among adolescents, as well as to identify if sports participation is able to attenuate or even eliminate the impact of birth weight on health outcomes.Methods:Cross-sectional study (Analysis of Behaviours of Children During Growth [ABCD Growth Study]). Adolescents with age ranging from 11 to 18 years old (14.7±2.1) stratified according to normal (n = 230) and altered (n = 35) birth weight composed the sample. Birth weight was self-reported by adolescent’s parents. Sports participation was assessed by face-to-face interview. Carotid intima–media thickness (CIMT) and femoral intima–media thickness (FIMT) were measured using an ultrasound device. C-reactive protein levels were used to assess the inflammatory status. Blood pressure, Z score of metabolic risk (dyslipidemia and glucose), adiposity, and insulin resistance were covariates.Results:In the crude model, FIMT (p value = 0.037) and C-reactive protein (p value = 0.029) were affected by altered birth weight. In the adjusted models, altered birth weight affected FIMT (p value = 0.048; small effect size of 1.7%), independently of sports participation. For C-reactive protein, previous time of engagement in sports (p value = 0.001; small effect size of 4.8%) affected C-reactive protein, independently of birth weight.Conclusion:Vascular structure seems to be affected by birth weight in adolescents, while its impact on inflammation seems to be attenuated by the regular engagement in sports.

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Possible role of birth weight on general and central obesity in Chinese children and adolescents: a cross-sectional study

Cited by 44 publications

References 42 publications

Association between Characteristics at Birth, Breastfeeding and Obesity in 22 Countries: The WHO European Childhood Obesity Surveillance Initiative – COSI 2015/2017

Association between Characteristics at Birth, Breastfeeding and Obesity in 22 Countries: The WHO European Childhood Obesity Surveillance Initiative – COSI 2015/2017

Association of birth weight with abdominal obesity and weight disorders in children and adolescents: the weight disorder survey of the CASPIAN-IV Study

Sports participation and adiposity do not mediate the relationship between birth weight and arterial thickness in adolescents: ABCD Growth Study

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