Cesarean birth and risk of obesity from birth to adolescence: A cohort study

被引:3
作者
Dal'Maso, Elizandra [1 ]
Melo Rodrigues, Paulo Rogerio [1 ]
Ferreira, Marcia Goncalves [1 ]
Moreira, Naiara Ferraz [2 ]
Muraro, Ana Paula [3 ]
机构
[1] Univ Fed Mato Grosso, Dept Food & Nutr, Cuiaba, Brazil
[2] Fed Univ Grande Dourados, Dourados, MS, Brazil
[3] Univ Fed Mato Grosso, Inst Publ Hlth, Dept Publ Hlth, Cuiaba, Brazil
来源
BIRTH-ISSUES IN PERINATAL CARE | 2022年 / 49卷 / 04期
关键词
adolescent; body mass index; cesarean birth; cohort studies; obesity; preschool; CHILDHOOD OBESITY; OFFSPRING OVERWEIGHT; DECISION-MAKING; DELIVERY; SECTION; MODE; ASSOCIATION; CHILDREN; IMPACT; BRAZIL;
D O I
10.1111/birt.12644
中图分类号
R47 [护理学];
学科分类号
1011 ;
摘要
Background Recent studies have shown associations between cesarean birth and overweight. However, very few studies have evaluated weight gain or adiposity throughout life, and the majority are restricted to analysis during childhood. The purpose of this study was to analyze the effect of cesarean birth on obesity risk from birth to adolescence. Methods The study sample was drawn from live births that occurred in 1999 and 2000 in Mato Grosso-Brazil. Participants were evaluated once when they were between 0 and 5 years of age and again after approximately 10 years (2009-2011). To measure the association between cesarean birth and obesity (Body Mass Index/age >+2 z-scores), we used generalized estimation equations (GEE) with binomial distribution and log-binomial models for repeated measures, controlled by the following confounding factors: weight and length at birth, sex, gestational age, breastfeeding, maternal age and schooling, economic class in childhood, and maternal smoking during pregnancy. The exposure-time interaction term was evaluated to verify differences in the change in the risk of obesity over time. Results 56.8% of children in the sample were born by cesarean birth. Children born by cesarean had a higher risk of obesity from birth through adolescence (RR = 1.22, 95% CI = 1.02; 1.46), even after adjusting for covariates, when compared with those born vaginally. However, the time-exposure interaction term was not significant, which indicates that there was no increased risk of obesity over time. Conclusion Cesarean birth was positively associated with obesity from birth to adolescence, with a persistent risk in the period evaluated.
引用
收藏
页码:774 / 782
页数:9
相关论文
共 51 条
[1]  
ABEP-Associacao Brasileira de Empresas de Pesquisas, 2003, COD GUIAS CRIT CLASS
[2]  
ABESO-Associacao Brasileira para o Estudo da Obesidade e da Sindrome Metabolica, 2016, DIR BRAS OB
[3]   Prevalence of Obesity in Children and Adolescents in Brazil: A Meta-analysis of Cross-sectional Studies [J].
Aiello, Ana Maria ;
de Mello, Luane Marques ;
Nunes, Maira Souza ;
da Silva, Anderson Soares ;
Nunes, Altacilio .
CURRENT PEDIATRIC REVIEWS, 2015, 11 (01) :36-42
[4]   Childhood overweight after establishment of the gut microbiota: the role of delivery mode, pre-pregnancy weight and early administration of antibiotics [J].
Ajslev, T. A. ;
Andersen, C. S. ;
Gamborg, M. ;
Sorensen, T. I. A. ;
Jess, T. .
INTERNATIONAL JOURNAL OF OBESITY, 2011, 35 (04) :522-529
[5]   Gut microbiota of healthy Canadian infants: profiles by mode of delivery and infant diet at 4 months [J].
Azad, Meghan B. ;
Konya, Theodore ;
Maughan, Heather ;
Guttman, David S. ;
Field, Catherine J. ;
Chari, Radha S. ;
Sears, Malcolm R. ;
Becker, Allan B. ;
Scott, James A. ;
Kozyrskyj, Anita L. .
CANADIAN MEDICAL ASSOCIATION JOURNAL, 2013, 185 (05) :385-394
[6]   Cesarean section and risk of obesity in childhood, adolescence, and early adulthood: evidence from 3 Brazilian birth cohorts [J].
Barros, Fernando C. ;
Matijasevich, Alicia ;
Hallal, Pedro C. ;
Horta, Bernardo L. ;
Barros, Aluisio J. ;
Menezes, Ana B. ;
Santos, Ina S. ;
Gigante, Denise P. ;
Victora, Cesar G. .
AMERICAN JOURNAL OF CLINICAL NUTRITION, 2012, 95 (02) :465-470
[7]   Consumer demand for caesarean sections in Brazil:: population based birth cohort study linking ethnographic an epidemiological methods [J].
Béhague, DP ;
Victora, CG ;
Barros, FC .
BMJ-BRITISH MEDICAL JOURNAL, 2002, 324 (7343) :942-+
[8]  
BETRAN AP, 2016, PLOS ONE, V11, DOI DOI 10.1371/JOURNAL.PONE.0148343
[9]   Association of caesarean delivery with child adiposity from age 6 weeks to 15 years [J].
Blustein, J. ;
Attina, T. ;
Liu, M. ;
Ryan, A. M. ;
Cox, L. M. ;
Blaser, M. J. ;
Trasande, L. .
INTERNATIONAL JOURNAL OF OBESITY, 2013, 37 (07) :900-906
[10]  
Cesar Juraci Almeida, 2017, Rev. Bras. Saude Mater. Infant., V17, P99, DOI 10.1590/1806-93042017000100006