Glucose and triglyceride excursions following a standardized meal in individuals with diabetes: ELSA-Brasil study
Autor(a) principal: | |
---|---|
Data de Publicação: | 2015 |
Outros Autores: | , , , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Repositório Institucional da UFBA |
Texto Completo: | http://repositorio.ufba.br/ri/handle/ri/19209 |
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. |
id |
UFBA-2_2b4a39b0a796a9840a87da07a0e194f4 |
---|---|
oai_identifier_str |
oai:repositorio.ufba.br:ri/19209 |
network_acronym_str |
UFBA-2 |
network_name_str |
Repositório Institucional da UFBA |
repository_id_str |
1932 |
spelling |
Riboldi, Bárbara PelicioliLuft, Vivian CristineCastilhos, Cristina Dickie deCardoso, Letícia de OliveiraSchmidt, Maria InêsMatos, Sheila Maria Alvim deRiboldi, Bárbara PelicioliLuft, Vivian CristineCastilhos, Cristina Dickie deCardoso, Letícia de OliveiraSchmidt, Maria InêsMatos, Sheila Maria Alvim de2016-05-18T17:35:18Z2016-05-18T17:35:18Z2015-021475-2840http://repositorio.ufba.br/ri/handle/ri/19209v.14, p.21-29Background: 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 2016-05-18T17:35:17Z No. of bitstreams: 1 Art Per Estrang Sheila Alvim2. 2015.pdf: 374208 bytes, checksum: f7a98424ddaceb28836d67e2751926df (MD5)Made available in DSpace on 2016-05-18T17:35:18Z (GMT). No. of bitstreams: 1 Art Per Estrang Sheila Alvim2. 2015.pdf: 374208 bytes, checksum: f7a98424ddaceb28836d67e2751926df (MD5) Previous issue date: 2015-02LondonBioMed CentralBrasilBreastfeedingOverweightObesityChildCaesarean deliveryGlucose and triglyceride excursions following a standardized meal in individuals with diabetes: ELSA-Brasil studyCardiovasc. Diabetol.info:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleinfo:eu-repo/semantics/openAccessengreponame:Repositório Institucional da UFBAinstname:Universidade Federal da Bahia (UFBA)instacron:UFBAORIGINALArt Per Estrang Sheila Alvim2. 2015.pdfArt Per Estrang Sheila Alvim2. 2015.pdfapplication/pdf374208https://repositorio.ufba.br/bitstream/ri/19209/1/Art%20Per%20Estrang%20Sheila%20Alvim2.%202015.pdff7a98424ddaceb28836d67e2751926dfMD51LICENSElicense.txtlicense.txttext/plain1345https://repositorio.ufba.br/bitstream/ri/19209/2/license.txtff6eaa8b858ea317fded99f125f5fcd0MD52TEXTArt Per Estrang Sheila Alvim2. 2015.pdf.txtArt Per Estrang Sheila Alvim2. 2015.pdf.txtExtracted texttext/plain0https://repositorio.ufba.br/bitstream/ri/19209/3/Art%20Per%20Estrang%20Sheila%20Alvim2.%202015.pdf.txtd41d8cd98f00b204e9800998ecf8427eMD53ri/192092022-08-08 13:19:58.878oai:repositorio.ufba.br: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Repositório InstitucionalPUBhttp://192.188.11.11:8080/oai/requestopendoar:19322022-08-08T16:19:58Repositório Institucional da UFBA - Universidade Federal da Bahia (UFBA)false |
dc.title.pt_BR.fl_str_mv |
Glucose and triglyceride excursions following a standardized meal in individuals with diabetes: ELSA-Brasil study |
dc.title.alternative.pt_BR.fl_str_mv |
Cardiovasc. Diabetol. |
title |
Glucose and triglyceride excursions following a standardized meal in individuals with diabetes: ELSA-Brasil study |
spellingShingle |
