Perinatal Factors Associated with Cardiovascular Disease Risk among Preschool-Age Children in the United States: An Analysis of 1999–2008 NHANES Data

We examined the relationships between selected perinatal and early infancy factors (maternal smoking during pregnancy, infant low birthweight, breastfeeding, and early introduction of solid foods [<6 months of age] and increased BMI [≥85th, ≥95th percentiles for age, sex]), waist circumference (W...

Full description

Saved in:
Bibliographic Details
Main Authors: Sarah E. Messiah, Kristopher L. Arheart, Steven E. Lipshultz, Emmalee S. Bandstra, Tracie L. Miller
Format: Article
Language:English
Published: Wiley 2012-01-01
Series:International Journal of Pediatrics
Online Access:http://dx.doi.org/10.1155/2012/157237
Tags: Add Tag
No Tags, Be the first to tag this record!
_version_ 1841524525421821952
author Sarah E. Messiah
Kristopher L. Arheart
Steven E. Lipshultz
Emmalee S. Bandstra
Tracie L. Miller
author_facet Sarah E. Messiah
Kristopher L. Arheart
Steven E. Lipshultz
Emmalee S. Bandstra
Tracie L. Miller
author_sort Sarah E. Messiah
collection DOAJ
description We examined the relationships between selected perinatal and early infancy factors (maternal smoking during pregnancy, infant low birthweight, breastfeeding, and early introduction of solid foods [<6 months of age] and increased BMI [≥85th, ≥95th percentiles for age, sex]), waist circumference (WC), C-reactive protein (CRP), triglycerides, total cholesterol, low-density lipoprotein (LDL) cholesterol, non-high-density lipoprotein (HDL) cholesterol, and decreased HDL cholesterol during early childhood. The population-based sample included 3,644 3-to-6-year-old Non-Hispanic White (NHW), Hispanic, and Non-Hispanic Black (NHB) children who participated in the 1999–2008 National Health and Nutrition Examination Surveys. Analysis showed that breastfeeding was significantly protective against early childhood obesity (OR 0.43, 95% CI, 0.27–0.69) and the highest quintile for WC (OR 0.58, 95% CI, 0.37–0.32) among NHW, and against the highest quintile of non-HDL cholesterol among NHB (OR 0.56, 95% CI, 0.32–0.98). Additionally, NHW children were significantly more likely to be obese (OR 2.22, 95% CI 1.30–3.78) and have higher CRP levels (OR 1.63, 95% CI, 1.05–2.51) if their mothers smoked during pregnancy. These results support the observation that breastfeeding may be protective against early childhood obesity while maternal smoking during pregnancy is a risk factor for obesity and increased CRP levels among NHW young children.
format Article
id doaj-art-33d134baf8264b43a5ec9a2d6b56705a
institution Kabale University
issn 1687-9740
1687-9759
language English
publishDate 2012-01-01
publisher Wiley
record_format Article
series International Journal of Pediatrics
spelling doaj-art-33d134baf8264b43a5ec9a2d6b56705a2025-02-03T05:53:00ZengWileyInternational Journal of Pediatrics1687-97401687-97592012-01-01201210.1155/2012/157237157237Perinatal Factors Associated with Cardiovascular Disease Risk among Preschool-Age Children in the United States: An Analysis of 1999–2008 NHANES DataSarah E. Messiah0Kristopher L. Arheart1Steven E. Lipshultz2Emmalee S. Bandstra3Tracie L. Miller4Division of Pediatric Clinical Research, Department of Pediatrics, University of Miami Leonard M. Miller School of Medicine, Batchelor Children’s Research Institute, 580 NW 10th Avenue (D820), Miami, FL 33101, USADivision of Pediatric Clinical Research, Department of Pediatrics, University of Miami Leonard M. Miller School of Medicine, Batchelor Children’s Research Institute, 580 NW 10th Avenue (D820), Miami, FL 33101, USADivision of Pediatric Clinical Research, Department of Pediatrics, University of Miami Leonard M. Miller School of Medicine, Batchelor Children’s Research Institute, 580 NW 10th Avenue (D820), Miami, FL 33101, USADivision