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妊娠前肥胖和妊娠体重增加作为儿童肥胖的预测因素
Lucía Hernández-Barrera1, Belem Trejo-Valdivia1, Martha María Téllez-Rojo1
1Center for Nutrition and Health Research, National Institute of Public Health, Cuernavaca, Morelos, Mexico.
Archives of medical research
|May 19, 2024
概括
孕产妇怀孕前的肥胖和过度的妊娠期体重增加与儿童肥胖有关. 这些因素独立地预测了7岁以下儿童的超重和肥胖.
科学领域:
- 儿科内分泌学 儿科内分泌学
- 孕产妇和胎儿医学 孕产妇和胎儿医学
- 公共卫生 营养 公共卫生 营养
背景情况:
- 儿童肥胖是一个日益严重的全球健康问题,具有长期影响.
- 孕前母亲的体重指数 (BMI) 和孕期体重增加 (GWG) 被认为是影响后代肥胖的关键因素.
- 了解这些关联对于制定有效的预防策略至关重要.
研究的目的:
- 调查妊娠前BMI,GWG与7岁以下儿童超重,肥胖和肥胖风险之间的关系.
- 在一个潜在的队列中确定童年肥胖的独立预测因素.
- 为旨在减轻儿童肥胖症的公共卫生干预提供信息.
主要方法:
- 来自墨西哥城的PROGRESS队列的751对母婴对的分析.
- 孕期前BMI (正常,超重,肥胖) 和GWG (不充分,充分,过度) 的分类,基于世卫组织和国际移民组织的指导方针.
- 在4-5岁和6-7岁使用BMI z-score和腰围评估儿童的人类学和肥胖度;采用了通用结构方程模型 (GSEM).
主要成果:
- 几乎一半 (49.3%) 的女性经历过多的GWG,而19.8%的GWG不足.
- 妊娠前超重和肥胖与过度GWG的可能性更高有关.
- 过度的GWG直接预测过重加腹部肥胖 (OW+AO) 在4-5岁,而妊娠前肥胖预测OW+AO在6-7岁.
结论:
- 妊娠前肥胖和过度GWG是儿童肥胖的重要,独立的预测因素.
- 针对怀孕前和怀孕期间母亲体重的早期生活干预措施对于预防长期后代肥胖是必不可少的.
- 这些发现强调了母亲健康在塑造儿童代谢结果中的关键作用.
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