Early Antibiotic Exposure and Weight Outcomes in Young Children.
Pediatrics
; 142(6)2018 12.
Article
em En
| MEDLINE
| ID: mdl-30381474
ABSTRACT
media-1vid110.1542/5839981580001PEDS-VA_2018-0290Video Abstract OBJECTIVES:
To determine the association of antibiotic use with weight outcomes in a large cohort of children.METHODS:
Health care data were available from 2009 to 2016 for 35 institutions participating in the National Patient-Centered Clinical Research Network. Participant inclusion required same-day height and weight measurements at 0 to <12, 12 to <30, and 48 to <72 months of age. We assessed the association between any antibiotic use at <24 months of age with BMI z score and overweight or obesity prevalence at 48 to <72 months (5 years) of age, with secondary assessments of antibiotic spectrum and age-period exposures. We included children with and without complex chronic conditions.RESULTS:
Among 1 792 849 children with a same-day height and weight measurement at <12 months of age, 362 550 were eligible for the cohort. One-half of children (52%) were boys, 27% were African American, 18% were Hispanic, and 58% received ≥1 antibiotic prescription at <24 months of age. At 5 years, the mean BMI z score was 0.40 (SD 1.19), and 28% of children had overweight or obesity. In adjusted models for children without a complex chronic condition at 5 years, we estimated a higher mean BMI z score by 0.04 (95% confidence interval [CI] 0.03 to 0.05) and higher odds of overweight or obesity (odds ratio 1.05; 95% CI 1.03 to 1.07) associated with obtaining any (versus no) antibiotics at <24 months.CONCLUSIONS:
Antibiotic use at <24 months of age was associated with a slightly higher body weight at 5 years of age.
Texto completo:
1
Base de dados:
MEDLINE
Assunto principal:
Peso Corporal
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Obesidade Infantil
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Antibacterianos
Tipo de estudo:
Clinical_trials
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Diagnostic_studies
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Etiology_studies
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Incidence_studies
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Observational_studies
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Prognostic_studies
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Risk_factors_studies
Limite:
Child, preschool
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Female
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Humans
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Infant
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Male
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Newborn
Idioma:
En
Ano de publicação:
2018
Tipo de documento:
Article