Relationship Between Type of Delivery and Growth Trajectory in the First Year of Life: The Araraquara Cohort Study

IF 1.6 4区 医学 Q1 ANTHROPOLOGY
Roseanne de Sousa Nobre, Paula Louro Silva, Letícia Falcão de Carvalho, Jéssica Lana Sales Lacerda, Lívia Patrícia Rodrigues Batista, Tamiris Ramos-Silva, Natália Pinheiro-Castro, Liania Alves Luzia, Patrícia Helen de Carvalho Rondó
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引用次数: 0

Abstract

Objective

The relationship between cesarean delivery and infant growth is controversial. Therefore, the aim of this study was to evaluate the association between the type of delivery and the growth trajectory of Brazilian infants in the first year of life.

Materials and Methods

This was a prospective cohort study conducted between 2016 and 2021 as part of the Araraquara Cohort Study that assessed quarterly anthropometry of 719 and 667 infants to evaluate, respectively, the effects of type of delivery on weight gain velocity (WGV) and length gain velocity (LGV) using generalized estimating equations.

Results

The type of delivery was not associated with WGV or LGV in the first year of life. Higher mean WGV was observed among infants born to mothers with higher education, male infants, formula-fed infants, and those with the lowest birth weight, while infants with diarrhea had lower mean WGV. Higher mean LGV was found among formula-fed infants and infants born to taller mothers, while infants with the highest length at birth had lower LGV.

Conclusion

The factors that explain WGV and LGV in this population are more closely related to maternal characteristics such as height and educational attainment, birth characteristics, feeding behavior, and morbidity than to the type of delivery.

出生第一年分娩方式与生长轨迹的关系:阿拉拉队列研究
目的剖宫产与婴儿生长发育的关系存在争议。因此,本研究的目的是评估巴西婴儿出生后第一年的分娩方式与生长轨迹之间的关系。这是一项2016年至2021年间进行的前瞻性队列研究,作为Araraquara队列研究的一部分,该研究评估了719名婴儿和667名婴儿的季度人体测量数据,分别使用广义估计方程评估分娩类型对体重增加速度(WGV)和长度增加速度(LGV)的影响。结果分娩方式与出生第一年WGV或LGV无关。受过高等教育的母亲所生的婴儿、男婴、配方奶喂养的婴儿和出生体重最低的婴儿的平均WGV较高,而患有腹泻的婴儿的平均WGV较低。配方奶喂养的婴儿和身高较高的母亲所生的婴儿的平均LGV较高,而出生时身高最高的婴儿的LGV较低。结论该人群WGV和LGV的发病因素与产妇的身高、文化程度、出生特征、喂养行为、发病率等因素关系更密切,而与分娩方式关系较小。
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来源期刊
CiteScore
4.80
自引率
13.80%
发文量
124
审稿时长
4-8 weeks
期刊介绍: The American Journal of Human Biology is the Official Journal of the Human Biology Association. The American Journal of Human Biology is a bimonthly, peer-reviewed, internationally circulated journal that publishes reports of original research, theoretical articles and timely reviews, and brief communications in the interdisciplinary field of human biology. As the official journal of the Human Biology Association, the Journal also publishes abstracts of research presented at its annual scientific meeting and book reviews relevant to the field. The Journal seeks scholarly manuscripts that address all aspects of human biology, health, and disease, particularly those that stress comparative, developmental, ecological, or evolutionary perspectives. The transdisciplinary areas covered in the Journal include, but are not limited to, epidemiology, genetic variation, population biology and demography, physiology, anatomy, nutrition, growth and aging, physical performance, physical activity and fitness, ecology, and evolution, along with their interactions. The Journal publishes basic, applied, and methodologically oriented research from all areas, including measurement, analytical techniques and strategies, and computer applications in human biology. Like many other biologically oriented disciplines, the field of human biology has undergone considerable growth and diversification in recent years, and the expansion of the aims and scope of the Journal is a reflection of this growth and membership diversification. The Journal is committed to prompt review, and priority publication is given to manuscripts with novel or timely findings, and to manuscripts of unusual interest.
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