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Association of Cesarean Birth with Body Mass Index Trajectories in Adolescence

Background: This study aimed to identify patterns of body mass index (BMI) changes in adolescence and to assess whether delivery mode (Cesarean and vaginal delivery) was associated with BMI trajectories. Methods: This study was conducted among 569 adolescents aged 10–15 years that resided in the cit...

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Autores principales: Zhou, Yunping, Zhang, Yanqing, Sun, Yun, Zhang, Dongfeng
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7142989/
https://www.ncbi.nlm.nih.gov/pubmed/32197392
http://dx.doi.org/10.3390/ijerph17062003
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author Zhou, Yunping
Zhang, Yanqing
Sun, Yun
Zhang, Dongfeng
author_facet Zhou, Yunping
Zhang, Yanqing
Sun, Yun
Zhang, Dongfeng
author_sort Zhou, Yunping
collection PubMed
description Background: This study aimed to identify patterns of body mass index (BMI) changes in adolescence and to assess whether delivery mode (Cesarean and vaginal delivery) was associated with BMI trajectories. Methods: This study was conducted among 569 adolescents aged 10–15 years that resided in the city of Zibo, China. The height and weight of each participant were repeatedly measured at 10, 11, 12, 13, 14 and 15 years. Group based trajectory modeling (GBTM) was used to estimate BMI change trajectories, and multinomial logistic regression was conducted to evaluate the independent association of delivery mode and BMI trajectory classes. Results: Of the 569 participants, 407 (71.5%) were vaginal deliveries and 162 (28.5%) were Cesarean deliveries. Five distinct long-term BMI trajectories were identified: “persistent healthy weight” (57.5%), “persistent underweight” (6.5%), “obesity to healthy weight” (7.8%), “progressive overweight” (10.6%), “progressive obesity” (17.6%). Adjusted multinomial logistic models revealed a twofold increase in risks between ages 10–15 years of “progressive obesity” trajectory (OR = 2.50, 95% CI: 1.42, 4.41) for children born through Cesarean section compared with vaginal birth. Conclusions: Five distinct long-term BMI trajectories were identified during adolescence in our research, and we confirmed that Cesarean birth was significantly increased the risk of “progressive obesity” trajectory but not the “obesity to healthy weight” trajectory.
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spelling pubmed-71429892020-04-14 Association of Cesarean Birth with Body Mass Index Trajectories in Adolescence Zhou, Yunping Zhang, Yanqing Sun, Yun Zhang, Dongfeng Int J Environ Res Public Health Article Background: This study aimed to identify patterns of body mass index (BMI) changes in adolescence and to assess whether delivery mode (Cesarean and vaginal delivery) was associated with BMI trajectories. Methods: This study was conducted among 569 adolescents aged 10–15 years that resided in the city of Zibo, China. The height and weight of each participant were repeatedly measured at 10, 11, 12, 13, 14 and 15 years. Group based trajectory modeling (GBTM) was used to estimate BMI change trajectories, and multinomial logistic regression was conducted to evaluate the independent association of delivery mode and BMI trajectory classes. Results: Of the 569 participants, 407 (71.5%) were vaginal deliveries and 162 (28.5%) were Cesarean deliveries. Five distinct long-term BMI trajectories were identified: “persistent healthy weight” (57.5%), “persistent underweight” (6.5%), “obesity to healthy weight” (7.8%), “progressive overweight” (10.6%), “progressive obesity” (17.6%). Adjusted multinomial logistic models revealed a twofold increase in risks between ages 10–15 years of “progressive obesity” trajectory (OR = 2.50, 95% CI: 1.42, 4.41) for children born through Cesarean section compared with vaginal birth. Conclusions: Five distinct long-term BMI trajectories were identified during adolescence in our research, and we confirmed that Cesarean birth was significantly increased the risk of “progressive obesity” trajectory but not the “obesity to healthy weight” trajectory. MDPI 2020-03-18 2020-03 /pmc/articles/PMC7142989/ /pubmed/32197392 http://dx.doi.org/10.3390/ijerph17062003 Text en © 2020 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (http://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Zhou, Yunping
Zhang, Yanqing
Sun, Yun
Zhang, Dongfeng
Association of Cesarean Birth with Body Mass Index Trajectories in Adolescence
title Association of Cesarean Birth with Body Mass Index Trajectories in Adolescence
title_full Association of Cesarean Birth with Body Mass Index Trajectories in Adolescence
title_fullStr Association of Cesarean Birth with Body Mass Index Trajectories in Adolescence
title_full_unstemmed Association of Cesarean Birth with Body Mass Index Trajectories in Adolescence
title_short Association of Cesarean Birth with Body Mass Index Trajectories in Adolescence
title_sort association of cesarean birth with body mass index trajectories in adolescence
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7142989/
https://www.ncbi.nlm.nih.gov/pubmed/32197392
http://dx.doi.org/10.3390/ijerph17062003
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