曾分娩过巨型胎儿的母亲所生青少年的童年体育活动和屏幕时间与心脏代谢健康的关系：ROLO纵向出生队列研究的结果。

IF 2.7 3区医学 Q1 PEDIATRICS

Pediatric Obesity Pub Date : 2024-10-03 DOI:10.1111/ijpo.13178

Sophie Callanan, Sarah Louise Killeen, Anna Delahunt, Eileen C. O'Brien, Aisling A. Geraghty, Rosemary Cushion, Amy Gainfort, Rachel K. Crowley, Patrick J. Twomey, Ciara M. McDonnell, Fionnuala M. McAuliffe

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引用次数: 0

摘要

背景：巨大儿（出生体重≥4 千克）可能会改变儿童时期的体育活动（PA）和屏幕时间（ST）与日后心脏代谢风险之间的关系：目的：调查母亲曾有过巨大儿分娩经历的早产儿（9-11 岁）在 4-6 年随访期内的体力活动和屏幕时间与心脏代谢结果的关系：本研究对 ROLO 研究中的 402 名青少年进行了分析，这些青少年的母亲曾分娩过患有巨大儿的婴儿。父母报告的 PA 和 ST 测量值是在幼儿 5 岁时获得的。在9-11岁时采集了青少年自我报告的PA、父母报告的ST、人体测量、双能X射线吸收测量、血压、心率、心肺耐力和血液生物标志物。粗略线性回归模型和调整线性回归模型探讨了两者之间的关系，所有模型都研究了出生体重的交互作用：结果：幼儿期的运动量和 5 年随访时的 ST 与青少年前的心脏代谢结果无关。在调整后的模型中，较高的儿童早期PA与同一时间点较低的皮褶总和（B = -3.00，95% CI -5.98，-0.02，p = 0.048）和较高的心肺耐力（B = 0.50，95% CI 0.20，0.80，p = 0.001）相关。结论：较高的青春期前活动量可能具有潜在的益处：结论：无论出生体重如何，较高的青春期前活动量可能对心脏代谢健康有潜在益处。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

Associations of childhood physical activity and screen time with cardiometabolic health in preteens who were born to mothers with previous macrosomic delivery: Findings from the ROLO longitudinal birth cohort study

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Background

Macrosomia (birthweight ≥4 kg) may alter the associations of physical activity (PA) and screen time (ST) throughout childhood with later cardiometabolic risk.

Objective

To investigate associations of PA and ST over a 4–6-year follow-up period with cardiometabolic outcomes in preteens (9–11-year-olds) who were born to mothers with previous macrosomic delivery.

Methods

This is an analysis of 402 preteens from the ROLO study, who were born to mothers that previously delivered an infant with macrosomia. Parental-reported measures of PA and ST were obtained in early childhood at 5-years of age. Preteen self-reported PA, parental-reported ST, anthropometry, dual-energy x-ray absorptiometry, blood pressure, heart rate, cardiorespiratory endurance, and blood biomarkers were obtained at 9–11-years. Crude and adjusted linear regression models explored associations and the interaction of birthweight was investigated in all models.

Results

Early childhood PA and ST at the 5-year follow-up were not related to preteen cardiometabolic outcomes. In adjusted models, higher preteen PA was associated with lower sum of skinfolds (B = −3.00, 95% CI −5.98, −0.02, p = 0.048) and higher cardiorespiratory endurance (B = 0.50, 95% CI 0.20, 0.80, p = 0.001) at the same time point. No strong evidence for modification by birthweight was found.

Conclusion

Higher preteen PA may have potential benefits for cardiometabolic health, irrespective of birthweight.

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来源期刊

Pediatric Obesity PEDIATRICS-

CiteScore

7.30

自引率

5.30%

发文量

117

审稿时长

6-12 weeks

期刊介绍： Pediatric Obesity is a peer-reviewed, monthly journal devoted to research into obesity during childhood and adolescence. The topic is currently at the centre of intense interest in the scientific community, and is of increasing concern to health policy-makers and the public at large. Pediatric Obesity has established itself as the leading journal for high quality papers in this field, including, but not limited to, the following: Genetic, molecular, biochemical and physiological aspects of obesity – basic, applied and clinical studies relating to mechanisms of the development of obesity throughout the life course and the consequent effects of obesity on health outcomes Metabolic consequences of child and adolescent obesity Epidemiological and population-based studies of child and adolescent overweight and obesity Measurement and diagnostic issues in assessing child and adolescent adiposity, physical activity and nutrition Clinical management of children and adolescents with obesity including studies of treatment and prevention Co-morbidities linked to child and adolescent obesity – mechanisms, assessment, and treatment Life-cycle factors eg familial, intrauterine and developmental aspects of child and adolescent obesity Nutrition security and the "double burden" of obesity and malnutrition Health promotion strategies around the issues of obesity, nutrition and physical activity in children and adolescents Community and public health measures to prevent overweight and obesity in children and adolescents.