PMID- 32395518
OWN - NLM
STAT- PubMed-not-MEDLINE
LR  - 20220830
IS  - 2305-5839 (Print)
IS  - 2305-5847 (Electronic)
IS  - 2305-5839 (Linking)
VI  - 8
IP  - 7
DP  - 2020 Apr
TI  - Interaction between delivery mode and maternal age in predicting overweight and 
      obesity in 1,123 Chinese preschool children.
PG  - 474
LID - 10.21037/atm.2020.03.128 [doi]
LID - 474
AB  - BACKGROUND: Pediatric overweight/obesity has escalated to epidemic proportions 
      worldwide. In this study, we aimed to assess the association of delivery mode and 
      maternal age, both individually and interactively, with the risk of being 
      overweight or obese among Chinese preschool children. METHODS: We 
      cross-sectionally recruited 1,123 preschool children from five kindergartens in 
      Beijing. Data were collected by a pre-validated self-developed questionnaire. 
      Overweight and obesity are defined according to the World Health Organization 
      (WHO), International Obesity Task Force (IOTF), and China criteria, respectively. 
      RESULTS: Cesarean delivery was significantly associated with pediatric 
      overweight/obesity under the WHO [adjusted odds ratio (aOR), 95% confidence 
      interval (CI): 1.60, 1.12-2.29], IOTF (1.77, 1.23-2.53), and China (1.43, 
      1.06-1.94) criteria, respectively. Maternal age <28 years reached statistical 
      significance under both WHO (1.69, 1.09-2.61) and IOTF (1.69, 1.09-2.61) criteria 
      in predicting pediatric overweight/obesity. The interaction between cesarean 
      delivery and maternal age <28 years was remarkably significant under the WHO 
      (2.26, 1.10-4.67), IOTF (2.92, 1.43-5.96), and China (2.36, 1.24-4.50) criteria. 
      CONCLUSIONS: Our findings indicate that the interaction between cesarean delivery 
      and maternal age <28 years can remarkably increase the risk of overweight/obesity 
      among Chinese preschool children.
CI  - 2020 Annals of Translational Medicine. All rights reserved.
FAU - Liu, Shufang
AU  - Liu S
AD  - Graduate School, Beijing University of Chinese Medicine, Beijing 100029, China.
AD  - Department of Pediatrics, China-Japan Friendship Hospital, Beijing 100029, China.
FAU - Lei, Jieping
AU  - Lei J
AD  - Institute of Clinical Medical Sciences, China-Japan Friendship Hospital, Beijing 
      100029, China.
AD  - National Clinical Research Center for Respiratory Diseases, Beijing 100029, 
      China.
FAU - Ma, Jia
AU  - Ma J
AD  - Graduate School, Beijing University of Chinese Medicine, Beijing 100029, China.
AD  - Department of Pediatrics, China-Japan Friendship Hospital, Beijing 100029, China.
FAU - Ma, Yanyan
AU  - Ma Y
AD  - Department of Children's Health Care, Beijing Chaoyang District Maternal and 
      Child Health Care Hospital, Beijing 100026, China.
FAU - Wang, Shunan
AU  - Wang S
AD  - Graduate School, Beijing University of Chinese Medicine, Beijing 100029, China.
AD  - Department of Pediatrics, China-Japan Friendship Hospital, Beijing 100029, China.
FAU - Yuan, Yuan
AU  - Yuan Y
AD  - Graduate School, Beijing University of Chinese Medicine, Beijing 100029, China.
AD  - Department of Pediatrics, China-Japan Friendship Hospital, Beijing 100029, China.
FAU - Shang, Yu
AU  - Shang Y
AD  - Department of Children's Health Care, Beijing Chaoyang District Maternal and 
      Child Health Care Hospital, Beijing 100026, China.
FAU - Zhang, Zhixin
AU  - Zhang Z
AD  - Department of Pediatrics, China-Japan Friendship Hospital, Beijing 100029, China.
AD  - International Medical Services, China-Japan Friendship Hospital, Beijing 100029, 
      China.
FAU - Niu, Wenquan
AU  - Niu W
AD  - Institute of Clinical Medical Sciences, China-Japan Friendship Hospital, Beijing 
      100029, China.
LA  - eng
PT  - Journal Article
PL  - China
TA  - Ann Transl Med
JT  - Annals of translational medicine
JID - 101617978
PMC - PMC7210148
OTO - NOTNLM
OT  - Delivery mode
OT  - maternal age
OT  - obesity
OT  - overweight
OT  - preschool children
COIS- Conflicts of Interest: All authors have completed the ICMJE uniform disclosure 
      form (available at http://dx.doi.org/10.21037/atm.2020.03.128). The authors have 
      no conflicts of interest to declare.
EDAT- 2020/05/13 06:00
MHDA- 2020/05/13 06:01
PMCR- 2020/04/01
CRDT- 2020/05/13 06:00
PHST- 2020/05/13 06:00 [entrez]
PHST- 2020/05/13 06:00 [pubmed]
PHST- 2020/05/13 06:01 [medline]
PHST- 2020/04/01 00:00 [pmc-release]
AID - atm-08-07-474 [pii]
AID - 10.21037/atm.2020.03.128 [doi]
PST - ppublish
SO  - Ann Transl Med. 2020 Apr;8(7):474. doi: 10.21037/atm.2020.03.128.