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首页> 外文期刊>Annals of epidemiology >Does the association between early life growth and later obesity differ by race/ethnicity or socioeconomic status? A systematic review
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Does the association between early life growth and later obesity differ by race/ethnicity or socioeconomic status? A systematic review

机译：早期生命增长和后来肥胖之间的联系是否因种族/种族或社会经济地位而异？ 系统评价

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Abstract Purpose Rapid growth during infancy predicts higher risk of obesity later in childhood. The association between patterns of early life growth and later obesity may differ by race/ethnicity or socioeconomic status (SES), but prior evidence syntheses do not consider vulnerable subpopulations. Methods We systemically reviewed published studies that explored patterns of early life growth?(0–24?months of age) as predictors of later obesity (>24?months) that were either conducted in racial/ethnic minority or low-SES study populations or assessed effect modification of this association by race/ethnicity or SES. Literature searches were conducted in PubMed and SocINDEX. Results Ten studies met the inclusion criteria. Faster growth during the first 2?years of life was consistently associated with later obesity irrespective of definition and timing of exposure and outcome measures. Associations were strongest in populations composed of greater proportions of racial/ethnic minority and/or low-SES children. For example, ORs ranged from 1.17 (95% CI: 1.11, 1.24) in a heterogeneous population to 9.24 (95% CI: 3.73, 22.9) in an entirely low-SES nonwhite population. Conclusions The impact of rapid growth in infancy on later obesity may differ by social stratification factors such as race/ethnicity and family income. More robust and inclusive studies examining these associations are needed.
机译：摘要目的在婴儿期内快速增长预测童年后期肥胖风险更高。早期生命增长和后来肥胖模式之间的关联可能因种族/种族或社会经济地位（SES）而异，但先前的证据合成不考虑脆弱的群体。方法我们系统地审查了已发表的研究，探讨了早期生命增长的模式？（0-24？几个月），作为以种族/少数民族或低层研究人群进行的后来肥胖（> 24个月）的预测因素或通过种族/种族或SES评估效果修改本协会。文学搜索是在PubMed和Socindex进行的。结果十项研究达到了纳入标准。在前两年的生长期间更快的增长与后来的肥胖无关，而不管接触和结果措施的定义和时间如何，均肥胖始终如一。在群体中，由更大比例的种族/少数民族和/或低血清儿童组成的人口中最强。例如，在一个完全低的人群中，在非均相人群中，或者在一个完全低的人群中，从1.17（95％ci：1.11,111,111,111,111,11.24）范围为9.24（95％CI：32.9）。结论婴儿期快速增长对后来肥胖的影响可能因种族/民族和家庭收入等社会分层因素而异。需要更加强大和包容性的研究来检查这些关联。

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