Relationship between birth weight and body mass index,waist-to-height ratio.
- HAN Xiao-yan1,WAN Yan-ping1,ZHANG Xiao-min1,XU Ren-ying1,CHEN Zhi-qi1,WANG Jia-lu1,TAN Tao1,JIANG Ying1,CAI Wei2.
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Abstract
Objective BMI was used for assessing the first kind of obesity(obesity-1).And WHtR was used for assessing the second kind of obesity(obesity-2).Two kinds of obesity were assessed with birth weight respectively. Methods 3 960 students(7~18 years old) were chosen from three primary schools and three middle schools in Shanghai China.According to the accuracy of birth weight data and exclusion criteria,3 687 students were eligible ultimately.Physical examination of height,weight and waist circumference were carried out by trained physicians.Questionnaire of birth weight were completed by students' guardian according to the birth certificate. Results In the group of birth weight ≥2 500 g,birth weight was associated with the risk of childhood obesity-1 significantly(OR=1.32,95%CI:1.1~1.59,P=0.003);risk of developing obesity-2 was increased with birth wight(OR=1.22,95%CI:1.0~1.47,P=0.041). Conclusions Birth weight is the risk factor for childhood obesity-1 and obesity 2 among children who birth weight≥2 500 g.
Key words
birth weight / body mass index / waist-height ratio / obesity / children
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References
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[2] 李辉,于洋,夏秀兰,等.出生体重与儿童肥胖[J].中国儿童保健杂志,2002,10(3):145-146.
[3] Hirschler V,Bugna J,Roque M,et al.Does low birth weight predict obesity/overweight and metabolic syndrome in elementary school children?[J].Arch Med Res,2008,39:796-802.
[4] Weili Y,He B,Yao H,et al.Waist-to-height ratio is an accurate and easier index for evaluating obesity in children and adolescents[J].Obesity,2007,15:748-752.
[5] Ji CY.Working group on obesity in China:report on childhood obesity in China(1)-body mass index reference for screening overweight and: obesity in Chinese school-age children[J].Biomed Environ Sci,2005,18:390-400.
[6] 梁黎,傅君芬,杜军保.中国儿童青少年代谢综合征定义的探索及意义[J].中华儿科杂志,2012,50:401-404.
[7] 金汉珍,黄德珉,官希吉.实用新生儿学[M].3版.北京:人民卫生出版社,2004,197-217.
[8] Barker DJ.The fetal and infant origins of adult disease[J].BMJ,1990,301(6761):1111.
[9] Boney CM,Verma A,Tucker R,et al.Metabolic syndrome in childhood:association with birthweight,maternal obesity and gestational diabetes mellitus[J].Pediatrics,2005,115(3):290-296. [10] McMillen IC,Adam CL,Mühlhusler BS.Early origins of obesity:programming the appetite regulatory system[J].J Physiol,2005,565(Pt 1):9-17.
[11] Dubois L,Girard M.Early determinants of overweight at 4.5 years in a population-based longitudinal study[J].Int J Obes,2006,30(4):610-617.
[12] Zhang XY,Liu EQ,Tian Z,et al.High birth weight and overweight or obesity among Chinese children 3-6 years old[J].Preventive Medicine,2009,49(2-3):172-178.
[13] Benzinou M,Creemers JW,Choquet H.Common nonsynonymous variants in PCSK1 confer risk of obesity[J].Nat Genet,2008,40:943-945.
