[Net-Gold] CESAREAN BIRTH : MEDICAL: CONDITIONS: OBESITY: Cesarean Birth Linked to Risk of Obesity in Childhood

 

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CESAREAN BIRTH :

MEDICAL: CONDITIONS: OBESITY:

Cesarean Birth Linked to Risk of Obesity in Childhood

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Cesarean Birth Linked to Risk of Obesity in Childhood

By Steven Reinberg

Health Day

Updated Sep 7, 2016

Cesarean Birth Linked to Risk of Obesity in Childhood

Lincoln Star Journal

http://journalstar.com/lifestyles/health-med-fit/
cesarean-birth-linked-to-risk-of-obesity-in-childhood/
article_1dec128e-d5a4-5432-9fb0-99324e24fa6d.html

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A shorter URL for the above link:

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http://tinyurl.com/zenfj5d

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TUESDAY, Sept. 6, 2016 (HealthDay News) — Infants delivered by cesarean section may face a higher risk of becoming obese, a new study suggests.

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These babies had a 15 percent higher risk of becoming obese in childhood, compared with those born vaginally. The risk was even more pronounced within families, where children born by cesarean delivery were 64 percent more likely to become obese than their siblings who were born via vaginal delivery, the researchers said.

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“What makes our findings compelling and different from previous studies addressing this question is that this was also true when we compared siblings who differed in type of delivery — one was born by cesarean and the other by vaginal delivery — and when restricted to women without any known risk factors for having a cesarean, some of whom may have undergone an elective cesarean,” said lead researcher Dr. Jorge Chavarro. He is an associate professor in the departments of nutrition and epidemiology at Harvard T.H. Chan School of Public Health in Boston.

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The researchers also found that children born vaginally to women who had previously had a cesarean delivery were 31 percent less likely to be obese, compared with children born to women who had several cesarean deliveries.

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But these findings only show an association between cesarean delivery and childhood obesity, not cause and effect.

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Chavarro, however, believes the association is very strong. “These results, and in particular those regarding discordant siblings, strongly suggest that the association between cesarean delivery and childhood obesity is real, rather than an issue of inadequate control for shared causes as we and others had proposed,” he said.

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As important as cesareans are, they are not without risks, Chavarro noted. “Our results point to a risk to children that is preventable in the case of cesareans that are strictly elective or when an indication is not clear,” he said.

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The report was published online Sept. 6 in the journal JAMA Pediatrics.

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The complete article may be read at the URL above.

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Original Investigation

September 06, 2016

Association Between Cesarean Birth and Risk of Obesity in Offspring in Childhood, Adolescence, and Early Adulthood FREE ONLINE FIRST
Changzheng Yuan, ScD1,2; Audrey J. Gaskins, ScD1,2; Arianna I. Blaine, ScM3; Cuilin Zhang, MD, PhD4; Matthew W. Gillman, MD, SM1,5; Stacey A. Missmer, ScD2,6,7,8; Alison E. Field, ScD9; Jorge E. Chavarro, MD, ScD1,2,6

JAMA Pediatr. Published online September 06, 2016.

doi:10.1001/jamapediatrics.2016.2385

http://archpedi.jamanetwork.com/article.aspx?articleid=2548440

Importance  Cesarean birth has been associated with higher risk of obesity in offspring, but previous studies have focused primarily on childhood obesity and have been hampered by limited control for confounders.

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Objective  To investigate the association between cesarean birth and risk of obesity in offspring.

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snip

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Exposure  Birth by cesarean delivery.

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Main Outcomes and Measures  Risk of obesity based on International Obesity Task Force or World Health Organization body mass index cutoffs, depending on age. Secondary outcomes included risks of obesity associated with changes in mode of delivery and differences in risk between siblings whose modes of birth were discordant.

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snip

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Conclusions and Relevance  Cesarean birth was associated with offspring obesity after accounting for major confounding factors. Although additional research is needed to clarify the mechanisms underlying this association, clinicians and patients should weigh this risk when considering cesarean delivery in the absence of a clear indication.

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snip

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Key Points
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Question Is cesarean delivery associated with obesity in offspring from childhood through young adulthood?

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Findings In this cohort study, individuals born by cesarean delivery were 15% more likely to become obese during follow-up than those born by vaginal delivery; those born via cesarean delivery had 64% higher odds of obesity compared with their siblings born via vaginal delivery. Vaginal birth after cesarean birth was associated with a 31% lower risk of offspring obesity compared with those born via repeat cesarean delivery.

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Meaning These findings support the hypothesis that the association between cesarean delivery and offspring obesity is a true effect whose underlying mechanisms still need to be determined.

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Sincerely,
David Dillard
Temple University
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jwne@temple.edu
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[Net-Gold] CESAREAN BIRTH : MEDICAL: CONDITIONS: OBESITY: Cesarean Birth Linked to Risk of Obesity in Childhood

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