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孕期母体体重指数与老年后代的身体和心理社会功能:赫尔辛基出生队列研究(HBCS)的结果

Maternal body mass index in pregnancy and offspring physical and psychosocial functioning in older age: findings from the Helsinki Birth Cohort Study (HBCS).

作者信息

Westberg Anna P, Salonen Minna K, von Bonsdorff Mikaela, Kajantie Eero, Eriksson Johan G

机构信息

a Department of General Practice and Primary Health Care , University of Helsinki and Helsinki University Hospital , Helsinki , Finland ;

b Folkhälsan Research Centre , Helsinki , Finland ;

出版信息

Ann Med. 2016;48(4):268-74. doi: 10.3109/07853890.2016.1164338. Epub 2016 Mar 26.

Abstract

INTRODUCTION

Maternal obesity is associated with several adverse long-term health outcomes in the offspring. In this study, we examined the association between maternal body mass index (BMI) and offspring physical and psychosocial functioning in late adulthood.

METHODS

The study included 1759 men and women born during 1934-1944 and belonging to the Helsinki Birth Cohort Study. Data on maternal weight and height in late pregnancy and on offspring birth weight were retrieved from hospital birth records. Physical and psychosocial functioning was assessed using the Short Form 36 scale.

RESULTS

Maternal BMI was positively associated with poorer physical and psychosocial functioning among men, but not among women. This association was not mediated by birth weight.

DISCUSSION

The present study emphasizes the importance of preventing overweight and obesity among women of childbearing age. Key messages Maternal BMI is known to be associated with adverse health outcomes among adult offspring. We found that higher maternal BMI was associated with poorer physical and psychosocial functioning among male offspring in late adulthood. The association between maternal BMI and offspring physical and psychosocial functioning was not mediated by birth weight.

摘要

引言

母亲肥胖与后代的多种不良长期健康后果相关。在本研究中,我们调查了母亲体重指数(BMI)与成年后期后代身体和心理社会功能之间的关联。

方法

该研究纳入了1934年至1944年间出生且属于赫尔辛基出生队列研究的1759名男性和女性。从医院出生记录中获取孕晚期母亲体重和身高以及后代出生体重的数据。使用简短健康调查问卷(Short Form 36 scale)评估身体和心理社会功能。

结果

母亲BMI与男性较差的身体和心理社会功能呈正相关,但与女性无关。这种关联并非由出生体重介导。

讨论

本研究强调了预防育龄妇女超重和肥胖的重要性。关键信息已知母亲BMI与成年后代的不良健康后果相关。我们发现,较高的母亲BMI与成年后期男性后代较差的身体和心理社会功能相关。母亲BMI与后代身体和心理社会功能之间的关联并非由出生体重介导。

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