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Association between the use of antibiotics during pregnancy and obesity in 5-year-old children
Chunyu Zhuang1, Xueli Liao2, Mianai Fu3
1Department of Nursing, Haikou Hospital of the Maternal and Child Health, Haikou, China.
Insights
Antibiotic use during pregnancy is linked to a higher body mass index (BMI) in 5-year-old children. This research indicates a 4% increased risk of obesity in children whose mothers used antibiotics during pregnancy.
Area of Science:
- Pediatrics
- Obstetrics
- Public Health
Background:
- Childhood obesity is a growing epidemic requiring urgent attention.
- Investigating the impact of prenatal exposures on child health is crucial.
Purpose of the Study:
- To examine the association between antibiotic use during pregnancy and childhood obesity.
- To assess the relationship between maternal antibiotic exposure and BMI in 5-year-old Chinese children.
Main Methods:
- A cohort of 132 children aged 5 years was analyzed.
- Data included maternal pre-pregnancy BMI, gestational diabetes, smoking, delivery mode, and weight gain.
- Linear and logistic mixed-effects regression models were employed to assess correlations.
Main Results:
- Maternal antibiotic use during pregnancy showed a positive correlation with children's BMI (β=0.01, P=0.04).
- Antibiotic use during pregnancy was associated with a 4% increased risk of obesity in 5-year-old children (OR=1.04, P=0.02).
Conclusions:
- Prenatal exposure to antibiotics is positively associated with an increased risk of obesity in early childhood.
- Findings highlight a potential link between maternal antibiotic use and long-term child metabolic health.
Background:
Obesity is an epidemic that must arouse our attention. The purpose of this research is to investigate the relationship between antibiotic use during pregnancy and childhood obesity in 5-year-old Chinese children.
Methods:
A total of 132 5-year-old children born in our hospital from January 2014 to January 2016 were included. The children's genders, nationalities, chronic diseases, and other factors were collected as adjusted covariates. We also collected the pre-pregnancy body mass indexes (BMIs) of pregnant women, diagnosis of diabetes mellitus or gestational diabetes mellitus (GDM), maternal smoking, mode of delivery (cesarean section and vaginal delivery), and weight gain during pregnancy, which may affect childhood obesity. A linear mixed effect regression model was used to test the correlation between antibiotic use during pregnancy and the BMI of 5-year-old children, and a logistic mixed effect regression model was used to evaluate the correlation between antibiotic use during pregnancy and obesity outcome.
Results:
When adjusted for the child's gender, birth weight, cesarean section, chronic diseases, maternal smoking during pregnancy, pre-pregnancy BMI, diagnosis of diabetes or GDM, mode of delivery (cesarean section and vaginal delivery), and weight gain during pregnancy (Model 3), antibiotic use during pregnancy was positively correlated with the BMI of 5-year-old children (β=0.01, 95% CI: 0.01-0.03, P=0.04). Antibiotic use during pregnancy increased the risk of obesity by 4% in 5-year-old children (OR =1.04, 95% CI: 1.01-1.16, P=0.02).
Conclusions:
The use of antibiotics during pregnancy is positively correlated with the risk of obesity in 5-year-old children.
Keywords:
Antibiotics; pregnancy; obesity; children.
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