Kootstra, Esther (2020) Overweight and overweight related health behaviours in preterm born adolescents. thesis, Medicine.
Full text available on request.Abstract
Objective: To determine the relationship of gestational age (GA) with Body Mass Index standard deviation score (BMI SDS) and BMI related health behaviours including eating behaviour, physical activity, alcohol use, screen time, and sleeping behaviour in adolescence. Methods: In adolescence, the height and weight of 53 early preterm (EP), 106 moderate preterm (MP) and 63 full term (FT) born adolescents (aged 13-16 years) of the LOLLIPOP cohort (n=222) were measured. Weight and height measurements were converted to BMI SDS. Questionnaires on BMI related health behaviours, perinatal and family characteristics were filled out by adolescents and their parents. Linear and logistic regression analyses were used to determine the relationships between GA and BMI SDS and BMI related health behaviours among adolescents. Results: No significant relationship was found between GA and BMI SDS (B -0.01 (95% CI -0.05; 0.02)) in adolescence. However, GA was positively related to the consumption of fruits (OR 1.07 (95% CI 1.00; 1.15)), with the consumption of alcohol (OR 1.10 (95% CI 1.02; 1.19)), and with the frequency of having been drunk (OR 1.13 (95% CI 1.03; 1.24)). No significant relationships were found between GA and the other behaviours i.e. consumption of vegetables, taking breakfast, physical activity, screen time and sleeping behaviour. Conclusion: GA did not have a significant relationship with BMI SDS in adolescence. However, adolescents with a lower GA consumed significantly less fruits during adolescence, which could be a risk factor for overweight and cardiometabolic diseases later in life. In contrast, they showed a healthier behaviour regarding alcohol use, which may protect them from obesity and adverse health risks. Further research is needed to confirm these findings and to study causal pathways.
| Item Type: | Thesis (UNSPECIFIED) |
|---|---|
| Supervisor name: | Dr. de Kroon, M.L.A. and Prof. dr. Reijneveld, S.A. |
| Faculty: | Medical Sciences |
| Date Deposited: | 25 Mar 2024 12:29 |
| Last Modified: | 25 Mar 2024 12:29 |
| URI: | https://umcg.studenttheses.ub.rug.nl/id/eprint/3737 |
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