Birthweight and risk factors for cardiovascular diseases in Japanese schoolchildren

Kaneshi, Takuya; Yoshida, Tomohide; Ohshiro, Tatsuo; Nagasaki, Hiraku; Asato, Yoshihide; Ohta, Takao

doi:10.1111/j.1442-200x.2007.02333.x

Cited by 26 publications

(29 citation statements)

References 45 publications

(67 reference statements)

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“…The association of BMI gain with abnormal glucose homeostasis and markers of early atherosclerosis in children (15,27) is similar to the trend we observed between BMI gain and risk for SDB after adenotonsillectomy. The similarity in these trends raises the important question of whether SDB is one link between a high rate of BMI gain during childhood and abnormal glucose homeostasis and cardiovascular disease in adulthood.…”

Section: Discussionsupporting

confidence: 87%

See 1 more Smart Citation

Growth Velocity Predicts Recurrence of Sleep-disordered Breathing 1 Year after Adenotonsillectomy

Amin

Anthony

Somers³

et al. 2008

Am J Respir Crit Care Med

166

125

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Rationale: Adenotonsillectomy, the first line of treatment of sleepdisordered breathing (SDB), is the most commonly performed pediatric surgery. Predictors of the recurrence of SDB after adenotonsillectomy and its impact on cardiovascular risk factors have not been identified. Objectives: Demonstrate that gain velocity in body mass index (BMI) defined as unit increase in BMI/year confers an independent risk for the recurrence of SDB 1 year after adenotonsillectomy. Methods: Children with SDB and hypertrophy of the tonsils and a comparison group of healthy children were followed prospectively for 1 year. Measurements and Main Results: Serial polysomnographies, BMI, and blood pressure were obtained before adenotonsillectomy and 6 weeks, 6 months, and 1 year postoperatively. Gain velocity in BMI, BMI and being African American (odds ratios, 4-6/unit change/yr; 1.4/unit and 15, respectively) provided equal amounts of predictive power to the risk of recurrence of SDB. In the group that experienced recurrence, systolic blood pressure at 1 year was higher than at baseline and higher than in children who did not experience recurrence. Conclusions: Three clinical parameters confer independent increased risk for high recurrence of SDB after adenotonsillectomy: gain velocity in BMI, obesity, and being African American. A long-term follow-up of children with SDB and monitoring of gain velocity in BMI are essential to identifying children at risk for recurrence of SDB and in turn at risk for hypertension. Keywords: growth velocity; adenotonsillectomy; sleep-disordered breathingOne of the most frequently encountered conditions associated with obesity is sleep-disordered breathing (SDB). In adults, the risk of SDB increases by 1.14 for every unit increase in body mass index (BMI) (1). In the pediatric population, the risk for developing SDB is fourfold greater in obese children than in children who are not obese (2). Although the prevalence of SDB in all children is believed to range from 2 to 3% (3-5), the prevalence in adolescents who are morbidly obese exceeds 50% (6, 7). Obesity is therefore strongly associated with abnormal upper airway control during sleep across all age groups.Adenotonsillectomy, the first line of treatment in the management of childhood SDB, is the most commonly performed surgical procedure in children. The annual rate of adenotonsillectomy in children aged 0 to 14 years ranges from 19 per 10,000 in Canada to 115 per 10,000 in the Netherlands (8). At least half of these procedures are performed to relieve symptoms of SDB. In the first few weeks after adenotonsillectomy, obese children with SDB have a less favorable response to surgery than lean children. However, neither the long-term outcome nor the factors that contribute to recurrence of the disorder after adenotonsillectomy are clearly understood. Moreover, the impact of recurrence of SDB on important cardiovascular risk factors, such as blood pressure (BP), has never been examined.Research investigating the relationship between adiposity and SDB h...

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Section: Discussionsupporting

confidence: 87%

“…Several studies have demonstrated that the inflammatory consequences of obesity and its cardiovascular morbidity are influenced by the rate of weight gain over time independent of actual weight (15)(16)(17)(18)(19). Thus, the degree of adiposity and rate of weight gain may reflect different disease processes (20,21).…”

mentioning

confidence: 99%

Growth Velocity Predicts Recurrence of Sleep-disordered Breathing 1 Year after Adenotonsillectomy

Amin

Anthony

Somers³

et al. 2008

Am J Respir Crit Care Med

166

125

View full text Add to dashboard Cite

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“…Based on the findings of Malik et al, the rate of LBW infants was higher in the women over 35 than those over 18 years of age (16). A significant association was also observed between the mothers' occupation and education, and low birth weight, which has been confirmed by other studies (17)(18)(19). In the present study, it has been well demonstrated that if Birth spacing increases, the likelihood of declined low birth weight will increase, and this is a result confirmed by Klufio et al (18).…”