of Neonatology, University of Miami Leonard M. Miller School of Medicine, Miami, FL 33101, USADivision of Pediatric Clinical Research, Department of Pediatrics, University of Miami Leonard M. Miller School of Medicine, Batchelor Children’s Research Institute, 580 NW 10th Avenue (D820), Miami, FL 33101, USAWe examined the relationships between selected perinatal and early infancy factors (maternal smoking during pregnancy, infant low birthweight, breastfeeding, and early introduction of solid foods [<6 months of age] and increased BMI [≥85th, ≥95th percentiles for age, sex]), waist circumference (WC), C-reactive protein (CRP), triglycerides, total cholesterol, low-density lipoprotein (LDL) cholesterol, non-high-density lipoprotein (HDL) cholesterol, and decreased HDL cholesterol during early childhood. The population-based sample included 3,644 3-to-6-year-old Non-Hispanic White (NHW), Hispanic, and Non-Hispanic Black (NHB) children who participated in the 1999–2008 National Health and Nutrition Examination Surveys. Analysis showed that breastfeeding was significantly protective against early childhood obesity (OR 0.43, 95% CI, 0.27–0.69) and the highest quintile for WC (OR 0.58, 95% CI, 0.37–0.32) among NHW, and against the highest quintile of non-HDL cholesterol among NHB (OR 0.56, 95% CI, 0.32–0.98). Additionally, NHW children were significantly more likely to be obese (OR 2.22, 95% CI 1.30–3.78) and have higher CRP levels (OR 1.63, 95% CI, 1.05–2.51) if their mothers smoked during pregnancy. These results support the observation that breastfeeding may be protective against early childhood obesity while maternal smoking during pregnancy is a risk factor for obesity and increased CRP levels among NHW young children.http://dx.doi.org/10.1155/2012/157237
spellingShingle Sarah E. Messiah
Kristopher L. Arheart
Steven E. Lipshultz
Emmalee S. Bandstra
Tracie L. Miller
Perinatal Factors Associated with Cardiovascular Disease Risk among Preschool-Age Children in the United States: An Analysis of 1999–2008 NHANES Data
International Journal of Pediatrics
title Perinatal Factors Associated with Cardiovascular Disease Risk among Preschool-Age Children in the United States: An Analysis of 1999–2008 NHANES Data
title_full Perinatal Factors Associated with Cardiovascular Disease Risk among Preschool-Age Children in the United States: An Analysis of 1999–2008 NHANES Data
title_fullStr Perinatal Factors Associated with Cardiovascular Disease Risk among Preschool-Age Children in the United States: An Analysis of 1999–2008 NHANES Data
title_full_unstemmed Perinatal Factors Associated with Cardiovascular Disease Risk among Preschool-Age Children in the United States: An Analysis of 1999–2008 NHANES Data
title_short Perinatal Factors Associated with Cardiovascular Disease Risk among Preschool-Age Children in the United States: An Analysis of 1999–2008 NHANES Data
title_sort perinatal factors associated with cardiovascular disease risk among preschool age children in the united states an analysis of 1999 2008 nhanes data
url http://dx.doi.org/10.1155/2012/157237
work_keys_str_mv AT sarahemessiah perinatalfactorsassociatedwithcardiovasculardiseaseriskamongpreschoolagechildrenintheunitedstatesananalysisof19992008nhanesdata
AT kristopherlarheart perinatalfactorsassociatedwithcardiovasculardiseaseriskamongpreschoolagechildrenintheunitedstatesananalysisof19992008nhanesdata
AT stevenelipshultz perinatalfactorsassociatedwithcardiovasculardiseaseriskamongpreschoolagechildrenintheunitedstatesananalysisof19992008nhanesdata
AT emmaleesbandstra perinatalfactorsassociatedwithcardiovasculardiseaseriskamongpreschoolagechildrenintheunitedstatesananalysisof19992008nhanesdata
AT tracielmiller perinatalfactorsassociatedwithcardiovasculardiseaseriskamongpreschoolagechildrenintheunitedstatesananalysisof19992008nhanesdata