Cesariana e o estado nutricional na infância: resultados de uma coorte no sul do Brasil

Rodrigo Dias Nunes, Eliane Traebert, Mayara Seemann, Jefferson Traebert

Resumo


Introdução e objetivo: A incidência de cesariana tem aumentado, bem como o observado para a obesidade e o sobrepeso na infância. Este estudo tem como objetivo reportar a possível associação entre o parto ocorrido por cesariana e o status de desenvolvimento nutricional aos 6/7 anos de idade. Materials e métodos: Como parte da Coorte Brasil Sul, o estudo envolveu 475 crianças selecionadas randomicamente na cidade de Palhoça, Brasil, nascidas em 2009. Foram identificadas as características demográficas, gestacionais e relativas ao nascimento, bem como o status no desenvilmento nutricionais destas crianças. Foram realizadas as aferições de peso e altura e convertidos para os escores Z ajustados por idade e sexo para altura-por-idade (HFAz), peso-por-idade (WFAz) e IMC-por-idade (BMIz). Resultados: Entre estas crianças, 196 (41,3%) foram nascidas por cesariana e 279 (58,7%) por parto vaginal. Não foram identificadas diferenças entre as medias de BMIz, WFAz e HFAz ajustados pela via de parto, bem como quando realizado o efeito médio de tratamento dos dados. Conclusão: O nascimento por cesariana não esteve associado ao desenvolvimento nutricional aos 6/7 de idade na população estudada.

 

ABSTRACT

Cesarean birth and the nutritional development in childhood: results from a cohort in Southern Brazil

Background and aim: The cesarean births have increased, just like observed for obesity and overweight in childhood. This study aims to report the association between cesarean birth and the nutritional development status of 6/7-year-old. Materials and methods: As part of the Coorte Brasil Sul, the study involved 475 randomly selected children from the city of Palhoça, Brazil, born in 2009. Demographic, pregnancy and birth characteristics and children nutritional status were obtained. Measures of weight and height were converted to age and sex-adjusted z-scores of height-for-age (HFAz), weight-for-age (WFAz) and BMI-for-age (BMIz). Results: Among these children, 196 (41.3%) were born by cesarean section and 279 (58.7%) were born by vaginal birth. No differences were found between the means of the BMIz, WFAz and HFAz according to the mode of delivery, as well as the average treatment effect. Conclusion: Cesarean birth was not associated with the nutritional development status of 6/7-year-old in the studied population.


Palavras-chave


Obesity; Delivery; Obstetric; Cesarean section; Child

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Referências


-Aeberli, I.; Henschen, I.; Molinari, L.; Zimmermann, M.B. Stabilisation of the prevalence of childhood obesity in Switzerland. Swiss Medical Weekly. Vol. 140. 2010. p. W13046.

-Andersen, L.G.; Baker, J.L.; Sorensen, T.I.A. Contributions of incidence and persistence to the prevalence of childhood obesity during the emerging epidemic in Denmark. Plos One. Vol. 7. Num. 8. 2012. p. e42521.

-Chen, G.; Chiang, W.L.; Shu, B.C.; Guo, Y.L.; Chiou, S.T.; Chiang, T.L. Associations of caesarean delivery and the occurrence of neurodevelopmental disorders, asthma or obesity in childhood based on Taiwan birth cohort study. BMJ Open. Vol. 7. Num. 9. 2017. p. e017086.

-Dao, M.C.; Clément, K. Gut microbiota and obesity: Concepts relevant to clinical care. European Journal of International Medicine. Vol. S0953-6205. Num. 17. 2017. p. 30413-30412.

-De Jong, E.; Schokker, D.F.; Visscher, T.L.S.; Seidell, J.C.; Renders, C.M. Behavioural and sociodemograpgic characteristics of Dutch neighbourhoods with high prevalence of childhood obesity. Interantional Journal of Pediatric Obesity. Vol. 6. Num. 3-4. 2011. p. 298-305.

