Objective To explore the effects of pre-pregnancy weight, weight gain during pregnancy, and childhood dietary behavior on children's weight, so as to provide a scientific basis for the management of children's weight. Methods A total of 512 parturients and 512 infants who were delivered in the obstetrics department of Taikang Xianlin Gulou Hospital, Nanjing University School of Medicine from January 2014 to December 2016 were selected. The data of mothers' pre-pregnancy body mass index (BMI) and weight gain during pregnancy were collected for statistical analysis. Children were followed up from December 2019 to March 2020. Their height and weight were measured, and eating behaviors were evaluated. The effects of pre-pregnancy weight, weight gain during pregnancy, and childhood dietary behaviors on children's weight were analyzed. Results Totally 12.70% of the 512 children aged 3 to 6 years old were detected with overweight/obese. Compared with normal weight children, children whose mothers were overweight/obese before pregnancy (10.51% vs.38.46%,χ*＝37.512, P=0.001) and overweight during pregnancy were more likely to be overweight/obese(7.83% vs. 43.78%, χ2=75.201, P＝0.001). Also, poor eating habits, picky eating and satiety response scores were higher in overweight/obese children (P=0.001). Logistic regression analysis also showed that pre-pregnancy weight(OR=1.109,95%CI:1.025—1.213), weight gain during pregnancy(OR=1.098, 95%CI:1.031—1.261) and dietary behavior in childhood including poor eating habits(OR=1.113, 95%CI:1.054—1.257), picky eating(OR=1.257, 95%CI:1.232—1.467), and satiety response(OR=1.284, 95%CI:1.135—1.513) significantly affected children's weight. Conclusions Children's weight could be affected by pre-pregnancy weight, weight gain during pregnancy and dietary behavior in childhood. Reasonable control of BMI before pregnancy and weight gain during pregnancy, and active guidance for children to establish healthy dietary behavior will help to reduce the incidence of overweight/obesity in children.
Key words
pregnancy /
body mass index /
dietary behavior /
children /
overweight /
obesity
{{custom_sec.title}}
{{custom_sec.title}}
{{custom_sec.content}}
References
[1] Ogden CL, Carroll MD, Fryar CD, et al. Prevalence of obesity among adults and youth:United States, 2011-2014[J/OL]. NCHS Data Brief,2015,219:1-8.
[2] 首都儿科研究所, 九市儿童体格发育调查协作组. 2016年中国九城市七岁以下儿童单纯性肥胖流行病学调查[J]. 中华儿科杂志, 2018,56(10):745-752.
[3] 曹慧, 严双琴, 蔡智玲,等. 孕前BMI,妊娠期糖尿病与儿童4岁时肥胖相关指标关联的出生队列研究[J]. 中华流行病学杂志, 2020, 41(8):1303-1307.
[4] Parker HW, Tovar A, Mccurdy K, et al. Associations between pre-pregnancy BMI, gestational weight gain, and prenatal diet quality in a national sample[J]. PLoS One, 2019,14(10):e0224034.
[5] Josey MJ, Mccullough LE, Hoyo C, et al. Overall gestational weight gain mediates the relationship between maternal and child obesity[J]. BMC Public Health, 2019, 19(1):1062-1071.
[6] 杨显君.学龄前儿童饮食行为量表的编制与评价[D].西安:第四军医大学,2013.
[7] 李辉,季成叶,宗心南,等.中国0~18岁儿童、青少年块指数的生长曲线[J].中华儿科杂志,2009,47(7):493-498.
[8] 中华人民共和国国家卫生和计划生育委员会. WS /T 428-2013成人体重判定[S].北京:中国标准出版社,2013.
[9] Sunsaneevithayakul P,Titapant V,Ruangvutilert P,et al.Relation between gestational weight gain and pregnancy outcomes[J].J Obstet Gynaecol Res, 2014, 40 (4):995-1001.
[10] 梁巧, 肖延风, 张美真,等. 486名3～6岁儿童体重指数与饮食行为的相关分析[J]. 中国儿童保健杂志, 2019,27(3):248-250.
[11] 任静朝,武俊青,李玉艳,等.母亲妊娠期及围生期因素与儿童超重肥胖的关系[J]. 中国儿童保健杂志,2012,20(11):991-994.
[12] 罗碧莲,桂曌环,陈亚军. 广州市某社区2~6岁儿童超重肥胖与生命早期因素研究[J].中国学校卫生,2019,40(12):1788-1790,1795.
[13] Stephanie AL, Kathleen MR, Janet CK. Trajectories of maternal weight from before pregnancy through postpartum and associations with childhood obesity[J]. Am J Clin Nutr, 2017,106(5):1295-1301.
[14] 陈笑征,李一辰.儿童肥胖的早期危险因素[J].中国儿童保健杂志,2021,29(2):169-172.
[15] Jacota M, Forhan A, Saldanha-Gomes C, et al. Maternal weight prior and during pregnancy and offsprings' BMI and adiposity at 5-6 years in the EDEN mother-child cohort[J].Pediatr Obes,2017,12(4):320-329.
[16] Skouteris H, Teede HJ, Thangaratinam S, et al. Commentary:obesity and weightg gain in pregnancy and postpartum:an evidence review of lifestyle interventions to inform maternal and child health policies[J]. Front Endocrinol, 2019, 10:163.
[17] 梁晶晶, 胡艳, 邢艳菲,等. 母亲孕前体质指数及孕期增重与学龄前儿童超重肥胖的关系研究[J]. 中华流行病学杂志, 2019,40(8):976-981.
[18] 杨亦丰,张瑞娟.西安市某社区学龄前儿童营养不良现状及影响因素分析[J].陕西医学杂志,2015,44(4):500-501.
[19] 史平, 周甜. 饮食行为及饮食习惯对学龄前期儿童超重肥胖的影响[J]. 中国校医, 2020, 34(5):19-20,23.
PDF(480 KB)