Section: Discussionsupporting

confidence: 91%

Maternal Risk Factors Associated with Low Birth Weight

Momenabadi

Kaveh

Mousavi³

et al. 2017

Iran J Health Sci

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Background and purpose:Since a large proportion of fetal mortality is associated with low birth weight (LBW) and considering the fact that fetal development is a vulnerable process influenced by maternal risk factors, this study examined some maternal risk factors associated with LBW infants. Materials and Methods:This cross-sectional study was conducted based on the medical records of 250 infants born in Zeynabeieh Hospital. The required data were registered in a pre-developed checklist. Then, the collected data were analyzed by Chi-square in SPSS Software using descriptive and inferential statistics. Results: The mean weight of the sample was 3.2 ± 0.25 (1.5-4.7) kg. About 18% of the infants had birth weight of 2500 g or less. The most frequent educational level among the mothers was illiteracy and elementary education (60%), and the least was secondary education (9.2%). There was found a significant correlation between the mothers' education and low birth weight (P < 0.001). Regarding the association between the mothers' age and low birth weight, 18-to 35-year-old mothers comprised the highest number of mothers (75%), and upper 35-year-old mothers did the lowest (11.2%). Based on chi-square test, a significant correlation was observed between the mothers' ages and low birth weight (p<0.001). In addition, concerning the occupation of mother and low birth weight, there was documented a significant correlation between their occupation and low birth weight (P < 0.001). Conclusion: Maternal biosocial, medical, and obstetric factors have strong association with LBW. To overcome this problem, special attention is required so as to strengthen the mother and child healthcare services in the community.

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“…Entretanto, a velocidade de ganho de peso foi mais determinante para os níveis séricos destes elementos, do que apenas o BPN. Esses dados reforçam a importância do controle de peso para prevenir o desenvolvimento de aterosclerose coronariana em crianças, especialmente aquelas com histórico de BPN (KANESHI et al, 2007).…”

Section: Bpn E Obesidadeunclassified

“…No fígado, ela inibe tanto a expressão das enzimas que estimulam a neoglicogênese quanto à produção de glicose (KANESHI et al, 2007).…”

Section: Bpn E Obesidadeunclassified

Baixo peso ao nascer e sua relação com obesidade e síndrome metabólica na infância e adolescência

Santos

Oliveira²

2011

cmbio

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RESUMOInformações recentes sugerem que o baixo peso ao nascer é uma variável importante para a ocorrência de obesidade e de componentes relacionados à síndrome metabólica, e que essas alterações podem ser detectadas, precocemente, na infância e adolescência. Alguns fatores relacionados ao feto e à mãe são mencionados na literatura como desencadeadores da prematuridade e subsequente baixo peso ao nascer. Os indivíduos com pequena idade gestacional têm alto risco de ganho de peso rápido no pós-natal, obesidade tardia e de apresentar alguns processos ligados a síndrome metabólica, como diabetes tipo 2, dislipidemia, hipertensão e doenças cardiovasculares. Conhecer o panorama dessas condições poderia contribuir para uma atenção precoce à saúde da criança com histórico de baixo peso ao nascimento com riscos à programação para essas doenças em longo prazo. O presente artigo teve como objetivo revisar as considerações atuais sobre a associação entre baixo peso ao nascer e a obesidade e síndrome metabólica na infância e adolescência. Palavras-chave: Recém-Nascido. Obesidade. Síndrome X metabólica. Criança. Adolescente. ABSTRACTRecent reports suggest that low birth weight is an important variable for the occurrence of obesity and related metabolic syndrome components, and that these changes can be detected early in childhood and adolescence. Some factors related to the fetus and mother are mentioned in the literature as causes of prematurity and subsequent low birth weight. Individuals with low gestational age are at high risk of rapid weight gain postnatally, later obesity and to present some processes related to metabolic syndrome and type 2 diabetes, dyslipidemia, hypertension and cardiovascular disease. Knowing of these conditions could contribute to an early attention of low birth weight infants at risk for these diseases to programming in the long term. This review article aimed to research current considerations on the association between low birth weight and obesity and metabolic syndrome in childhood and adolescence. Keywords:: Infant newborn. Obesity. Metabolic Syndrome X. Child. Adolescent. INTRODUÇÃOO baixo peso ao nascer (BPN) é considerado um dos grandes problemas de saúde pública, especialmente no Brasil, devido ao impacto sobre a morbidade e mortalidade infantil. A prematuridade e a restrição do crescimento intra-uterino (RCIU) têm sido apontadas como as maiores responsáveis por essa condição. A inter-relação dessas variáveis forma um quadro significativo de riscos às doenças, além de poder levar a morte no primeiro ano de vida.No Brasil, informações mais recentes do Ministério da Saúde revelam que, do total de nascidos de BPN em 2007, 7,8% correspondeu ao parto normal e 8,6% ao cesáreo. Ao comparar os levantamentos de 2000 a 2007, verifica-se que houve importante aumento de BPN nos nascidos de parto cesáreo (BRASIL, 2009).Sabe-se que o tamanho ao nascimento é o resultado do crescimento fetal, e este deve ser considerado como uma condição adequada para a vida pós-natal. Este processo complexo depende de i...

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Birthweight and risk factors for cardiovascular diseases in Japanese schoolchildren

Cited by 26 publications

References 45 publications

Growth Velocity Predicts Recurrence of Sleep-disordered Breathing 1 Year after Adenotonsillectomy

Growth Velocity Predicts Recurrence of Sleep-disordered Breathing 1 Year after Adenotonsillectomy

Maternal Risk Factors Associated with Low Birth Weight

Baixo peso ao nascer e sua relação com obesidade e síndrome metabólica na infância e adolescência

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