Birth Weight, Family History of Diabetes, and Metabolic Syndrome in Children and Adolescents Article uri icon

abstract

  • Objective: To evaluate whether a coupled family history of diabetes (FHD) and low birth weight (LBW) or high birth weight (HBW) is associated with metabolic syndrome (MetS) in children and adolescents. Study design: A total of 1262 children and adolescents age 7-15 years were randomly selected to enroll in this cross-sectional, community-based study. Results: In the overall population, HBW (odds ratio [OR] = 1.4; 95%25 confidence interval [CI] = 1.2-10.9), but not LBW (OR = 0.97; 95%25 CI = 0.6-2.1), was significantly associated with MetS. In the group without FHD, HBW (OR = 1.730; 95%25 CI = 1.1-2.7), but not LBW (OR = 1.139; 95%25 CI = 0.7-23), was associated with MetS. In the group with FHD, both LBW (OR = 2.690; 95%25 CI = 1.4-15.1) and HBW (OR = 3.289; 95%25 CI = 1.3-30.6) were associated with MetS. Both LBW (OR = 4.710; 95%25 CI = 1.4-39.7) and HBW (OR = 3.127; 95%25 CI = 1.3-45.1) were associated with MetS in children and adolescents with FHD in the maternal branch but not in the paternal branch. Conclusions: HBW or LBW, in combination with positive FHD in the maternal branch, are determinants of MetS. © 2010 Mosby, Inc. All rights reserved.

publication date

  • 2010-01-01