Incidence of Macrosomia in Rural Areas - Henan Province, China, 2013-2017.
China CDC Wkly 2021;
3:788-792. [PMID:
34594991 PMCID:
PMC8441182 DOI:
10.46234/ccdcw2021.196]
[Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/27/2021] [Accepted: 09/07/2021] [Indexed: 11/24/2022] Open
Abstract
INTRODUCTION
Macrosomia has short-term and long-term adverse health effects and is thus an important public health concern. Recent decades have witnessed increasing incidence of macrosomia in many countries.
METHODS
The present study used a large population-based birth cohort study to depict incidence of macrosomia among live births in rural areas of Henan Province of China from 2013 to 2017.
RESULTS
Among the 1,262,916 births, 82,353 were cases of macrosomia. The overall incidence of all types of macrosomia, of macrosomia with birth weight <4,500 g, and of macrosomia with birth weight ≥4,500 g were 6.52%, 5.30%, and 1.22%, respectively. From 2013 to 2017, the incidence of macrosomia decreased by 31.3% from 7.96% in 2013 to 5.47% in 2017 ( [Formula: see text]=946.96, [Formula: see text]<0.001). Male infants and infants ≥42 gestational weeks had significantly higher incidence of macrosomia than that of female infants and infants <42 gestational weeks (P<0.001).
CONCLUSION
Gestational weight control through nutrition management and physical activities during pregnancy are needed to reduce incidence of macrosomia.
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