Influence of birth weight and infancy growth patterns on weight status among first-grade primary school pupils

CHEN Didi; LIN Dan; YE Peiqi; LI Yun; HUANG Jun; WEN Xiaosa; SHI Huijing

doi:10.16835/j.cnki.1000-9817.2022.06.004

Volume 43 Issue 6

Jun. 2022

Turn off MathJax

Article Contents

Article Navigation > CHINESE JOURNAL OF SCHOOL HEALTH > 2022 > 43(6): 813-816

CHEN Didi, LIN Dan, YE Peiqi, LI Yun, HUANG Jun, WEN Xiaosa, SHI Huijing. Influence of birth weight and infancy growth patterns on weight status among first-grade primary school pupils[J]. CHINESE JOURNAL OF SCHOOL HEALTH, 2022, 43(6): 813-816. doi: 10.16835/j.cnki.1000-9817.2022.06.004

Citation:

CHEN Didi, LIN Dan, YE Peiqi, LI Yun, HUANG Jun, WEN Xiaosa, SHI Huijing. Influence of birth weight and infancy growth patterns on weight status among first-grade primary school pupils[J]. CHINESE JOURNAL OF SCHOOL HEALTH, 2022, 43(6): 813-816. doi: 10.16835/j.cnki.1000-9817.2022.06.004

Citation:

CHEN Didi, LIN Dan, YE Peiqi, LI Yun, HUANG Jun, WEN Xiaosa, SHI Huijing. Influence of birth weight and infancy growth patterns on weight status among first-grade primary school pupils[J]. CHINESE JOURNAL OF SCHOOL HEALTH, 2022, 43(6): 813-816. doi: 10.16835/j.cnki.1000-9817.2022.06.004

PDF( 385 KB)

Influence of birth weight and infancy growth patterns on weight status among first-grade primary school pupils

doi: 10.16835/j.cnki.1000-9817.2022.06.004

CHEN Didi^{1, 2},
LIN Dan³,
YE Peiqi³,
LI Yun⁴,
HUANG Jun⁴,
WEN Xiaosa^{1, 2
,
,},
SHI Huijing^{3
,
,}

1.
Department of School Health, Minhang District Center for Disease Control and Prevention, Shanghai (201101), China

Received Date: 2021-12-16
Rev Recd Date: 2022-01-31

Available Online: 2022-06-23

Publish Date: 2022-06-25

Abstract

Abstract

Objective To explore the influence of birth weight and growth patterns during infancy on overweight and obesity among first-grade primary school pupils, so as to provide a theoretical basis for the formulation of early life prevention and intervention policies. Methods In 2019, data related to routine physical examinations were collected for primary school pupils in the Minhang District of Shanghai, and information regarding birth and follow-ups was collected retrospectively. Physical examination data of 4 434 pupils at 12 months of age were obtained. A multiple linear regression model was used to analyze the relationship between growth patterns during infancy and body mass index (BMI) in the first grade of primary school. A generalized linear model was employed to analyze the relationship between birth weight and growth patterns during infancy and overweight and obesity in the first grade of primary school. A hierarchical analysis was conducted. Results A linear relationship was observed between growth patterns during infancy and BMI and the BMI Z-score of first-grade primary school pupils [β(β 95%CI)=0.30(0.24-0.35), 0.12(0.10-0.15), P < 0.01]. In addition to subjects classified as small for gestational age (SGA), catch-up growth during infancy was identified among subjects who were classified as appropriate for gestational age (AGA) and large for gestational age (LGA). LGA at birth and catch-up growth during infancy were independent risk factors for overweight and obesity among first-grade primary school children (RR=1.31-1.55, P < 0.05). The hierarchical analysis showed that catch-up growth increased the risk of overweight and obesity among first-grade primary school pupils classified as AGA [RR(RR 95%CI)=1.74(1.42-2.14), 1.87(1.56-2.26)], and increased the risk of obesity among first-grade primary school pupils classified as SGA and LGA [RR(RR 95%CI)=3.74(1.04-13.49), 3.24(1.62-6.46)](P < 0.05). Among those who exhibited catch-up growth during infancy, LGA increased the risk of obesity among first-grade primary school pupils (RR=2.60, 95%CI=1.35-5.02, P < 0.01), but not the risk of being overweight (P=0.13). Conclusion Birth weight and growth patterns during infancy have an impact on overweight and obesity among children in the first grade of primary school. It is suggested that attention should be paid to growth and physical development in early life for those classified as LGA and AGA, and catch-up growth in children should be closely monitored.
- Birth weight,
- Growth,
- Body weight,
- Linear models,
- Students

FullText(HTML)

References(15)

