Maternal prepregnancy body mass index and gestational weight gain on pregnancy outcomes.

Maternal prepregnancy body mass index and gestational weight gain on pregnancy outcomes.

<h4>Objective</h4>The aim of the present study was to evaluate the single and joint associations of maternal prepregnancy body mass index (BMI) and gestational weight gain (GWG) with pregnancy outcomes in Tianjin, China.<h4>Methods</h4>Between June 2009 and May 2011, health c...

Descripción completa

Guardado en:
Detalles Bibliográficos
Autores principales: Nan Li, Enqing Liu, Jia Guo, Lei Pan, Baojuan Li, Ping Wang, Jin Liu, Yue Wang, Gongshu Liu, Andrea A Baccarelli, Lifang Hou, Gang Hu
Formato: article
Lenguaje:EN
Publicado: Public Library of Science (PLoS) 2013
Materias:
Medicine
R
Science
Q
Acceso en línea:https://doaj.org/article/0ce212ed92384296a3e08e94e61e39dc
Etiquetas: Agregar Etiqueta
Sin Etiquetas, Sea el primero en etiquetar este registro!
id oai:doaj.org-article:0ce212ed92384296a3e08e94e61e39dc
record_format dspace
spelling oai:doaj.org-article:0ce212ed92384296a3e08e94e61e39dc2021-11-18T08:41:02ZMaternal prepregnancy body mass index and gestational weight gain on pregnancy outcomes.1932-620310.1371/journal.pone.0082310https://doaj.org/article/0ce212ed92384296a3e08e94e61e39dc2013-01-01T00:00:00Zhttps://www.ncbi.nlm.nih.gov/pmc/articles/pmid/24376527/pdf/?tool=EBIhttps://doaj.org/toc/1932-6203<h4>Objective</h4>The aim of the present study was to evaluate the single and joint associations of maternal prepregnancy body mass index (BMI) and gestational weight gain (GWG) with pregnancy outcomes in Tianjin, China.<h4>Methods</h4>Between June 2009 and May 2011, health care records of 33,973 pregnant women were collected and their children were measured for birth weight and birth length. The independent and joint associations of prepregnancy BMI and GWG based on the Institute of Medicine (IOM) guidelines with the risks of pregnancy and neonatal outcomes were examined by using Logistic Regression.<h4>Results</h4>After adjustment for all confounding factors, maternal prepregnancy BMI was positively associated with risks of gestational diabetes mellitus (GDM), pregnancy-induced hypertension, caesarean delivery, preterm delivery, large-for-gestational age infant (LGA), and macrosomia, and inversely associated with risks of small-for-gestational age infant (SGA) and low birth weight. Maternal excessive GWG was associated with increased risks of pregnancy-induced hypertension, caesarean delivery, LGA, and macrosomia, and decreased risks of preterm delivery, SGA, and low birth weight. Maternal inadequate GWG was associated with increased risks of preterm delivery and SGA, and decreased risks of LGA and macrosomia, compared with maternal adequate GWG. Women with both prepregnancy obesity and excessive GWG had 2.2-5.9 folds higher risks of GDM, pregnancy-induced hypertension, caesarean delivery, LGA, and macrosomia compared with women with normal prepregnancy BMI and adequate GWG.<h4>Conclusions</h4>Maternal prepregnancy obesity and excessive GWG were associated with greater risks of pregnancy-induced hypertension, caesarean delivery, and greater infant size at birth. Health care providers should inform women to start the pregnancy with a BMI in the normal weight category and limit their GWG to the range specified for their prepregnancy BMI.Nan LiEnqing LiuJia GuoLei PanBaojuan LiPing WangJin LiuYue WangGongshu LiuAndrea A BaccarelliLifang HouGang HuPublic Library of Science (PLoS)articleMedicineRScienceQENPLoS ONE, Vol 8, Iss 12, p e82310 (2013)
institution DOAJ
collection DOAJ
language EN
topic Medicine
R
Science
Q
spellingShingle Medicine
R
Science
Q
Nan Li
Enqing Liu
Jia Guo
Lei Pan
Baojuan Li
Ping Wang
Jin Liu
Yue Wang
Gongshu Liu
Andrea A Baccarelli
Lifang Hou
Gang Hu
Maternal prepregnancy body mass index and gestational weight gain on pregnancy outcomes.
