4.6 Article

Predictors of excess body weight concurrently affecting mother-child pairs: a 6 year follow-up

期刊

JOURNAL OF PUBLIC HEALTH
卷 45, 期 1, 页码 E10-E21

出版社

OXFORD UNIV PRESS
DOI: 10.1093/pubmed/fdab399

关键词

child obesity; gestational weight gain; maternal obesity; overweight; pre-pregnancy BMI

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This study examined the predictors of excess body weight in mother-child pairs after delivery, and found that excessive pre-pregnancy BMI, excessive gestational weight gain, and large-for-gestational age infants were strong predictors of concurrent excess body weight in mother-child pairs. This highlights the importance of implementing targeted public policies before and during pregnancy to prevent excess body weight in both mother and child.
Background We examined the predictors of excess body weight (EBW) concurrently affecting mother-child pairs after delivery during 6 years of follow-up. Methods Prospective cohort study conducted on 435 mother-child pairs. Data were collected at four time points: at birth in the maternity hospital; 1-2 years old, 4-5 years old and 6 years old at the participant's home. Poisson regression analysis was used to examine the predictors of maternal-child EBW: mothers with excessive gestational weight gain (GWG) and large-for-gestational age (LGA) baby (>90th percentile) at baseline and mothers with body mass index (BMI) >= 25 kg/m(2) and a child > 85th percentile. Results The adjusted analysis showed that the risk of mother-child pairs concurrently having EBW increased with increasing pre-pregnancy BMI (RR = 2.4 and RR = 3.3 for pre-pregnancy BMI 25-30 and >= 30 kg/m(2), respectively, P < 0.01). Excessive GWG and LGA infants were also significant predictors of EBW concurrently affecting mother-child pairs (RR = 2.2 and RR = 2.3, respectively, P < 0.01). Conclusion Excessive pre-pregnancy BMI, excessive GWG and LGA status were strong predictors of EBW concurrently affecting mother-child pairs over 6 years of follow-up. Public policies must be established primarily before/during pregnancy to avoid an EBW cycle in the same family over the years.

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