Association of early-life factors with the incidence of overweight and obesity among primary school students in Guangzhou

ZHANG Jingshu; GUI Zhaohuan; TAN Kaiyun; CHEN Yajun

doi:10.16835/j.cnki.1000-9817.2021.09.031

Volume 42 Issue 9

Sep. 2021

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ZHANG Jingshu, GUI Zhaohuan, TAN Kaiyun, CHEN Yajun. Association of early-life factors with the incidence of overweight and obesity among primary school students in Guangzhou[J]. CHINESE JOURNAL OF SCHOOL HEALTH, 2021, 42(9): 1403-1406. doi: 10.16835/j.cnki.1000-9817.2021.09.031

Citation:

ZHANG Jingshu, GUI Zhaohuan, TAN Kaiyun, CHEN Yajun. Association of early-life factors with the incidence of overweight and obesity among primary school students in Guangzhou[J]. CHINESE JOURNAL OF SCHOOL HEALTH, 2021, 42(9): 1403-1406. doi: 10.16835/j.cnki.1000-9817.2021.09.031

Citation:

ZHANG Jingshu, GUI Zhaohuan, TAN Kaiyun, CHEN Yajun. Association of early-life factors with the incidence of overweight and obesity among primary school students in Guangzhou[J]. CHINESE JOURNAL OF SCHOOL HEALTH, 2021, 42(9): 1403-1406. doi: 10.16835/j.cnki.1000-9817.2021.09.031

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Association of early-life factors with the incidence of overweight and obesity among primary school students in Guangzhou

doi: 10.16835/j.cnki.1000-9817.2021.09.031

Department of Maternal and Child Health, School of Public Health, Sun Yat-sen University, Guangzhou(510080), China

Received Date: 2020-11-19
Rev Recd Date: 2021-01-10

Available Online: 2021-09-24

Publish Date: 2021-09-24

Abstract

Abstract

Objective To investigate the associations between early-life factors and the incidence of overweight and obesity and to provide a reference for childhood overweight and obesity prevention. Methods A total of 5 172 children aged 6-11 years from 5 primary schools in Guangzhou were enrolled using stratified random cluster sampling method. After two-years follow up, 3 315 children were included in the final analysis. Questionnaire was used to collect children's early-life factors. Height and weight were measured objectively at baseline and follow-up. Results The incidence of overweight and obesity was 8.7% in children. After adjustment for confounders, Results from the Logistic regression analysis showed that maternal pre-pregnancy underweight was negatively associated with the incidence of childhood overweight and obesity(OR=0.54, 95%CI=0.38-0.76)(P < 0.05). While excessive gestational weight gain during pregnancy(OR=1.55, 95%CI=1.14-2.10) and caesarean section (OR=1.30, 95%CI=1.00-1.68) were positively associated with the incidence of childhood overweight and obesity(P < 0.05). Conclusion Both excess gestational weight gain and caesarean section would increase the risk of the overweight and obesity of their offspring, while maternal pre-pregnancy underweight would reduce the risk of childhood overweight and obesity.
- Life cycle stages,
- Overveight,
- Obesity,
- Regression analysis,
- Child

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References(29)

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