Cesarean section and body mass index in children: is there a causal effect?
Obesity is considered a global public health problem. Cesarean section has been associated with high body mass index (BMI) and increased obesity throughout life. However, this association has been challenged by some studies. This study aims to assess the causal effect of cesarean section on the BMI...
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| Format: | Article |
| Language: | English |
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Escola Nacional de Saúde Pública, Fundação Oswaldo Cruz
2022-04-01
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| Series: | Cadernos de Saúde Pública |
| Subjects: | |
| Online Access: | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0102-311X2022000405003&lng=en&tlng=en |
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| author | Lilian Fernanda Pereira Cavalcante Carolina Abreu de Carvalho Luana Lopes Padilha Poliana Cristina de Almeida Fonseca Viola Antônio Augusto Moura da Silva Vanda Maria Ferreira Simões |
| author_facet | Lilian Fernanda Pereira Cavalcante Carolina Abreu de Carvalho Luana Lopes Padilha Poliana Cristina de Almeida Fonseca Viola Antônio Augusto Moura da Silva Vanda Maria Ferreira Simões |
| author_sort | Lilian Fernanda Pereira Cavalcante |
| collection | DOAJ |
| description | Obesity is considered a global public health problem. Cesarean section has been associated with high body mass index (BMI) and increased obesity throughout life. However, this association has been challenged by some studies. This study aims to assess the causal effect of cesarean section on the BMI of children aged 1-3 years. This is a cohort study of 2,181 children aged 1-3 years, born in 2010, obtained from the BRISA Birth Cohort, in São Luís, state of Maranhão, Brazil. Sociodemographic variables, maternal characteristics, type of childbirth, morbidity, anthropometric measurements, and BMI were assessed. Marginal structural models with a counterfactual approach were used to check the causal effect of the type of childbirth on obesity, weighted by the inverse probability of selection and exposure. Out of the 2,181 children assessed (52% female), 50.6% were born by cesarean section, 5.9% of the newborn infants were large for gestational age, and 10.7% of them had excess weight. No causal effect of cesarean section on BMI was observed (coefficient = -0.004; 95%CI: -0.136; 0.127; p = 0.948). Cesarean section did not have a causal effect on the BMI of children aged 1-3 years. |
| first_indexed | 2024-04-13T06:52:22Z |
| format | Article |
| id | doaj.art-83d8ffde79b74bd1b4d965f7631186ba |
| institution | Directory Open Access Journal |
| issn | 1678-4464 |
| language | English |
| last_indexed | 2024-04-13T06:52:22Z |
| publishDate | 2022-04-01 |
| publisher | Escola Nacional de Saúde Pública, Fundação Oswaldo Cruz |
| record_format | Article |
| series | Cadernos de Saúde Pública |
| spelling | doaj.art-83d8ffde79b74bd1b4d965f7631186ba2022-12-22T02:57:22ZengEscola Nacional de Saúde Pública, Fundação Oswaldo CruzCadernos de Saúde Pública1678-44642022-04-0138410.1590/0102-311x00344020Cesarean section and body mass index in children: is there a causal effect?Lilian Fernanda Pereira Cavalcantehttps://orcid.org/0000-0002-5578-221XCarolina Abreu de Carvalhohttps://orcid.org/0000-0001-7900-4642Luana Lopes Padilhahttps://orcid.org/0000-0002-7162-2726Poliana Cristina de Almeida Fonseca Violahttps://orcid.org/0000-0002-8875-5154Antônio Augusto Moura da Silvahttps://orcid.org/0000-0003-4968-5138Vanda Maria Ferreira Simõeshttps://orcid.org/0000-0001-8351-1348Obesity is considered a global public health problem. Cesarean section has been associated with high body mass index (BMI) and increased obesity throughout life. However, this association has been challenged by some studies. This study aims to assess the causal effect of cesarean section on the BMI of children aged 1-3 years. This is a cohort study of 2,181 children aged 1-3 years, born in 2010, obtained from the BRISA Birth Cohort, in São Luís, state of Maranhão, Brazil. Sociodemographic variables, maternal characteristics, type of childbirth, morbidity, anthropometric measurements, and BMI were assessed. Marginal structural models with a counterfactual approach were used to check the causal effect of the type of childbirth on obesity, weighted by the inverse probability of selection and exposure. Out of the 2,181 children assessed (52% female), 50.6% were born by cesarean section, 5.9% of the newborn infants were large for gestational age, and 10.7% of them had excess weight. No causal effect of cesarean section on BMI was observed (coefficient = -0.004; 95%CI: -0.136; 0.127; p = 0.948). Cesarean section did not have a causal effect on the BMI of children aged 1-3 years.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0102-311X2022000405003&lng=en&tlng=enCesarean SectionChild ObesityBody Mass Index |
| spellingShingle | Lilian Fernanda Pereira Cavalcante Carolina Abreu de Carvalho Luana Lopes Padilha Poliana Cristina de Almeida Fonseca Viola Antônio Augusto Moura da Silva Vanda Maria Ferreira Simões Cesarean section and body mass index in children: is there a causal effect? Cadernos de Saúde Pública Cesarean Section Child Obesity Body Mass Index |
| title | Cesarean section and body mass index in children: is there a causal effect? |
| title_full | Cesarean section and body mass index in children: is there a causal effect? |
| title_fullStr | Cesarean section and body mass index in children: is there a causal effect? |
| title_full_unstemmed | Cesarean section and body mass index in children: is there a causal effect? |
| title_short | Cesarean section and body mass index in children: is there a causal effect? |
| title_sort | cesarean section and body mass index in children is there a causal effect |
| topic | Cesarean Section Child Obesity Body Mass Index |
| url | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0102-311X2022000405003&lng=en&tlng=en |
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