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[Factors associated with excess weight and stunting in schoolchildren born with low birth weight]
Renata Cavalcante Kuhn-Santos1, Fabíola Isabel Suano-Souza1, Rosana Fiorini Puccini1
1Departamento de Pediatria, Escola Paulista de Medicina, Universidade Federal de São Paulo. R. Botucatu 598, Vila Clementino. 04023-062 São Paulo SP Brasil. renata_kuhn@yahoo.com.br.
Insights
Low birth weight (LBW) children face nutritional challenges, with short stature linked to maternal height and excess weight/obesity associated with maternal weight and male gender. These findings highlight key factors influencing LBW child development.
Area of Science:
- Pediatrics
- Nutritional Science
- Public Health
Background:
- Low birth weight (LBW) is a significant global health concern.
- Understanding the long-term nutritional status of LBW children is crucial for intervention.
- Maternal factors and neonatal history may influence the nutritional outcomes of LBW individuals.
Purpose of the Study:
- To assess the nutritional status of low birth weight (LBW) schoolchildren aged five to ten years.
- To investigate associations between the nutritional status of LBW children and maternal variables, gender, and neonatal history.
Main Methods:
- Cross-sectional study involving 544 LBW schoolchildren in São Paulo.
- Collected neonatal data from liveborn infant declarations.
- Assessed current weight and height of children and mothers to calculate height-for-age z-score (HAZ) and body mass index (BMI).
Main Results:
- 6.2% of LBW children were of short stature, 12.3% were overweight, and 8.6% were obese.
- Short stature in LBW children was associated with maternal stature < 150 cm (OR = 6.94).
- Excess weight/obesity was linked to maternal overweight/obesity (OR = 2.40) and male gender (OR = 1.77).
Conclusions:
- Maternal nutritional status and child's gender are significant factors in the nutritional outcomes of LBW children.
- Short maternal stature is a risk factor for stunting in LBW children.
- Interventions should consider maternal health and child's gender for managing nutritional status in LBW populations.
Abstract:
The scope of this study is to assess the nutritional status of low birth weight (LBW) children and the possible associations with independent maternal variables, gender and neonatal history. It involved a cross-sectional study with 544 LBW schoolchildren (five to ten years of age) in the metropolitan area of São Paulo. Variables: the neonatal data of liveborn infant declarations and the current weight and height of the mothers were collected. The weight and stature used to calculate the height/age z (HAZ) score and the body mass index (BMI) of children were evaluated. Among the LBW children 6.2% were of short stature, 12.3% overweight and 8.6% obese. There was an association between short stature in LBW schoolchildren and short maternal stature < 150 cm (OR = 6.94; 95 % CI 2.34-20.6). Excess weight/obesity in LBW children was independently associated with overweight/obesity of the mother (OR = 2.40; 95% CI 1.44-4.01), and the male gender (OR = 1.77; 95% CI 1.06-2.95). A fifth of schoolchildren with low birth weight were overweight, which was associated with current maternal nutritional status and the male gender and stunting was associated with maternal stature.
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