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. 2023 Nov 10;13:19612. doi: 10.1038/s41598-023-45316-8

Table 4.

Summary of results of supplementary evaluations and sensitivity analysis examining the association between cesarean delivery and BMI z-score and POW of 75th percentile or greater (higher weight status) compared to 25th-50th percentile.

BMI z-score POW
OR 95% CIa OR 95% CIa
Follow-up at age 1 year
Main analysis results (all children) 0.97 (0.69–1.36) 1.02 (0.73–1.43)
Excluded preterm births 1.01 (0.71–1.42] 1.08 (0.77–1.52)
Excluded pre-pregnancy BMI ≥ 25.0 1.03 (0.72–1.46) 1.05 (0.74–1.49)
Excluded emergency CS 1.17 (0.77–1.76) 1.12 (0.74–1.69)
Children exclusively breastfed 1.04 (0.60–1.83) 1.21 (0.73–2.02)
Children not exclusively breastfed 0.99 (0.63–1.56) 1.09 (0.70–1.70)
Follow-up at age 3 years
Main analysis results (all children) 0.98 (0.67–1.42) 0.88 (0.61–1.29)
Excluded preterm births 1.00 (0.68–1.48) 0.90 (0.61–1.33)
Excluded pre-pregnancy BMI ≥ 25.0 0.96 (0.65–1.42) 0.90 (0.60–1.33)
Excluded emergency CS 1.03 (0.66–1.62) 0.95 (0.60–1.50)
Children exclusively breastfed 1.26 (0.69–2.30) 1.20 (0.65–2.24)
Children not exclusively breastfed 0.83 (0.50–1.39) 0.72 (0.43–1.20)
Follow-up at age 6 years
Main analysis results (all children) 0.71 (0.45–1.12) 0.94 (0.60–1.47)
Excluded preterm births 0.75 (0.47–1.20) 0.99 (0.63–1.58)
Excluded pre-pregnancy BMI ≥ 25.0 0.79 (0.49–1.26) 0.97 (0.61–1.53)
Excluded emergency CS 0.70 (0.40–1.25) 0.95 (0.54–1.67)
Children exclusively breastfed 0.67 (0.32–1.41) 0.82 (0.40–1.72)
Children not exclusively breastfed 1.00 (0.53–1.86) 1.14 (0.62–2.12)

BMI = body mass index; POW = percentage of overweight; OR = odds ratio; CI = confidence interval; CS = caesarean section.

aEstimates were derived using multinomial logistic regression adjusting for maternal age, educational status, maternal pre-pregnancy BMI, gestational age and birth weight (Model 3).