Macrosomia is associated with high weight-for-height in children aged 1-3 years in Shanghai, China.
OBJECTIVE
To investigate the association between macrosomia and high weight-for-length/height in 1-3 years old Chinese infants.


METHODS
A retrospective longitudinal study.


METHODS
918 children aged 1-3 years in Shanghai, China.


METHODS
Body weight and length/height, illness status and feeding modalities were obtained during follow-up. Macrosomia was defined as birth weight >/=90th percentile of sex specific birth weight distribution. High weight-for-length/height was defined as a weight-for-length/height z-score >/=1.68 using the WHO growth reference.


RESULTS
The odds ratios (ORs) for high weight-for-length/height were 3.60 (95% confidence interval (CI), 1.74-7.42) for boys and 1.39 (95% CI, 0.51-3.81) for girls who were macrosomic compared with the nonmacrosomic counterparts after adjustment for age. The ORs were attenuated to 3.48 (95% CI, 1.63-7.43) for boys and were still nonsignificant for girls (OR, 1.38; 95% CI, 0.49-3.91) after further controlling for illness status, the age of breast-feeding cessation and the age at introduction of complementary foods. From the analysis of boys and girls combined, the ORs were 2.48 (95% CI, 1.40-4.40) with adjustment for age and sex and 2.33 (95% CI, 1.29-4.22) with all covariates.


CONCLUSIONS
Macrosomia is an important predictor for high weight-for-length/height in Chinese children aged 1-3 years.
Yu
Z
Z
Institute for Nutritional Sciences, Shanghai Institutes for Biologic Sciences, Chinese Academy of Sciences, Shanghai, P.R. China.
Sun
J Q
JQ
Haas
J D
JD
Gu
Y
Y
Li
Z
Z
Lin
X
X
D001724:Birth Weight; D001827:Body Height; D015992:Body Mass Index; D001835:Body Weight; D002675:Child, Preschool; D002681:China; D005247:Feeding Behavior; D005260:Female; D005320:Fetal Macrosomia / Q000503:physiopathology*; D006304:Health Status; D006801:Humans; D007231:Infant, Newborn; D008137:Longitudinal Studies; D008297:Male; D016017:Odds Ratio; D012189:Retrospective Studies