md-medicaldata

Authors

 

Snežana Panić¹, Marijana Srećković^1,2, Igor Dragičević<sup>1,3

1</sup>Zavod za javno zdravlje Šabac
²Medicinski fakultet, Univerzitet u Novom Sadu
³Fakultet zdravstvenih nauka, Evropski univerzitet „Kallos” Tuzla

 

UDK: 572.512-053.2

The paper was received / Rad primljen: 19.11.2020.

Accepted / Rad prihvaćen: 22.12.2020.

 

Correspondence to:

dr Marijana Srećković
Zavod za javno zdravlje Šabac, Srbija
Jovana Cvijić br.1; 15000 Šabac
kontakt telefon: 063-836-98-98
e-mail: drsreckovicmaja@gmail.com

 

 

Sažetak

Veza između porođajne telesne mase i kasnije prekomerne telesne mase (PTM)/gojaznosti nije pouzdano utvrđena. Sugerisano je da isključivo dojenja i starost novorođenčeta u trenutku uvođenja mešovite ishrane imaju umeren zaštitni efekat na PTM dece. Cilj ove studije bio je da istraži vezu između porođajne telesne mase, trajanja dojenja i vremena uvođenja dopunske ishrane, i indeksa telesne mase (ITM) u kasnijem detinjstvu i adolescenciji. Primenili smo studiju preseka među 226 dece osnovnih i srednjih škola iz opštine Šabac, Mačvanski okrug. Analizirani su dečiji medicinski kartoni na telesnu masu (TM) i visinu (TV) i izračunat je ITM za uzrast, z-skor i percentil za decu pomoću Anthro Software Svetske zdravstvene organizacije. Roditelji su popunili upitnik sa osnovnim informacijama o detetu. Statistička analiza podataka je izvršena pomoću SPSS Statistics for Windows, Version 17. Spirman-ova korelacija korišćena je za određivanje korelacije između kontinuiranih podataka, a vrednost p<0,05 se smatra značajnom. Prosečna starost ispitanika bila je 13,3 ± 1,9 godina. U prilagođenim analizama, veća porođajna TM bila je povezana sa većim rizikom od PTM/gojaznosti u dobi od 10-15 godina. Pronašli smo pozitivnu korelaciju između veće porođajne TM i PTM/gojaznosti u adolescenciji (ρ=0,296; p=0,006), trajanja dojenja (ρ=-0,286; p=0,001) i vremena uvođenja mešovite hrana (ρ=-0,348; p=0,01) bili su povezani sa nižim ITM. U našoj studiji je PTM/gojaznost kod dece bila povezana sa većom porođajnom TM. Takođe, ova studija potvrđuje blagotvorno dejstvo dojenja protiv gojaznosti.

Ključne reči:

indeks telesne mase, dojenje, dopunska ishrana, školska deca

 

Abstract

The association between birth weight and later overweight/obesity has not been reliably established. Exclusive breastfeeding duration and age at complementary feeding have been suggested to have a moderate protective effect on childhood overweight. The purpose of the study was to investigate the relationship between birth weight, duration of breastfeeding and timing of complementary food, and body mass index (BMI) in later childhood and adolescence. We applied a cross-sectional study among 226 primary and secundary school children from municipality of Šabac, Mačva district. Children's medical records were analyzed for body weight (BW) and height (BH), and body mass index for age, z-score, and percentile of children was calculated using World Health Organisation Anthro Software. The parents completed a questionnaire related to basic information about the child. Statistical analysis was performed using SPSS Statistics for Windows, Version 17.0. Spearman correlation analysis methods were used to determine the correlation among continuous data and p-value of <0.05 was considered as significant. The respondents' average age was 13.3 ± 1.9 years. In adjusted analyses, a higher birth weight was associated with a risk for overweight/obesity at 10–15 years of age. We found a positive correlation between the overweight/obesity and height of children’s, and higher birth weight (ρ=0.296; p=0.006). Duration of breastfeeding (ρ=-0.286; p=0.001) and timing of complementary food (ρ=-0.348; p=0.01) are associated with a lower BMI centile. In our study children’s overweight/obesity was associated with higher birth weight. Also, present study confirms the beneficial effect of breastfeeding against obesity.