-Freedman, D.S.; Berenson, G.S. Tracking of BMI z Scores for Severe Obesity. Pediatrics. Vol. 140. Num. 3. 2017. p. e20171072.

-Kankoon, N.; Lumbiganon, P.; Kietpeerakool, C.; Sangkomkamhang, U.; Betrán, A.P.; Robson, M. Cesarean rates and severe maternal and neonatal outcomes according to the Robson 10-Group Classification System in Khon Kaen Province, Thailand. International Journal of Gynaecology and Obstetrics. Vol. 140. Num. 2. 2018. p. 191-197.

-Kelly, T.; Yang, W.; Chen, C.S.; Reynolds, K.; He, J. Global burden of obesity in 2005 and projections to 2030. International Journal of Obesity. Vol. 32. Num. 4. 2008. p. 1431-1437.

-Leonard, S.A.; Petito, L.C.; Rehkopf, D.H.; Ritchie, L.D.; Abrams, B. Weight gain in pregnancy and child weight status from birth to adulthood in the United States. Pediatr Obes. 2016. Pediatric Obesity. Vol. 12. Num. Supl. 1. 2017. p. 18-25.

-Massion, S.; Wickham, S.; Pearce, A.; Barr, B.; Law, C.; Taylor-Robinson, D. Exploring the impact of early life factors on inequalities in risk of overweight in UK children: findings from the UK Millennium Cohort Study. Archives of Disease in Childhood. Vol. 101. Num. 8. 2016. p. 724-730.

-Martínez-Vizcaíno, V.; Solera-Martínez, M.; Cavero-Redondo, I.; García-Prieto, J.C.; Arias-Palencia, N.; Notario-Pacheco, B.; Martínez-Andrés, M.; Mota, J.; Sánchez-López, M.; Cuenca Study Group. Association between parental socioeconomic status with underweight and obesity in children from two Spanish birth cohorts: a changing relationship. BMC Public Health. Vol. 15. 2015. p. 1276.

-Mastroeni, M.F.; Mastroeni, S.S.B.S.; Czarnobay, S.A.; Ekwaru, J.P.; Loehr, S.A.; Veugelers, P.J. Breast-feeding duration for the prevention of excess body weight of mother-child pairs concurrently: a 2-year cohort study. Public Health Nutrition. Vol. 20. Num. 14. 2017. p. 2537-2548.

-Møller, S.E.; Ajslev, T.A.; Andersen, C.S.; Dalga, C.; Sørensen, T.I.A. Risk of childhood overweight after exposure to tobacco smoking in prenatal and early postnatal life. Plos One. Vol. 9. Num 10. 2014. p. e109184.

-Mueller, N.T.; Whyatt, R.; Hoepner, L.; Oberfield, S.; Dominguez-Bello, M.G.; Widen, E.M.; Hassoun, A.; Perera, F.; Rundle, A. Prenatal exposure to antibiotics, cesarean section and risk of childhood obesity. International Journal of Obesity. Vol. 39. Num. 4. 2015. p. 665-670.

-Mueller, N.T.; Mao, G.; Bennet, W.L.; Hourigan, S.K.; Dominguez-Bello, M.G.; Appel, L.J.; Wang, X. Does vaginal delivery mitigate or strengthen the intergenerational association of overweight and obesity? Findings from the Boston Birth Cohort. International Journal of Obesity. Vol. 31. Num. 4. 2017. p. 497-501.

-O’Dea, J.A.; Hueiwen, C.; Peralta, L.R. Socioeconomic patterns of overweight, obesity but not thinness persist from childhood to adolescence in a 6-year longitudinal cohort of Australian scoolchildren from 2007 to 2012. BMC Public Health. Vol. 14. 2014. p. 222.

