Associations of early pregnancy BMI with adverse pregnancy outcomes and infant neurocognitive development

Abstract The prevalence of overweight and obesity amongst reproductive women has been increasing worldwide. Our aim was to compare pregnancy outcomes and infant neurocognitive development by different BMI classifications and investigate whether early pregnancy BMI was associated with risks of advers...

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Autores principales: Yu-Ting Chen, Ting Zhang, Chang Chen, Yin-Yin Xia, Ting-Li Han, Xu-Yang Chen, Xiao-Ling He, Ge Xu, Zhen Zou, Hong-Bo Qi, Hua Zhang, Benjamin B. Albert, John Colombo, Philip N. Baker
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Publicado: Nature Portfolio 2021
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Acceso en línea:https://doaj.org/article/38086e53bd8b4dfd8180a1e9f89d115d
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spelling oai:doaj.org-article:38086e53bd8b4dfd8180a1e9f89d115d2021-12-02T14:03:44ZAssociations of early pregnancy BMI with adverse pregnancy outcomes and infant neurocognitive development10.1038/s41598-021-83430-72045-2322https://doaj.org/article/38086e53bd8b4dfd8180a1e9f89d115d2021-02-01T00:00:00Zhttps://doi.org/10.1038/s41598-021-83430-7https://doaj.org/toc/2045-2322Abstract The prevalence of overweight and obesity amongst reproductive women has been increasing worldwide. Our aim was to compare pregnancy outcomes and infant neurocognitive development by different BMI classifications and investigate whether early pregnancy BMI was associated with risks of adverse outcomes in a Southwest Chinese population. We analysed data from 1273 women enrolled in the Complex Lipids in Mothers and Babies (CLIMB) randomized controlled trial in Chongqing, China. Maternal BMI was classified as underweight, normal weight and overweight/obese according to the Chinese, WHO Asian, and WHO European standards. For the adverse pregnancy outcomes, after adjustment for potential confounders, an underweight BMI was associated with increased risk of small for gestational age (SGA) babies, and an overweight/obese BMI was associated with increased risk of maternal gestational diabetes mellitus (GDM), caesarean section (C-section), macrosomia and large for gestational age (LGA) babies. For infant neurocognitive development, 1017 mothers and their children participated; no significant differences were seen in the Mental Development Index (MDI) or the Psychomotor Development Index (PDI) between the three BMI groups. Our findings demonstrate that abnormal early pregnancy BMI were associated with increased risks of adverse pregnancy outcomes in Chinese women, while early pregnancy BMI had no significant influence on the infant neurocognitive development at 12 months of age.Yu-Ting ChenTing ZhangChang ChenYin-Yin XiaTing-Li HanXu-Yang ChenXiao-Ling HeGe XuZhen ZouHong-Bo QiHua ZhangBenjamin B. AlbertJohn ColomboPhilip N. BakerNature PortfolioarticleMedicineRScienceQENScientific Reports, Vol 11, Iss 1, Pp 1-8 (2021)
institution DOAJ
collection DOAJ
language EN
topic Medicine
R
Science
Q
spellingShingle Medicine
R
Science
Q
Yu-Ting Chen
Ting Zhang
Chang Chen
Yin-Yin Xia
Ting-Li Han
Xu-Yang Chen
Xiao-Ling He
Ge Xu
Zhen Zou
Hong-Bo Qi
Hua Zhang
Benjamin B. Albert
John Colombo
Philip N. Baker
Associations of early pregnancy BMI with adverse pregnancy outcomes and infant neurocognitive development
description Abstract The prevalence of overweight and obesity amongst reproductive women has been increasing worldwide. Our aim was to compare pregnancy outcomes and infant neurocognitive development by different BMI classifications and investigate whether early pregnancy BMI was associated with risks of adverse outcomes in a Southwest Chinese population. We analysed data from 1273 women enrolled in the Complex Lipids in Mothers and Babies (CLIMB) randomized controlled trial in Chongqing, China. Maternal BMI was classified as underweight, normal weight and overweight/obese according to the Chinese, WHO Asian, and WHO European standards. For the adverse pregnancy outcomes, after adjustment for potential confounders, an underweight BMI was associated with increased risk of small for gestational age (SGA) babies, and an overweight/obese BMI was associated with increased risk of maternal gestational diabetes mellitus (GDM), caesarean section (C-section), macrosomia and large for gestational age (LGA) babies. For infant neurocognitive development, 1017 mothers and their children participated; no significant differences were seen in the Mental Development Index (MDI) or the Psychomotor Development Index (PDI) between the three BMI groups. Our findings demonstrate that abnormal early pregnancy BMI were associated with increased risks of adverse pregnancy outcomes in Chinese women, while early pregnancy BMI had no significant influence on the infant neurocognitive development at 12 months of age.
format article
author Yu-Ting Chen
Ting Zhang
Chang Chen
Yin-Yin Xia
Ting-Li Han
Xu-Yang Chen
Xiao-Ling He
Ge Xu
Zhen Zou
Hong-Bo Qi
Hua Zhang
Benjamin B. Albert
John Colombo
Philip N. Baker
author_facet Yu-Ting Chen
Ting Zhang
Chang Chen
Yin-Yin Xia
Ting-Li Han
Xu-Yang Chen
Xiao-Ling He
Ge Xu
Zhen Zou
Hong-Bo Qi
Hua Zhang
Benjamin B. Albert
John Colombo
Philip N. Baker
author_sort Yu-Ting Chen
title Associations of early pregnancy BMI with adverse pregnancy outcomes and infant neurocognitive development
title_short Associations of early pregnancy BMI with adverse pregnancy outcomes and infant neurocognitive development
title_full Associations of early pregnancy BMI with adverse pregnancy outcomes and infant neurocognitive development
title_fullStr Associations of early pregnancy BMI with adverse pregnancy outcomes and infant neurocognitive development
title_full_unstemmed Associations of early pregnancy BMI with adverse pregnancy outcomes and infant neurocognitive development
title_sort associations of early pregnancy bmi with adverse pregnancy outcomes and infant neurocognitive development
publisher Nature Portfolio
publishDate 2021
url https://doaj.org/article/38086e53bd8b4dfd8180a1e9f89d115d
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