To examine whether poor growth in utero or young childhood is associated with adult abdominal fatness in a developing country context, the authors analyzed prospectively collected data on 372 female and 161 male Guatemalans measured as children between 1969 and 1977 and remeasured as adults in 1988-1989 (men and women) and 1991-1994 (women only).
Childhood stunting (height-for-age z score) was associated with a lower body mass index and percent body fat in men, while no associations were found in women.
In both sexes, however, severely stunted children had significantly greater adult abdominal fatness (waist : hip ratio), once overall fatness and confounders were controlled.
The adult waist : hip ratio (x100) was increased by 0.65 (95% confidence interval 0.10 to1.20) in men and 0.29 (95% confidence interval - 0.03 to 0.61) in women for each height-for-age z score less at age three.
Migration to urban centers was significantly associated with an even greater waist : hip ratio in severely stunted females (p=0.03).
In a subsample of 137 women, short and thin newboms had significantly greater adult abdominal fatness compared with long and thin or short and fat newboms or children who became stunted postnatally.
The adult waist : hip ratio (x100) was increased by 1.58 (95% confidence interval 0.35 to 2.81) for each kilogram less birth weight. (...)
Mots-clés Pascal : Obésité, Adulte, Homme, Etude cohorte, Enfant, Développement staturopondéral, Alimentation, Régime alimentaire, Poids naissance faible, Indice masse corporelle, Epidémiologie, Guatemala, Amérique Centrale, Amérique, Etat nutritionnel, Trouble nutrition
Mots-clés Pascal anglais : Obesity, Adult, Human, Cohort study, Child, Somatic growth, Feeding, Diet, Low birth weight, Body mass index, Epidemiology, Guatemala, Central America, America, Nutritional status, Nutrition disorder
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 99-0128100
Code Inist : 002B22B. Création : 16/11/1999.