Waist circumference in the prediction of obesity-related adverse pregnancy outcomes

Wendland, Eliana Márcia; Duncan, Bruce Bartholow; Mengue, Sotero Serrate; Nucci, Luciana Bertoldi; Schmidt, María Inês

doi:10.1590/s0102-311x2007000200015

Cited by 34 publications

(38 citation statements)

References 15 publications

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“…The study of Wendland et al [13] reported gestational diabetes in 5.5%, 7.9% and 13.5% in women with 83 cm, 88 cm and 122 cm waist circumference quintiles, which was found to be comparable with the present study. Brisson et al [15] reported glycemia on a two hour glucose tolerance test in 18.0% women with waist circumference > 85 cm.…”

Section: Discussionsupporting

confidence: 91%

“…Macrosomia was reported higher in group II (6%) as compared to group I (1%) women in the present study consistent with other studies [13] [16] [17]. Wendland et al [13] in their study identified macrosomia in 9%, 11.4% and 17.1% in women having 83 cm, 88 cm and 112 cm waist circumference quintiles.…”

Section: Discussionsupporting

confidence: 91%

“…Women in age group 18 -35 years were enrolled for the study, the mean age was similar to that of Wendland et al [13] (27.6 ± 5.3 years). The demographic profile of women was similar in the two groups as women in both the groups were coming from similar background and were enrolled at a tertiary care centre.…”

Section: Discussionmentioning

confidence: 90%

“…Wendland et al [13] in their study identified macrosomia in 9%, 11.4% and 17.1% in women having 83 cm, 88 cm and 112 cm waist circumference quintiles. A study conducted by Usha Kiran et al [16] comparing obese and non-obese based on BMI reported macrosomia in 14.8% of obese and 7.6% of non-obese women.…”

Section: Discussionmentioning

confidence: 91%

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Can Waist Circumference Be Used as an Anthropometric Parameter to Assess the Obesity Related Pregnancy Outcome: A Case Control Study

Gupta¹,

Mann²,

Sethi³

2015

OJOG

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Introduction: The prevalence of obesity is increasing in women of reproductive age. Maternal obesity is associated with increased morbidity and mortality for both mother and offspring. BMI has been criticized as a limited measure of total obesity. Measurement of waist circumference can be useful in the assessment of abdominal obesity and disease risk. The study is aimed to evaluate the waist circumference as an anthropometric parameter in identifying women at risk of developing obstetric complications. Material and Methods: A prospective study was conducted at a tertiary health care centre on 200 antenatal women of age between 18 to 35 years with singleton pregnancy attending the antenatal clinic before 8 weeks of gestation. Women were divided into two groups. Group I included 100 women with waist circumference < 80 cm and Group II included 100 women with waist circumference ≥ 80 cm. Weight, height and waist circumference were measured and BMI was calculated. All the women were followed throughout their pregnancies as per the routine antenatal follow up. The fetomaternal outcome was recorded and analyzed statistically.

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Section: Discussionsupporting

confidence: 91%

Section: Discussionsupporting

confidence: 91%

Section: Discussionmentioning

confidence: 90%

Section: Discussionmentioning

confidence: 91%

See 2 more Smart Citations

Can Waist Circumference Be Used as an Anthropometric Parameter to Assess the Obesity Related Pregnancy Outcome: A Case Control Study

Gupta¹,

Mann²,

Sethi³

2015

OJOG

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“…As per revised guidelines, BMI [ 25 kg/m 2 is categorised as obese and WC [ 80 cm as abdominal adiposity [5]. WC is least implemented in pregnancy, but it is a reliable marker and measure of abdominal adiposity [6]. There are many studies based on increased BMI and adverse pregnancy outcome.…”

Section: Introductionmentioning

confidence: 99%

Better Predictor of Adverse Pregnancy Outcome: Asian or WHO International Cutoff? A Single-Centre Prospective Study

Sharadha

Punithavathi

Devi

2016

J Obstet Gynecol India

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Objectives To compare the Asian Indian body mass index (BMI) and waist circumference (WC) with World Health Organization (WHO) BMI and WC in the prediction of adverse maternal and perinatal outcome in overweight and obese women. Materials and Methods Prospective analysis of 239 women booked within 10 weeks of pregnancy and followed till delivery at our centre was performed. Results The mean age of the study group was 26.08 years, of which elderly gravida was 1.3 %. Overall, 17.6 % were overweight, 29.7 % were obese, and 42.7 % had abdominal obesity as per Asian Indian BMI and WC cutoff, whereas only 8.5 % were obese, and 14.2 % had abdominal obesity as per WHO. In high-risk group, gestational diabetes was commonest complication (20 %). Compared to WHO, Asian Indian BMI cutoff has statistically significant predictability for gestational diabetes, preeclampsia and its complications, labour induction, and Caesarean section rate. On the other hand, Asian WC has the best predictability only for preeclampsia and its complications. Sensitivity, specificity, and negative predictive

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Maternal Anthropometric Indices and Gestational Diabetes

Yeung¹,

Song²,

Zhang

2012

Handbook of Anthropometry

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The prevalence of gestational diabetes (GDM) has been on the rise worldwide. GDM is glucose intolerance first detected in pregnancy and heightens the risk of caesarian section, prematurity and neonatal mortality, to name a few of its consequences. Greater prepregnancy BMI is a strong risk factor for GDM with evidence that overweight doubles its risk and obesity triples it. Other anthropometric risk factors of GDM reviewed in this chapter include low birth weight, short stature or leg length, increased abdominal adiposity (by waist circumference or waist-to-hip ratio), excessive total adiposity by skinfolds, greater gestational weight gain, and postpartum weight retention. Due to the strong association between prepregnancy BMI and the risk of GDM, these other anthropometric risk factors were also evaluated for whether there is evidence that they can delineate risks apart from that related to BMI; that is, whether they have clinical relevance independent of pregravid BMI. Scarce evidence was given that measures of total adiposity by skinfolds add to discriminating participants at risk for GDM that may not have been determined by prepregnancy BMI. Measures of central adiposity by waist and hip circumferences may have added information. Difficulties in measurement may preclude their use in clinical practice as they require some technical training to obtain valid and reliable values. Short stature or leg length and low birth weight, were factors that remained associated with increased risk of GDM independent of BMI but these associations were weak. Investigations of these associations, however, support the developmental origins of human disease hypothesis and generate evidence that early life risk factors may be important for future health. Gestational weight gain has been regarded as not to be a determinant of GDM by the Institute of Medicine, and review of the studies to date supports their conclusion, although there is some evidence that it is still relevant for development of less severe forms of hyperglycemia in pregnancy. Lastly, post-partum weight retention may increase the risk of GDM in subsequent pregnancies but this is through the mechanism of BMI. In conclusion, anthropometry does play a significant role in the development of GDM and investigations of its measures may bring about greater understanding of the etiology of the disease, even if not all measures are suitable for clinical use.

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Waist circumference in the prediction of obesity-related adverse pregnancy outcomes

Abstract: diabetes, 0.640 (0.588-0.692) for preeclampsia, and 0.645(0.617-0.673)

Cited by 34 publications

References 15 publications

Can Waist Circumference Be Used as an Anthropometric Parameter to Assess the Obesity Related Pregnancy Outcome: A Case Control Study

Can Waist Circumference Be Used as an Anthropometric Parameter to Assess the Obesity Related Pregnancy Outcome: A Case Control Study

Better Predictor of Adverse Pregnancy Outcome: Asian or WHO International Cutoff? A Single-Centre Prospective Study

Maternal Anthropometric Indices and Gestational Diabetes

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