巴西婴儿超重是儿童超重的早期标志。

Infant overweight as early marker of childhood overweight in Brazil.

机构信息

Federal University of Sergipe, Aracaju, Brazil, Hospital Universitário, Núcleo de Pós-Graduação em Medicina. Rua Cláudio Batista S/N, Sanatório. CEP: 49065-000.

出版信息

J Trop Pediatr. 2014 Feb;60(1):47-52. doi: 10.1093/tropej/fmt076. Epub 2013 Sep 19.

DOI:10.1093/tropej/fmt076

PMID:24052574

Abstract

OBJECTIVE

To investigate infant overweight and rapid weight gain as predictors of overweight and adiposity in childhood.

METHODS

Prospective, longitudinal birth cohort following 153 low-income Brazilian children. Weight, length, middle upper arm circumference (MUAC) and triceps skinfold thickness (TSF) were measured on enrolment and 6-monthly for 18 months. Anthropometric z-scores were calculated.

RESULTS

Infants with overweight were >5 times likely to have MUAC z-score >2, >6 times likely to have weight-for-height/length z-score >2 and >3 times likely to have TSF z-score >2 during childhood. Children with more than two overweight episodes were 27.7 [95% confidence interval (CI) 8.1-87.9] times more likely to have MUAC z-score >2 and 13.8 (95% CI 4.4-43.9) times more likely to have TSF z-score >2 in childhood. Rapid weight gain increased 10.7 (95% CI 2.3-50.0) times the risk of childhood overweight.

CONCLUSIONS

Infant overweight and rapid weight gain predict overweight and adiposity in childhood among low-income children.

摘要

目的

探讨婴儿超重和体重快速增长作为儿童期超重和肥胖的预测因素。

方法

对 153 名巴西低收入儿童进行前瞻性、纵向出生队列研究。在入组时和 18 个月内每 6 个月测量一次体重、身高、中上臂围（MUAC）和三头肌皮褶厚度（TSF）。计算了人体测量学 z 分数。

结果

超重婴儿在儿童期更有可能出现 MUAC z 分数>2（可能性是正常婴儿的>5 倍）、体重/身高/长度 z 分数>2（可能性是正常婴儿的>6 倍）和 TSF z 分数>2（可能性是正常婴儿的>3 倍）。超重超过两次的儿童在儿童期 MUAC z 分数>2 的可能性高 27.7 倍（95%可信区间为 8.1-87.9），TSF z 分数>2 的可能性高 13.8 倍（95%可信区间为 4.4-43.9）。体重快速增长使儿童超重的风险增加 10.7 倍（95%可信区间为 2.3-50.0）。