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Assessment of Child Anthropometry in a Large Epidemiologic Study
Published on: February 2, 2017
Macrosomia is associated with high weight-for-height in children aged 1-3 years in Shanghai, China
1Institute for Nutritional Sciences, Shanghai Institutes for Biologic Sciences, Chinese Academy of Sciences, Shanghai, P.R. China.
Insights
Macrosomia, or high birth weight, predicts elevated weight-for-length/height in Chinese toddlers. This association was significant in boys and suggests early growth monitoring is crucial for these infants.
Area of Science:
- Pediatrics
- Child Health
- Growth Monitoring
Background:
- Childhood obesity is a growing concern globally.
- Understanding early predictors of excessive weight gain is essential for intervention.
Purpose of the Study:
- To examine the relationship between macrosomia (high birth weight) and high weight-for-length/height in Chinese children aged 1-3 years.
Main Methods:
- Retrospective longitudinal study of 918 children in Shanghai.
- Macrosomia defined as birth weight >/=90th percentile.
- High weight-for-length/height defined as z-score >/=1.68 using WHO growth reference.
Main Results:
- Macrosomic boys had significantly higher odds of high weight-for-length/height (OR=3.48).
- The association was not significant in girls.
- Results remained consistent after adjusting for feeding and illness factors.
Conclusions:
- Macrosomia is a significant predictor of high weight-for-length/height in young Chinese children, particularly boys.
- Early identification and monitoring of macrosomic infants are recommended.
Objective:
To investigate the association between macrosomia and high weight-for-length/height in 1-3 years old Chinese infants.
Design:
A retrospective longitudinal study.
Subjects:
918 children aged 1-3 years in Shanghai, China.
Measurements:
Body weight and length/height, illness status and feeding modalities were obtained during follow-up. Macrosomia was defined as birth weight >/=90th percentile of sex specific birth weight distribution. High weight-for-length/height was defined as a weight-for-length/height z-score >/=1.68 using the WHO growth reference.
Results:
The odds ratios (ORs) for high weight-for-length/height were 3.60 (95% confidence interval (CI), 1.74-7.42) for boys and 1.39 (95% CI, 0.51-3.81) for girls who were macrosomic compared with the nonmacrosomic counterparts after adjustment for age. The ORs were attenuated to 3.48 (95% CI, 1.63-7.43) for boys and were still nonsignificant for girls (OR, 1.38; 95% CI, 0.49-3.91) after further controlling for illness status, the age of breast-feeding cessation and the age at introduction of complementary foods. From the analysis of boys and girls combined, the ORs were 2.48 (95% CI, 1.40-4.40) with adjustment for age and sex and 2.33 (95% CI, 1.29-4.22) with all covariates.
Conclusion:
Macrosomia is an important predictor for high weight-for-length/height in Chinese children aged 1-3 years.
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