Prevalence of risk factors for developing childhood obesity in maternity
Archives de Pédiatrie. 2025-06-01; :
DOI: 10.1016/j.arcped.2025.04.001
Lire sur PubMed
https://www.bordeaux-neurocampus.fr/11798
Thibault H(1), Pailler M(2), Carriere C(3), Barat P(4), Goff ML(5), Ghemini
N(6), Sentilhes L(7), Rebola M(8), Rigalleau V(9), Lamireau T(10).
Author information:
(1)Bordeaux Public Health Center, Inserm 1219, University of Bordeaux, 146 rue
Léo Saignat, 33076, Bordeaux, France; Network for the management and prevention
of pediatric obesity (RePPOP) Aquitaine, 22 rue Sainte Monique, 33000, Bordeaux,
France; Specialized pediatric obesity center (CSO), Bordeaux University
Hospital, Children’s Hospital, Place Amélie Raba Léon, 33077, Bordeaux, France;
Nutrineuro, UMR 1286, University of Bordeaux, 146 rue Léo Saignat, 33076,
Bordeaux, France.
(2)Network for the management and prevention of pediatric obesity (RePPOP)
Aquitaine, 22 rue Sainte Monique, 33000, Bordeaux, France; Specialized pediatric
obesity center (CSO), Bordeaux University Hospital, Children’s Hospital, Place
Amélie Raba Léon, 33077, Bordeaux, France.
(3)Network for the management and prevention of pediatric obesity (RePPOP)
Aquitaine, 22 rue Sainte Monique, 33000, Bordeaux, France.
(4)Specialized pediatric obesity center (CSO), Bordeaux University Hospital,
Children’s Hospital, Place Amélie Raba Léon, 33077, Bordeaux, France;
Nutrineuro, UMR 1286, University of Bordeaux, 146 rue Léo Saignat, 33076,
Bordeaux, France.
(5)Bordeaux Public Health Center, Inserm 1219, University of Bordeaux, 146 rue
Léo Saignat, 33076, Bordeaux, France.
(6)Family Medicine, Al Ain University, Box 15551, Al Ain, United Arab Emirates.
(7)Gynecology-Obstetrics Department, Bordeaux University Hospital, Pellegrin
Hospital, Place Amélie Raba Léon, 33077, Bordeaux, France.
(8)Neonatology unit, Bordeaux University Hospital, Pellegrin Hospital, Place
Amélie Raba Léon, 33077, Bordeaux, France.
(9)Endocrinology and diabetology department, Bordeaux University Hospital,
Haut-Leveque Hospital, Avenue Magellan, 33600, Pessac, France.
(10)Bordeaux Public Health Center, Inserm 1219, University of Bordeaux, 146 rue
Léo Saignat, 33076, Bordeaux, France; Pediatric gastroenterology and nutrition
unit, Bordeaux University Hospital, Children’s Hospital, Place Amélie Raba Léon,
33077, Bordeaux, France. Electronic address: .
BACKGROUND: During the perinatal period several maternal and obstetric risk
factors are known to be associated with overweight and childhood obesity.
METHOD: The aim of this study was to determine the prevalence of risk factors
for childhood obesity identifiable at birth. Data extracted from the
computerized medical record (DXCARER) women who gave birth in the maternity ward
of the University hospital of Bordeaux during a 11 months-period constituted an
anonymized database to calculate the prevalence of the following risk factors:
maternal obesity prior to pregnancy, excessive weight gain during pregnancy,
maternal smoking, gestational diabetes, low socioeconomic status, cesarean
delivery, macrosomia, and lack of breastfeeding. After eliminating duplicates
and women for whom data on risk factors were missing, the population available
for analysis was 1977 women who responded to inclusion criteria.
RESULTS: At the onset of pregnancy, mean age of women was 31.6 years [± 5.2] and
mean BMI was 23.9 kg / m² [± 4.9], a third of them being overweight or obese.
During pregnancy, half of women had excessive weight gain, gestational diabetes
occurred in 15.9 % of them, 15.9 % smoked, and 18.1 % were in a precarious
situation. Children were born by cesarean section in 15.3 % of cases. Depending
on the definition used, exact birth weight (BW) or Audipog formula (percentile),
neonates were large for gestational age in respectively 6.7 % of cases (BW> 4000
g) or 11 % (> 90th percentile) and small for gestational age in respectively 3 %
of cases (BW