Association of body weight and urinary tract infections during infancy: a nationwide comparative matched cohort study
1
조회
0
다운로드
0
인용
0
참고문헌
키워드
초록
Purpose: This article was to investigate the association between urinary tract infections (UTIs) and high weight status in infancy. Methods: We conducted a nationwide matched cohort study from January 2018 to December 2020 using data from the Korean National Health Insurance System and the Korean National Health Screening Program for Infants and Children. We analyzed the association between UTI diagnosis codes and high weight status (which was defined as being in the 90th percentile or higher of weight-for-age). Results: We found that 22.8% of infants with UTIs exhibited high weight status, compared to 20.0% of non-UTI infants (P<0.001). Per our multivariable analyses, the adjusted odds ratio for high weight status was 1.09 (95% confidence interval, 1.06–1.13). Conclusions: UTI in the first 12 months of life was associated with a weight-for-age percentile of ≥90. Our findings corroborate those of previous single-center studies and emphasize the importance of careful monitoring for this at-risk group.
Abstract
Purpose: This article was to investigate the association between urinary tract infections (UTIs) and high weight status in infancy. Methods: We conducted a nationwide matched cohort study from January 2018 to December 2020 using data from the Korean National Health Insurance System and the Korean National Health Screening Program for Infants and Children. We analyzed the association between UTI diagnosis codes and high weight status (which was defined as being in the 90th percentile or higher of weight-for-age). Results: We found that 22.8% of infants with UTIs exhibited high weight status, compared to 20.0% of non-UTI infants (P<0.001). Per our multivariable analyses, the adjusted odds ratio for high weight status was 1.09 (95% confidence interval, 1.06–1.13). Conclusions: UTI in the first 12 months of life was associated with a weight-for-age percentile of ≥90. Our findings corroborate those of previous single-center studies and emphasize the importance of careful monitoring for this at-risk group.
참고문헌 (18)
- Kaufman J, "Urinary tract infections in children : an overview of diagnosis and management", BMJ Paediatr Open, 3, pp.e000487~ (2019)
- Shaikh N, "Prevalence of urinary tract infection in childhood : a meta-analysis", Pediatr Infect Dis J, 27, pp.302~308 (2008)
- Wennerstrom M, "Renal function 16 to 26 years after the first urinary tract infection in childhood", Arch Pediatr Adolesc Med, 154, pp.339~345 (2000)
- Vogels N, "Determinants of overweight in a cohort of Dutch children", Am J Clin Nutr, 84, pp.717~724 (2006)
- Dobner J, "Body mass index and the risk of infection : from underweight to obesity", Clin Microbiol Infect, 24, pp.24~28 (2018)
- Grier WR, "Obesity as a risk factor for urinary tract infection in children", Clin Pediatr(Phila), 55, pp.952~956 (2016)
- Hsu PC, "Obesity and risk of urinary tract infection in young children presenting with fever", Medicine(Baltimore), 97, pp.e13006~ (2018)
- Yang TH, "Obesity and a febrile urinary tract infection:dual burden for young children?", Urology, 84, pp.445~449 (2014)
- Gao X, "Obesity in school-aged children and its correlation with gut E.coli and Bifidobacteria: a case-control study", BMC Pediatr, 15, pp.64~ (2015)
- Ju T, "The gut commensal escherichia coli aggravates high-fat-diet-induced obesity and insulin resistance in mice", Appl Environ Microbiol, 89, pp.e0162822~ (2023)
- Hyung Eun Yim, "Impact of early-life weight status on urinary tract infection in children: a nationwide population-based study in South Korea", Epidemiology and Health, 43, pp.1~9 (2021), 한국역학회[DOI]
- 문진수, "영유아 건강검진", 대한의사협회지, 53(5), pp.377~385 (2010), 대한의사협회
- 은백린, "현행 영유아 및 소아청소년 건강검진제도의 평가 및 대안", Clinical and Experimental Pediatrics, 53(3), pp.300~306 (2010), 대한소아청소년과학회
- "2021 National health insurance statistical yearbook" (2023)[URL]
- Feudtner C, "Pediatric complex chronic conditions classification system version 2 : updated for ICD-10 and complex medical technology dependence and transplantation", BMC Pediatr, 14, pp.199~ (2014)
- Renko M, "Meta-analysis of the Risk Factors for Urinary Tract Infection in Children", Pediatr Infect Dis J, 41, pp.787~792 (2022)
- Milner JJ, "The impact of obesity on the immune response to infection", Proc Nutr Soc, 71, pp.298~306 (2012)
- Ouchi N, "Adipokines in inflammation and metabolic disease", Nat Rev Immunol, 11, pp.85~97 (2011)
