Amanda Forster Lopes1, Thais Costa Machado2, Viviane Gabriela Nascimento3,4, Ciro João Bertoli5, Claudio Leone6. 1. Health and Biotechnology Institute, Federal University of Amazonas, Manaus, Brazil. amanda.flopes@yahoo.com.br. 2. Department of Health, Life Cycles and Society of the Faculty of Public Health, University of São Paulo, São Paulo, Brazil. 3. Department of Health, Life Cycles and Society of the Faculty of Public Health, University of São Paulo, São Paul, Brazil. 4. Paulista University, São Paul, Brazil. 5. Department of Medicine, University of Taubaté, Taubaté, Brazil. 6. Department of Health, Life Cycles and Society-FSP-USP, School of Public Health, University of São Paulo, Av. Dr. Arnaldo, 715, São Paulo, SP, CEP 01246-904, Brazil.
Abstract
OBJECTIVE: To study the relationship between cesarean Delivery (CD) and overweight in preschool children, considering the presence of birth aspects and demographic characteristics that have been associated with the risk of excess weight. METHODS: This retrospective cross-sectional analysis used representative data of children from 2 to 6 years of age at municipal daycare centers in Taubaté, São Paulo, Brazil. The sample included 752 preschoolers. Weight and height were collected in daycare centers, and the nutritional status classification was performed using z scores of Body Mass Index (zBMI). Data analysis was performed in the bivariate and multivariate manner, the latter with the inclusion of another possible risk factor. Adjustments were made for daycare centers time, sex, birth length and weight and maternal schooling. RESULTS: The mean age of preschool children was 4.7 years, and 53.8% were boys. The prevalence of overweight children was 21.7%. The median zBMI of the children born by CD was higher than that of vaginal Delivery (p = 0.0194). The prevalence of overweight showed association with CD (p = 0.0196; PR = 1.397 with 95% CI of 1065-1831). Logistic binary multivariate regression analysis confirmed the association, even in the presence of other possible risk factors (CR: 1.580, 95% CI: 1.072-2.330). CONCLUSION FOR PRACTICE: Birth by CD is one of the factors that are associated with the early development of overweight in preschoolers.
OBJECTIVE: To study the relationship between cesarean Delivery (CD) and overweight in preschool children, considering the presence of birth aspects and demographic characteristics that have been associated with the risk of excess weight. METHODS: This retrospective cross-sectional analysis used representative data of children from 2 to 6 years of age at municipal daycare centers in Taubaté, São Paulo, Brazil. The sample included 752 preschoolers. Weight and height were collected in daycare centers, and the nutritional status classification was performed using z scores of Body Mass Index (zBMI). Data analysis was performed in the bivariate and multivariate manner, the latter with the inclusion of another possible risk factor. Adjustments were made for daycare centers time, sex, birth length and weight and maternal schooling. RESULTS: The mean age of preschool children was 4.7 years, and 53.8% were boys. The prevalence of overweight children was 21.7%. The median zBMI of the children born by CD was higher than that of vaginal Delivery (p = 0.0194). The prevalence of overweight showed association with CD (p = 0.0196; PR = 1.397 with 95% CI of 1065-1831). Logistic binary multivariate regression analysis confirmed the association, even in the presence of other possible risk factors (CR: 1.580, 95% CI: 1.072-2.330). CONCLUSION FOR PRACTICE: Birth by CD is one of the factors that are associated with the early development of overweight in preschoolers.
Authors: Joana D'Arc Matos França de Abreu; Sterffeson Lamare Lucena de Abreu; Maylla Luanna Barbosa Martins Bragança; Lilian Fernanda Pereira Cavalcante; Ana Karina Teixeira da Cunha França; Cecília Claudia Costa Ribeiro; Fernando Lamy Filho Journal: Cad Saude Publica Date: 2021-01-22 Impact factor: 1.632
Authors: N T Mueller; G Mao; W L Bennet; S K Hourigan; M G Dominguez-Bello; L J Appel; X Wang Journal: Int J Obes (Lond) Date: 2016-11-30 Impact factor: 5.095
Authors: Hein M Tun; Sarah L Bridgman; Radha Chari; Catherine J Field; David S Guttman; Allan B Becker; Piush J Mandhane; Stuart E Turvey; Padmaja Subbarao; Malcolm R Sears; James A Scott; Anita L Kozyrskyj Journal: JAMA Pediatr Date: 2018-04-01 Impact factor: 16.193
Authors: Rafael Pérez-Escamilla; Mireya Vilar-Compte; Elizabeth Rhodes; Olga L Sarmiento; Camila Corvalan; Rachel Sturke; Susan Vorkoper Journal: Obes Rev Date: 2021-05-05 Impact factor: 10.867
Authors: Stephen Franklin Weng; Sarah A Redsell; Judy A Swift; Min Yang; Cristine P Glazebrook Journal: Arch Dis Child Date: 2012-10-29 Impact factor: 3.791