Obesity

Impact of Early Life Factors on Metabolic Phenotypes of Obesity in Preschool Children

Diabetes CarePublished Cohort study

Authors' conclusion

Early life factors, such as maternal obesity and accelerated BMI growth rate between 6 and 24 months, were related not only to MHO but also to MUO. Children with these early life factors should be given interventions for weight control to prevent metabolic abnormalities.

Study context

Population
3-year-old preschool children3,015 analyzed
Participants
3,822 children
Exposure
Early life factors and metabolic phenotypes of obesity
Outcome
Metabolic phenotypes of obesity (MHNW, MUNW, MHO, MUO) by BMI and metabolic status

Main finding

As reported in the abstract

Each group vs MHNWEstimate (95% CI)
MHO
OR (maternal overweight before pregnancy) 3.16(1.55–6.42)
MHO
OR (maternal obesity before pregnancy) 8.14(3.73–17.76)
MHO
OR (macrosomia) 2.47(1.32–4.59)
MUO
OR (maternal obesity before pregnancy) 6.35(2.17–18.52)
MHO
β (accelerated BMI z score growth rate 6–24 months) 0.022 (95% CI 0.009–0.036)
MUO
β (accelerated BMI z score growth rate 6–24 months) 0.037 (95% CI 0.018–0.056)

Observational data: associations, not effects.

Original publication

Impact of Early Life Factors on Metabolic Phenotypes of Obesity in Preschool Children. Diabetes Care. Published 16 March 2023. doi:10.2337/dc22-1851

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