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首页> 外文期刊>Maternal & child nutrition >Gestational weight gain and obesity, adiposity and body size in African-American and Dominican children in the Bronx and Northern Manhattan
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Gestational weight gain and obesity, adiposity and body size in African-American and Dominican children in the Bronx and Northern Manhattan

机译：布朗克斯和曼哈顿北部的非洲裔美国人和多米尼加裔儿童的妊娠期体重增加和肥胖，肥胖和体型

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摘要

Gestational weight gain (GWG) is potentially modifiable and is associated with infant size and body composition; however, long-term effects on childhood obesity have not been reported among multi-ethnic urban populations. We examined the association between GWG and child anthropometric measures and body composition at 7 years [waist circumference (WC), body mass index z-score (BMIZ), obesity (BMIZ95%ile) and bioelectrical impedance analysis estimates of percentage body fat (%fat)] in African-American and Dominican dyads (n=323) in the Columbia Center for Children's Environmental Health prospective birth cohort study from 1998 to 2013. Linear and logistic regression evaluated associations between excessive GWG [>Institute of Medicine (IOM) 2009 guidelines] and outcomes, adjusting for pre-pregnancy BMI and covariates. Pre-pregnancy BMI (mean +/- standard deviation, all such values) and total GWG were 25.8 +/- 6.2kgm(-2) (45% overweight/obese) and 16.4 +/- 7.9kg (64%>IOM guidelines), respectively. Excessive GWG was associated with higher BMIZ {0.44 [95% confidence interval (CI): 0.2, 0.7], P<0.001}, WC [: 2.9cm (95% CI: 1.1, 4.6), P=0.002], %fat at 7 years [: 2.2% (95% CI: 1.0, 3.5), P=0.001)] and obesity [odds ratio: 2.93 (95% CI: 1.5, 5.8), P=0.002]. Pre-pregnancy BMI was positively associated with child size, adiposity and obesity (all P<0.05). Excessive GWG was highly prevalent and was associated with child obesity, greater percentage body fat and abdominal adiposity. Strategies to support healthy GWG are warranted to promote healthy growth and prevent childhood obesity.
机译：妊娠期体重增加（GWG）可能会发生改变，并与婴儿的体重和身体组成有关;但是，尚未报告多族裔城市人口对儿童肥胖的长期影响。我们研究了7岁时GWG与儿童人体测量学指标和身体组成之间的关联性[腰围（WC），体重指数z评分（BMIZ），肥胖症（BMIZ95％ile）和生物电阻抗分析法估算的体脂肪百分比脂肪）]在1998年至2013年哥伦比亚儿童环境卫生中心前瞻性出生队列研究中的非裔美国人和多米尼加二元组（n = 323）。线性和逻辑回归评估了过量GWG之间的关联[> Institute of Medicine（IOM）2009指南]和结果，并针对孕前BMI和协变量进行调整。孕前BMI（均值+/-标准偏差，所有这些值）和总GWG为25.8 +/- 6.2kgm（-2）（超重/肥胖45％）和16.4 +/- 7.9kg（64％> IOM指南） ）， 分别。过度的GWG与更高的BMIZ {0.44 [95％置信区间（CI）：0.2，0.7]，P <0.001}，WC [：2.9cm（95％CI：1.1，4.6），P = 0.002]，％fat相关7岁时[：2.2％（95％CI：1.0，3.5），P = 0.001）]和肥胖[赔率：2.93（95％CI：1.5，5.8），P = 0.002]。孕前BMI与儿童大小，肥胖和肥胖呈正相关（所有P <0.05）。过量的GWG非常普遍，与儿童肥胖，较高的体脂百分比和腹部肥胖有关。必须制定支持健康GWG的策略，以促进健康成长和预防儿童肥胖。

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