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Caesarean delivery, caesarean delivery on maternal request and childhood overweight: a Chinese birth cohort study of 181 380 children
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
2014-02-01
DOI10.1111/j.2047-6310.2013.00151.x
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
资助者Major State Basic Research Project of China ; National Nature Science Foundation of China ; Major State Basic Research Project of China ; National Nature Science Foundation of China
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
资助者Major State Basic Research Project of China ; National Nature Science Foundation of China ; Major State Basic Research Project of China ; National Nature Science Foundation of China
WOS记录号WOS:000329932000003
引用统计
被引频次:23[WOS]   [WOS记录]     [WOS相关记录]
文献类型期刊论文
条目标识符http://ir.bjmu.edu.cn/handle/400002259/66370
专题北京大学公共卫生学院
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
推荐引用方式
GB/T 7714
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.
APA Li, H.,Ye, R.,Pei, L.,Ren, A.,Zheng, X.,&Liu, J..(2014).Caesarean delivery, caesarean delivery on maternal request and childhood overweight: a Chinese birth cohort study of 181 380 children.PEDIATRIC OBESITY,9(1),10-16.
MLA Li, H.,et al."Caesarean delivery, caesarean delivery on maternal request and childhood overweight: a Chinese birth cohort study of 181 380 children".PEDIATRIC OBESITY 9.1(2014):10-16.
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