Association between women’s perceived ideal gestational weight gain during pregnancy and pregnancy outcomes

Ogawa, Kohei; Morisaki, Naho; Sago, Haruhiko; Fujiwara, Takeo; Horikawa, Reiko

doi:10.1038/s41598-018-29936-z

Cited by 25 publications

(25 citation statements)

References 19 publications

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“…A total of 7122 women who gave birth in those years in our hospital came from different regions in Slovakia and are working and living in the Bratislava agglomeration. In the observed period, although the women with overweight and obesity in our sample belonged to a lower limit of the obesity prevalence in pregnancy in the EU, based on our results, we can conclude that not only obesity with BMI ≥ 30.0 but also overweight with BMI between 25.0 and 29.9 is a high-risk factor for the occurrence of pathological conditions in pregnancy, such as preeclampsia, GDM, gestational hypertension, and IUGR [37,38]. Liu et al [39] showed that compared to antenatal weight gain within the IOM recommendations, excessive weight gain increased the incidence of cesarean section, preeclampsia, and infant macrosomia and reduced the incidence of GDM, while inadequate antenatal weight gain increased the incidence of GDM and low birth weight.…”

Section: Discussionmentioning

confidence: 58%

Maternal Body Mass Index and Gestational Weight Gain and Their Association with Pregnancy Complications and Perinatal Conditions

Šimko

Totka

Vondrová

et al. 2019

IJERPH

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This study aimed to evaluate the impact of selected pregnancy pathologies statistically depending on overweight/obesity and excessive maternal weight gain during pregnancy on women who gave birth in the years 2013–2015 at the Second Department of Gynecology and Obstetrics at the University Hospital in Bratislava, Slovakia. In a retrospective study, we analyzed data gathered from the sample, which consisted of 7122 women. Our results suggest a statistically significant, higher risk for the groups of women with overweight and obesity and gestational hypertension (adjusted odds ratio (AOR) = 15.3; 95% CI 9.0−25.8 for obesity), preeclampsia (AOR = 3.4; 95% CI 1.9−6.0 for overweight and AOR = 13.2; 95% CI 7.7−22.5 for obesity), and gestational diabetes mellitus (AOR = 1.9; 95% CI 1.2−2.9 for overweight and AOR = 2.4; 95% CI 1.4−4.0 for obesity). A higher incidence of pregnancies terminated by cesarean section was observed in the group of obese women. Gestational weight gain above IOM (Institute of Medicine) recommendations was associated with a higher risk of pregnancy terminated by C-section (AOR = 1.2; 95% CI 1.0−1.3), gestational hypertension (AOR = 1.7; 95% CI 1.0−2.7), and infant macrosomia (AOR = 1.7; 95% CI 1.3−2.1). Overweight and obesity during pregnancy significantly contribute to the development of pregnancy pathologies and increased incidence of cesarean section. Systematic efforts to reduce weight before pregnancy through prepregnancy dietary counseling, regular physical activity, and healthy lifestyle should be the primary goal.

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Section: Discussionmentioning

confidence: 58%

Maternal Body Mass Index and Gestational Weight Gain and Their Association with Pregnancy Complications and Perinatal Conditions

Šimko

Totka

Vondrová

et al. 2019

IJERPH

View full text Add to dashboard Cite

show abstract

“…A total of 7,122 women who gave birth in those years in our hospital came from different regions in Slovakia and are working and living in the Bratislava agglomeration. In the observed period, although the women with overweight and obesity in our sample belonged to a lower limit of the obesity prevalence in pregnancy in the EU, based on our results, we can conclude that not only obesity with BMI ≥ 30.0 but also overweight with BMI between 25.0 and 29.9 is a high-risk factor for the occurrence of pathological conditions in pregnancy, such as preeclampsia, GDM, gestational hypertension, and IUGR [37][38]. Liu et al [39] showed that compared with antenatal weight gain within the IOM recommendations, excessive weight gain increased the incidence of cesarean section, preeclampsia, and infant macrosomia and reduced the incidence of GDM, while inadequate antenatal weight gain increased the incidence of GDM and low birth weight.…”

Section: Discussionmentioning

confidence: 46%

Maternal Body Mass Index and Gestational Weight Gain and Their Association with Pregnancy Complications and Perinatal Conditions

