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Abstract ObjectiveA mother–child dyad trajectory model of weight and body composition spanning from conception to adolescence was developed to understand how early life exposures shape childhood body composition. MethodsAfrican American (49.3%) and Dominican (50.7%) pregnant mothers (n= 337) were enrolled during pregnancy, and their children (47.5% female) were followed from ages 5 to 14. Gestational weight gain (GWG) was abstracted from medical records. Child weight, height, percentage body fat, and waist circumference were measured. GWG and child body composition trajectories were jointly modeled with a flexible latent class model with a class membership component that included prepregnancy BMI. ResultsFour prenatal and child body composition trajectory patterns were identified, and sex‐specific patterns were observed for the joint GWG–postnatal body composition trajectories with more distinct patterns among girls but not boys. Girls of mothers with high GWG across gestation had the highest BMIzscore, waist circumference, and percentage body fat trajectories from ages 5 to 14; however, boys in this high GWG group did not show similar growth patterns. ConclusionsJointly modeled prenatal weight and child body composition trajectories showed sex‐specific patterns. Growth patterns from childhood though early adolescence appeared to be more profoundly affected by higher GWG patterns in females, suggesting sex differences in developmental programming.
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Cesarean birth and the growth of Yucatec Maya and Toba/Qom children
Abstract ObjectiveCesarean delivery is often epidemiologically associated with childhood obesity. However, little attention is paid to post‐birth modulatory environments, and most studies are conducted in settings where obesity arises for a number of reasons in addition to birth mode. We therefore assess population differences in the relationship between birth mode and childhood growth using data from rural and peri‐urban Latin American indigenous populations, and test predictions developed using life history theory. MethodsChild height and weight were measured monthly in 80 Yucatec Maya and 58 Toba/Qom children aged 1‐48 months (2007‐2014, 3812 observations). Random‐effects linear mixed models were used to compare children's growth by population, sex, and birth mode, accounting for potential confounders. ResultsCesarean delivery rates were 47% (Toba/Qom) and 20% (Yucatec Maya). Childhood obesity and overweight rates were low in both populations. Cesarean‐delivered children had significantly greater weight gain (but similar height grain) compared to vaginally‐delivered children. By age 4, cesarean delivered Yucatec Maya girls and boys, and Toba/Qom boys (not girls), had significantly higher weight‐for‐age compared to vaginally‐delivered children from their own sex and population. ConclusionsThis provides one of the first attempts to document differences in children's growth patterns according to mode of birth in modernizing indigenous populations. Cesarean delivery is associated with young children's growth patterns, even in the absence of many obesity‐inducing factors. There are also population, age, and sex differences in the relationship between birth mode and childhood weight trajectories that warrant future investigation.
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- Award ID(s):
- 1632338
- PAR ID:
- 10371465
- Publisher / Repository:
- Wiley Blackwell (John Wiley & Sons)
- Date Published:
- Journal Name:
- American Journal of Human Biology
- Volume:
- 31
- Issue:
- 2
- ISSN:
- 1042-0533
- Format(s):
- Medium: X
- Sponsoring Org:
- National Science Foundation
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