A Study of the Association Between Prepregnancy BMI and Childhood BMI

Jae Min Seo; Eun Ryeong Kim; Won Uk Lee; Ji Suk Kim; Yong Hee Hong

Article

Korean J Obes 2013; 22(3): 161-166

Published online September 30, 2013

A Study of the Association Between Prepregnancy BMI and Childhood BMI

Jae Min Seo, Eun Ryeong Kim⁽¹⁾, Won Uk Lee, Ji Suk Kim⁽¹⁾, Yong Hee Hong^(2)*

Author Affiliations

Department of Pediatrics, Hospital of Kwangmyung Sungae; Department of Pediatrics, Hospital of Sungae⁽¹⁾, Department of Pediatrics, Hospital of Bucheon Soonchunhyang University⁽²⁾

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

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Background: Pediatric obesity is an important clinical problem because it may lead to considerable complications and cause social health problems as well as being closely linked to childhood and adult obesity. It has been reported that dietary habits, lifestyle, genetic factor, gestational weight gain, birth weight and prepregnancy obesity of mothers are recognizable factors for their children's pediatric obesity. The purpose of this study was to elucidate the influence of mothers' prepregnancy BMI on their children's BMI.
Method: The study was conducted with 234 mothers, who had uncomplicated singleton term pregnancy in Sungae general hospital from January 2004 to December 2007, and their children. The data were analyzed by reviewing the mothers' chart which presented their prepregnancy BMI, gestational weight gain, age and calculation of their three to five year-old children's BMI. And they were also analyzed by t-test, Pearson correlation using the SPSS version 15.0 program.
Result: Prepregnancy BMI was linearly related to offspring's BMI and percentile of BMI, but gestational weight gain was not related to offspring's BMI. If the prepregnancy BMI was high, birth weight was significantly high and the greater the birth weight, the higher the percentile of childhood BMI at the age of 3~5 years.
Conclusion: This study shows that it is the prepregnancy BMI, not gestational weight gain, that is strongly associated with pediatric obesity. Therefore, women's obesity control before pregnancy is crucial to prevent their children's obesity. Moreover, it is necessary that continuous follow up should be done for the assessment of the long-term prognosis.

Keywords: Pediactric obesity, Prepregnacy BMI, Gestational weight gain

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Fig. 1.

Correlation between BMI of children at their three to five years old and prepregnancy BMI of mother.

BMI, body mass index; r, Pearson correlation coefficient.

Fig. 2.

Correlation between BMI percentile of children at their three to five years old and prepregnancy BMI of mother.

BMI, body mass index; r, Pearson correlation coefficient.

Fig. 3.

Correlation between BMI of children at their three to five years old and weight gain of mother during pregnancy.

BMI, body mass index; r, Pearson correlation coefficient.

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Characteristics of 234 study subjects

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