Glucose and triglyceride excursions following a standardized meal in individuals with diabetes: ELSA-Brasil study Riboldi, Bárbara Pelicioli Breastfeeding Overweight Obesity Child Caesarean delivery |
title_short |
Glucose and triglyceride excursions following a standardized meal in individuals with diabetes: ELSA-Brasil study |
title_full |
Glucose and triglyceride excursions following a standardized meal in individuals with diabetes: ELSA-Brasil study |
title_fullStr |
Glucose and triglyceride excursions following a standardized meal in individuals with diabetes: ELSA-Brasil study |
title_full_unstemmed |
Glucose and triglyceride excursions following a standardized meal in individuals with diabetes: ELSA-Brasil study |
title_sort |
Glucose and triglyceride excursions following a standardized meal in individuals with diabetes: ELSA-Brasil study |
author |
Riboldi, Bárbara Pelicioli |
author_facet |
Riboldi, Bárbara Pelicioli Luft, Vivian Cristine Castilhos, Cristina Dickie de Cardoso, Letícia de Oliveira Schmidt, Maria Inês Matos, Sheila Maria Alvim de |
author_role |
author |
author2 |
Luft, Vivian Cristine Castilhos, Cristina Dickie de Cardoso, Letícia de Oliveira Schmidt, Maria Inês Matos, Sheila Maria Alvim de |
author2_role |
author author author author author |
dc.contributor.author.fl_str_mv |
Riboldi, Bárbara Pelicioli Luft, Vivian Cristine Castilhos, Cristina Dickie de Cardoso, Letícia de Oliveira Schmidt, Maria Inês Matos, Sheila Maria Alvim de Riboldi, Bárbara Pelicioli Luft, Vivian Cristine Castilhos, Cristina Dickie de Cardoso, Letícia de Oliveira Schmidt, Maria Inês Matos, Sheila Maria Alvim de |
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 |
2015-02 |
dc.date.accessioned.fl_str_mv |
2016-05-18T17:35:18Z |
dc.date.available.fl_str_mv |
2016-05-18T17:35:18Z |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
http://repositorio.ufba.br/ri/handle/ri/19209 |
dc.identifier.issn.none.fl_str_mv |
1475-2840 |
dc.identifier.number.pt_BR.fl_str_mv |
v.14, p.21-29 |
identifier_str_mv |
1475-2840 v.14, p.21-29 |
url |
http://repositorio.ufba.br/ri/handle/ri/19209 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.publisher.none.fl_str_mv |
BioMed Central |
dc.publisher.country.fl_str_mv |
Brasil |
publisher.none.fl_str_mv |
BioMed Central |
dc.source.none.fl_str_mv |
reponame:Repositório Institucional da UFBA instname:Universidade Federal da Bahia (UFBA) instacron:UFBA |
instname_str |
Universidade Federal da Bahia (UFBA) |
instacron_str |
UFBA |
institution |
UFBA |
reponame_str |
Repositório Institucional da UFBA |
collection |
Repositório Institucional da UFBA |
bitstream.url.fl_str_mv |
https://repositorio.ufba.br/bitstream/ri/19209/1/Art%20Per%20Estrang%20Sheila%20Alvim2.%202015.pdf https://repositorio.ufba.br/bitstream/ri/19209/2/license.txt https://repositorio.ufba.br/bitstream/ri/19209/3/Art%20Per%20Estrang%20Sheila%20Alvim2.%202015.pdf.txt |
bitstream.checksum.fl_str_mv |
f7a98424ddaceb28836d67e2751926df ff6eaa8b858ea317fded99f125f5fcd0 d41d8cd98f00b204e9800998ecf8427e |
bitstream.checksumAlgorithm.fl_str_mv |
MD5 MD5 MD5 |
repository.name.fl_str_mv |
Repositório Institucional da UFBA - Universidade Federal da Bahia (UFBA) |
repository.mail.fl_str_mv |
|
_version_ |
1798057695172886528 |