Clinical Study

Excess Early Postnatal Weight Gain Leads to Increased Abdominal Fat in Young Children

Table 1

Associations between child and parental characteristics and tertiles of Z-score weight gain for length gain rate in the first 3 postnatal months.

Tertiles of weight gain rate for length gain rate in the first 3 months after birth
1st -score WLG tertile (mean : −1.1)2nd -score WLG tertile (mean : −0.049)3rd -score WLG tertile (mean : 1.1)
value

Child characteristics
Infancy
 Gender (% boys)5345480.49a
 Gestational age (days)#282 (275–288)279 (271–286)281 (274–286)0.07c
 Birth weight (grams)3564 ± 463430 ± 463642 ± 460.005b
 Birth length (cm) <0.001b
Z-score birth size (SD) 0.056b
 Mean weight gain (g/day) <0.001b
 Mean length gain (mm/day) 0.95b
 Breastfeeding (% ever)7979800.98a
 Exclusive breastfeeding (days)#*66 (26–127)72 (28–136)79 (40–145)0.26c
Childhood
 Age at 5 years visit (years)#5.4 (5.2–5.5)5.3 (5.2–5.4)5.3 (5.2–5.4)0.16c
 Weight (kg) <0.001b
 Height (cm) <0.001b
 BMI (kg/m2)#14.8 (14.0–15.4)14.9 (14.0–16.1)15.6 (14.8–16.6)<0.001c
 Waist circumference (mm)#52.2 (50.2–53.9)52.0 (49.9–54.1)54.0 (51.5–56.3)<0.001c
 Systolic blood pressure (mmHg)105 ± 0.75105 ± 0.76106 ± 0.760.46b
 Diastolic blood pressure (mmHg)55 ± 0.6856 ± 0.6855 ± 0.680.60b

Parental characteristics
 Maternal age at childbirth (years) 0.70b
 Maternal BMI (kg/m2) 0.58b
 Paternal BMI (kg/m2) 0.99b
 Maternal gestational diabetes (%)0030.11d
 Maternal smoking-prenatal (%)6610.13a
 Parental smoking-postnatal (%)0.039a
  Neither one of the parents627079
  One parent312019
  Both parents7102
 Socio economic status (% high educated)7976690.26a
 Maternal ethnicity (% western)9391920.85a

Values are means with standard errors in case of continuous variables and percentages in case of frequencies. In case of skewed data ( ), medians with interquartile range were presented.
Not normally distributed.
Within those ever breastfed.
Chi-square test.
ANOVA.
Kruskall Wallis test.
Fisher’s exact test.