Japanese study finds Cesarean births increase childhood obesity risk CesareanSection ChildhoodObesity Japanese Children BirthCohortStudy ObesityRisk HealthImpact Japan Research PublicHealth MaternalHealth SciReports
By Pooja Toshniwal PahariaApr 25 2023Reviewed by Benedette Cuffari, M.Sc. In a recent study published in the journal Scientific Reports, researchers examine the influence of Cesarean section delivery on pediatric obesity among three-year-old Japanese residents.
Ethnicity and race are other factors associated with pediatric obesity, with Asians more likely to have obese children than Whites and Europeans. However, data on the association between Cesarean section birth and pediatric obesity among Japanese children are limited. Data were obtained from 60,769 mother-child pairs who participated in the national Japan Environment and Children’s Study . Data on delivery modes were retrieved from health record transcripts, which were provided by nurses/midwives, physicians, and/or health research coordinators. Anthropometric data were self-documented by the participants in online questionnaires.
Logistic regression analysis was performed and adjusted risk ratios were estimated using inverse probability of treatment weighting adjusting for covariates such as maternal age at pregnancy, BMI before pregnancy, level of education, smoking habits, annual income, alcohol intake, obstetric complications, pregnancy-associated complications, prior physical disease history, and assisted reproductive technology use.
The sensitivity analysis yielded similar findings; however, the risk of pediatric obesity continued to be statistically significant for Japanese girls. This is concordant with previous studies reporting an elevated risk of hepatoblastoma and acute lymphoblastic leukemia after CS birth among females.
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