Primal Health Databank: Study

Entry No:0801
Title:Cesarean delivery is associated with an increased risk of obesity in adulthood in a Brazilian birth cohort study.
Author(s):Goldani HA, Barbieri MA, et al.
Reference:Am J Clin Nutr. 2011 Apr 20. [Epub ahead of print]
Place of Study:Brazil
Abstract:A birth cohort study was initiated in Ribeirão Preto, southeastern Brazil, in 1978. A randomly selected sample of 2057 subjects from the original cohort was reassessed in 2002-2004. Type of delivery, birth weight, maternal smoking, and schooling were obtained after birth. The following data from subjects were collected at 23-25 y of age: body mass index (BMI; in kg/m(2)), physical activity, smoking, and income. Obesity was defined as a BMI ≥30. A Poisson multivariable model was performed to determine the association between cesarean delivery and BMI. The obesity rate in adults born by cesarean delivery was 15.2% and in those born by vaginal delivery was 10.4% (P = 0.002). Adults born by cesarean delivery had an increased risk (prevalence ratio: 1.58; 95% CI: 1.23, 2.02) of obesity at adulthood after adjustments. The authors hypothesize that increasing rates of cesarean delivery may play a role in the obesity epidemic worldwide.
Keyword(s):body mass index, caesarean, cesarean, obesity
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