Birth weight and childhood obesity: effect modification by residence and household wealth

Andriani H.

Department of Health Policy and Administration, Faculty of Public Health, Universitas Indonesia, Lingkar Kampus Raya Universitas Indonesia Street, Depok, 16424, Indonesia


Abstract

Background: There are both genetic and environmental factors which contribute to a child’s chances of being obese. When low birth weight (LBW) has been specifically evaluated relative to its association with childhood obesity, the results have produced conflicting findings. This study aims to describe the relationship between birth weight and childhood obesity and investigate the influence that residence and household wealth has on this relationship. Methods: I performed a secondary analysis on the 2013 Riskesdas (or Basic Health Research), a cross-sectional, nationally representative survey of the Indonesian population. Height, weight, information regarding child’s birth weight, and basic characteristics of the study population were collected from parents with children aged 0 to 5 years (n = 63,237) in 2013. The exposure was child’s birth weight and the outcomes were child’s current weight, BMI z-score, and obesity. Data were analyzed by using multiple linear regression and multiple logistic regression. Results: I found a significant increase in the weight, BMI z-score, and risk of childhood obesity to be associated with LBW. LBW children in rural area were associated with higher BMI z-score (mean ± standard error: 1.44 ± 0.02) and higher odds (odds ratio (95% confidence interval): 7.46 (6.77–8.23)) of obesity than those in urban area. LBW children from low class families were associated with higher BMI z-score (1.79 ± 0.04) and had higher odds (14.79 (12.47–17.54)) of obesity than those from middle class and wealthy families. Conclusions: Effective prevention and intervention to childhood obesity as early as possible are imperative. As far as this study was concerned, efforts, policies, and targets are required to reduce the prevalence of LBW. Children born of LBW, who live in a rural area and from low income families, should be emphatically intervened as early as possible. © 2021, The Author(s).

Household wealth; Indonesia; Low birth weight; Obesity; Urban–rural


Journal

Emerging Themes in Epidemiology

Publisher: BioMed Central Ltd

Volume 18, Issue 1, Art No 6, Page – , Page Count


Journal Link: https://www.scopus.com/inward/record.uri?eid=2-s2.0-85105640502&doi=10.1186%2fs12982-021-00096-2&partnerID=40&md5=348b3adc9e9c4538efaba10d25177a27

