Costa Silvia, Adams Jean, Gonzalez-Nahm Sarah, Benjamin Neelon Sara E
UKCRC Centre for Diet and Activity Research (CEDAR), MRC Epidemiology Unit, School of Clinical Medicine, University of Cambridge, Cambridge, UK.
Department of Health, Behavior and Society, Johns Hopkins Bloomberg School of Public Health, Johns Hopkins University, Baltimore, MD USA.
Curr Pediatr Rep. 2017;5(3):118-131. doi: 10.1007/s40124-017-0134-7. Epub 2017 Jun 15.
The purpose of this review was to summarize the current literature on the longitudinal relationship between non-parental childcare during infancy and later obesity.
Eleven studies met the inclusion criteria, comprising 74 associations relevant to the review. Studies were highly heterogeneous in terms of defining childcare, categorizing different types of childcare, assessing obesity, and age at measurement of outcome and exposure. Most of the associations were either non-significant (42 associations, 57%) or showed a significant association between increased exposure to childcare and greater obesity (30 associations, 41%). There were very few examples of associations indicating that childcare was associated with lower obesity.
There is limited research on the longitudinal relationship between childcare in infancy and later obesity. Existing studies showed mixed results, similar to recent reviews reporting on cross-sectional studies and older ages. The different definitions of childcare and wide variety of measures of exposure make comparisons between studies challenging.
本综述旨在总结当前关于婴儿期非父母照料与后期肥胖之间纵向关系的文献。
11项研究符合纳入标准，包含74个与本综述相关的关联。这些研究在儿童照料的定义、不同类型儿童照料的分类、肥胖评估以及结果和暴露测量的年龄方面存在高度异质性。大多数关联要么不显著（42个关联，57%），要么显示儿童照料暴露增加与肥胖程度增加之间存在显著关联（30个关联，41%）。仅有极少数关联表明儿童照料与较低肥胖率相关。
关于婴儿期儿童照料与后期肥胖之间的纵向关系的研究有限。现有研究结果不一，与近期关于横断面研究和较大年龄阶段的综述报告类似。儿童照料的不同定义和广泛的暴露测量方法使得各研究之间的比较具有挑战性。
