Maternal obesity, environmental factors, cesarean delivery and breastfeeding as determinants of overweight and obesity in children: results from a cohort

Detalhes bibliográficos
Autor(a) principal: Portela, Daniel S.
Data de Publicação: 2015
Outros Autores: Vieira, Tatiana de Oliveira, Matos, Sheila Maria Alvim de, Oliveira, Nelson F. de, Vieira, Graciete Oliveira
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Repositório Institucional da UFBA
Texto Completo: http://repositorio.ufba.br/ri/handle/ri/19202
Resumo: Background:Overweight and obesity are a public health problem with a multifactorial aetiology. The objective of this study was to evaluate risk factors for overweight and obesity in children at 6 years of age, including type of delivery and breastfeeding. Methods: This study relates to a cohort of 672 mother-baby pairs who have been followed from birth up to 6 years of age. The sample included mothers and infants seen at all ten maternity units in a large Brazilian city. Genetic,socioeconomic, demographic variables and postnatal characteristics were analyzed. The outcome analyzed was overweight and/or obesity defined as a body mass index greater than or equal to +1 z-score. The sample was stratified by breastfeeding duration, and a descriptive analysis was performed using a hierarchical logistic regression. P-values of <0.05 were considered significant. Results:Prevalence rates (PR) of overweight and obesity among the children were 15.6% and 12.9%, respectively. Among the subset of breastfed children, factors associated with the outcome were maternal overweight and/or obesity (PR 1.92; 95% confidence interval“ 95% CI”1.15–3.24) and lower income (PR 0.50; 95% CI 0.29–0.85). Among children who had not been breastfed or had been breastfed for shorter periods (less than 12 months), predictors were mothers with lower levels of education (PR 0.39; 95% CI 0.19–0.78), working mothers (PR 1.83; 95% CI 1.05–3.21), caesarean delivery (PR 1.98; 95% CI 1.14– 3.50) and maternal obesity (PR 3.05; 95% CI 1.81–5.25).Conclusions: Maternal obesity and caesarean delivery were strongly associated with childhood overweight and/or obesity. Lower family income and lower levels of education were identified as protective factors. Breastfeeding duration appeared to modify the association between overweight/obesity and the other predictors studied.
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spelling Portela, Daniel S.Vieira, Tatiana de OliveiraMatos, Sheila Maria Alvim deOliveira, Nelson F. deVieira, Graciete OliveiraPortela, Daniel S.Vieira, Tatiana de OliveiraMatos, Sheila Maria Alvim deOliveira, Nelson F. deVieira, Graciete Oliveira2016-05-16T20:19:14Z2016-05-16T20:19:14Z20151471-2393http://repositorio.ufba.br/ri/handle/ri/19202v.15, p.1-10Background:Overweight and obesity are a public health problem with a multifactorial aetiology. The objective of this study was to evaluate risk factors for overweight and obesity in children at 6 years of age, including type of delivery and breastfeeding. Methods: This study relates to a cohort of 672 mother-baby pairs who have been followed from birth up to 6 years of age. The sample included mothers and infants seen at all ten maternity units in a large Brazilian city. Genetic,socioeconomic, demographic variables and postnatal characteristics were analyzed. The outcome analyzed was overweight and/or obesity defined as a body mass index greater than or equal to +1 z-score. The sample was stratified by breastfeeding duration, and a descriptive analysis was performed using a hierarchical logistic regression. P-values of <0.05 were considered significant. Results:Prevalence rates (PR) of overweight and obesity among the children were 15.6% and 12.9%, respectively. Among the subset of breastfed children, factors associated with the outcome were maternal overweight and/or obesity (PR 1.92; 95% confidence interval“ 95% CI”1.15–3.24) and lower income (PR 0.50; 95% CI 0.29–0.85). Among children who had not been breastfed or had been breastfed for shorter periods (less than 12 months), predictors were mothers with lower levels of education (PR 0.39; 95% CI 0.19–0.78), working mothers (PR 1.83; 95% CI 1.05–3.21), caesarean delivery (PR 1.98; 95% CI 1.14– 3.50) and maternal obesity (PR 3.05; 95% CI 1.81–5.25).Conclusions: Maternal obesity and caesarean delivery were strongly associated with childhood overweight and/or obesity. Lower family income and lower levels of education were identified as protective factors. Breastfeeding duration appeared to modify the association between overweight/obesity and the other predictors studied.Submitted by Maria Creuza Silva (mariakreuza@yahoo.com.br) on 2016-05-16T20:19:14Z No. of bitstreams: 1 Art Per Estrang Sheila Alvim. 2015.pdf: 428309 bytes, checksum: a03823bade7ccce701647811ee84992a (MD5)Made available in DSpace on 2016-05-16T20:19:14Z (GMT). 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dc.title.pt_BR.fl_str_mv Maternal obesity, environmental factors, cesarean delivery and breastfeeding as determinants of overweight and obesity in children: results from a cohort
dc.title.alternative.pt_BR.fl_str_mv BMC Pregnancy Childbirth
title Maternal obesity, environmental factors, cesarean delivery and breastfeeding as determinants of overweight and obesity in children: results from a cohort
spellingShingle Maternal obesity, environmental factors, cesarean delivery and breastfeeding as determinants of overweight and obesity in children: results from a cohort
Portela, Daniel S.
