Associations of ultrasound estimated early mid pregnancy visceral and subcutaneous fat depths and early pregnancy BMI with adverse neonatal outcomes

Abstract This study investigated whether maternal central adiposity and body mass index (BMI) were associated with neonatal hypoglycemia and adverse neonatal outcomes. A cohort study was performed at Uppsala University Hospital, Sweden, between 2015 and 2018. Visceral and subcutaneous fat depths wer...

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Autores principales: Emelie Lindberger, Anna-Karin Wikström, Eva Bergman, Karin Eurenius, Ajlana Mulic-Lutvica, Linda Lindström, Inger Sundström Poromaa, Fredrik Ahlsson
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Lenguaje:EN
Publicado: Nature Portfolio 2021
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Acceso en línea:https://doaj.org/article/0674eaa65fc245379607332e5073a0a4
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spelling oai:doaj.org-article:0674eaa65fc245379607332e5073a0a42021-12-02T13:20:23ZAssociations of ultrasound estimated early mid pregnancy visceral and subcutaneous fat depths and early pregnancy BMI with adverse neonatal outcomes10.1038/s41598-021-84045-82045-2322https://doaj.org/article/0674eaa65fc245379607332e5073a0a42021-02-01T00:00:00Zhttps://doi.org/10.1038/s41598-021-84045-8https://doaj.org/toc/2045-2322Abstract This study investigated whether maternal central adiposity and body mass index (BMI) were associated with neonatal hypoglycemia and adverse neonatal outcomes. A cohort study was performed at Uppsala University Hospital, Sweden, between 2015 and 2018. Visceral and subcutaneous fat depths were measured by ultrasound at the early second-trimester anomaly scan in 2771 women giving birth to singleton infants. Body mass index was assessed in early pregnancy. Logistic regression models were performed. Adjustments were made for age, BMI (not in model with BMI as exposure), smoking, maternal country of birth, and parity. Outcomes were neonatal hypoglycemia (blood glucose concentration < 2.6 mmol/l), a composite of adverse neonatal outcomes (Apgar < 7 at 5 min of age, or umbilical artery pH ≤ 7.0, or admission to neonatal intensive care unit), and the components of the composite outcome. Visceral and subcutaneous fat depths measured by ultrasound in early mid pregnancy were not associated with any of the outcomes in adjusted analyses. For every unit increase in BMI, the likelihood of neonatal hypoglycemia increased by 5% (aOR 1.05, 95% CI 1.01–1.10), the composite outcome by 5% (aOR 1.05, 95% CI 1.01–1.08), and admission to neonatal intensive care unit by 6% (aOR 1.06, 95% CI 1.02–1.10).Emelie LindbergerAnna-Karin WikströmEva BergmanKarin EureniusAjlana Mulic-LutvicaLinda LindströmInger Sundström PoromaaFredrik AhlssonNature PortfolioarticleMedicineRScienceQENScientific Reports, Vol 11, Iss 1, Pp 1-9 (2021)
institution DOAJ
collection DOAJ
language EN
topic Medicine
R
Science
Q
spellingShingle Medicine
R
Science
Q
Emelie Lindberger
Anna-Karin Wikström
Eva Bergman
Karin Eurenius
Ajlana Mulic-Lutvica
Linda Lindström
Inger Sundström Poromaa
Fredrik Ahlsson
Associations of ultrasound estimated early mid pregnancy visceral and subcutaneous fat depths and early pregnancy BMI with adverse neonatal outcomes
description Abstract This study investigated whether maternal central adiposity and body mass index (BMI) were associated with neonatal hypoglycemia and adverse neonatal outcomes. A cohort study was performed at Uppsala University Hospital, Sweden, between 2015 and 2018. Visceral and subcutaneous fat depths were measured by ultrasound at the early second-trimester anomaly scan in 2771 women giving birth to singleton infants. Body mass index was assessed in early pregnancy. Logistic regression models were performed. Adjustments were made for age, BMI (not in model with BMI as exposure), smoking, maternal country of birth, and parity. Outcomes were neonatal hypoglycemia (blood glucose concentration < 2.6 mmol/l), a composite of adverse neonatal outcomes (Apgar < 7 at 5 min of age, or umbilical artery pH ≤ 7.0, or admission to neonatal intensive care unit), and the components of the composite outcome. Visceral and subcutaneous fat depths measured by ultrasound in early mid pregnancy were not associated with any of the outcomes in adjusted analyses. For every unit increase in BMI, the likelihood of neonatal hypoglycemia increased by 5% (aOR 1.05, 95% CI 1.01–1.10), the composite outcome by 5% (aOR 1.05, 95% CI 1.01–1.08), and admission to neonatal intensive care unit by 6% (aOR 1.06, 95% CI 1.02–1.10).
format article
author Emelie Lindberger
Anna-Karin Wikström
Eva Bergman
Karin Eurenius
Ajlana Mulic-Lutvica
Linda Lindström
Inger Sundström Poromaa
Fredrik Ahlsson
author_facet Emelie Lindberger
Anna-Karin Wikström
Eva Bergman
Karin Eurenius
Ajlana Mulic-Lutvica
Linda Lindström
Inger Sundström Poromaa
Fredrik Ahlsson
author_sort Emelie Lindberger
title Associations of ultrasound estimated early mid pregnancy visceral and subcutaneous fat depths and early pregnancy BMI with adverse neonatal outcomes
title_short Associations of ultrasound estimated early mid pregnancy visceral and subcutaneous fat depths and early pregnancy BMI with adverse neonatal outcomes
title_full Associations of ultrasound estimated early mid pregnancy visceral and subcutaneous fat depths and early pregnancy BMI with adverse neonatal outcomes
title_fullStr Associations of ultrasound estimated early mid pregnancy visceral and subcutaneous fat depths and early pregnancy BMI with adverse neonatal outcomes
title_full_unstemmed Associations of ultrasound estimated early mid pregnancy visceral and subcutaneous fat depths and early pregnancy BMI with adverse neonatal outcomes
title_sort associations of ultrasound estimated early mid pregnancy visceral and subcutaneous fat depths and early pregnancy bmi with adverse neonatal outcomes
publisher Nature Portfolio
publishDate 2021
url https://doaj.org/article/0674eaa65fc245379607332e5073a0a4
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