In:
Pediatrics, American Academy of Pediatrics (AAP), Vol. 142, No. 6 ( 2018-12-01)
Abstract:
To determine the association of antibiotic use with weight outcomes in a large cohort of children. METHODS: Health care data were available from 2009 to 2016 for 35 institutions participating in the National Patient-Centered Clinical Research Network. Participant inclusion required same-day height and weight measurements at 0 to & lt;12, 12 to & lt;30, and 48 to & lt;72 months of age. We assessed the association between any antibiotic use at & lt;24 months of age with BMI z score and overweight or obesity prevalence at 48 to & lt;72 months (5 years) of age, with secondary assessments of antibiotic spectrum and age-period exposures. We included children with and without complex chronic conditions. RESULTS: Among 1 792 849 children with a same-day height and weight measurement at & lt;12 months of age, 362 550 were eligible for the cohort. One-half of children (52%) were boys, 27% were African American, 18% were Hispanic, and 58% received ≥1 antibiotic prescription at & lt;24 months of age. At 5 years, the mean BMI z score was 0.40 (SD 1.19), and 28% of children had overweight or obesity. In adjusted models for children without a complex chronic condition at 5 years, we estimated a higher mean BMI z score by 0.04 (95% confidence interval [CI] 0.03 to 0.05) and higher odds of overweight or obesity (odds ratio 1.05; 95% CI 1.03 to 1.07) associated with obtaining any (versus no) antibiotics at & lt;24 months. CONCLUSIONS: Antibiotic use at & lt;24 months of age was associated with a slightly higher body weight at 5 years of age.
Type of Medium:
Online Resource
ISSN:
0031-4005
,
1098-4275
DOI:
10.1542/peds.2018-0290
Language:
English
Publisher:
American Academy of Pediatrics (AAP)
Publication Date:
2018
detail.hit.zdb_id:
1477004-0
Bookmarklink