Birth weight and subsequent risk of obesity: a systematic review and meta-analysis

This report describes the association between birth weight (BW) and obesity. Screening of 478 citations from five electronic databases resulted in the inclusion of 33 studies, most of medium quality. The meta-analysis included 20 of these published studies. The 13 remaining articles did not provide...

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Veröffentlicht in:Obesity reviews 2011-07, Vol.12 (7), p.525-542
Hauptverfasser: Yu, Z.B, Han, S.P, Zhu, G.Z, Zhu, C, Wang, X.J, Cao, X.G, Guo, X.R
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container_issue 7
container_start_page 525
container_title Obesity reviews
container_volume 12
creator Yu, Z.B
Han, S.P
Zhu, G.Z
Zhu, C
Wang, X.J
Cao, X.G
Guo, X.R
description This report describes the association between birth weight (BW) and obesity. Screening of 478 citations from five electronic databases resulted in the inclusion of 33 studies, most of medium quality. The meta-analysis included 20 of these published studies. The 13 remaining articles did not provide sufficient dichotomous data and were systematically reviewed, revealing results consistent with the meta-analysis. Our results revealed that high BW (>4000 g) was associated with increased risk of obesity (odds ratio [OR], 2.07; 95% confidence interval [CI], 1.91-2.24) compared with subjects with BW ≤ 4000 g. Low BW (
doi_str_mv 10.1111/j.1467-789X.2011.00867.x
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Screening of 478 citations from five electronic databases resulted in the inclusion of 33 studies, most of medium quality. The meta-analysis included 20 of these published studies. The 13 remaining articles did not provide sufficient dichotomous data and were systematically reviewed, revealing results consistent with the meta-analysis. Our results revealed that high BW (&gt;4000 g) was associated with increased risk of obesity (odds ratio [OR], 2.07; 95% confidence interval [CI], 1.91-2.24) compared with subjects with BW ≤ 4000 g. Low BW (&lt;2500 g) was associated with decreased risk of obesity (OR, 0.61; 95% CI, 0.46-0.80) compared with subjects with BW ≥ 2500 g. However, when two studies exhibited selection bias were removed, the results indicated no significant association between low BW and obesity (OR, 0.77; 95% CI, 0.58-1.04). Sensitivity analyses showed that differences in the study design, sample size and quality grade of the study had an effect on the low BW/obesity association, which low BW was not associated with the risk of obesity in cohort studies, studies with large sample sizes and studies with high quality grades. Pooled results were similar when normal birth weight (2500-4000 g) was used as the reference category. Subgroup analyses based on different growth and developmental stages (pre-school children, school children and adolescents) also revealed that high BW was associated with increased risk of obesity from childhood to early adulthood. No significant evidence of publication bias was present. 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Screening of 478 citations from five electronic databases resulted in the inclusion of 33 studies, most of medium quality. The meta-analysis included 20 of these published studies. The 13 remaining articles did not provide sufficient dichotomous data and were systematically reviewed, revealing results consistent with the meta-analysis. Our results revealed that high BW (&gt;4000 g) was associated with increased risk of obesity (odds ratio [OR], 2.07; 95% confidence interval [CI], 1.91-2.24) compared with subjects with BW ≤ 4000 g. Low BW (&lt;2500 g) was associated with decreased risk of obesity (OR, 0.61; 95% CI, 0.46-0.80) compared with subjects with BW ≥ 2500 g. However, when two studies exhibited selection bias were removed, the results indicated no significant association between low BW and obesity (OR, 0.77; 95% CI, 0.58-1.04). Sensitivity analyses showed that differences in the study design, sample size and quality grade of the study had an effect on the low BW/obesity association, which low BW was not associated with the risk of obesity in cohort studies, studies with large sample sizes and studies with high quality grades. Pooled results were similar when normal birth weight (2500-4000 g) was used as the reference category. Subgroup analyses based on different growth and developmental stages (pre-school children, school children and adolescents) also revealed that high BW was associated with increased risk of obesity from childhood to early adulthood. No significant evidence of publication bias was present. 