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学科主题: 公共卫生
题名:
Caesarean delivery, caesarean delivery on maternal request and childhood overweight: a Chinese birth cohort study of 181 380 children
作者: Li, H.1,2; Ye, R.1,2; Pei, L.3; Ren, A.1,2; Zheng, X.3; Liu, J.1,2
关键词: Birth cohort ; caesarean delivery ; children ; overweight
刊名: PEDIATRIC OBESITY
发表日期: 2014-02-01
DOI: 10.1111/j.2047-6310.2013.00151.x
卷: 9, 期:1, 页:10-16
收录类别: SCI
文章类型: Article
WOS标题词: Science & Technology
类目[WOS]: Pediatrics
研究领域[WOS]: Pediatrics
关键词[WOS]: CORD BLOOD LEPTIN ; GUT MICROBIOTA ; FOLIC-ACID ; OBESITY ; SECTION ; WEIGHT ; RISK ; ADOLESCENCE ; PREDICTORS ; PREVENTION
英文摘要:

ObjectivesTo assess the impact of caesarean delivery including non-medically indicated maternal request caesarean delivery on childhood overweight.

MethodsWe conducted a prospective investigation of a Chinese birth cohort involving 181380 children, who were born during 1993-1996 to mothers registered in a perinatal care surveillance system and whose weight and height were measured in 2000. Information on delivery mode and covariates was obtained from the surveillance system. Overweight was defined according to the International Obesity Task Force body mass index (BMI) cutoffs. Multivariable logistic regression was used to estimate adjusted odds ratios. Stratified analyses were done to test whether the association between caesarean section and overweight persisted across subgroups.

ResultsThe adjusted odds ratio of overweight for children born by caesarean compared with vaginal delivery was 1.13 [95% confidence interval {CI}: 1.08, 1.18]. The association persisted in subgroups stratified by gender, maternal education, maternal BMI, weight gain during pregnancy and child birthweight (all P values for interaction test 0.30). The adjusted odds ratio of overweight for children born by non-medically indicated caesarean delivery compared with vaginal delivery was 1.18 (95% CI: 1.00, 1.41).

ConclusionCaesarean delivery including non-medically indicated maternal request caesarean delivery compared with vaginal delivery modestly increases childhood overweight risk.

语种: 英语
所属项目编号: 2007CB5119001 ; 81273163
项目资助者: Major State Basic Research Project of China ; National Nature Science Foundation of China
WOS记录号: WOS:000329932000003
Citation statistics:
内容类型: 期刊论文
URI标识: http://ir.bjmu.edu.cn/handle/400002259/66370
Appears in Collections:北京大学公共卫生学院_期刊论文

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作者单位: 1.Peking Univ, Hlth Sci Ctr, Inst Reprod & Child Hlth, Minist Hlth,Key Lab Reprod Hlth,Sch Publ Hlth, Beijing 100191, Peoples R China
2.Peking Univ, Hlth Sci Ctr, Sch Publ Hlth, Dept Epidemiol & Biostat, Beijing 100191, Peoples R China
3.Peking Univ, Inst Populat Res, World Hlth Org Collaborating Ctr Reprod Hlth & Po, Beijing 100191, Peoples R China

Recommended Citation:
Li, H.,Ye, R.,Pei, L.,et al. Caesarean delivery, caesarean delivery on maternal request and childhood overweight: a Chinese birth cohort study of 181 380 children[J]. PEDIATRIC OBESITY,2014,9(1):10-16.
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