Relationship between paternal excessive weight and neonatal anthropometry in a clinical trial of nutritional counseling for pregnant women with overweight.

IF 4.2 2区 医学 Q1 ENDOCRINOLOGY & METABOLISM International Journal of Obesity Pub Date : 2024-09-24 DOI:10.1038/s41366-024-01639-8
Mariana Rinaldi Carvalho, Daniela Elias Goulart de Andrade Miranda, Naiara Franco Baroni, Izabela da Silva Santos, Natália Posses Carreira, Livia Castro Crivellenti, Daniela Saes Sartorelli
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Abstract

Background/objectives: Human studies suggest that fathers with obesity influence infant growth and development. This study aimed to evaluate the relationship between paternal body mass index (BMI) and waist circumference (WC) with neonatal anthropometry and adiposity.

Methods: This study is a cohort nested in a randomized controlled clinical trial of nutritional counseling for pregnant women with overweight. In total, 89 partner-pregnant woman-neonate triads were included. Paternal anthropometric measurements were taken at the time of the interview. Secondary data related to birth were obtained through access to the health information systems. Neonatal skinfold thickness was assessed and the adiposity was estimated using a predictive anthropometric model. Pearson's correlation and adjusted multivariate linear regression models were employed to evaluate the relationship between paternal BMI and WC with neonatal anthropometric measurements and adiposity.

Results: In total, 57.0% of the fathers presented a BMI ≥ 25 kg/m² and 14.6% a waist circumference ≥102 cm. The mean ± SD birth weight of the newborns (g) was 3357 ± 538. Paternal BMI and WC were inversely correlated with head circumference at birth [r = -0.31 (p = 0.004), r = -0.23 (p = 0.03), respectively]. Paternal BMI was also inversely correlated with the birth weight standardized by gestational age (z-score) [r = -0.23 (p = 0.03)]. In adjusted multivariate linear regression models, the paternal BMI (kg/m²) was inversely associated with the head circumference at birth (cm) [β = -0.07 (95% CI -0.15; -0.001) p = 0.04].

Conclusion: The data suggest that paternal excessive weight have a negative effect on fetal development, as assessed by anthropometric measurements. The inverse association between paternal BMI and the head circumference at birth was independent of confounders. Future studies with larger sample sizes are necessary to confirm or refute such hypotheses.

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在对超重孕妇进行营养咨询的临床试验中,父亲体重超标与新生儿人体测量之间的关系。
背景/目的:人类研究表明,父亲肥胖会影响婴儿的生长发育。本研究旨在评估父亲体重指数(BMI)和腰围(WC)与新生儿人体测量和脂肪含量之间的关系:本研究是一项针对超重孕妇进行营养咨询的随机对照临床试验的队列嵌套研究。共纳入了 89 个伴侣-孕妇-新生儿三人组。访谈时测量了父亲的人体测量数据。通过访问卫生信息系统获得了与出生有关的第二手数据。采用预测性人体测量模型评估新生儿皮褶厚度和脂肪含量。采用皮尔逊相关性和调整后多元线性回归模型来评估父亲的体重指数和腹围与新生儿人体测量和脂肪含量之间的关系:57.0%的父亲体重指数≥25 kg/m²,14.6%的父亲腰围≥102 cm。新生儿出生体重(克)的平均值(± SD)为 3357 ± 538。父亲的体重指数和腰围与出生时的头围成反比[分别为 r = -0.31 (p = 0.004)、r = -0.23 (p = 0.03)]。父亲的体重指数也与按胎龄标准化的出生体重(z-score)成反比[r = -0.23 (p = 0.03)]。在调整后的多元线性回归模型中,父亲的体重指数(kg/m²)与出生时的头围(厘米)成反比[β = -0.07 (95% CI -0.15; -0.001) p = 0.04]:数据表明,父亲体重过重对胎儿的发育有负面影响,这可以通过人体测量来评估。父亲体重指数与出生时头围之间的反向关系与混杂因素无关。未来有必要进行样本量更大的研究,以证实或反驳此类假设。
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来源期刊
International Journal of Obesity
International Journal of Obesity 医学-内分泌学与代谢
CiteScore
10.00
自引率
2.00%
发文量
221
审稿时长
3 months
期刊介绍: The International Journal of Obesity is a multi-disciplinary forum for research describing basic, clinical and applied studies in biochemistry, physiology, genetics and nutrition, molecular, metabolic, psychological and epidemiological aspects of obesity and related disorders. We publish a range of content types including original research articles, technical reports, reviews, correspondence and brief communications that elaborate on significant advances in the field and cover topical issues.
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