References

[1]	朱丽, 张蓉, 张淑莲, 等. 中国不同胎龄新生儿出生体重曲线研制[J]. 中华儿科杂志, 2015, 53(2): 97-103. ZHU L, ZHANG R, ZHANG S L, et al. Chinese neonatal birth weight curve for different gestational age[J]. Chin J Pediatr, 2015, 53(2): 97-103.
[2]	SAG G, FAN M, SIMI F. SGA children: auxological and metabolic outcomes-the role of GH treatment[J]. J Matern Fetal Neonat Med, 2013, 26(Suppl 2): 64-67.
[3]	吴丹, 汪秀莲, 霍言言, 等. 足月小于胎龄儿婴儿期增长速率与学龄期肥胖风险的纵向队列研究[J]. 中国儿童保健杂志, 2019, 27(11): 1163-1166. doi: 10.11852/zgetbjzz2018-1752 WU D, WANG X L, HUO Y Y, et al. Longitudinal cohort study on the correlation between growth rate and obesity risk of small for gestational age infants[J]. Chin J Child Health Care, 2019, 27(11): 1163-1166. doi: 10.11852/zgetbjzz2018-1752
[4]	马冠生. 中国儿童肥胖报告[R]. 北京: 北京大学公共卫生学院, 2017. MA G S. China obesity report[R]. Beijing: People's Medical Publishing House, 2017.
[5]	MARTINSON M L, CHANG Y, HAN W, et al. Social determinants of childhood obesity in Shanghai, China: a cross-sectional child cohort survey[J]. Poster Abstracts, 2015, 386: 50. https://www.sciencedirect.com/science/article/pii/S0140673615006315
[6]	国家卫生和计划生育委员会. 学龄儿童青少年超重与肥胖筛查: WS/T 586—2018[S]. 北京: 中华人民共和国国家卫生和计划生育委员会, 2018. National Health and Family Planning Commission of the PRC. Screening for overweight and obesity among school-age children and adolescents: WS/T 586-2018[S]. Beijing: National Health and Family Planning Commission of the PRC, 2018.
[7]	WHO multicenter growth reference study group. WHO child growth standards: length/height-for-age, weight-for-age, weight-for-length, weight-for-height and body mass index-for-age: methods and development[R/OL].(2006-11-11)[2021-04-01].https://www.who.int/publications/i/item/924154693X.
[8]	ONG K K, AHMED M L, EMMETT P M, et al. Association between postnatal catch-up growth and obesity in childhood: prospective cohort study[J]. BMJ, 2000, 320(7240): 967-971. doi: 10.1136/bmj.320.7240.967
[9]	WHINCUP P H, KAYE S J, OWEN C G, et al. Birth weight and risk of type 2 diabetes: a systematic review[J]. JAMA, 2008, 300(24): 2886-2897. doi: 10.1001/jama.2008.886
[10]	XIA Q, CAI H, XIANG Y B, et al. Prospective cohort studies of birth weight and risk of obesity, diabetes, and hypertension in adulthood among the Chinese population[J]. J Diabetes, 2019, 11(1): 55-64. doi: 10.1111/1753-0407.12800
[11]	DONAHUE S M, KLEINMAN K P, GILLMAN M W, et al. Trends in birth weight and gestational length among singleton term births in the United States: 1990-2005[J]. Obstet Gynecol, 2010, 115(2 Pt 1): 357-364.
[12]	张勇, 李燕晖, 梁静, 等. 低出生体重早产儿1岁内体格追赶生长的纵向研究[J]. 中国妇幼健康研究, 2020, 31(4): 413-417. doi: 10.3969/j.issn.1673-5293.2020.04.001 ZHANG Y, LI Y H, LIANG J, et al. A longitudinal study on catch-upphysical growth of low birth weight preterm infants aged 1 year[J]. Chin J Woman Child Health Res, 2020, 31(4): 413-417. doi: 10.3969/j.issn.1673-5293.2020.04.001
[13]	DRUET C, STETTLER N, SHARP S, et al. Prediction of childhood obesity by infancy weight gain: an individual-level Meta-analysis[J]. Paediatr Perinat Epidemiol, 2012, 26(1): 19-26. doi: 10.1111/j.1365-3016.2011.01213.x
[14]	VICTORA C G, SIBBRITT D, HORTA B L, et al. Weight gain in childhood and body composition at 18 years of age in Brazilian males[J]. Acta Paediatr, 2007, 96(2): 296-300. doi: 10.1111/j.1651-2227.2007.00110.x
[15]	LEUNISSEN R W, KERKHOF G F, STIJNEN T, et al. Timing and tempo of first-year rapid growth in relation to cardiovascular and metabolic risk profile in early adulthood[J]. JAMA, 2009, 301(21): 2234-2242. doi: 10.1001/jama.2009.761