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Paternal contributions to large-for-gestational-age term babies: findings from a multicenter prospective cohort study
Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Women's and Children's Health, Research group (Dept. of women´s and children´s health), Perinatal, Neonatal and Pediatric Cardiology Research. Univ Auckland, Liggins Inst, Auckland, New Zealand;Univ Auckland, Better Start Natl Sci Challenge, Auckland, New Zealand.ORCID iD: 0000-0003-1226-1956
Kings Coll London, Sch Life Course Sci, Dept Women & Childrens Hlth, London, England.
Univ Auckland, Dept Obstet & Gynaecol, Auckland, New Zealand;Natl Womens Hosp, Auckland Dist Hlth Board, Auckland, New Zealand.
Kings Coll London, Sch Life Course Sci, Dept Women & Childrens Hlth, London, England.
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2019 (English)In: Journal of Developmental Origins of Health and Disease, ISSN 2040-1744, E-ISSN 2040-1752, Vol. 10, no 5, p. 529-535, article id PII S2040174419000035Article in journal (Refereed) Published
Abstract [en]

We assessed whether paternal demographic, anthropometric and clinical factors influence the risk of an infant being born large-for-gestational-age (LGA). We examined the data on 3659 fathers of term offspring (including 662 LGA infants) born to primiparous women from Screening for Pregnancy Endpoints (SCOPE). LGA was defined as birth weight >90th centile as per INTERGROWTH 21st standards, with reference group being infants <= 90th centile. Associations between paternal factors and likelihood of an LGA infant were examined using univariable and multivariable models. Men who fathered LGA babies were 180 g heavier at birth (P<0.001) and were more likely to have been born macrosomic (P<0.001) than those whose infants were not LGA. Fathers of LGA infants were 2.1 cm taller (P<0.001), 2.8 kg heavier (P<0.001) and had similar body mass index (BMI). In multivariable models, increasing paternal birth weight and height were independently associated with greater odds of having an LGA infant, irrespective of maternal factors. One unit increase in paternal BMI was associated with 2.9% greater odds of having an LGA boy but not girl; however, this association disappeared after adjustment for maternal BMI. There were no associations between paternal demographic factors or clinical history and infant LGA. In conclusion, fathers who were heavier at birth and were taller were more likely to have an LGA infant, but maternal BMI had a dominant influence on LGA.

Place, publisher, year, edition, pages
2019. Vol. 10, no 5, p. 529-535, article id PII S2040174419000035
Keywords [en]
birth weight, BMI, body mass index, father, LGA, mother
National Category
Obstetrics, Gynecology and Reproductive Medicine
Identifiers
URN: urn:nbn:se:uu:diva-395790DOI: 10.1017/S2040174419000035ISI: 000487034700004PubMedID: 30813979OAI: oai:DiVA.org:uu-395790DiVA, id: diva2:1365763
Available from: 2019-10-25 Created: 2019-10-25 Last updated: 2019-10-25Bibliographically approved

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Derraik, Jose G. B.Ahlsson, Fredrik

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