Association of infant weight at one year of age with the mode of delivery: A case-control study in Primary Health Care Centers, Dubai, United Arab Emirates

Objective: To demonstrate the association between body mass index (BMI) centile at age one year with the mode of delivery and selected maternal and infant variables in Dubai, United Arab Emirates. Methods: A retrospective case-control study where data were collected from the medical records of infan...

Full description

Saved in:
Bibliographic Details
Main Authors: Aisha Yousuf, Simon Williams, Kulaithem S. Al Mazrouei
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2023-01-01
Series:Journal of Family Medicine and Primary Care
Subjects:
Online Access:https://journals.lww.com/10.4103/jfmpc.jfmpc_1631_22
Tags: Add Tag
No Tags, Be the first to tag this record!
_version_ 1846170576400416768
author Aisha Yousuf
Simon Williams
Kulaithem S. Al Mazrouei
author_facet Aisha Yousuf
Simon Williams
Kulaithem S. Al Mazrouei
author_sort Aisha Yousuf
collection DOAJ
description Objective: To demonstrate the association between body mass index (BMI) centile at age one year with the mode of delivery and selected maternal and infant variables in Dubai, United Arab Emirates. Methods: A retrospective case-control study where data were collected from the medical records of infants attending Primary Health Centers in 2019. Based on the World Health Organization 2006 growth standard, cases of overweight and obesity (n = 149) were defined as infants with BMI ≥85th centile, whereas controls (n = 434) were infants with a normal BMI between 3rd and <85th centile. Univariate analysis was performed first to compare the distribution of mode of delivery and other covariates between cases and controls. Adjusted odds ratios (adjOR) and 95% confidence interval (95%CI) were calculated by logistic regression. Results: The adjOR for infant overweight and obesity at one year of age was 1.53 (95% CI: 1.01, 2.39, P = 0.047) for a cesarean mode of delivery as compared to vaginal delivery. The analysis also showed that the adjOR for infant overweight and obesity was 2.67 (95% CI: 1.22, 5.85, P = 0.014) for having no siblings and 2.20 (95%CI: 1.07, 4.51, P = 0.032) for ≤4 siblings. In contrast, infant overweight and obesity was associated with a lower odds of breastfeeding (adjOR = 0.60; 95%CI: 0.38, 0.92; P = 0.020) and mixed milk feeding (adjOR = 0.36; 95%CI: 0.20, 0.66; P = 0.001). Conclusion: In this study, infant overweight and obesity was associated with a greater likelihood of cesarean mode of delivery and having ≤4 siblings. The absence of breastfeeding was also associated with infant overweight and obesity.
format Article
id doaj-art-14585e27f4fa4cf59541a8b511c6246c
institution Kabale University
issn 2249-4863
2278-7135
language English
publishDate 2023-01-01
publisher Wolters Kluwer Medknow Publications
record_format Article
series Journal of Family Medicine and Primary Care
spelling doaj-art-14585e27f4fa4cf59541a8b511c6246c2024-11-11T15:04:55ZengWolters Kluwer Medknow PublicationsJournal of Family Medicine and Primary Care2249-48632278-71352023-01-0112114515110.4103/jfmpc.jfmpc_1631_22Association of infant weight at one year of age with the mode of delivery: A case-control study in Primary Health Care Centers, Dubai, United Arab EmiratesAisha YousufSimon WilliamsKulaithem S. Al MazroueiObjective: To demonstrate the association between body mass index (BMI) centile at age one year with the mode of delivery and selected maternal and infant variables in Dubai, United Arab Emirates. Methods: A retrospective case-control study where data were collected from the medical records of infants attending Primary Health Centers in 2019. Based on the World Health Organization 2006 growth standard, cases of overweight and obesity (n = 149) were defined as infants with BMI ≥85th centile, whereas controls (n = 434) were infants with a normal BMI between 3rd and <85th centile. Univariate analysis was performed first to compare the distribution of mode of delivery and other covariates between cases and controls. Adjusted odds ratios (adjOR) and 95% confidence interval (95%CI) were calculated by logistic regression. Results: The adjOR for infant overweight and obesity at one year of age was 1.53 (95% CI: 1.01, 2.39, P = 0.047) for a cesarean mode of delivery as compared to vaginal delivery. The analysis also showed that the adjOR for infant overweight and obesity was 2.67 (95% CI: 1.22, 5.85, P = 0.014) for having no siblings and 2.20 (95%CI: 1.07, 4.51, P = 0.032) for ≤4 siblings. In contrast, infant overweight and obesity was associated with a lower odds of breastfeeding (adjOR = 0.60; 95%CI: 0.38, 0.92; P = 0.020) and mixed milk feeding (adjOR = 0.36; 95%CI: 0.20, 0.66; P = 0.001). Conclusion: In this study, infant overweight and obesity was associated with a greater likelihood of cesarean mode of delivery and having ≤4 siblings. The absence of breastfeeding was also associated with infant overweight and obesity.https://journals.lww.com/10.4103/jfmpc.jfmpc_1631_22breastfeedingcesarean deliveryinfant overweight and obesitymode of deliverynumber of siblings
spellingShingle Aisha Yousuf
Simon Williams
Kulaithem S. Al Mazrouei
Association of infant weight at one year of age with the mode of delivery: A case-control study in Primary Health Care Centers, Dubai, United Arab Emirates
Journal of Family Medicine and Primary Care
breastfeeding
cesarean delivery
infant overweight and obesity
mode of delivery
number of siblings
title Association of infant weight at one year of age with the mode of delivery: A case-control study in Primary Health Care Centers, Dubai, United Arab Emirates
title_full Association of infant weight at one year of age with the mode of delivery: A case-control study in Primary Health Care Centers, Dubai, United Arab Emirates
title_fullStr Association of infant weight at one year of age with the mode of delivery: A case-control study in Primary Health Care Centers, Dubai, United Arab Emirates
title_full_unstemmed Association of infant weight at one year of age with the mode of delivery: A case-control study in Primary Health Care Centers, Dubai, United Arab Emirates
title_short Association of infant weight at one year of age with the mode of delivery: A case-control study in Primary Health Care Centers, Dubai, United Arab Emirates
title_sort association of infant weight at one year of age with the mode of delivery a case control study in primary health care centers dubai united arab emirates
topic breastfeeding
cesarean delivery
infant overweight and obesity
mode of delivery
number of siblings
url https://journals.lww.com/10.4103/jfmpc.jfmpc_1631_22
work_keys_str_mv AT aishayousuf associationofinfantweightatoneyearofagewiththemodeofdeliveryacasecontrolstudyinprimaryhealthcarecentersdubaiunitedarabemirates
AT simonwilliams associationofinfantweightatoneyearofagewiththemodeofdeliveryacasecontrolstudyinprimaryhealthcarecentersdubaiunitedarabemirates
AT kulaithemsalmazrouei associationofinfantweightatoneyearofagewiththemodeofdeliveryacasecontrolstudyinprimaryhealthcarecentersdubaiunitedarabemirates