Mikkelsen Susanne Hvolgaard, Hohwü Lena, Olsen Jørn, Bech Bodil Hammer, Liew Zeyan, Obel Carsten
Am J Epidemiol. 2017 Sep 1;186(5):593-602. doi: 10.1093/aje/kwx063.
Maternal obesity has been associated with increased risk of offspring behavioral problems. We examined whether this association could be explained by familial factors by comparing associations for maternal body mass index (BMI) with associations for paternal BMI. We studied 38,314 children born to mothers enrolled in the Danish National Birth Cohort during 1996-2002. Data on maternal BMI was collected at 15 weeks of gestation, and paternal BMI was assessed when the child was 18 months old. When the child was 7 years old, the Strengths and Difficulties Questionnaire was completed by the parents. We estimated odds ratios for behavioral problems in offspring born to overweight/obese parents, and we found that maternal BMI was associated with offspring behavioral problems. Maternal BMI of 25.0-29.9 was associated with a 33% (odds ratio = 1.33, 95% confidence interval: 1.13, 1.57) higher risk of total difficulties in offspring, and maternal BMI of ≥30.0 was associated with an 83% (odds ratio = 1.83, 95% confidence interval: 1.49, 2.25) higher risk. Paternal obesity was also associated with higher risk of offspring behavioral problems, but stronger associations were observed with maternal prepregnancy obesity. Our results suggest that part of the association between maternal BMI and behavioral problems can be accounted for by genetic and social factors, but environmental risk factors may also contribute to the etiology of behavioral problems.
母亲肥胖与后代行为问题风险增加有关。我们通过比较母亲体重指数(BMI)与父亲BMI的关联,研究了这种关联是否可以用家族因素来解释。我们研究了1996 - 2002年期间丹麦国家出生队列中登记的母亲所生的38314名儿童。在妊娠15周时收集母亲BMI数据,在孩子18个月大时评估父亲BMI。当孩子7岁时,父母完成优势与困难问卷。我们估计了超重/肥胖父母所生孩子出现行为问题的比值比,发现母亲BMI与后代行为问题有关。母亲BMI为25.0 - 29.9时,后代出现总体困难的风险高33%(比值比 = 1.33,95%置信区间:1.13,1.57),母亲BMI≥30.0时,风险高83%(比值比 = 1.83,95%置信区间:1.49,2.25)。父亲肥胖也与后代行为问题风险较高有关,但与母亲孕前肥胖的关联更强。我们的结果表明,母亲BMI与行为问题之间的部分关联可由遗传和社会因素解释,但环境风险因素也可能导致行为问题的病因。