Key words:

body mass index, breastfeeding, complementary feeding, schoolchildren

 

 

References:

1. WHO. Obesity and overweight. 2020. Dostupno na: https://www.who.int/news-room/fact-sheets/detail/obesity-and-overweight.
2. Pavlović M. Ishranjenost dece u Severnobačkom okrugu na osnovu indeksa telesne mase. Med Pregl. 2000;53(9-10):493-501.
3. Novaković B, Jovičić J, Grujičić M, Torović L, Balać D. Planiranje medicinske nutritivne terapije. Med Pregl. 2010;53(11-12):816-21.
4. Smolin LA, Grosvenor BM, editors. Nutrition. Science and applications. 2nd ed. Hoboken (NJ): John Wiley&Sons; 2008.
5. World Health Organization. Malnutrition. 2020. Available from: https://www.who.int/news-room/fact-sheets/detail/malnutrition.
6. Ministarstvo zdravlja Repubike Srbije. Istraživanje zdravlja stanovnika Republike Srbije 2006.godina. Beograd: Institut za javno zdravlje Republike Srbije; 2007.
7. De Onis M. The use of anthropometry in the prevention of childhood overweight and obesit. Int J Obes Relat Metab Disord. 2004;28 Suppl 3:S81-5.
8. Dietz W.H. Health consequences of obesity in youth: childhood predictors of adult disease. Pediatrics. 1998;101(2):518-25.
9. Deckelbaum RJ, Williams CL. Childhood obesity:the health issue. Obes Res. 2001;9(4):239-43.
10. Reilly J, Armstrong J, Dorosty AR. Avon Longitudinal Study of Parents and Children Study Team. Early life risk factors for obesity in childhood: Cohort study. BMJ 2005;330.
11. Zhao Y, Wang SF, Mu M, Sheng J. Birth weight and overweight/obesity in adults: a meta-analysis. Eur J Pediatr. 2012;171(12):1737-46.
12. Gillman MW, Rifas-Shiman SL, Camargo CA Jr, Berkey CS, Frazier AL, Rockett HR, et al. Risk of overweight among adolescents who were breastfed as infants. JAMA. 2001;16;285(19):2461-7.
13. Moschonis G, de Lauzon-Guillain B, Jones L, Oliveira A, Lambrinou CP, Damianidi L, et al. The effect of early feeding practices on growth indices and obesity at preschool children from four European countries and UK schoolchildren and adolescents. Eur J Pediatr. 2017;176(9):1181-1192.
14. World Health Organization. Growth reference 5 -19 years. WHO Anthro plus software (version 3.1.0). Available from: http://www.who.int/growthref/tools/en/. 
15. World Health Organization Multicentre Growth Reference Study Group. WHO Growth reference data for 5-19 years. BMI-for-age (5-19 years). Available from: http://www.who.int/growthref/who2007_bmi_for_age/en/index.html.
16. WHO Multicentre Growth Reference Study Group. WHO Child Growth Standards: Length/height-for-age, weight-for-age, weight-for-length, weight-for-height and body mass index-for-age: Methods and development. Geneva (Switzerland); 2006.
17. Zdravković D, Banićević M, Petrović O. Novi standardi rasta i uhranjenosti dece i adolescenata. Beograd: Udruženje pedijatara Srbije; 2009.
18. Kiribati National Statistics Office, and the Secretariat of the Pacific Community. Kiribati Demographic and Health Survey Report. 2009. Available from: http://www.spc.int/sdd/index.php/en/downloads/cat_view/46-dhs/67-kiribati-2009-dhs-report.
19. Vijayalakshmi P, Susheela T, Mythili D. Knowledge, attitudes, and breast feeding practices of postnatal mothers: A cross sectional survey. International Journal of Health Sciences 2015;9(4):364-374.
20. Cascone D, Tomassoni D, Napolitano F, Di Giuseppe G. Evaluation of Knowledge, Attitudes, and Practices about Exclusive Breastfeeding among Women in Italy. Int J Environ Res Public Health 2019;16(12):2118.
21. World Health Organization. WHO Recommendations on Postnatal Care of the Mother and Newborn;World Health Organization: Geneva, Switzerland, 2013. Available online: http://www387.who.int/maternal_child_adolescent/documents/postnatalcare388recommendations/en/ .
22. Section on Breastfeeding. Breastfeeding and the use of human milk. Pediatrics 2012, 129, e827–e841.
23. Nelson AM. A metasynthesis of qualitative breastfeeding studies. J Midwifery Women’s Health. 2006;51(2):e13–20.