Šimko

Totka

Vondrová

et al. 2019

Preprint

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This study aimed to evaluate the impact of selected pregnancy pathologies statistically depending on overweight/obesity and excessive maternal weight gain during pregnancy on women who gave birth in the years 2013–2015 at the Second Department of Gynecology and Obstetrics at the University Hospital in Bratislava, Slovakia. In a retrospective study, we analyzed data gathered from the sample, which consisted of 7,122 women. Our results indicate a positive statistical dependency of the groups of women with overweight and obesity and gestational hypertension (adjusted odds ratio [AOR]=15.3; 95% CI 9.0−25.8 for obesity), preeclampsia (AOR=3.4; 95% CI 1.9−6.0 for overweight and AOR=13.2; 95% CI 7.7−22.5 for obesity), and gestational diabetes mellitus (AOR=1.9; 95% CI 1.2−2.9 for overweight and AOR=2.4; 95% CI 1.4−4.0 for obesity). A higher incidence of pregnancies terminated by cesarean section was observed in the group of obese women. Gestational weight gain above the IOM (the Institute of Medicine) recommendations was associated with a higher risk of pregnancy terminated by C-section (AOR=1.2; 95% CI 1.0−1.3), gestational hypertension (AOR=1.7; 95% CI 1.0−2.7), and infant macrosomia (AOR=1.7; 95% CI 1.3−2.1). Overweight and obesity during pregnancy significantly contribute to the development of pregnancy pathologies and increased incidence of cesarean section. Systematic efforts to reduce weight before pregnancy through pre-pregnancy dietary counseling, regular physical activity, and healthy lifestyle should be the primary goal.

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“…This can be partly explained by applying WHO percentiles for BMI rather than ethnic-specific percentiles [3]. Body image in young women is suspected to contribute to the high prevalence of pre-pregnancy underweight and low gestational weight gain in Japan [13,20]. In our study, chronic diseases did not contribute to prepregnancy underweight.…”

Section: Discussionmentioning

confidence: 55%

“…Age and body weight and constitute main determinants of body image in women. Particularly in Japan, weight control among young women is discussed to contribute to the high prevalence of pre-pregnancy underweight [13,20]. Therefore, age may be an indirectly potentially modifiable risk factor by counselling young women.…”

Section: Discussionmentioning

confidence: 99%

Maternal pre-pregnancy underweight as a risk factor for mother and child: analysis of the birth cohort Survey of Neonates in Pomerania I

Domański¹,

Lange²,

Ittermann

et al. 2020

Preprint

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Background: The prevalence of pre-pregnancy underweight (BMI (body mass index) <18.5 kg/m²) varies between 3% in Europe and 17% in Asia. Illness and low socioeconomic status may be associated with pre-pregnancy underweight which then may result in adverse pregnancy and neonatal outcome.Methods: We analysed pre-pregnancy BMI categories using data from the population-based birth cohort Survey of Neonates in Pomerania 2002-2008 (SNiP) in north-eastern Germany. Multivariable regression analyses adjusted for confounding were used to investigate a) socio-economic risk factors for underweight before pregnancy and b) associations of underweight with pregnancy and neonatal outcomes.Results: Chronic pre-pregnancy diseases were not more frequent in underweight pregnant women. Bivariate analyses showed that underweight women were younger by three years (p<0.001), smoked twice as often (p<0.001), and less likely graduated from high school (p<0.001) compared to women with normal weight. The former were more often unemployed (p<0.001) and had lower available net-income (p<0.001). However, multivariable regression analysis adjusted for confounders revealed that only a younger age (0.90 (0.88-0.92) and smoking (RR 2.52 (1.89-3.41) remained associated with underweight. Compared to women with normal pre-pregnancy BMI, underweight women had an increased risk of premature labour (OR = 1.74; 95% CI: 1.29-2.36) and a reduced placental weight. No association was found between pregnancy-induced hypertension, gestational diabetes, preeclampsia, mode of birth and pre-pregnancy underweight. The offspring of underweight women had an increased risk of late preterm birth (OR = 1.79; 95% CI: 1.17-2.73) or birth with birth weight <2500g (OR = 1.99; 95% CI: 1.24-3.21).Conclusions: Smoking during pregnancy and a younger age were identified as risk factors for maternal pre-pregnancy underweight which then was associated with preterm birth and low birth weight. Targeted measures like smoking cessation programs and counselling young women about the risk of staying too slim particularly for the offspring may improve outcome.

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Association between women’s perceived ideal gestational weight gain during pregnancy and pregnancy outcomes

Cited by 25 publications

References 19 publications

Maternal Body Mass Index and Gestational Weight Gain and Their Association with Pregnancy Complications and Perinatal Conditions

Maternal Body Mass Index and Gestational Weight Gain and Their Association with Pregnancy Complications and Perinatal Conditions

Maternal Body Mass Index and Gestational Weight Gain and Their Association with Pregnancy Complications and Perinatal Conditions

Maternal pre-pregnancy underweight as a risk factor for mother and child: analysis of the birth cohort Survey of Neonates in Pomerania I

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