TITLE

Maternal Pre-Gravid Obesity and Early Childhood Respiratory Hospitalization: A Population-Based Case-Control Study

AUTHOR(S)
Parsons, Elizabeth; Patel, Kevin; Tran, Betty; Littman, Alyson
PUB. DATE
August 2013
SOURCE
Maternal & Child Health Journal;Aug2013, Vol. 17 Issue 6, p1095
SOURCE TYPE
Academic Journal
DOC. TYPE
Article
ABSTRACT
Inflammation in utero is linked to childhood respiratory and infectious complications. Obesity is an increasingly common chronic inflammatory state, yet little is known about its role in childhood respiratory illness. We sought to examine the association between maternal pre-gravid BMI and early childhood respiratory hospitalization. We conducted a population-based case-control study using the Washington State Comprehensive Hospital Abstract Reporting System and linked birth certificate data. Cases were children age 0-5 years, born in Washington state, with a respiratory hospitalization between 2003 and 2008. We identified 15,318 cases, frequency matching each case to two controls by birth year (total 31,060 controls). We used logistic regression to estimate the risk (approximated by odds ratios) of early childhood respiratory hospitalization according to maternal pre-gravid body mass index (BMI) category (underweight, normal, overweight, obese), after adjustment for maternal and infant characteristics. An elevated maternal pre-gravid BMI was associated with increased risk of childhood respiratory hospitalization, with an adjusted odds ratio OR [95 % CI] = 1.08 [1.03-1.14] for overweight mothers (BMI 25-29.9 kg/m), and OR = 1.29 [1.22-1.36] for obese mothers (BMI ≥ 30 kg/m). An elevated maternal pre-gravid BMI was associated with higher risk of early childhood respiratory hospitalization. Childhood respiratory illness may be an important complication of excess maternal weight that should be shared with expectant mothers.
ACCESSION #
89025357

 

Related Articles

  • Screen Exposure and Body Mass Index Status in 2- to 11-Year-Old Children. Hendrix, Kristin S.; Carroll, Aaron E.; Downs, Stephen M. // Clinical Pediatrics;Jun2014, Vol. 53 Issue 6, p593 

    Objective. To measure the relationship between screen exposure and obesity in a large, urban sample of children and to examine whether the relationship is moderated by sociodemographics. Methods. We asked parents of 11 141 children visiting general pediatrics clinics if the child had a...

  • Comparing three body mass index classification systems to assess overweight and obesity in children and adolescents. Gonzalez-Casanova, Ines; Sarmiento, Olga L.; Gazmararian, Julie A.; Cunningham, Solveig A.; Martorell, Reynaldo; Pratt, Michael; Stein, Aryeh D. // Revista Panamericana de Salud Publica;May2013, Vol. 33 Issue 5, p349 

    Objective. To compare the International Obesity Task Force (IOTF) 2005, Centers for Disease Control and Prevention (CDC) 2000, and World Health Organization (WHO) 2007 body mass index (BMI) classification systems in terms of prevalence estimation and association with demographic factors....

  • Urinary Bisphenol A Levels and Measures of Obesity: Results fromthe National Health and Nutrition Examination Survey 2003-2008. Shankar, Anoop; Teppala, Srinivas; Sabanayagam, Charumathi // ISRN Endocrinology;2012, p1 

    Bisphenol A (BPA) is a widely used chemical. We examined the association between urinary BPA levels and obesity in the National Health and Nutritional Examination Survey (NHANES) 2003-2008. Themain outcome of interest was obesity defined as (1) body mass index (BMI) = 30 Kg/m² and (2) waist...

  • Class III Obesity and Unwanted Pregnancy Among Women with Live Births in New York City, 2004-2007. Garbers, Samantha; Chiasson, Mary // Maternal & Child Health Journal;Oct2013, Vol. 17 Issue 8, p1459 

    Obesity is associated with numerous adverse health effects for pregnant women and their newborns. Unintended pregnancy is associated with suboptimal prenatal health behaviors and adverse birth outcomes. While research has suggested a link between obesity and unintended pregnancy, the evidence...

  • The Association of Maternal Pre-pregnancy Body Mass Index with Breastfeeding Initiation. Thompson, Lindsay A.; Zhang, Shuyao; Black, Erik; Das, Rajeeb; Ryngaert, Mary; Sullivan, Sandra; Roth, Jeffrey // Maternal & Child Health Journal;Dec2013, Vol. 17 Issue 10, p1842 

    Recent evidence extends the health benefits of breastfeeding to include reduction of maternal body mass index (BMI) and childhood obesity. Since most women decide if they will breastfeed prior to pregnancy, it is important to understand, given the high population prevalence of obesity, if...

  • Factors Affecting Subspecialty Referrals by Pediatric Primary Care Providers for Children With Obesity-Related Comorbidities. Walsh, Carolyn O.; Milliren, Carly E.; Feldman, Henry A.; Taveras, Elsie M. // Clinical Pediatrics;Aug2013, Vol. 52 Issue 8, p777 

    Objective. To determine referral patterns from pediatric primary care to subspecialists for overweight/obesity and related comorbidities. Methods. We used the National Ambulatory Medical Care Survey and National Hospital Ambulatory Medical Care Survey to identify overweight/obesity and 5 related...

  • Evaluation of the risk factors of ectopic pregnancy and a comparison between two age groups: more and less than 20 years old. Kashanian, Maryam; Baradaran, Hamid Reza; Mousavi, Seydeh Somayeh // Razi Journal of Medical Sciences;Jan2012, Vol. 18 Issue 91, p20 

    Background: Ectopic pregnancy (EP), is one of the most important complications of pregnancy and one of the most important factors of maternal mortality in developing countries. Evaluation of the risk factors might be helpful for patients in order to conduct a better management. The purpose of...

  • Can the Internet Be Used to Reach Parents for Family-Based Childhood Obesity Interventions? Hohman, Katherine H.; Price, Sarah N.; Sonneville, Kendrin; Rifas-Shiman, Sheryl L.; Gortmaker, Steven L.; Gillman, Matthew W.; Taveras, Elsie M. // Clinical Pediatrics;Apr2012, Vol. 51 Issue 4, p314 

    Objective. This study aimed to identify socioeconomic correlates of computer/Internet use among parents of overweight preschool-aged children. Methods. A total of 470 baseline participants in a trial to prevent obesity in children 2 to 6.9 years old with body mass index ≥95th percentile or...

  • Prevalence of Overweight and Obesity in Hispanic Preschool Children in San Luis Obispo County, California. Jankovitz, Kristine Z.; McGaughey, Karen J.; Tom, Kyla; Ravalin, Dayna; McDermott, Ann Yelmokas // Californian Journal of Health Promotion;Aug2012, Vol. 10 Issue 2, p114 

    The purpose of the study was to determine the prevalence of overweight and obese (OW/OB) preschool children in San Luis Obispo County. Preschool children ages 3-5 years were measured for height and weight in 2006 (n = 482) and in 2009/10 combined (n = 559). The CDC BMI calculator for ages 2-20...

Share

Read the Article

Courtesy of THE LIBRARY OF VIRGINIA

Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics