Shiqi Lin1, Jian Chai2, Jiajia Li1, Xuejun Shang3, Lijun Pei1, Lifang Jiang2, Junxi Zhang2, Panpan Sun2, Wei Dong2, Yuhong Wang2, Dezhuan Zhou2. 1. Institute of Population Research/China Center on Population Health and Development, Peking University, Beijing, China. 2. National Health Commission Key Laboratory of Birth Defects Prevention, Henan Key Laboratory of Population Defects Prevention, Zhengzhou, Henan, China. 3. Department of Andrology, Jinling Hospital, School of Medicine, Nanjing University, Nanjing, Jiangsu, China.
Abstract
INTRODUCTION: Macrosomia has short-term and long-term adverse health effects and is thus an important public health concern. Recent decades have witnessed increasing incidence of macrosomia in many countries. METHODS: The present study used a large population-based birth cohort study to depict incidence of macrosomia among live births in rural areas of Henan Province of China from 2013 to 2017. RESULTS: Among the 1,262,916 births, 82,353 were cases of macrosomia. The overall incidence of all types of macrosomia, of macrosomia with birth weight <4,500 g, and of macrosomia with birth weight ≥4,500 g were 6.52%, 5.30%, and 1.22%, respectively. From 2013 to 2017, the incidence of macrosomia decreased by 31.3% from 7.96% in 2013 to 5.47% in 2017 ( [Formula: see text]=946.96, [Formula: see text]<0.001). Male infants and infants ≥42 gestational weeks had significantly higher incidence of macrosomia than that of female infants and infants <42 gestational weeks (P<0.001). CONCLUSION: Gestational weight control through nutrition management and physical activities during pregnancy are needed to reduce incidence of macrosomia. Copyright and License information: Editorial Office of CCDCW, Chinese Center for Disease Control and Prevention 2021.
INTRODUCTION: Macrosomia has short-term and long-term adverse health effects and is thus an important public health concern. Recent decades have witnessed increasing incidence of macrosomia in many countries. METHODS: The present study used a large population-based birth cohort study to depict incidence of macrosomia among live births in rural areas of Henan Province of China from 2013 to 2017. RESULTS: Among the 1,262,916 births, 82,353 were cases of macrosomia. The overall incidence of all types of macrosomia, of macrosomia with birth weight <4,500 g, and of macrosomia with birth weight ≥4,500 g were 6.52%, 5.30%, and 1.22%, respectively. From 2013 to 2017, the incidence of macrosomia decreased by 31.3% from 7.96% in 2013 to 5.47% in 2017 ( [Formula: see text]=946.96, [Formula: see text]<0.001). Male infants and infants ≥42 gestational weeks had significantly higher incidence of macrosomia than that of female infants and infants <42 gestational weeks (P<0.001). CONCLUSION: Gestational weight control through nutrition management and physical activities during pregnancy are needed to reduce incidence of macrosomia. Copyright and License information: Editorial Office of CCDCW, Chinese Center for Disease Control and Prevention 2021.
Entities:
Keywords:
Incidences; Macrosomia; Population-based birth cohort; rural northern China
Authors: Ai Koyanagi; Jun Zhang; Amarjargal Dagvadorj; Fumi Hirayama; Kenji Shibuya; João Paulo Souza; Ahmet Metin Gülmezoglu Journal: Lancet Date: 2013-01-04 Impact factor: 79.321