Breastfeeding
Overweight
Obesity
Child
Caesarean delivery
title_short Maternal obesity, environmental factors, cesarean delivery and breastfeeding as determinants of overweight and obesity in children: results from a cohort
title_full Maternal obesity, environmental factors, cesarean delivery and breastfeeding as determinants of overweight and obesity in children: results from a cohort
title_fullStr Maternal obesity, environmental factors, cesarean delivery and breastfeeding as determinants of overweight and obesity in children: results from a cohort
title_full_unstemmed Maternal obesity, environmental factors, cesarean delivery and breastfeeding as determinants of overweight and obesity in children: results from a cohort
title_sort Maternal obesity, environmental factors, cesarean delivery and breastfeeding as determinants of overweight and obesity in children: results from a cohort
author Portela, Daniel S.
author_facet Portela, Daniel S.
Vieira, Tatiana de Oliveira
Matos, Sheila Maria Alvim de
Oliveira, Nelson F. de
Vieira, Graciete Oliveira
author_role author
author2 Vieira, Tatiana de Oliveira
Matos, Sheila Maria Alvim de
Oliveira, Nelson F. de
Vieira, Graciete Oliveira
author2_role author
author
author
author
dc.contributor.author.fl_str_mv Portela, Daniel S.
Vieira, Tatiana de Oliveira
Matos, Sheila Maria Alvim de
Oliveira, Nelson F. de
Vieira, Graciete Oliveira
Portela, Daniel S.
Vieira, Tatiana de Oliveira
Matos, Sheila Maria Alvim de
Oliveira, Nelson F. de
Vieira, Graciete Oliveira
dc.subject.por.fl_str_mv Breastfeeding
Overweight
Obesity
Child
Caesarean delivery
topic Breastfeeding
Overweight
Obesity
Child
Caesarean delivery
description Background:Overweight and obesity are a public health problem with a multifactorial aetiology. The objective of this study was to evaluate risk factors for overweight and obesity in children at 6 years of age, including type of delivery and breastfeeding. Methods: This study relates to a cohort of 672 mother-baby pairs who have been followed from birth up to 6 years of age. The sample included mothers and infants seen at all ten maternity units in a large Brazilian city. Genetic,socioeconomic, demographic variables and postnatal characteristics were analyzed. The outcome analyzed was overweight and/or obesity defined as a body mass index greater than or equal to +1 z-score. The sample was stratified by breastfeeding duration, and a descriptive analysis was performed using a hierarchical logistic regression. P-values of <0.05 were considered significant. Results:Prevalence rates (PR) of overweight and obesity among the children were 15.6% and 12.9%, respectively. Among the subset of breastfed children, factors associated with the outcome were maternal overweight and/or obesity (PR 1.92; 95% confidence interval“ 95% CI”1.15–3.24) and lower income (PR 0.50; 95% CI 0.29–0.85). Among children who had not been breastfed or had been breastfed for shorter periods (less than 12 months), predictors were mothers with lower levels of education (PR 0.39; 95% CI 0.19–0.78), working mothers (PR 1.83; 95% CI 1.05–3.21), caesarean delivery (PR 1.98; 95% CI 1.14– 3.50) and maternal obesity (PR 3.05; 95% CI 1.81–5.25).Conclusions: Maternal obesity and caesarean delivery were strongly associated with childhood overweight and/or obesity. Lower family income and lower levels of education were identified as protective factors. Breastfeeding duration appeared to modify the association between overweight/obesity and the other predictors studied.
publishDate 2015
dc.date.issued.fl_str_mv 2015
dc.date.accessioned.fl_str_mv 2016-05-16T20:19:14Z
dc.date.available.fl_str_mv 2016-05-16T20:19:14Z
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dc.identifier.issn.none.fl_str_mv 1471-2393
dc.identifier.number.pt_BR.fl_str_mv v.15, p.1-10
identifier_str_mv 1471-2393
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dc.publisher.none.fl_str_mv BioMed Central
dc.publisher.country.fl_str_mv Brasil
publisher.none.fl_str_mv BioMed Central
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