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Preschool children born moderately preterm have increased waist circumference at two years of age despite low body mass index
Department of Paediatrics, County Hospital Halmstad, Halmstad, Sweden & Department of Paediatrics, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden.
Department of Paediatrics, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden.
Department of Paediatrics, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden.
Department of Paediatrics, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden.
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2012 (English)In: Acta Paediatrica, ISSN 0803-5253, E-ISSN 1651-2227, Vol. 101, no 11, 1175-1181 p.Article in journal (Refereed) Published
Abstract [en]

AIM: To investigate the development of waist circumference (WC) in preschool children born preterm compared with a population-based reference.

BACKGROUND: Children born preterm are reported to be insulin resistant, despite being lean during early childhood. We hypothesize that the mechanism is through increased visceral adiposity.

METHODS: Data from 4446 preschool children (2169 girls/2277 boys) born in 2001-2006 from a population-based study were compared with longitudinal measurements of body mass index (BMI) and WC from a cohort of 152 children (64 girls/88 boys) born moderately preterm in 2002-2004 (gestational age, 32-37 weeks).

RESULTS: In the preterm children, the mean WC was 2.8 cm larger compared with the reference group (p < 0.001) at 2 years of age but not at 5 years of age. There was no significant difference in the mean BMI at 2 years of age. The preterm group was significantly leaner at 5 years of age, with a mean BMI of 15.13 compared with 15.98 in the reference group (p < 0.001).

CONCLUSION: Children born moderately preterm present as lean during early childhood but have an increased waist circumference in infancy, pointing towards a change in fat distribution with more abdominal fat. This may have implications for their metabolic status.

Place, publisher, year, edition, pages
Chichester: Wiley-Blackwell Publishing Inc., 2012. Vol. 101, no 11, 1175-1181 p.
Keyword [en]
Metabolic syndrome, Prematurity, Waist circumference, Waist-to-height ratio
National Category
Clinical Medicine
Identifiers
URN: urn:nbn:se:hh:diva-32299DOI: 10.1111/j.1651-2227.2012.02819.xISI: 000309408200029PubMedID: 22924837Scopus ID: 2-s2.0-84867100895OAI: oai:DiVA.org:hh-32299DiVA: diva2:1039948
Available from: 2016-10-25 Created: 2016-10-25 Last updated: 2017-11-29Bibliographically approved

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