Obesity

Association of large for gestational age with cardiovascular metabolic risks: a systematic review and meta‐analysis

Obesity (Silver Spring)Published Systematic review and meta-analysis

Authors' conclusion

LGA is associated with increased odds of obesity and metabolic syndrome later in life. Future studies should focus on elucidating the potential mechanisms and identifying risk factors.

Study context

Population
Individuals born large for gestational age (LGA) or appropriate for gestational age; studies of BMI, blood pressure, glucose metabolism and lipid profiles (PubMed, Web of Science, Cochrane Library)
Participants
841,325 individuals42 studies
Comparison
Born LGA vs born appropriate for gestational age
Outcome
Cardiometabolic risk factors
Methodological detailsrandom-effects model, Quality assessed with Newcastle-Ottawa Scale; publication bias by funnel graph
  • Random-effects model
  • Quality assessed with Newcastle-Ottawa Scale; publication bias by funnel graph

Pooled result

As reported in the abstract

Each group vs appropriate for gestational ageEstimate (95% CI)
LGA
OR, overweight and obesity 1.44(1.31–1.59)
LGA
OR, T1D 1.28(1.15–1.43)
LGA
OR, hypertension 1.23(1.01–1.51)
LGA
OR, metabolic syndrome 1.43(1.05–1.96)

Further pooled results

OutcomeEstimate
Overweight and obesity, stratified by ageLGAvs Appropriate for gestational ageOR, toddler age 2.12 (95% CI 1.22–3.70)
Overweight and obesity, stratified by ageLGAvs Appropriate for gestational ageOR, preschool 1.81 (95% CI 1.55–2.12)
Overweight and obesity, stratified by ageLGAvs Appropriate for gestational ageOR, school age 1.53 (95% CI 1.09–2.14)
Overweight and obesity, stratified by ageLGAvs Appropriate for gestational ageOR, puberty 1.40 (95% CI 1.11–1.77)

Original publication

Association of large for gestational age with cardiovascular metabolic risks: a systematic review and meta‐analysis. Obesity (Silver Spring). Published 26 April 2023. doi:10.1002/oby.23701

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