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Han, S.P ; Zhu, G.Z ; Zhu, C ; Wang, X.J ; Cao, X.G ; Guo, X.R</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c5827-f6479daa950411ed896006c9fd41f3c509827ad928394573788b00382f2801f3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2011</creationdate><topic>Adolescence</topic><topic>Adolescent</topic><topic>Adolescents</topic><topic>adulthood</topic><topic>Analysis</topic><topic>Birth Weight</topic><topic>Child</topic><topic>Child, Preschool</topic><topic>childhood</topic><topic>Children</topic><topic>cohort studies</topic><topic>confidence interval</topic><topic>Confidence Intervals</topic><topic>developmental stages</topic><topic>Diseases</topic><topic>experimental design</topic><topic>Grading</topic><topic>High schools</topic><topic>Humans</topic><topic>Infant, Low Birth Weight</topic><topic>Infant, Newborn</topic><topic>Meta analysis</topic><topic>Obesity</topic><topic>Obesity - epidemiology</topic><topic>Odds Ratio</topic><topic>prenatal experience</topic><topic>preschool children</topic><topic>Reviews</topic><topic>risk</topic><topic>Risk Factors</topic><topic>risk reduction</topic><topic>school children</topic><topic>screening</topic><topic>sensitivity analysis</topic><topic>systematic review</topic><topic>Weight</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Yu, Z.B</creatorcontrib><creatorcontrib>Han, S.P</creatorcontrib><creatorcontrib>Zhu, G.Z</creatorcontrib><creatorcontrib>Zhu, C</creatorcontrib><creatorcontrib>Wang, X.J</creatorcontrib><creatorcontrib>Cao, X.G</creatorcontrib><creatorcontrib>Guo, X.R</creatorcontrib><collection>AGRIS</collection><collection>Istex</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><collection>Health and Safety Science Abstracts (Full archive)</collection><collection>Physical Education Index</collection><collection>Risk Abstracts</collection><collection>Safety Science and Risk</collection><collection>Environmental Sciences and Pollution Management</collection><jtitle>Obesity reviews</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Yu, Z.B</au><au>Han, S.P</au><au>Zhu, G.Z</au><au>Zhu, C</au><au>Wang, X.J</au><au>Cao, X.G</au><au>Guo, X.R</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Birth weight and subsequent risk of obesity: a systematic review and meta-analysis</atitle><jtitle>Obesity reviews</jtitle><addtitle>Obes Rev</addtitle><date>2011-07</date><risdate>2011</risdate><volume>12</volume><issue>7</issue><spage>525</spage><epage>542</epage><pages>525-542</pages><issn>1467-7881</issn><eissn>1467-789X</eissn><abstract>This report describes the association between birth weight (BW) and obesity. Screening of 478 citations from five electronic databases resulted in the inclusion of 33 studies, most of medium quality. The meta-analysis included 20 of these published studies. The 13 remaining articles did not provide sufficient dichotomous data and were systematically reviewed, revealing results consistent with the meta-analysis. Our results revealed that high BW (&gt;4000 g) was associated with increased risk of obesity (odds ratio [OR], 2.07; 95% confidence interval [CI], 1.91-2.24) compared with subjects with BW ≤ 4000 g. Low BW (&lt;2500 g) was associated with decreased risk of obesity (OR, 0.61; 95% CI, 0.46-0.80) compared with subjects with BW ≥ 2500 g. However, when two studies exhibited selection bias were removed, the results indicated no significant association between low BW and obesity (OR, 0.77; 95% CI, 0.58-1.04). Sensitivity analyses showed that differences in the study design, sample size and quality grade of the study had an effect on the low BW/obesity association, which low BW was not associated with the risk of obesity in cohort studies, studies with large sample sizes and studies with high quality grades. Pooled results were similar when normal birth weight (2500-4000 g) was used as the reference category. Subgroup analyses based on different growth and developmental stages (pre-school children, school children and adolescents) also revealed that high BW was associated with increased risk of obesity from childhood to early adulthood. No significant evidence of publication bias was present. These results suggest that high BW is associated with increased risk of obesity and may serve as a mediator between prenatal influences and later disease risk.</abstract><cop>Oxford, UK</cop><pub>Blackwell Publishing Ltd</pub><pmid>21438992</pmid><doi>10.1111/j.1467-789X.2011.00867.x</doi><tpages>18</tpages></addata></record>
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source MEDLINE; Wiley Online Library Journals Frontfile Complete
subjects Adolescence
Adolescent
Adolescents
adulthood
Analysis
Birth Weight
Child
Child, Preschool
childhood
Children
cohort studies
confidence interval
Confidence Intervals
developmental stages
Diseases
experimental design
Grading
High schools
Humans
Infant, Low Birth Weight
Infant, Newborn
Meta analysis
Obesity
Obesity - epidemiology
Odds Ratio
prenatal experience
preschool children
Reviews
risk
Risk Factors
risk reduction
school children
screening
sensitivity analysis
systematic review
Weight
title Birth weight and subsequent risk of obesity: a systematic review and meta-analysis
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