Author/Authors :
Mousavi, Asghar Department of Epidemiology and Biostatistics - Faculty of Health - Rafsanjan University of Medical Sciences, Rafsanjan , Sheikh Fathollahi, Mahmood Department of Social Medicine - Social Determinants of Health Research Center - Rafsanjan University of Medical Sciences, Rafsanjan , Vaziriynejad, Reza Department of Epidemiology and Biostatistics - Occupational Environmental Research Center - Rafsanjan University of Medical Sciences, Rafsanjan , Ahmadinia, Hassan Rafsanjan University of Medical Sciences, Rafsanjan , Manshouri, Azita Department of Gynecology - Rafsanjan University of Medical Sciences, Rafsanjan , Daneshi, Salman Department of Public Health - School of Health - Jiroft University of Medical Sciences, Jirof , Sheikh Beig Goharrizi, Mohammad Ali Atherosclerosis Research Center - Baqiyatallah University of Medical Sciences, Tehran , Vazirinejad, Reza Department of Social Medicine - Social Determinants of Health Research Center - Rafsanjan University of Medical Sciences, Rafsanjan
Abstract :
Introduction: This study was designed to determine the effect of delivery type on obesity of
children.
Materials and Methods: This case-control study investigated preschoolers in Rafsanjan city in
2018. The study population was divided into two groups. The first group consisted of children
who were overweight and obese as the case group, the second group included children with
normal BMI as the control group. For each obese and overweight child, a normal-weight child
was considered his or her control, matching the preschool center, sex and age. Logistic regression
models were used to examine the relationship and calculate the odds ratio.
Results: Data for 171 paired children were collected. Results showed that 126 (73.7%) of the
case group and 115 (67.3%) of the control group were born through CS. The odds of obesity
and overweight in children born through Caesarean Section (CS) was 1.363 times higher
than those born through normal delivery but this difference was not statistically significant
(P=0.193). These results did not change after controlling the effect of confounding factors.
Also, the risk of obesity and overweight in children born from mothers who had cesarean
selective delivery was 1.523 times higher than those born through normal delivery, but this
difference was not statistically significant (P=0.275).
Conclusion: The findings of our study did not show any evidence of a relationship between
maternal type of delivery and childhood weight. In this study, obesity and childhood overweight
depended on maternal characteristics.
Keywords :
Obesity , Overweight , Preschoolers , Case control study
