Analysis of influencing factors of birth conditions and parental body mass index on the body shape symmetry in children aged 2-6
Objective To understand the prevalence of emaciation,overweight,and obesity among children aged 2-6,analyze the influence of birth conditions and parental body mass index(BMI)on their body shape symmetry,and provide a foundation for the development of early intervention measures.Methods Using a real-world study method,a total of 4 962 children aged 2-6 who underwent routine health examinations at the department of child health care,Shanghai children's hospital from 2020 to 2022 were included in the study.Retrospective research was conducted by constructing numerical tables using cross-sectional data from the Children's Growth and Development Intelligent Assessment System.The study analyzed the prevalence of various body symmetry types and their correlation with birth conditions and parental BMI.Multivariate logistic regression analysis was employed to analyze influencing factors.Results Among the surveyed 4 962 children,2 986(60.2％)were boys and 1 976(39.8％)were girls.The overall detection rates for emaciation,overweight,and obesity in children were 3.5％,7.2％and 5.4％,respectively.The detection rates for overweight and obesity were both higher in children with birth weights＞4,000g compared to those with normal birth weight group,with OR and 95％CIs of 2.337(1.458-3.747)and 2.875(1.754-4.715),respectively.Children with birth weight＜2 500g had an increased risk of developing emaciation,with OR and 95％CI of 1.718(1.117-2.642).Compared to appropriate for gestational age(AGA)children,those born as small for gestational age(SGA)had an increased risk of emaciation and a decreased risk of overweight,with OR and 95％CIs of 2.015(1.391-2.920)and 0.605(0.403-0.907),respectively.Children born as large for gestational age(LGA)had an increased risk of overweight and obesity,with OR and 95％CIs of 1.599(1.111-2.300)and 2.792(1.976-3.947),respectively.Children with overweight or obese fathers,as well as obese mothers,had an increased risk of overweight and obesity(OR=1.439-4.466,P＜0.05).Children with overweight mothers also had an increased risk of obesity,with OR and 95％CI of 1.848(1.358-2.516).Multivariate logistic regression analysis revealed that a larger relationship between children's birth weight and gestational age,as well as an increase in parental BMI,were risk factors for childhood overweight(OR=1.742-3.927,P＜0.05).Conclusion The detection rates of emaciation,overweight,and obesity are higher among children aged 2-6.Parental overweight and obesity are risk factors for childhood overweight and obesity.The relationship between birth weight and gestational age can serve as an early warning sign for abnormal body shape symmetry in children.It is important for society to pay attention to the physical development of children,and preventive measures for related diseases should start as early as possible.
emaciationoverweightobesitybirth conditionparental body mass index
万方数据
维普