-Olds, T.S.; Maher, C.; Zumin, S.; Peneau, S.; Lioret, S.; Castetbon, K.; Bellisle, J.; De Wilde, J., Hohepa, M.; Maddison, R.; Lissner, L.; Sjoberg, A.; Zimmermann, M.; Aeberli, I.; Ogden, C.; Flegal, K.; Summerbell, C. Evidence that the prevalence of childhood overweight is plateauing: data from nine countries. International Journal of Pediatric Obesity. Vol. 6. Num. 5-6. 2011. p. 342-360.

-Paz, L.D.; Sheiner, E.; Wainstock, T.; Sergienko, R.; Landau, D.; Walfisch, A. Evidence that children born at early term (37-38 6/7 weeks) are at increased risk for diabetes and obesity-related disorders. American Journal of Obstetrics and Gynecology. Vol. S0002-9378. Num. 17. 2017. p. 30857-30858.

-Pei, Z.; Heinrich, J.; Fuertes, E.; Flexeder, C.; Hoffmann, B.; Lehmann, I.; Schaaf, B.; von Berg, A.; Koletzko, S.; Influences of Lifestyle-Related Factors on the Immune System and the Development of Allergies in Childhood plus Air Pollution and Genetics (LISAplus) Study Group. Cesarean delivery and risk of childhood obesity. Journal of Pediatrics. Vol. 164. Num. 5. 2014. p. 1068-1073.

-Santos, D.F.B.; Strapasson, G.C.; Golin, S.D.P.; Gomes, E.C.; Wille, G.M.F.C.; Barreira, S.M.W. Implicações da pouca preocupação e percepção familiar no sobrepeso infantil no município de Curitiba, PR, Brasil. Ciência & Saúde Coletiva. Vol. 22. Num 5. 2017. p. 1717-1724.

-Sorensen, T.I.A.; Ajslev, T.A.; Angquist, L.; Morgen, C.S.; Ciuchi, I.G.; Smith, G.D. Comparison of associations of maternal peri-pregnancy and paternal anthropometrics with child anthropometrics from birth through age 7 y assessed in the Danish National Birth Cohort. American Journal of Nutrition. Vol. 104. 2016. p. 389-396.

-Smithers, L.G.; Mol, B.W.; Jamieson, L.; Lynch, J.W. Cesarean birth is not associated with early childhood body mass index. Pediatric Obesity. Vol. 12. Num. Supl. 1. 2017. p. 120-124.

-Stamatakis, E.; Wardle, J.; Cole, T.J. Childhood obesity and overweight prevalence trends in England: evidence for growing socioeconomic disparities. International Journal of Obesity. Vol. 34. Num. 1. 2010. p. 41-47.

-Vinding, R.K.; Sejersen, T.S.; Chawes, B.L.; Bonnelykke, K.; Buhl, T.; Bisgaard, H.; Stokolm, J. Cesarean delivery and body mass index at 6 months and into childhood. Pediatrics. Vol. 39. Num. 6. 2017. p. e20164066.

-Weng, S.F.; Redsell, S.A.; Nathan, D.; Swift, J.A.; Yang, M.; Glazebrook, C. Estimating overweight risk in childhood from predictors during infancy. Pediatrics. Vol 132. Num. 2. 2013. p. e414-e421.

-Widen, E.M.; Kahn, L.G.; Cirillo, P.; Cohn, B.; Kezios, K.L.; Factor-Litvak, P. Prepregnancy overweight and obesity are associated with impaired child neurodevelopment. Maternal Child Nutrition. Vol. 14. Num. 1. 2017. p. 1-8.

-World Health Organization. Obesity: Preventing and managing the global epidemic: report of a WHO consultation. Geneva. 2000.

-Yuan, C.; Gaskins, A.J.; Blaine, A.I.; Zhang, C.; Gillman, M.W.; Missmer, S.A.; Field, A.E.; Chavarro, J.E. Association Between Cesarean Birth and Risk of Obesity in Offspring in Childhood, Adolescence, and Early Adulthood. JAMA Pediatrics. Vol. 170. Num. 11. 2016. p. e162385.


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