Maternal Prepregnancy Body Mass Index and Gestational Weight Gain on Offspring Overweight in Early Infancy

被引:90
作者
Li, Nan [1 ,2 ]
Liu, Enqing [1 ]
Guo, Jia [1 ]
Pan, Lei [1 ]
Li, Baojuan [1 ]
Wang, Ping [1 ]
Liu, Jin [1 ]
Wang, Yue [1 ]
Liu, Gongshu [1 ]
Hu, Gang [2 ]
机构
[1] Tianjin Womens & Childrens Hlth Ctr, Tianjin, Peoples R China
[2] Pennington Biomed Res Ctr, Chron Dis Epidemiol Lab, Baton Rouge, LA USA
来源
PLOS ONE | 2013年 / 8卷 / 10期
关键词
HIGH BIRTH-WEIGHT; CHILDHOOD OVERWEIGHT; OBESITY; PREGNANCY; ASSOCIATIONS; DISEASE; GROWTH; TRENDS; RISK; AGE;
D O I
10.1371/journal.pone.0077809
中图分类号
O [数理科学和化学]; P [天文学、地球科学]; Q [生物科学]; N [自然科学总论];
学科分类号
07 ; 0710 ; 09 ;
摘要
Objective: The aim of the present study was to evaluate the association of maternal prepregnancy body mass index (BMI) and gestational weight gain (GWG) with anthropometry in the offspring from birth to 12 months old in Tianjin, China. Methods: Between 2009 and 2011, health care records of 38,539 pregnant women had been collected, and their children had been measured body weight and length at birth, 3, 6, 9 and 12 months of age. The independent and joint associations of pre-pregnancy BMI and GWG based on the Institute of Medicine (IOM) guidelines with anthropometry in the offspring were examined using General Linear Model and Logistic Regression. Results: Prepregnancy BMI and maternal GWG were positively associated with Z-scores for birth weight-for-gestational age, birth length-for-gestational age, and birth weight-for-length. Infants born to mothers with excessive GWG had the greatest changes in Z-scores for weight-for-age from birth to Month 3, and from Month 6 to Month 12, and the greatest changes in Z-scores for length-for-age from birth to months 3 and 12 compared with infants born to mothers with adequate GWG. Excessive GWG was associated with an increased risk of offspring overweight or obesity at 12 months old in all BMI categories except underweight. Conclusions: Maternal prepregnancy overweight/obesity and excessive GWG were associated with greater weight gain and length gain of offspring in early infancy. Excessive GWG was associated with increased infancy overweight and obesity risk.
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页数:9
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