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分娩方式与母亲年龄对1123名中国学龄前儿童超重和肥胖预测的交互作用

Interaction between delivery mode and maternal age in predicting overweight and obesity in 1,123 Chinese preschool children.

作者信息

Liu Shufang, Lei Jieping, Ma Jia, Ma Yanyan, Wang Shunan, Yuan Yuan, Shang Yu, Zhang Zhixin, Niu Wenquan

机构信息

Graduate School, Beijing University of Chinese Medicine, Beijing 100029, China.

Department of Pediatrics, China-Japan Friendship Hospital, Beijing 100029, China.

出版信息

Ann Transl Med. 2020 Apr;8(7):474. doi: 10.21037/atm.2020.03.128.

DOI:10.21037/atm.2020.03.128
PMID:32395518
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7210148/
Abstract

BACKGROUND

Pediatric overweight/obesity has escalated to epidemic proportions worldwide. In this study, we aimed to assess the association of delivery mode and maternal age, both individually and interactively, with the risk of being overweight or obese among Chinese preschool children.

METHODS

We cross-sectionally recruited 1,123 preschool children from five kindergartens in Beijing. Data were collected by a pre-validated self-developed questionnaire. Overweight and obesity are defined according to the World Health Organization (WHO), International Obesity Task Force (IOTF), and China criteria, respectively.

RESULTS

Cesarean delivery was significantly associated with pediatric overweight/obesity under the WHO [adjusted odds ratio (aOR), 95% confidence interval (CI): 1.60, 1.12-2.29], IOTF (1.77, 1.23-2.53), and China (1.43, 1.06-1.94) criteria, respectively. Maternal age <28 years reached statistical significance under both WHO (1.69, 1.09-2.61) and IOTF (1.69, 1.09-2.61) criteria in predicting pediatric overweight/obesity. The interaction between cesarean delivery and maternal age <28 years was remarkably significant under the WHO (2.26, 1.10-4.67), IOTF (2.92, 1.43-5.96), and China (2.36, 1.24-4.50) criteria.

CONCLUSIONS

Our findings indicate that the interaction between cesarean delivery and maternal age <28 years can remarkably increase the risk of overweight/obesity among Chinese preschool children.

摘要

背景

儿童超重/肥胖在全球范围内已升级为流行病态势。在本研究中，我们旨在评估分娩方式和母亲年龄单独及交互作用与中国学龄前儿童超重或肥胖风险之间的关联。

方法

我们从北京的五所幼儿园中横断面招募了1123名学龄前儿童。数据通过预先验证的自行编制问卷收集。超重和肥胖分别根据世界卫生组织（WHO）、国际肥胖特别工作组（IOTF）和中国标准进行定义。

结果

剖宫产与WHO标准下（调整优势比[aOR]，95%置信区间[CI]：1.60，1.12 - 2.29）、IOTF标准下（1.77，1.23 - 2.53）和中国标准下（1.43，1.06 - 1.94）的儿童超重/肥胖显著相关。母亲年龄<28岁在WHO标准（1.69，1.09 - 2.61）和IOTF标准（1.69，1.09 - 2.61）下预测儿童超重/肥胖时均达到统计学显著性。剖宫产与母亲年龄<28岁之间的交互作用在WHO标准（2.26，1.10 - 4.67）、IOTF标准（2.92，1.43 - 5.96）和中国标准（2.36，1.24 - 4.50）下均非常显著。

结论

我们的研究结果表明，剖宫产与母亲年龄<28岁之间的交互作用可显著增加中国学龄前儿童超重/肥胖的风险。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3d81/7210148/af64b3be6544/atm-08-07-474-f3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3d81/7210148/73541fa76ef3/atm-08-07-474-f1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3d81/7210148/46d8e19c19d8/atm-08-07-474-f2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3d81/7210148/af64b3be6544/atm-08-07-474-f3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3d81/7210148/73541fa76ef3/atm-08-07-474-f1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3d81/7210148/46d8e19c19d8/atm-08-07-474-f2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3d81/7210148/af64b3be6544/atm-08-07-474-f3.jpg

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