妊娠期体重增加与3岁超重风险之间的关系:日本环境与儿童研究

IF 2.7 3区医学 Q1 PEDIATRICS

Pediatric Obesity Pub Date : 2022-09-14 DOI:10.1111/ijpo.12978

Kanami Tanigawa, Yoko Kawanishi, Satoyo Ikehara, Takashi Kimura, Kimiko Ueda, Tadashi Kimura, Keiichi Ozono, Hiroyasu Iso, the Japan Environment and Children's Study Group

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引用次数: 0

摘要

目前尚不清楚妊娠期体重增加(GWG)是否会增加超重儿童的风险。目的:在日本全国范围的出生队列研究中，我们研究了三岁儿童GWG与超重风险之间的关系。方法对64 336例单胎新生儿进行校正后，计算GWG类别与超重儿童相关的风险比(rr)和95%置信区间(95% ci)。结果GWG与3岁儿童超重风险呈正相关。GWG每增加5 kg，多变量RR (95% CI)为1.21(1.17-1.25)。与足够的GWG相比，根据修正的日本和IOM标准，过量GWG的多变量RR (95% CI)分别为1.20(1.12-1.28)和1.27(1.16-1.39)。根据修改后的日本和IOM标准，超重儿童GWG不足和GWG充足的多变量RR (95% CI)分别为0.83(0.78-0.88)和0.84(0.79-0.89)。结论:GWG与3岁时超重的高风险呈正相关。根据上述标准，GWG过量和GWG不足的后代超重风险分别比GWG充足高20%-27%和低16%-17%。

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Association between gestational weight gain and risk of overweight at 3 years old: The Japan Environment and Children's Study

Background

It is unclear if gestational weight gain (GWG) increases the risk of children with overweight.

Objectives

We examined the association between GWG and the risk of overweight in 3-year-old children in the Japanese nationwide birth cohort study.

Methods

Among 64 336 singleton births, we calculated the risk ratios (RRs) and 95% confidence intervals (95% CIs) of the association between GWG categories and children with overweight, following an adjustment of the confounding variables.

Results

GWG was positively associated with the risk of overweight among 3-year-old children. The multivariable RR (95% CI) was 1.21 (1.17–1.25) per 5 kg increase of the GWG. The multivariable RR (95% CI) for excessive GWG was 1.20 (1.12–1.28) and 1.27 (1.16–1.39) based on the modified Japanese and IOM criteria, respectively, compared to adequate GWG. The multivariable RR (95% CI) of overweight with children for inadequate versus adequate GWG was 0.83 (0.78–0.88) and 0.84 (0.79–0.89) based on the modified Japanese and IOM criteria, respectively.

Conclusions

GWG was positively associated with a high risk of overweight at 3 years of age. The risk of offspring overweight was 20%–27% higher and 16%–17% lower with excessive GWG and inadequate GWG, respectively, compared to adequate GWG, based on the aforementioned criteria.

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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.