24. World Health Organization: Protecting, promoting and supporting Breastfeeding in facilities providing maternity and newborn services: the revised baby-friendly hospital initiative. In. Geneva, Switzerland.: WHO Document Production Service; 2018.
25. Lao PDR Department of Statistics and UNICEF. Multiple Indicator Cluster Survey 2006, Final Report. Vientiane, Lao PDR: Department of Statistics and UNICEF; 2008.
26. A Abuya B, Ciera J, Kimani-Murage E. Effect of mother’s education on child’s nutritional status in the slums of Nairobi. BMC Pediatrics. 2012;12:80.
27. Das S, Bapat U, Shah More N, Alcock G, Fernandez A, Osrin D. Nutritional status of young children in Mumbai slums: a follow-up anthropometric study. Nutrition Journal. 2012;11:100.
28. Janssen I, Katzmarzyk PT, Boyce WF, Vereecken C, Mulvihill C, Roberts C, Currie C, Pickett W. Comparison of overweight and obesity prevalence in school-aged youth from 34 countries and their relationships with physical activity and dietary patterns. Obes Rev. 2005;6(2):123-32.
29. Janssen I, Katzmarzyk PT, Boyce WF, King MA, Pickett W. Overweight and obesity in Canadian adolescents and their associations with dietary habits and physical activity patterns. J Adolesc Health. 2004;35(5):360-7.
30. Wake M, Salmon L, Waters E, Wright M, Hesketh K.Parent-reported health status of overweight and obese Australian primary school children: a cross-sectional population survey. Int J Obes Relat Metab Disord. 2002;26(5):717-24.
31. Antal M, Péter S, Biró L, Nagy K, Regöly-Mérei A, Arató G, Szabó C, Martos E.Prevalence of underweight, overweight and obesity on the basis of body mass index and body fat percentage in Hungarian schoolchildren: representative survey in metropolitan elementary schools. Ann Nutr Metab. 2009;54(3):171-6.
32. Panagiotakos DB, Papadimitriou A, Anthracopoulos MB, Konstantinidou M, Antonogeorgos G, Fretzayas A,et al. Birthweight, breast-feeding, parental weight and prevalence of obesity in schoolchildren aged 10 – 12 years, in Greece; the Physical Activity, Nutrition and Allergies in Children Examined in Athens (PANACEA) study. Pediatr Int. 2008;50(4):563–8.
33. Garrido-Miguel M, Oliveira A, Cavero-Redondo I, et al. Prevalence of Overweight and Obesity among European Preschool Children: A Systematic Review and Meta-Regression by Food Group Consumption. Nutrients. 2019;11(7):1698.
34. Djordjic V, Radisavljevic S, Milanovic I, Bozic P, Grbic M, Jorga J, Ostojic SM. WHO European Childhood Obesity Surveillance Initiative in Serbia: a prevalence of overweight and obesity among 6-9-year-old school children. J Pediatr Endocrinol Metab. 2016 Sep 1;29(9):1025-30.
35. Rakić SR, Pavlica T, Smajic M, Bjelanovic J. Nutritional status and prevalence of abdominal obesity in adolescents aged 11 to 15 years in Vojvodina (the Republic of Serbia). Progress in Nutrition. 2019.
36. Evensen E, Emaus N, Kokkvoll A, Wilsgaard T, Furberg AS, Skeie G. The relation between birthweight, childhood body mass index, and overweight and obesity in late adolescence: a longitudinal cohort study from Norway, The Tromsø Study, Fit Futures. BMJ Open 2017;22;7(6):e015576.
37. Araújo de França GV, Restrepo-Méndez MC, Loret de Mola C, Victora CG. Size at birth and abdominal adiposity in adults: a systematic review and meta-analysis. Obes Rev. 2014;15(2):77-91.
38. Baran J, Weres A, Czenczek-Lewandowska E, Leszczak J, Kalandyk-Osinko K, Mazur A. Relationship between Children's Birth Weight and Birth Length and a Risk of Overweight and Obesity in 4-15-Year-Old Children. Medicina (Kaunas) 2019;55(8):487.
39. Pearce J, Taylor MA, Langley‐Evans SC. Timing of the introduction of complementary feeding and risk of childhood obesity: a systematic review. Int J Obes 2013;37: 1295–1306.
40. Horta BL, Loret de Mola C, Victora CG. Long‐term consequences of breastfeeding on cholesterol, obesity, systolic blood pressure and type 2 diabetes: a systematic review and meta‐analysis. Acta Paediatr 2015;104: 30–37.
    

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