description <h4>Objective</h4>The aim of the present study was to evaluate the single and joint associations of maternal prepregnancy body mass index (BMI) and gestational weight gain (GWG) with pregnancy outcomes in Tianjin, China.<h4>Methods</h4>Between June 2009 and May 2011, health care records of 33,973 pregnant women were collected and their children were measured for birth weight and birth length. The independent and joint associations of prepregnancy BMI and GWG based on the Institute of Medicine (IOM) guidelines with the risks of pregnancy and neonatal outcomes were examined by using Logistic Regression.<h4>Results</h4>After adjustment for all confounding factors, maternal prepregnancy BMI was positively associated with risks of gestational diabetes mellitus (GDM), pregnancy-induced hypertension, caesarean delivery, preterm delivery, large-for-gestational age infant (LGA), and macrosomia, and inversely associated with risks of small-for-gestational age infant (SGA) and low birth weight. Maternal excessive GWG was associated with increased risks of pregnancy-induced hypertension, caesarean delivery, LGA, and macrosomia, and decreased risks of preterm delivery, SGA, and low birth weight. Maternal inadequate GWG was associated with increased risks of preterm delivery and SGA, and decreased risks of LGA and macrosomia, compared with maternal adequate GWG. Women with both prepregnancy obesity and excessive GWG had 2.2-5.9 folds higher risks of GDM, pregnancy-induced hypertension, caesarean delivery, LGA, and macrosomia compared with women with normal prepregnancy BMI and adequate GWG.<h4>Conclusions</h4>Maternal prepregnancy obesity and excessive GWG were associated with greater risks of pregnancy-induced hypertension, caesarean delivery, and greater infant size at birth. Health care providers should inform women to start the pregnancy with a BMI in the normal weight category and limit their GWG to the range specified for their prepregnancy BMI.
format article
author Nan Li
Enqing Liu
Jia Guo
Lei Pan
Baojuan Li
Ping Wang
Jin Liu
Yue Wang
Gongshu Liu
Andrea A Baccarelli
Lifang Hou
Gang Hu
author_facet Nan Li
Enqing Liu
Jia Guo
Lei Pan
Baojuan Li
Ping Wang
Jin Liu
Yue Wang
Gongshu Liu
Andrea A Baccarelli
Lifang Hou
Gang Hu
author_sort Nan Li
title Maternal prepregnancy body mass index and gestational weight gain on pregnancy outcomes.
title_short Maternal prepregnancy body mass index and gestational weight gain on pregnancy outcomes.
title_full Maternal prepregnancy body mass index and gestational weight gain on pregnancy outcomes.
title_fullStr Maternal prepregnancy body mass index and gestational weight gain on pregnancy outcomes.
title_full_unstemmed Maternal prepregnancy body mass index and gestational weight gain on pregnancy outcomes.
title_sort maternal prepregnancy body mass index and gestational weight gain on pregnancy outcomes.
publisher Public Library of Science (PLoS)
publishDate 2013
url https://doaj.org/article/0ce212ed92384296a3e08e94e61e39dc
work_keys_str_mv AT nanli maternalprepregnancybodymassindexandgestationalweightgainonpregnancyoutcomes
AT enqingliu maternalprepregnancybodymassindexandgestationalweightgainonpregnancyoutcomes
AT jiaguo maternalprepregnancybodymassindexandgestationalweightgainonpregnancyoutcomes
AT leipan maternalprepregnancybodymassindexandgestationalweightgainonpregnancyoutcomes
AT baojuanli maternalprepregnancybodymassindexandgestationalweightgainonpregnancyoutcomes
AT pingwang maternalprepregnancybodymassindexandgestationalweightgainonpregnancyoutcomes
AT jinliu maternalprepregnancybodymassindexandgestationalweightgainonpregnancyoutcomes
AT yuewang maternalprepregnancybodymassindexandgestationalweightgainonpregnancyoutcomes
AT gongshuliu maternalprepregnancybodymassindexandgestationalweightgainonpregnancyoutcomes
AT andreaabaccarelli maternalprepregnancybodymassindexandgestationalweightgainonpregnancyoutcomes
AT lifanghou maternalprepregnancybodymassindexandgestationalweightgainonpregnancyoutcomes
AT ganghu maternalprepregnancybodymassindexandgestationalweightgainonpregnancyoutcomes
_version_ 1718421425796153344

Ejemplares similares