Publicación: ASSOCIATION BETWEEN HIGH PRE-PREGNANCY BODY MASS INDEX, EXCESS GESTATIONAL WEIGHT GAIN, AND POOR BREASTFEEDING WITH OVERWEIGHT IN 3-4-YEAR-OLD CHILEAN CHILDREN
Fecha
2020
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OBJECTIVE: THE AIM OF THIS STUDY WAS TO DETERMINE THE ASSOCIATION BETWEEN PREPREGNANCY BODY MASS, GESTATIONAL WEIGHT GAIN, AND INADEQUATE BREASTFEEDING (BF) WITH OVERWEIGHT IN CHILEAN CHILDREN AGES 3 TO 4 Y.
METHODS: THIS WAS AN ANALYTICAL AND CROSS-SECTIONAL STUDY WITH 560 PARTICIPANTS. AGE, RESIDENCE, BF, AND WEIGHT GAIN INFORMATION WERE COLLECTED FROM CHILD CARE RECORDS. THE CHILDRENS NUTRITIONAL STATUS (NS) WAS DETERMINED ACCORDING TO THE WEIGHT-FOR-HEIGHT Z-SCORE FOR SEX. BIVARIATE RELATIONSHIPS WERE EVALUATED BY THE ?2 TEST, AND A MULTIVARIATE LOGISTIC REGRESSION MODEL WAS APPLIED WITH THE STATA VERSION 15 SOFTWARE AT ? < 0.05.
RESULTS: PREPREGNANCY NS VALUES WERE 37% NORMAL AND 63% OVERWEIGHT. EXCESS WEIGHT GAIN OCCURRED IN 75% OF THE MOTHERS. THE CHILDRENS NS WAS RELATED TO THE DURATION OF BF (P = 0.002), PREPREGNANCY NS (P = 0.002), AND WEIGHT GAIN (P = 0.004). WHEN ADJUSTING THE LOGISTIC REGRESSION MODEL FOR SEX AND MATERNAL AGE, THE OVERWEIGHT PREPREGNANCY NS INCREASED UP TO TWICE THE RISK FOR OW IN CHILDREN (ODDS RATIO [OR], 2; 95% CONFIDENCE INTERVAL [CI], 1.3-4.1), AS WELL AS EXCESS WEIGHT GAIN (OR, 2.3; 95% CI, 1.5-5.9), AND NON-EXCLUSIVE BF (OR, 2.4; 95% CI, 1.3-4.4).
CONCLUSION: CHILDREN SHOWING RISK FACTORS SUCH AS NON-EXCLUSIVE BF, PREPREGNANCY NS WITH OVERWEIGHT, AND EXCESS GESTATIONAL WEIGHT GAIN FACED BETWEEN 2 AND 2.4 TIMES MORE RISK FOR OVERWEIGHT THAN CHILDREN WITHOUT THESE FACTORS.
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Weight gain, Pregnancy, Overweight, Maternal BMI, Children