doi: 10.1186/s12982-021-00096-2

Issn: 17427622

Type: All Open Access, Gold, Green


References

Wang, Y., Lobstein, T., Worldwide trends in childhood overweight and obesity (2006) Int J Pediatr Obes, 1, pp. 11-25. , PID: 17902211; Reilly, J.J., Methven, E., McDowell, Z.C., Hacking, B., Alexander, D., Stewart, L., Kelnar, C.J., Health consequences of obesity (2003) Arch Dis Child, 88, pp. 748-752. , COI: 1:STN:280:DC%2BD3szpvFOjtw%3D%3D, PID: 12937090; Monasta, L., Batty, G.D., Cattaneo, A., Lutje, V., Ronfani, L., Van Lenthe, F.J., Brug, J., Early-life determinants of overweight and obesity: a review of systematic reviews (2010) Obes Rev, 11, pp. 695-708. , COI: 1:STN:280:DC%2BC3cfks1Khug%3D%3D, PID: 20331509; Brophy, S., Cooksey, R., Gravenor, M.B., Mistry, R., Thomas, N., Lyons, R.A., Williams, R., Risk factors for childhood obesity at age 5: analysis of the millennium cohort study (2009) BMC Public Health, 9, p. 467. , PID: 20015353; Hirschler, V., Bugna, J., Roque, M., Gilligan, T., Gonzalez, C., Does low birth weight predict obesity/overweight and metabolic syndrome in elementary school children? (2008) Arch Med Res, 39, pp. 796-802. , PID: 18996294; Zhang, X., Liu, E., Tian, Z., Wang, W., Ye, T., Liu, G., Li, Y., Hu, G., High birth weight and overweight or obesity among Chinese children 3–6 years old (2009) Prev Med, 49, pp. 172-178. , PID: 19632265; Loaiza, S., Coustasse, A., Urrutia-Rojas, X., Atalah, E., Birth weight and obesity risk at first grade in a cohort of Chilean children (2011) Nutr Hosp, 26, pp. 214-219. , COI: 1:STN:280:DC%2BC3MrpsVGgtg%3D%3D, PID: 21519750; Schellong, K., Schulz, S., Harder, T., Plagemann, A., Birth weight and long-term overweight risk: systematic review and a meta-analysis including 643,902 persons from 66 studies and 26 countries globally (2012) PLoS ONE, 7. , COI: 1:CAS:528:DC%2BC38Xhs1ansbjL, PID: 23082214; Yu, Z.B., Han, S.P., Zhu, G.Z., Zhu, C., Wang, X.J., Cao, X.G., Guo, X.R., Birth weight and subsequent risk of obesity: a systematic review and meta-analysis (2011) Obes Rev, 12, pp. 525-542. , COI: 1:STN:280:DC%2BC3MngslelsQ%3D%3D, PID: 21438992; Cottrell, E.C., Ozanne, S.E., Early life programming of obesity and metabolic disease (2008) Physiol Behav, 94, pp. 17-28. , COI: 1:CAS:528:DC%2BD1cXkslejsrY%3D, PID: 18155097; Ibanez, L., Ong, K., Dunger, D.B., de Zegher, F., Early development of adiposity and insulin resistance after catch-up weight gain in small-for-gestational-age children (2006) J Clin Endocrinol Metab, 91, pp. 2153-2158. , COI: 1:CAS:528:DC%2BD28XlvVCgsLw%3D, PID: 16537681; Stettler, N., Bovet, P., Shamlaye, H., Zemel, B.S., Stallings, V.A., Paccaud, F., Prevalence and risk factors for overweight and obesity in children from Seychelles, a country in rapid transition: the importance of early growth (2002) Int J Obes Relat Metab Disord, 26, pp. 214-219. , COI: 1:STN:280:DC%2BD387hsFyntg%3D%3D, PID: 11850753; Chen, C., Jin, Z., Yang, Y., Jiang, F., Huang, H., Liu, S., Association of low birth weight with thinness and severe obesity in children aged 3–12 years: a large-scale population-based cross-sectional study in Shanghai China (2019) BMJ Open, 9. , PID: 31152041; Mehrkash, M., Kelishadi, R., Mohammadian, S., Mousavinasab, F., Qorbani, M., Hashemi, M.E., Asayesh, H., Shafa, N., Obesity and metabolic syndrome among a representative sample of Iranian adolescents (2012) Southeast Asian J Trop Med Public Health, 43, pp. 756-763. , PID: 23077856; McCance, R.A., Widdowson, E.M., The determinants of growth and form (1974) Proc R Soc Lond B Biol Sci, 185, pp. 1-17. , COI: 1:STN:280:DyaE2c%2Fnt1SitQ%3D%3D, PID: 4149051; Swenne, I., Bone, A.J., Howell, S.L., Hellerstrom, C., Effects of glucose and amino acids on the biosynthesis of DNA and insulin in fetal rat islets maintained in tissue culture (1980) Diabetes, 29, pp. 686-692. , COI: 1:CAS:528:DyaL3MXkt1ajsr8%3D, PID: 7002685; Julia, M., van Weissenbruch, M.M., Prawirohartono, E.P., Surjono, A., Delemarre-van de Waal HA: tracking for underweight, overweight and obesity from childhood to adolescence: a 5-year follow-up study in urban Indonesian children (2008) Horm Res, 69, pp. 301-306. , COI: 1:CAS:528:DC%2BD1cXlvV2qs78%3D, PID: 18259110; Usfar, A.A., Lebenthal, E., Atmarita, A., Achadi, E., Soekirman, S., Hadi, H., Obesity as a poverty-related emerging nutrition problems: the case of Indonesia (2010) Obes Rev, 11, pp. 924-928. , COI: 1:STN:280:DC%2BC3cbosFGisg%3D%3D, PID: 20977602; Final report of national basic health research 2013 (RISKESDAS 2013) (2013) Jakarta: Ministry of Health Republic of Indonesia; Assessment of differences in linear growth among populations in the WHO Multicentre Growth Reference Study (2006) Acta Paediatr, 450, pp. 56-65; de Onis, M., Onyango, A.W., Borghi, E., Siyam, A., Nishida, C., Siekmann, J., Development of a WHO growth reference for school-aged children and adolescents (2007) Bull World Health Organ, 85, pp. 660-667. , PID: 