1
|
Xie J, Han Y, Peng L, Zhang J, Gong X, Du Y, Ren X, Zhou L, Li Y, Zeng P, Shao J. BMI growth trajectory from birth to 5 years and its sex-specific association with prepregnant BMI and gestational weight gain. Front Nutr 2023; 10:1101158. [PMID: 36866049 PMCID: PMC9971005 DOI: 10.3389/fnut.2023.1101158] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/17/2022] [Accepted: 01/18/2023] [Indexed: 02/16/2023] Open
Abstract
Objective The purpose of the study was to identify the latent body mass index (BMI) z-score trajectories of children from birth to 5 years of age and evaluate their sex-specific association with prepregnant BMI and gestational weight gain (GWG). Methods This was a retrospective longitudinal cohort study performed in China. In total, three distinct BMI-z trajectories from birth to 5 years of age were determined for both genders using the latent class growth modeling. The logistic regression model was used to assess the associations of maternal prepregnant BMI and GWG with childhood BMI-z growth trajectories. Results Excessive GWG increased the risks of children falling into high-BMI-z trajectory relative to adequate GWG (OR = 2.04, 95% CI: 1.29, 3.20) in boys; girls born to mothers with prepregnancy underweight had a higher risk of low-BMI-z trajectory than girls born to mothers with prepregnancy adequate weight (OR = 1.85, 95% CI: 1.22, 2.79). Conclusion BMI-z growth trajectories of children from 0 to 5 years of age have population heterogeneity. Prepregnant BMI and GWG are associated with child BMI-z trajectories. It is necessary to monitor weight status before and during pregnancy to promote maternal and child health.
Collapse
Affiliation(s)
- Jinting Xie
- School of Public Health, Xuzhou Medical University, Xuzhou, Jiangsu, China,Key Laboratory of Human Genetics and Environmental Medicine, Xuzhou Medical University, Xuzhou, Jiangsu, China,Key Laboratory of Environment and Health, Xuzhou Medical University, Xuzhou, Jiangsu, China
| | - Yan Han
- School of Public Health, Xuzhou Medical University, Xuzhou, Jiangsu, China,Key Laboratory of Human Genetics and Environmental Medicine, Xuzhou Medical University, Xuzhou, Jiangsu, China,Key Laboratory of Environment and Health, Xuzhou Medical University, Xuzhou, Jiangsu, China
| | - Lei Peng
- Xuzhou Maternal and Child Health Family Planning Service Center, Xuzhou, Jiangsu, China
| | - Jingjing Zhang
- School of Public Health, Xuzhou Medical University, Xuzhou, Jiangsu, China
| | - Xiangjun Gong
- Xuzhou Maternal and Child Health Family Planning Service Center, Xuzhou, Jiangsu, China
| | - Yan Du
- School of Public Health, Xuzhou Medical University, Xuzhou, Jiangsu, China
| | - Xiangmei Ren
- School of Public Health, Xuzhou Medical University, Xuzhou, Jiangsu, China,Key Laboratory of Human Genetics and Environmental Medicine, Xuzhou Medical University, Xuzhou, Jiangsu, China,Key Laboratory of Environment and Health, Xuzhou Medical University, Xuzhou, Jiangsu, China
| | - Li Zhou
- School of Public Health, Xuzhou Medical University, Xuzhou, Jiangsu, China,Key Laboratory of Human Genetics and Environmental Medicine, Xuzhou Medical University, Xuzhou, Jiangsu, China,Key Laboratory of Environment and Health, Xuzhou Medical University, Xuzhou, Jiangsu, China
| | - Yuanhong Li
- School of Public Health, Xuzhou Medical University, Xuzhou, Jiangsu, China,Key Laboratory of Human Genetics and Environmental Medicine, Xuzhou Medical University, Xuzhou, Jiangsu, China,Key Laboratory of Environment and Health, Xuzhou Medical University, Xuzhou, Jiangsu, China
| | - Ping Zeng
- School of Public Health, Xuzhou Medical University, Xuzhou, Jiangsu, China,Key Laboratory of Human Genetics and Environmental Medicine, Xuzhou Medical University, Xuzhou, Jiangsu, China,Key Laboratory of Environment and Health, Xuzhou Medical University, Xuzhou, Jiangsu, China
| | - Jihong Shao
- School of Public Health, Xuzhou Medical University, Xuzhou, Jiangsu, China,Key Laboratory of Human Genetics and Environmental Medicine, Xuzhou Medical University, Xuzhou, Jiangsu, China,Key Laboratory of Environment and Health, Xuzhou Medical University, Xuzhou, Jiangsu, China,*Correspondence: Jihong Shao,
| |
Collapse
|