Delivery by caesarean section and offspring adiposity and cardio-metabolic health at ages 6.5, 11.5 and 16 years: results from the PROBIT cohort in Belarus.


Journal

Pediatric obesity
ISSN: 2047-6310
Titre abrégé: Pediatr Obes
Pays: England
ID NLM: 101572033

Informations de publication

Date de publication:
09 2021
Historique:
revised: 01 02 2021
received: 01 10 2020
accepted: 08 02 2021
pubmed: 5 3 2021
medline: 15 12 2021
entrez: 4 3 2021
Statut: ppublish

Résumé

Caesarean delivery has been associated with later adiposity, perhaps via early programming or perhaps because of residual confounding by maternal or birth characteristics. Examine associations of caesarean delivery with adiposity and cardio-metabolic biomarkers. Observational analysis of 15 069 children in the PROBIT cohort in Belarus. We examined measures of child anthropometry and blood pressure at 6.5, 11.5 and 16 years and fasting blood (11.5 years). Caesarean-delivered children were slightly heavier at 6.5 (mean BMI 15.8 vs. 15.6 kg/m Caesarean delivery had little or no association with adiposity or related cardio-metabolic biomarkers in childhood. Adjustment for maternal BMI attenuated all outcome effect estimates.

Sections du résumé

BACKGROUND
Caesarean delivery has been associated with later adiposity, perhaps via early programming or perhaps because of residual confounding by maternal or birth characteristics.
OBJECTIVES
Examine associations of caesarean delivery with adiposity and cardio-metabolic biomarkers.
METHODS
Observational analysis of 15 069 children in the PROBIT cohort in Belarus. We examined measures of child anthropometry and blood pressure at 6.5, 11.5 and 16 years and fasting blood (11.5 years).
RESULTS
Caesarean-delivered children were slightly heavier at 6.5 (mean BMI 15.8 vs. 15.6 kg/m
CONCLUSIONS
Caesarean delivery had little or no association with adiposity or related cardio-metabolic biomarkers in childhood. Adjustment for maternal BMI attenuated all outcome effect estimates.

Identifiants

pubmed: 33660413
doi: 10.1111/ijpo.12783
doi:

Types de publication

Journal Article Observational Study Research Support, N.I.H., Extramural Research Support, Non-U.S. Gov't

Langues

eng

Sous-ensembles de citation

IM

Pagination

e12783

Subventions

Organisme : CIHR
ID : MOP-53155
Pays : Canada
Organisme : NICHD NIH HHS
ID : K24 HD069408
Pays : United States
Organisme : NIDDK NIH HHS
ID : P30 DK092924
Pays : United States
Organisme : NICHD NIH HHS
ID : R01 HD050758
Pays : United States

Informations de copyright

© 2021 World Obesity Federation.

Références

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Auteurs

Sheryl L Rifas-Shiman (SL)

Division of Chronic Disease Research Across the Lifecourse, Harvard Medical School and Harvard Pilgrim Health Care Institute, Boston, Massachusetts, USA.

Susanna Y Huh (SY)

Division of Gastroenterology, Hepatology and Nutrition, Boston Children's Hospital, Boston, Massachusetts, USA.

Richard M Martin (RM)

Department of Population Health Sciences, Bristol Medical School, University of Bristol, Bristol, UK.
Medical Research Council Integrative Epidemiology Unit, University of Bristol, Bristol, UK.
National Institute for Health Research Bristol Biomedical Research Centre, University of Bristol, Bristol, UK.

Michael Kramer (M)

Departments of Pediatrics and of Epidemiology, Biostatistics and Occupational Health, Faculty of Medicine, McGill University, Montreal, Quebec, Canada.

Rita Patel (R)

Department of Translational Health Sciences, Bristol Medical School, University of Bristol, Bristol, UK.

Natalia Bogdanovich (N)

Department of Obstetrics, National Research and Applied Medicine Mother and Child Centre, Minsk, Belarus.

Konstanin Vilchuck (K)

Department of Obstetrics, National Research and Applied Medicine Mother and Child Centre, Minsk, Belarus.

Jennifer Thompson (J)

Division of Chronic Disease Research Across the Lifecourse, Harvard Medical School and Harvard Pilgrim Health Care Institute, Boston, Massachusetts, USA.

Emily Oken (E)

Division of Chronic Disease Research Across the Lifecourse, Harvard Medical School and Harvard Pilgrim Health Care Institute, Boston, Massachusetts, USA.

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