1. Antibiotic exposure in early life and childhood overweight and obesity: A systematic review and meta‐analysis.
- Author
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Rasmussen, Sara H., Shrestha, Sarita, Bjerregaard, Lise G., Ängquist, Lars H., Jess, Tine, Baker, Jennifer L., and Allin, Kristine H.
- Subjects
PHYSIOLOGICAL effects of antibiotics ,INFANTS ,CHILDHOOD obesity ,OVERWEIGHT children ,ODDS ratio ,HUMAN microbiota ,META-analysis - Abstract
We conducted a systematic review and meta‐analysis of observational studies investigating the association between antibiotic exposure in infancy and risk of childhood overweight and obesity. Thirteen studies, including a total of 527 504 children, were included in the systematic review and 8 were included in meta‐analyses. Exposure to antibiotics in infancy was associated with an increased odds ratio (OR) of childhood overweight and obesity (OR 1.11, 95% confidence interval [CI] 1.02‐1.20). Whereas exposure to 1 treatment only and exposure between 6 and 24 months were not associated with increased risk of childhood overweight and obesity, exposure to >1 treatment was associated with an OR of 1.24 (95% CI 1.09‐1.43) and exposure within the first 6 months of life was associated with an OR of 1.20 (95% CI 1.04‐1.37). In conclusion, antibiotic exposure in infancy was associated with a slightly increased risk of childhood overweight and obesity, mainly if children were exposed to repeated treatments or treatment within the first 6 months of life. It is unclear whether this association is mediated via direct effects of antibiotics on the gut microbiota. [ABSTRACT FROM AUTHOR]
- Published
- 2018
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