Table 2.
Adjusted Mean Differences (MD) and Relative risks (RR) for Offspring Weight Outcomes Through Childhood and Adolescence According to Maternal Rotating Night Shiftwork History Before Pregnancy, Using Data From the Growing Up Today Study 2 From 2004 to 2013, Restricted to Singleton, Full-term Births.
History of rotating night shift work | ||||||||||
---|---|---|---|---|---|---|---|---|---|---|
Never worked rotating night shifts | <3 yrs | 3–5 yrs | ≥6 yrs | P trend | Ever worked rotating night shifts | |||||
Mean differences in offspring birth weight (grams) | ||||||||||
Participants | 1,458 | 1,305 | 964 | 416 | 2,685 | |||||
MD | 95% CI | MD | 95% CI | MD | 95% CI | MD | 95% CI | |||
Basic model a | 0 (reference) | 10.68 | −26.33, 47.69 | 0.98 | −39.06, 41.03 | −7.80 | −65.11, 49.51 | 0.79 | 4.41 | −27.48, 36.30 |
MV model 1 b | 0 (reference) | 12.16 | −24.54, 48.87 | 4.73 | −34.55, 44.02 | −1.43 | −59.29, 56.43 | 0.99 | 7.51 | −23.89, 38.92 |
MV model 2 c | 0 (reference) | 10.33 | −26.26, 49.91 | 2.39 | −36.85, 41.64 | −6.28 | −63.84, 51.27 | 0.85 | 5.06 | −26.32, 36.44 |
Relative risk of offspring’s somatotype at age 5 being larger than the median | ||||||||||
Cases/participants | 628/1,631 | 584/1,451 | 437/1,103 | 186/474 | 1,207/3,028 | |||||
RR | 95% CI | RR | 95% CI | RR | 95% CI | RR | 95% CI | |||
Basic model a | 1 (reference) | 1.04 | 0.95, 1.14 | 1.02 | 0.93, 1.13 | 1.01 | 0.89, 1.15 | 0.82 | 1.03 | 0.95; 1.11 |
MV model 1 b | 1 (reference) | 1.03 | 0.94, 1.12 | 1.02 | 0.92, 1.12 | 1.01 | 0.88, 1.15 | 0.87 | 1.02 | 0.95; 1.10 |
MV model 2 c | 1 (reference) | 1.02 | 0.94, 1.12 | 1.01 | 0.92, 1.12 | 1.00 | 0.88, 1.14 | 0.97 | 1.02 | 0.94; 1.10 |
Relative risk of offspring having overweight or obesity at any time between 2004 and 2013 d | ||||||||||
Cases/participants | 523/1,667 | 523/1,494 | 394/1,125 | 168/487 | 1,085/3,106 | |||||
RR | 95% CI | RR | 95% CI | RR | 95% CI | RR | 95% CI | |||
Basic model a | 1 (reference) | 1.10 1.00, 1.22 | 1.11 | 1.00, 1.24 | 1.08 | 0.94, 1.25 | 0.11 | 1.10 | 1.01, 1.20 | |
MV model 1 b | 1 (reference) | 1.11 | 1.01, 1.23 | 1.12 | 1.01, 1.25 | 1.07 | 0.92, 1.23 | 0.14 | 1.11 | 1.02, 1.21 |
MV model 2 c | 1 (reference) | 1.11 1.00, 1.22 | 1.10 | 0.99, 1.23 | 1.03 | 0.89, 1.18 | 0.31 | 1.09 | 1.00, 1.19 | |
Relative risk of offspring persistently having overweight or obesity e | ||||||||||
Cases/participants | 114/1,667 | 124/1,494 | 103/1,125 | 37/487 | 264/3,106 | |||||
RR | 95% CI | RR | 95% CI | RR | 95% CI | RR | 95% CI | |||
Basic modela | 1 (reference) | 1.19 | 0.92, 1.54 | 1.35 | 1.04, 1.76 | 1.07 | 0.74, 1.55 | 0.13 | 1.23 | 0.99, 1.53 |
MV model 1b | 1 (reference) | 1.22 | 0.95, 1.58 | 1.39 | 1.06, 1.80 | 1.04 | 0.71, 1.52 | 0.17 | 1.25 | 1.00, 1.56 |
MV model 2 c | 1 (reference) | 1.21 | 0.94, 1.55 | 1.33 | 1.02, 1.73 | 0.96 | 0.67, 1.40 | 0.31 | 1.21 | 0.97, 1.51 |
Mean differences in offspring BMI (kg/m2) using n=15,008 repeated measurements from 2004–2013 | ||||||||||
Observations | 5,309 | 4,674 | 3,528 | 1,487 | 9,689 | |||||
MD | 95% CI | MD | 95% CI | MD | 95% CI | MD | 95% CI | |||
Basic model a, f | 0 (reference) | 0.04 | −0.20, 0.29 | 0.22 | −0.04, 0.49 | 0.53 | 0.17, 0.89 | <0.01 | 0.18 | −0.03, 0.39 |
MV model 1 b | 0 (reference) | 0.07 | −0.18, 0.31 | 0.26 | −0.01, 0.52 | 0.49 | 0.13, 0.85 | <0.01 | 0.20 | −0.01, 0.41 |
MV model 2 c | 0 (reference) | 0.03 | −0.21, 0.26 | 0.20 | −0.06, 0.45 | 0.33 | −0.02, 0.67 | 0.03 | 0.13 | −0.01, 0.41 |
Abbreviations: CI, confidence interval; MD, mean difference; MV, multivariable model; RR, relative risk
Adjusted for offspring gender (boy/girl) and gestational age ≥42 wks (yes/no)
Additionally adjusted for maternal age at pregnancy, smoking status before pregnancy (never, current, past), alternative healthy eating score (quintiles), physical activity (METs hours/week; quintiles), husband’s education (less than 2yr college, 4yr college, grad school), parity (nulliparity, 1, 2, 3+ previous pregnancies)
Additionally adjusted for BMI before pregnancy (<25, 25–29, ≥30 kg/m2)
Overweight and obesity status defined according to the age-and sex specific cutoffs from the International Obesity Task Force.
Persistently overweight or obese was defined as falling into that category in 3 consecutive follow-up cycles.
All models are additionally adjusted for age at BMI measurement.