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Assessment of Child Anthropometry in a Large Epidemiologic Study
Published on: February 2, 2017
The Effect of Maternal Bariatric Surgery on Offspring Anthropometry: A Mixed Cohort
Raheleh Moradi1, Maryam Navaee1, Negar Zamaninour1
1Minimally Invasive Surgery Research Center, Iran University of Medical Sciences, Tehran, Iran.
Insights
Maternal bariatric surgery may impact offspring growth, with lower birth weight and BMI observed. Further research is needed to understand the long-term effects on childhood development.
Area of Science:
- Pediatric Endocrinology
- Maternal-Fetal Medicine
- Obesity Research
Background:
- Bariatric surgery reduces obesity complications but may pose risks to fetal growth due to maternal nutritional changes.
- Understanding the impact of maternal bariatric surgery on offspring development is crucial for prenatal and postnatal care.
Purpose of the Study:
- To evaluate the effect of maternal bariatric surgery on anthropometric measurements in children up to five years of age.
- To compare offspring anthropometry between mothers with a history of bariatric surgery and those with obesity but no surgical history.
Main Methods:
- A mixed-cohort study comparing children (≤5 years) born to mothers who underwent bariatric surgery versus a control group (mothers with obesity, no surgery).
- Anthropometric indices (weight, height, BMI, head circumference) were measured at birth and up to age five.
- Linear regression analysis was used to determine the adjusted effect of maternal surgical history on offspring anthropometry.
Main Results:
- Children born to mothers with bariatric surgery had significantly lower birth weight (2915g vs 3225g) and BMI (11.72 vs 12.94 kg/m²).
- After adjustment, a significant difference was found in height-for-age z-scores for children under five (B=0.872, P=0.001).
Conclusions:
- Maternal bariatric surgery is associated with reduced birth weight and BMI, potentially influencing subsequent growth.
- Further investigation into the specific effects of different types of preconception bariatric procedures on childhood outcomes is recommended.
Purpose:
Although bariatric surgery is associated with a decrease in obesity complications, it may affect the children's growth by a maternal nutritional deficiency. This study was conducted to assess the effect of maternal bariatric surgery on offspring anthropometry.
Materials And Methods:
In a mixed cohort, anthropometric status of children aged 5 years or less born to mothers with a history of bariatric surgery was compared with a control group consists of peers born to mothers with obesity but without bariatric surgery. Anthropometric indices including crude and quantile values for BMI, weight, height, and head circumference at birth and the first 5 years of life were measured. Then, the adjusted effect of maternal surgical history on anthropometric status was estimated by linear regression.
Results:
From a total of 56 children, 28 born to mothers with a history of bariatric surgery, and 28 born to mothers with obesity but without bariatric surgery. At birth, weight (2915 vs 3225 g) and BMI (11.72 vs 12.94 kg/m2) were lower in the group with maternal bariatric surgery than in the control group (P = 0.02 and P = 0.03, respectively), although after regression adjustment, there was only a significant difference between the two groups in height for age value in children less than 5 years old (B = 0.872, P-value = 0.001).
Conclusion:
Bariatric surgery with decrease of weight indices at birth has a probable influence on growth and development in next years. Therefore, it is recommended further studies to identify unknown effect of types of preconception surgical procedures on childhood outcomes.
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