<abstract xmlns="http://www.w3.org/1999/xhtml"><sec id="j_sjph-2018-0011_s_005_w2aab3b7b5b1b6b1aab1c18b1Aa"><h3>Objective</h3><p>To examine the effects of various maternal and neonatal perinatal factors on the child’s body mass index (BMI) and physical fitness at school-age.</p></sec><sec id="j_sjph-2018-0011_s_006_w2aab3b7b5b1b6b1aab1c18b2Aa"><h3>Methods</h3><p>Data from two registries, the SLOfit database (a national surveillance system of children’s motor and physical development) and Slovenian National Perinatal Information System (NPIS) were analysed. Perinatal data for 2,929 children born in 2008 were linked to results of SLOfit testing of these children in 2016. Linear regression analysis was used to assess the potential relationship between several perinatal factors (very preterm birth, birth mass, maternal age, hypertensive disorders of pregnancy, gestational diabetes, parity, plurality, maternal pre-pregnancy BMI, mode of delivery, presentation, Apgar score at 5 minutes, and admission to a neonatal intensive care unit (NICU)) and child’s BMI or child’s physical fitness index (PFI) at the age of eight years. We also included child’s school grade and maternal educational level in the analysis. A p value &lt;0.05 was considered statistically significant.</p></sec><sec id="j_sjph-2018-0011_s_007_w2aab3b7b5b1b6b1aab1c18b3Aa"><h3>Results</h3><p>Children born to mothers with lower pre-pregnancy BMI and higher education had lower BMI and higher PFI (p&lt;0.001) at school-age. Physical fitness was also inversely associated with nulliparity (p&lt;0.001) and NICU admission (p=0.020).</p></sec><sec id="j_sjph-2018-0011_s_008_w2aab3b7b5b1b6b1aab1c18b4Aa"><h3>Conclusions</h3><p>Among all perinatal factors studied, higher maternal education and lower pre-pregnancy BMI seem to be the most significant determinants of child’s BMI and physical fitness at school-age.</p></sec></abstract>

ObjectiveTo examine the effects of various maternal and neonatal perinatal factors on the child’s body mass index (BMI) and physical fitness at school-age.MethodsData from two registries, the SLOfit database (a national surveillance system of children’s motor and physical development) and Slovenian National Perinatal Information System (NPIS) were analysed. Perinatal data for 2,929 children born in 2008 were linked to results of SLOfit testing of these children in 2016. Linear regression analysis was used to assess the potential relationship between several perinatal factors (very preterm birth, birth mass, maternal age, hypertensive disorders of pregnancy, gestational diabetes, parity, plurality, maternal pre-pregnancy BMI, mode of delivery, presentation, Apgar score at 5 minutes, and admission to a neonatal intensive care unit (NICU)) and child’s BMI or child’s physical fitness index (PFI) at the age of eight years. We also included child’s school grade and maternal educational level in the analysis. A p value <0.05 was considered statistically significant.ResultsChildren born to mothers with lower pre-pregnancy BMI and higher education had lower BMI and higher PFI (p<0.001) at school-age. Physical fitness was also inversely associated with nulliparity (p<0.001) and NICU admission (p=0.020).ConclusionsAmong all perinatal factors studied, higher maternal education and lower pre-pregnancy BMI seem to be the most significant determinants of child’s BMI and physical fitness at school-age.

Effects of perinatal factors on body mass index and physical fitness of school-age children

University Medical Centre Ljubljana, Clinic for Gynecology and Obstetrics

Slovenian Journal of Public Health

This work is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 3.0 License.

VPLIV PERINATALNIH DEJAVNIKOV NA INDEKS TELESNE MASE IN GIBALNO UČINKOVITOST OSNOVNOŠOLCEV

ObjectiveTo examine the effects of various maternal and neonatal perinatal factors on the child’s body mass index (BMI) and physical fitness at...

Effects of perinatal factors on body mass index and physical fitness of school-age children

Article Category: Original scientific article

Published Online: Apr 12, 2018

Page range: 81 - 87

Received: Jun 26, 2017

Accepted: Mar 07, 2018

DOI: https://doi.org/10.2478/sjph-2018-0011

Keywords
body mass index, pre-pregnancy obesity, physical fitness, preterm birth, maternal education

© 2018 National Institute of Public Health, Slovenia

This work is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 3.0 License.

Effects of perinatal factors on body mass index and physical fitness of school-age children

Article Category: Original scientific article

Published Online: Apr 12, 2018

Page range: 81 - 87

Received: Jun 26, 2017

Accepted: Mar 07, 2018

DOI: https://doi.org/10.2478/sjph-2018-0011

Keywordsbody mass index, pre-pregnancy obesity, physical fitness, preterm birth, maternal education

© 2018 National Institute of Public Health, Slovenia

This work is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 3.0 License.

Keywords
body mass index, pre-pregnancy obesity, physical fitness, preterm birth, maternal education