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首页> 外文期刊>Preventive Medicine: An International Journal Devoted to Practice and Theory >Early life weight patterns and risk of obesity at 5 years: A population-based cohort study
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Early life weight patterns and risk of obesity at 5 years: A population-based cohort study

机译：5年的早期寿命重量模式和肥胖风险：基于人群的队列研究

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摘要

Childhood obesity is a major public health problem in industrialized countries. The aim of this study was to estimate the risk of obesity at age 5 based on BMI categories at age 3 and changes in BMI z-score from birth to 3 years of age. In this population-based study BMI data of 5173 children were collected at ages 3 and 5 and were linked to information relative to birth weight. The prevalence of obesity at age 5 was 3.8%. The risk of obesity for children born large for gestational age was 6.5%, while it was 18.6% for children overweight at age 3 and 62% for children who were obese at 3. An increase in BMI z-score from birth to 3 years increases the risk of obesity at age 5 (OR for increase of one standard deviation 2.8%; 95% CI: 2.46-3.20), but adjusting for BMI z-score at age 3, the effect of trajectory disappears (OR 1.08 95% CI: 0.9-1.29). In other words, if one targeted early preventive interventions to 3-year-olds affected by overweight/obesity (only 9.8% of the study cohort), one could possibly address 71% of children potentially affected by obesity at age 5.
机译：儿童肥胖是工业化国家的主要公共卫生问题。本研究的目的是估算基于BMI类别的5岁令人肥胖的风险，并在3岁到3岁的BMI Z分数变化。在该群体的基础上，研究5173年儿童的BMI数据在3和5岁处收集，并与出生体重相关联。 5岁以上肥胖症的患病率为3.8％。出生于孕龄的肥胖的肥胖风险为6.5％，而肥胖的儿童的儿童超过32％的儿童为3.5％，而肥胖的儿童为3. 3岁。BMI Z-Score从出生时间增加3年增加5岁肥胖风险（或增加一个标准差2.8％; 95％CI：2.46-3.20），但调整3岁的BMI Z分数，轨迹的效果消失（或1.08 95％CI： 0.9-1.29）。换句话说，如果一个针对受超重/肥胖影响的3岁儿童的早期预防性干预（只有9.8％的研究队列），那么可能会解决71％的儿童可能在5岁时受肥胖影响。

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