Division of General Academic Pediatrics, Department of Pediatrics, University of Texas Medical Branch at Galveston, Galveston, Texas 77555-1119, USA.
J Pediatr. 2010 Jul;157(1):15-9. doi: 10.1016/j.jpeds.2010.01.028. Epub 2010 Mar 24.
To assess the prevalence, risk factors, diagnosis and treatment of infant obesity (weight-for-length) in a pediatric practice.
This was a retrospective nested case-control design. The investigators reviewed and abstracted data from the records of the mothers (while pregnant) and their offspring.
The prevalence of infant obesity was 16%. Children who were obese at age 24 months were highly likely to have been obese at age 6 months (odds ratio=13.3, 95% CI=4.50-39.53). Mothers of obese infants gained more weight during pregnancy (+6.9 kg, P<.05) than mothers of healthy weight infants. Obese infants were more likely to have been large for gestational age (Odds ratio=2.81, 95% CI=1.27-6.22). However, only 14% and 23% of obese infants aged 6 and 24 months were diagnosed with obesity.
Infant obesity was common in our practice. Infant obesity strongly predicted obesity at age 24 months. Risk factors included excessive intrapartum weight gain or being born large for gestational age. Clinicians diagnosed obesity in only a minority of children. Primary care providers need to diagnose obesity in infants and work to develop effective interventions.
在儿科实践中评估婴儿肥胖（身长体重比）的患病率、危险因素、诊断和治疗方法。
这是一项回顾性巢式病例对照设计。研究人员审查并提取了母亲（怀孕时）及其子女记录中的数据。
婴儿肥胖的患病率为 16%。24 月龄时肥胖的儿童很可能在 6 月龄时就已经肥胖（比值比=13.3，95%置信区间=4.50-39.53）。肥胖婴儿的母亲在怀孕期间体重增加更多（+6.9 公斤，P<.05）比健康体重婴儿的母亲。肥胖婴儿更有可能是巨大儿（比值比=2.81，95%置信区间=1.27-6.22）。然而，只有 14%和 23%的 6 月龄和 24 月龄肥胖婴儿被诊断为肥胖症。
在我们的实践中，婴儿肥胖很常见。婴儿肥胖强烈预测 24 月龄时肥胖。危险因素包括分娩期间体重过度增加或出生时巨大儿。只有少数儿童被诊断为肥胖症。初级保健提供者需要在婴儿中诊断肥胖症，并努力制定有效的干预措施。
