「乳児期」の体重増加は「成人期」の肥満に影響しない可能性 ~妊婦本人の母子健康手帳を用いた研究で解明~ 乳児期の体重増加に基づく授乳・栄養の制限は慎重に

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2025-09-10 国立成育医療研究センター

国立成育医療研究センターの研究チームは、母子健康手帳の記録を用いた後ろ向きコホート研究で、乳児期の体重増加と成人期の肥満リスクの関連を検討した。対象は2017~2021年に来院した妊婦1,441名で、生後1・3・6カ月の体重増加量と妊娠前BMIを比較した。その結果、生後6カ月までに大きく体重が増えた群(5,230~7,700g)でも、成人期の肥満(BMI≧25)割合は増加しなかった。一方で、体重増加が大きいほど成人期の「やせ」(BMI<18.5)の割合は低下しており、十分な体重増加が将来のやせを予防する可能性が示された。ただし、生後1カ月・3カ月の増加量は成人期の体格と関連しなかった。本研究は、乳児期の体重増加だけを理由に授乳量や栄養摂取を制限すべきでないことを示唆し、母子健康手帳の成長曲線は発育の目安に過ぎず、健診での専門家評価が重要であると強調した。成果は Journal of Developmental Origins of Health and Disease に掲載された。

「乳児期」の体重増加は「成人期」の肥満に影響しない可能性 ~妊婦本人の母子健康手帳を用いた研究で解明~ 乳児期の体重増加に基づく授乳・栄養の制限は慎重に

<関連情報>

乳児期における女性の体重増加と成人期の過体重または低体重との関連性:後ろ向きコホート研究 Association between women’s weight gain during their infancy and being overweight or underweight in adulthood: a retrospective cohort study

Yukari Kudo,Kohei Ogawa[,Hiromitsu Azuma,Yuka Wada,Aikou Okamoto and Seiji Wada
Journal of Developmental Origins of Health and Disease  Published:01 September 2025
DOI:https://doi.org/10.1017/S2040174425100202

Abstract

This study aimed to explore the associations between weight gain during infancy with pre-pregnant body mass index (BMI) later in life, focusing on risks of being overweight or underweight. A retrospective cohort study was conducted using data from women (n = 1082) who visited the National Center for Child Health and Development between 2017 and 2021. The participants provided their Maternal and Child Health Handbook, which included records of their own birthweight and weight gain from birth to 1, 3, and 6 months. The infant weight gain was divided into quintiles. Multivariable logistic regression was used to assess the association of weight gain during infancy with pre-pregnant underweight (BMI < 18.5) and overweight (BMI ≥ 25) later in life, adjusting for potential confounders. The current study found that the largest weight gain category (5230–7700 g) by 6 months was associated with a decreased risk of “pre-pregnant underweight,” compared to the third weight gain category (4355–4730 g) by 6 months (OR, 0.40; 95% CI, 0.22–0.73). In contrast, no significant association was observed between weight gain category in infancy and being overweight in adulthood. In conclusion, greater weight gain during the first 6 months of life was associated with a reduced risk of “adult underweight,” without increasing the risk of being overweight.

医療・健康
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