18026621; Ong, K.K., Ahmed, M.L., Emmett, P.M., Preece, M.A., Dunger, D.B., Association between postnatal catch-up growth and obesity in childhood: prospective cohort study (2000) BMJ, 320, pp. 967-971. , COI: 1:STN:280:DC%2BD3c3hs1OmtA%3D%3D, PID: 10753147; Barker, D.J., The developmental origins of adult disease (2004) J Am Coll Nutr, 23, pp. 588s-s595. , COI: 1:STN:280:DC%2BD2M%2FhsVSgtA%3D%3D, PID: 15640511; Sawaya, A.L., Martins, P.A., Grillo, L.P., Florencio, T.T., Long-term effects of early malnutrition on body weight regulation (2004) Nutr Rev, 62, pp. S127-S133. , PID: 15387478; Singhal, A., Wells, J., Cole, T.J., Fewtrell, M., Lucas, A., Programming of lean body mass: a link between birth weight, obesity, and cardiovascular disease? (2003) Am J Clin Nutr, 77, pp. 726-730. , COI: 1:CAS:528:DC%2BD3sXnsVSru7s%3D, PID: 12600868; Baird, J., Fisher, D., Lucas, P., Kleijnen, J., Roberts, H., Law, C., Being big or growing fast: systematic review of size and growth in infancy and later obesity (2005) BMJ, 331, p. 929. , PID: 16227306; Druet, C., Stettler, N., Sharp, S., Simmons, R.K., Cooper, C., Smith, G.D., Ekelund, U., Ong, K.K., Prediction of childhood obesity by infancy weight gain: an individual-level meta-analysis (2012) Paediatr Perinat Epidemiol, 26, pp. 19-26. , PID: 22150704; Ong, K.K., Loos, R.J., Rapid infancy weight gain and subsequent obesity: systematic reviews and hopeful suggestions (2006) Acta Paediatr, 95, pp. 904-908. , PID: 16882560; Yajnik, C., Interactions of perturbations in intrauterine growth and growth during childhood on the risk of adult-onset disease (2000) Proc Nutr Soc, 59, pp. 257-265. , COI: 1:STN:280:DC%2BD3M7lt1Cksg%3D%3D, PID: 10946794; Garnett, S.P., Cowell, C.T., Baur, L.A., Fay, R.A., Lee, J., Coakley, J., Peat, J.K., Boulton, T.J., Abdominal fat and birth size in healthy prepubertal children (2001) Int J Obes Relat Metab Disord, 25, pp. 1667-1673. , COI: 1:STN:280:DC%2BD38%2FgtVWisg%3D%3D, PID: 11753589; Li, N., Liu, E., Sun, S., Guo, J., Pan, L., Wang, P., Liu, J., Hu, G., Birth weight and overweight or obesity risk in children under 3 years in China (2014) Am J Hum Biol, 26, pp. 331-336. , PID: 24459032; Oldroyd, J., Renzaho, A., Skouteris, H., Low and high birth weight as risk factors for obesity among 4 to 5-year-old Australian children: does gender matter? (2011) Eur J Pediatr, 170, pp. 899-906. , COI: 1:CAS:528:DC%2BC3MXnslSit7w%3D, PID: 21174121; Rugholm, S., Baker, J.L., Olsen, L.W., Schack-Nielsen, L., Bua, J., Sørensen, T.I., Stability of the association between birth weight and childhood overweight during the development of the obesity epidemic (2005) Obes Res, 13, pp. 2187-2194. , PID: 16421354; Qiao, Y., Ma, J., Wang, Y., Li, W., Katzmarzyk, P.T., Chaput, J.P., Fogelholm, M., Kurpad, A., Birth weight and childhood obesity: a 12-country study (2015) Int J Obes Suppl, 5, pp. S74-S79. , COI: 1:STN:280:DC%2BC28bntVKqsA%3D%3D, PID: 27152189; Hsin, A., Is biology destiny? birth weight and differential parental treatment (2012) Demography, 49, pp. 1385-1405. , PID: 22865101; Hulme, P.A., Blegen, M.A., Residential status and birth outcomes: is the rural/urban distinction adequate? (1999) Public Health Nurs, 16, pp. 176-181. , COI: 1:STN:280:DyaK1MzhsVeruw%3D%3D, PID: 10388334; Mozurkewich, E.L., Luke, B., Avni, M., Wolf, F.M., Working conditions and adverse pregnancy outcome: a meta-analysis (2000) Obstet Gynecol, 95, pp. 623-635. , COI: 1:STN:280:DC%2BD3c7pt1Whsw%3D%3D, PID: 10725502; Peck, J., Alexander, K., Maternal, infant, and child health in rural areas (2003) Rural Healthy People 2010: A Companion Document to Healthy People 2010, 1, pp. 151-164. , Gamm LD, Hutchison LL, Dabney BJ, College Station, Texas, The Texas A&M University System Health Science Center, School of Rural Public Health, Southwest Rural Health Research Center; Hughes, D., Simpson, L., The role of social change in preventing low birth weight (1995) Future Child, 5, pp. 87-102. , COI: 1:STN:280:DyaK2MzmtVCqtQ%3D%3D, PID: 7633870; Hillemeier, M.M., Weisman, C.S., Chase, G.A., Dyer, A.M., Individual and community predictors of preterm birth and low birthweight along the rural-urban continuum in central Pennsylvania (2007) J Rural Health, 23, pp. 42-48. , PID: 17300477; Luo, Z.C., Wilkins, R., Kramer, M.S., Effect of neighbourhood income and maternal education on birth outcomes: a population-based study (2006) CMAJ, 174, pp. 1415-1420. , PID: 16682708; Parsons, T.J., Power, C., Manor, O., Fetal and early life growth and body mass index from birth to early adulthood in 1958 British cohort: longitudinal study (2001) BMJ, 323, pp. 1331-1335. , COI: 1:STN:280:DC%2BD3MnptVyltQ%3D%3D, PID: 11739217; Yu, Z., Sun, J.Q., Haas, J.D., Gu, Y., Li, Z., Lin, X., Macrosomia is associated with high weight-for-height in children aged 1–3 years in Shanghai China (2008) Int J Obes, 32, pp. 55-60. , COI: 1:STN:280:DC%2BD1c%2FjvVKrtw%3D%3D

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