Cesarean birth and the growth of Yucatec Maya and Toba/Qom children

American Journal of Human Biology : the Official Journal of the Human Biology Council
Amanda J VeileKaren L Kramer

Abstract

Cesarean delivery is often epidemiologically associated with childhood obesity. However, little attention is paid to post-birth modulatory environments, and most studies are conducted in settings where obesity arises for a number of reasons in addition to birth mode. We therefore assess population differences in the relationship between birth mode and childhood growth using data from rural and peri-urban Latin American indigenous populations, and test predictions developed using life history theory. Child height and weight were measured monthly in 80 Yucatec Maya and 58 Toba/Qom children aged 1-48 months (2007-2014, 3812 observations). Random-effects linear mixed models were used to compare children's growth by population, sex, and birth mode, accounting for potential confounders. Cesarean delivery rates were 47% (Toba/Qom) and 20% (Yucatec Maya). Childhood obesity and overweight rates were low in both populations. Cesarean-delivered children had significantly greater weight gain (but similar height grain) compared to vaginally-delivered children. By age 4, cesarean delivered Yucatec Maya girls and boys, and Toba/Qom boys (not girls), had significantly higher weight-for-age compared to vaginally-delivered children from their ow...Continue Reading

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Citations

Oct 31, 2019·Obesity Reviews : an Official Journal of the International Association for the Study of Obesity·Halle J KincaidHariom Yadav
Nov 11, 2021·American Journal of Human Biology : the Official Journal of the Human Biology Council·Teresinha de Jesus Sousa LimaMarcos André Moura Dos Santos

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