Risk factors and long-term health consequences of macrosomia:a prospective study in Jiangsu Province, China
Shouyong Gu
Xiaofei An
Liang Fang
Xiaomin Zhang
Chunyan Zhang
Jingling Wang
Qilan Liu
Yanfang Zhang
Yongyue Wei
Zhibin Hu
Feng Chen
Hongbing Shen
摘要：We sought to determine risk factors associated with fetal macrosomia and to explore the long-term consequence of infant macrosomia at the age of 7 years.A prospective population based cohort study was designed to examine the associations between maternal and perinatal characteristics and the risk of macrosomia.A nested case-control study was conducted to explore the long-term health consequence of infant macrosomia.The mean maternal age of the macrosomia group was 24.74±3.32 years,which is slightly older than that in the control group (24.35±3.14 years,P =0.000).The mean maternal body mass index (BMI) at early pregnancy was 22.75±2.81 kg/m2,which was also higher than that in the control group (21.76±2.59 kg/m2,P =0.000).About 64.6％ of macrosomic ne onates were males,compared with 51.0％ in the control group (P=0.000).Compared with women with normal weight (BMI:18.5-23.9 kg/m2),women who were overweight (BMI:24-27.9 kg/m2) or obese (BMI≥28 kg/m2),respectively,had a 1.69-fold (P =0.000) and a 1.49-fold (P=0.000) increased risks of having a neonate with macrosomia,while light weight (BMI＜18.5 kg/m2) women had an approximately 50％ reduction of the risk.Furthermore,macrosomia infant had a 1.52-fold and 1.50-fold risk,respectively,of developing overweight or obesity at the age of 7 years (P=0.001 and P=0.000).Older maternal age,higher maternal BMI at early pregnancy and male gender were independent risk factors of macrosomia.Macrosomic infant was associated with an increased predisposition to develop overweight or obesity at the beginning of their childhood.
机标关键词：Jiangsu Provinceearly pregnancyrisk factorsbody mass indexnormal weightcohort study
分类号：R714.7(产科学)
资助基金：the Jiangsu Birth Defects Intervention Program(JS200302)the Natural Science Foundation of Jiangsu Province(BK2008501)
论文发表日期：2012-01-01
在线出版日期：2025-08-15（本平台首次上网日期，不代表文献的发表时间）
英文信息