Obesity

The association of higher offspring early‐childhood weight gain with prepregnancy metabolic and bariatric surgery

Obesity (Silver Spring)Published Retrospective cohort study

Authors' conclusion

The higher early-life weight gain and sex differences in the post-MBS-sleeve group compared with the post-MBS-bypass group provide a window toward elucidating pathways to mitigate intergenerational metabolic risk transfer.

Study context

Population
Single-center deliveries, January 2020–March 2023; 76% Hispanic/Latino in metabolic and bariatric surgery (MBS) group440 with prepregnancy MBS
Participants
185 / 225 / 13,434
Exposure
Prepregnancy MBS vs non-MBS controls
  • MBS-bypassn = 185
  • MBS-sleeven = 225
  • Non-MBS controlsn = 13,434reference
Outcome
Offspring weight gain
Follow-up
24 months
Methodological detailssingle-center, propensity score-matched controls
  • Single-center
  • Propensity score-matched controls

Main finding

As reported in the abstract

Weight gain difference

+1.4 kg

95% CI 1.0–1.9

MBS-sleeve

Weight gain difference

+0.5-0.7 kg

95% CI 0.0–1.2

MBS-bypass

Observational data: associations, not effects.

Further findings

Maternal gestational outcomes

Gestational weight gain and GDM similar; hypertensive disorders of pregnancy more common after MBS

Offspring weight gain by sex

Male children had higher weight gain than females

Offspring BMI z scores

Higher BMI z scores in post-MBS-sleeve but not post-MBS-bypass offspring

Original publication

The association of higher offspring early‐childhood weight gain with prepregnancy metabolic and bariatric surgery. Obesity (Silver Spring). Published 5 November 2024. doi:10.1002/oby.24166

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