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  1. 125 熱帯医学・グローバルヘルス研究科 = School of Tropical Medicine and Global Health
  2. 125 学術雑誌論文 = Articles in academic journal

Association between size at birth, rapid weight gain in infancy, and overweight status among Palestinian refugees under 5 years old: a retrospective cohort study

http://hdl.handle.net/10069/0002003714
http://hdl.handle.net/10069/0002003714
7e0b5a32-0b5c-423b-9c2e-ba2ee8074014
名前 / ファイル ライセンス アクション
AJCN123_101132.pdf AJCN123_101132.pdf (2.1 MB)
アイテムタイプ 学術雑誌論文 / Journal Article(1)
公開日 2026-01-29
タイトル
タイトル Association between size at birth, rapid weight gain in infancy, and overweight status among Palestinian refugees under 5 years old: a retrospective cohort study
言語 en
言語
言語 eng
キーワード
言語 en
主題Scheme Other
主題 size at birth
キーワード
言語 en
主題Scheme Other
主題 small for gestational age
キーワード
言語 en
主題Scheme Other
主題 rapid weight gain
キーワード
言語 en
主題Scheme Other
主題 childhood overweight
資源タイプ
資源タイプ識別子 http://purl.org/coar/resource_type/c_6501
資源タイプ journal article
著者 Jamaluddine, Zeina

× Jamaluddine, Zeina

en Jamaluddine, Zeina

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Campbell, Oona MR

× Campbell, Oona MR

en Campbell, Oona MR

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Sato, Miho

× Sato, Miho

en Sato, Miho

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Seita, Akihiro

× Seita, Akihiro

en Seita, Akihiro

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Ohuma, Eric O

× Ohuma, Eric O

en Ohuma, Eric O

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Frongillo, Edward A

× Frongillo, Edward A

en Frongillo, Edward A

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Ghattas, Hala

× Ghattas, Hala

en Ghattas, Hala

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抄録
内容記述タイプ Abstract
内容記述 Background: Evidence on the association of birth size and rapid weight gain with overweight/obesity is inconsistent. Refugees face unique nutritional challenges that influence weight patterns, yet data remain limited. Objectives: We examined the association between size at birth, infant feeding, and rapid weight gain in the first year of life, and subsequent overweight/obesity in childhood among Palestinian refugees. Methods: This retrospective cohort study used data from 388,347 live births from 1 January, 2010 to 31 December, 2020, linked to child growth monitoring data using United Nations Relief and Works Agency electronic-health records. The cohort included children aged 0 to 60 mo from 5 regions: Gaza, Jordan, Lebanon, Syria, and the West Bank. Size at birth was categorized into 9 phenotypes, and rapid weight gain was defined as an increase of 0.67 in weight-for-age z-score from birth until age 12 mo. Overweight/obesity occurrence was defined as a weight-for-height z-score >+2 at any time point after 24 to 60 mo of age. Multilevel mixed-effects models and structural equation modeling were used to analyze associations. Results: Small for gestational age children had lower odds of exclusive human milk feeding [adjusted odds ratio (aOR): 0.83; 95% confidence interval (CI): 0.81, 0.85], higher odds of rapid weight gain (aOR: 2.39; 95% CI: 2.32, 2.45), and lower odds of overweight/obesity (aOR: 0.50; 95% CI: 0.46, 0.56) compared with appropriate for gestational age children. Large for gestational age children showed lower odds of rapid weight gain (aOR: 0.35; 95% CI: 0.33, 0.36) but higher odds of overweight/obesity (aOR: 2.76; 95% CI: 2.59, 2.95) compared with appropriate for gestational age. Between 22.2% and 34.4% of children experienced rapid weight gain. Rapid weight gain was strongly associated with overweight/obesity at 24 to 60 mo (aOR: 6.53; 95% CI: 6.15, 6.94). Exclusive human milk feeding was associated with lower odds of rapid weight gain (aOR: 0.66; 95% CI: 0.65, 0.67). Conclusions: Rapid weight gain in infancy, regardless of birth size, is a predictor of childhood overweight/obesity. Exclusive human milk feeding mitigates the risk of rapid weight gain and subsequent overweight/obesity.
言語 en
書誌情報 en : The American Journal of Clinical Nutrition

巻 123, 号 2, p. art. no. 101132, 発行日 2026-01-06
出版者
出版者 Elsevier Inc
言語 en
ISSN
収録物識別子タイプ ISSN
収録物識別子 00029165
DOI
関連タイプ isIdenticalTo
識別子タイプ DOI
関連識別子 https://doi.org/10.1016/j.ajcnut.2025.101132
権利
権利情報 © 2025 The Author(s). Published by Elsevier Inc. on behalf of American Society for Nutrition. This is an open access article under the CC BY license (http:// creativecommons.org/licenses/by/4.0/).
言語 en
著者版フラグ
出版タイプ VoR
出版タイプResource http://purl.org/coar/version/c_970fb48d4fbd8a85
引用
内容記述タイプ Other
内容記述 American Journal of Clinical Nutrition, 123(2), art. no. 101132; 2026
言語 en
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