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The Association of Birth Weight With Cardiovascular Risk Factors and Mental Problems Among Iranian School-Aged Children: The Caspian-Iii Study Publisher Pubmed



Azadbakht L1 ; Kelishadi R2 ; Sarafbank S1 ; Qorbani M3 ; Ardalan G4 ; Heshmat R5 ; Taslimi M6 ; Motlagh ME7
Authors
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Authors Affiliations
  1. 1. Food Security Research Center, Department of Community Nutrition, School of Nutrition and Food Science, Isfahan University of Medical Sciences, Isfahan, Iran
  2. 2. Pediatrics Department, Faculty of Medicine and Child Growth and Development Research Center, Isfahan University of Medical Sciences, Isfahan, Iran
  3. 3. Department of Public Health, Alborz University of Medical Sciences, Karaj, Iran
  4. 4. Office of School Health, Health and Medical Education, Tehran, Iran
  5. 5. Department of Epidemiology, Chronic Diseases Research Center, Endocrinology and Metabolism Population Sciences Institute, Endocrinology and Metabolism Research Institute, Tehran, Iran
  6. 6. Bureau of Health and Fitness, Tehran, Iran
  7. 7. Pediatrics Department, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran

Source: Nutrition Published:2014


Abstract

Objective: Both high and low birth weights (HBW and LBW) are risk factors for adulthood diseases. The aim of this study was to investigate the association of birth weight with cardiovascular disease (CVD) risk factors and mental problems among Iranian school-aged children. Methods: This national multicenter study of school-aged children entitled CASPIAN III was conducted among 5528 students in ranging from ages 10 to 18 y. Biochemical indices and anthropometric measurements were collected. Mental health was assessed by questionnaire. To investigate the association between birth weight categories and CVD risk factors and mental problems, multivariate logistic regression was used. Results: HBW adolescents were at higher risk for elevated diastolic blood pressure (DBP) (Ptrend<0.05), low levels of high-density lipoprotein cholesterol (HDL-C) (Ptrend < 0.05), and lower risk for general obesity (Ptrend < 0.05) compared with the LBW category. HBW had no significant association with mental problems (Ptrend > 0.05) compared with LBW adolescents. The results of regression analysis, which considered normal birth weight as the reference group, showed that LBW students had lower risk for overweight and obesity (P < 0.01), as well as higher DBP (P < 0.05) but they were at higher risk for lower levels of HDL-C (P < 0.01). Furthermore, birth-weight categories had a U-shaped relationship with mental problems and sleep disorders (P < 0.05). Risk for confusion was higher among the LBW group (P < 0.05). Conclusion: Findings from this population-based study revealed a positive relation between birth weight categories and CVD risk factors. Compared with students born with normal weight, those born with HBW and LBW were at higher risk for mental problems, sleep disorders, and confusion. © 2014 Elsevier Inc.
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