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Prenatal growth and metabolic syndrome components among Chilean children

Published online by Cambridge University Press:  11 April 2012

F. Mardones ,
L. Villarroel ,
P. Arnaiz ,
S. Barja ,
A. Domínguez ,
O. Castillo ,
M. Farías ,
J. G. Eriksson  and
P. Pacheco
F. Mardones*
Affiliation:
Department of Public Health, Faculty of Medicine, Pontificia Universidad Católica de Chile, Santiago, Chile
L. Villarroel
Affiliation:
Department of Public Health, Faculty of Medicine, Pontificia Universidad Católica de Chile, Santiago, Chile
P. Arnaiz
Affiliation:
Department of Pediatrics, Faculty of Medicine, Pontificia Universidad Católica de Chile, Santiago, Chile
S. Barja
Affiliation:
Department of Pediatrics, Faculty of Medicine, Pontificia Universidad Católica de Chile, Santiago, Chile
A. Domínguez
Affiliation:
Department of Public Health, Faculty of Medicine, Pontificia Universidad Católica de Chile, Santiago, Chile
O. Castillo
Affiliation:
Department of Nutrition, Faculty of Medicine, Pontificia Universidad Católica de Chile, Santiago, Chile
M. Farías
Affiliation:
Department of Obstetrics and Gynecology, Faculty of Medicine, Pontificia Universidad Católica de Chile, Santiago, Chile
J. G. Eriksson
Affiliation:
Unit of General Practice, Helsinki University Central Hospital, Helsinki, Finland Department of General Practice and Primary Health Care, University of Helsinki, Helsinki, Finland Folkhalsan Research Centre, Helsinki, Finland
P. Pacheco
Affiliation:
Department of Public Health, Faculty of Medicine, Pontificia Universidad Católica de Chile, Santiago, Chile
*
*Address for correspondence: Dr F. Mardones, Department of Public Health, Pontificia Universidad Católica de Chile, Código Postal 833-0073, Marcoleta 434, Santiago, Chile. (Emails: [email protected], [email protected])
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Abstract

The association of prenatal growth with metabolic syndrome (MS) components and insulin resistance (IR) in children has not been studied in Chile and most developing countries. Some associations found in developed countries are controversial. A retrospective cohort study was designed linking present information on MS components and IR in children with register-based information on birth weight (BW), birth length (BL) and gestational age (GA). Examinations included anthropometry and blood pressure (BP), as well as self-report of pubertal status. A fasting blood sample was taken to determine lipids, glucose, insulin and homeostasis model assessment (HOMA)-IR was calculated. The study cohort of 2152 children was on average 11.4 ± 1.0 years old. The prevalence of MS, IR and overweight were 7.6%, 24.5% and 34%, respectively. Elevated BP was negatively associated with dichotomized risk categories of the perinatal factors studied (BW, BL and GA). Contingency tables showed that high waist circumference (WC) and elevated BP had a U-shaped association with various categories of BW and BL, respectively. Stepwise linear regressions selected: (a) WC as inversely associated to GA and directly associated to BW, (b) BP as inversely associated to GA and (c) HOMA-IR as inversely associated to BL. Non-optimal prenatal growth seems to predispose to high WC, elevated BP and IR in school-age children, supporting the early life origin of several non-communicable diseases. Those associations were rather weak as estimated by the slopes of the regressions and probably reduced by their U-shaped nature; they would reasonably become stronger with a longer follow-up.

Keywords

childreninsulin resistancemetabolic syndromeprenatal growthretrospective cohort
Type
Original Article
Information
Journal of Developmental Origins of Health and Disease , Volume 3 , Issue 4 , August 2012 , pp. 237 - 244
Copyright
Copyright © Cambridge University Press and the International Society for Developmental Origins of Health and Disease 2012

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