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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.
Background:
Childhood atopic dermatitis is associated with maternal gestational weight gain, whereas an association with prepregnancy body mass index (ppBMI) or fetal and newborn anthropometric measurements is unclear.
Objective:
Our aim was to determine whether, primarily, maternal ppBMI and, secondarily, offspring newborn anthropometric measurements or fetal growth are associated with atopic dermatitis by age 3 years.
Methods:
In 2107 mother-child pairs (54% boys) from the general population-based Scandinavian PreventADALL (Preventing Atopic Dermatitis and Allergies) cohort, maternal ppBMI was reported at time of enrollment (at midpregnancy). Thoracic and abdominal circumferences were measured by ultrasound at midpregnancy and again at birth, as were weight and length. Fetal growth, including thoracic and abdominal growth and fetal weight gain, was estimated from midpregnancy to birth. Atopic dermatitis was diagnosed using standard criteria at 3, 6, 12, 24, and age 36 months.
Results:
Atopic dermatitis was diagnosed in 525 of the 2107 children (25%) by age 3 years, with a positive association with increasing maternal BMI (adjusted odds ratio [aOR] per BMI unit = 1.03 [95% CI = 1.00-1.06]). Furthermore, increasing birth length (mean = 50.5 ± 2.0 cm) was positively associated with atopic dermatitis (aOR = 1.06 [95% CI = 1.01-1.12]), whereas short birth length (<48 cm) was inversely associated with atopic dermatitis (aOR = 0.71 [95% CI = 0.51-1.0]). Neither birth weight nor thoracic, abdominal, or upper arm circumference at birth nor fetal growth was associated with atopic dermatitis.
Conclusion:
Increasing maternal ppBMI and increasing birth length were positively associated with offspring atopic dermatitis by age 3 years, whereas short birth length was associated with a lower risk of atopic dermatitis.
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