Cesarean Delivery and Risk of Excess Weight Among Brazilian Preschool Children

Autor(es)

Lopes, Amanda Forster ^[1] ; Machado, Thais Costa ^[2] ; Nascimento, Viviane Gabriela ^{[3, 2]} ; Bertoli, Ciro Joao ^[4] ; Leone, Claudio ^[5]

Afiliação do(s) autor(es)

^[1] Univ Fed Amazonas, Hlth & Biotechnol Inst, Manaus, Amazonas - Brazil

^[2] Univ Sao Paulo, Fac Publ Hlth, Dept Hlth Life Cycles & Soc, Sao Paulo - Brazil

^[3] Univ Paulista, Sao Paulo - Brazil

^[4] Univ Taubate, Dept Med, Taubate, SP - Brazil

^[5] Univ Sao Paulo, Sch Publ Hlth, Dept Hlth Life Cycles & Soc FSP USP, Av Dr Arnaldo 715, BR-01246904 Sao Paulo, SP - Brazil

• Tipo de documento: Artigo Científico
• Fonte: MATERNAL AND CHILD HEALTH JOURNAL; JAN 2022.
• Citações Web of Science: 0

Resumo

Objective To study the relationship between cesarean Delivery (CD) and overweight in preschool children, considering the presence of birth aspects and demographic characteristics that have been associated with the risk of excess weight. Methods This retrospective cross-sectional analysis used representative data of children from 2 to 6 years of age at municipal daycare centers in Taubate, Sao Paulo, Brazil. The sample included 752 preschoolers. Weight and height were collected in daycare centers, and the nutritional status classification was performed using z scores of Body Mass Index (zBMI). Data analysis was performed in the bivariate and multivariate manner, the latter with the inclusion of another possible risk factor. Adjustments were made for daycare centers time, sex, birth length and weight and maternal schooling. Results The mean age of preschool children was 4.7 years, and 53.8% were boys. The prevalence of overweight children was 21.7%. The median zBMI of the children born by CD was higher than that of vaginal Delivery (p = 0.0194). The prevalence of overweight showed association with CD (p = 0.0196; PR = 1.397 with 95% CI of 1065-1831). Logistic binary multivariate regression analysis confirmed the association, even in the presence of other possible risk factors (CR: 1.580, 95% CI: 1.072-2.330). Conclusion for Practice Birth by CD is one of the factors that are associated with the early development of overweight in preschoolers. (AU)

• Processo FAPESP: 12/24064-5 - Estado nutricional de pré-escolares matriculados em creches municipais e sua relação com o tipo de parto
• Beneficiário: Claudio Leone
• Modalidade de apoio: Auxílio à Pesquisa - Regular