Maternal BMI, early-life growth, and atopic dermatitis by age 3 years

Frida Victoria Berents1, Marius Kurås Skram2,3,4, Karin C Lødrup Carlsen2,3

  • 1Faculty of Medicine, University of Bergen, Bergen, Norway.

Insights

Maternal prepregnancy body mass index (BMI) and longer birth length are linked to a higher risk of childhood atopic dermatitis. However, short birth length may reduce the risk of developing this condition.

Area of Science:

  • Pediatric dermatology
  • Maternal and child health
  • Epidemiology

Background:

  • Childhood atopic dermatitis (AD) associations with maternal factors like prepregnancy body mass index (ppBMI) and newborn anthropometrics remain unclear.
  • Previous research suggests a link between gestational weight gain and AD, but the influence of ppBMI and fetal measurements requires further investigation.

Purpose of the Study:

  • To investigate the association between maternal ppBMI and offspring atopic dermatitis by age 3 years.
  • To examine the relationship between fetal growth, newborn anthropometric measurements, and the development of atopic dermatitis in children.

Main Methods:

  • The study analyzed data from 2107 mother-child pairs in the Scandinavian PreventADALL cohort.
  • Maternal ppBMI was recorded at midpregnancy; fetal anthropometrics (thoracic/abdominal circumference, weight, length) were measured via ultrasound at midpregnancy and birth.
  • Atopic dermatitis diagnosis was conducted using standard criteria at multiple time points up to 36 months of age.

Main Results:

  • A diagnosis of atopic dermatitis by age 3 years occurred in 25% of children (n=525).
  • Increasing maternal ppBMI (per unit increase) was associated with a higher risk of AD (aOR=1.03).
  • Increased birth length correlated with higher AD risk (aOR=1.06), while short birth length (<48 cm) showed an inverse association (aOR=0.71).

Conclusions:

  • Maternal prepregnancy BMI and offspring birth length are significant predictors of childhood atopic dermatitis risk.
  • While longer birth length increases AD risk, shorter birth length appears protective.
  • Fetal growth parameters and most newborn anthropometrics were not significantly associated with atopic dermatitis development.
Abstract

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