Gestational weight gain and gestational diabetes among Emirati and Arab women in the United Arab Emirates: results from the MISC cohort

Hashim, Mona; Radwan, Hadia; Hasan, Hayder; Obaid, Reyad S.; Ghazal, Hessa Al; Hilali, Marwa Al; Rayess, Rana; Chehayber, Noor; Mohamed, Hamid Jan Jan; Naja, Farah

doi:10.1186/s12884-019-2621-z

Cited by 19 publications

(30 citation statements)

References 61 publications

(61 reference statements)

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“…In addition, higher risk of GDM was associated with higher rate of macrosomia. Consistent with our ndings, a study among 256 pregnant women in the United Arabia Emirate reported that pre-pregnancy BMI ≥ 25 kg/m2 were at higher risk of having GDM [28]. In agreement with our ndings, a meta-analysis of 33 observational studies indicated that risk of GDM is positively associated with pre-pregnancy BMI [29].…”

Section: Discussionsupporting

confidence: 92%

The Association between Pre-Pregnancy BMI, Gestational Weight Gain and Pregnancy Outcomes: A Retrospective Cohort Study in Ahvaz, Iran

Angali

Azhdari

Cheraghi

et al. 2020

Preprint

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Background: Maternal body mass index and maternal gestational weight gain can have positive effects on birth and maternal outcomes. We aimed to identify the effect of pre-pregnancy weight and gestational weight gain on birth outcomes.Methods: Data of this retrospective cohort study were extracted using the 1457 out of 1800 pair health records belonged to the pregnant mother and infant at Ahvaz health care centers, from 2010 to 2018.Result: The 3.18-fold increased risk for large for gestational age in overweight mothers, and a 2.9 fold increased risk for small for gestational age in those mothers with gestational weight gain below the guidelines. An increased risk of large for gestational age, low birth weight, and macrosomia were observed in overweight mothers with gestational weight gain out of the guidelines. The increased association was found between the maternal pre-body mass index and fasting blood sugar (p = 0.0001). Hence, hyperglycemia is related to a 3.58-fold incidence of macrosomia. Conclusion: Therefore, conducting more educational programs of lifestyle intervention with respect to reproductive health care is required for all women in childbearing age (before and during pregnancy), with the purpose of reducing the adverse pregnancy outcome.

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Section: Discussionsupporting

confidence: 92%

The Association between Pre-Pregnancy BMI, Gestational Weight Gain and Pregnancy Outcomes: A Retrospective Cohort Study in Ahvaz, Iran

Angali

Azhdari

Cheraghi

et al. 2020

Preprint

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“…Both singleton and twin GDM pregnancies are high-risk pregnancies which require optimal management [ 25 ]. In the United Arab Emirates (UAE) the rate of GDM was reported to vary from 7.9% to 24.9% depending on the used diagnostic criteria [ 26 – 28 ], however, one study reported a prevalence of 37.7% when using International Association of Diabetes and Pregnancy Study Group (IADPSG) diagnostic criteria [ 29 ]. On the other hand, multiple birth in the UAE is relatively higher [ 30 ] than other developed countries [ 31 ].…”

Section: Introductionmentioning

confidence: 99%

Burden, associated risk factors and adverse outcomes of gestational diabetes mellitus in twin pregnancies in Al Ain, UAE

Al-Kaabi

Almazrouei

Zoubeidi

et al. 2020

BMC Pregnancy Childbirth

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Background Gestational diabetes mellitus (GDM) in singleton pregnancies represent a high-risk scenario. The incidence, associated factors and outcomes of GDM in twin pregnancies is not known in the UAE. Methods This was five years retrospective analysis of hospital records of twin pregnancies in the city of Al Ain, Abu Dhabi, UAE. Relevant data with regards to the pregnancy, maternal and birth outcomes and incidence of GDM was extracted from two major hospitals in the city. Regression models assessed the relationship between socio-demographic and pregnancy-related variables and GDM, and the associations between GDM and maternal and fetal outcomes at birth. Results A total of 404 women and their neonates were part of this study. The study population had a mean age of 30.1 (SD: 5.3), overweight or obese (66.5%) and were majority multiparous (66.6%). High incidence of GDM in twin pregnancies (27.0%). While there were no statistical differences in outcomes of the neonates, GDM mothers were older (OR: 1.09, 95% CI: 1.06–1.4) and heavier (aOR: 1.02, 95% CI: 1.00 -1.04). They were also likely to have had GDM in their previous pregnancies (aOR: 7.37, 95% CI: 2.76–19.73). The prognosis of mothers with twin pregnancies and GDM lead to an independent and increased odds of cesarean section (aOR: 2.34, 95% CI: 1.03–5.30) and hospitalization during pregnancy (aOR: 1.60, 95% CI: 1.16–2.20). Conclusion More than a quarter of women with twin pregnancies were diagnosed with GDM. GDM was associated with some adverse pregnancy outcomes but not fetal outcomes in this population. More studies are needed to further investigate these associations and the management of GDM in twin pregnancies.

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“…[6][7][8] Raised BMI (>25) at first visit is associated with higher chances of GDM. [9][10][11][12] Our study exhibited maximum weight gain during 13 to 26 weeks. This coincides with the physiological timing of developing insulin resistance in pregnancy.…”

Section: Resultsmentioning

confidence: 51%

Body mass index and gestational weight gain in pregnant women with gestational diabetes and its relation with adverse maternal and fetal outcome

Singh

Kujur

Roy

2020

Int J Reprod Contracept Obstet Gynecol

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Background: Raised body mass index (BMI) and excessive gestational weight gain (GWG) are important determinants in development of gestational diabetes.Methods: A prospective, observational study carried out on antenatal women since their first trimester. These women were screened for gestational diabetes mellitus (GDM) by diabetes in pregnancy study group of India (DIPSI) criteria. All participants were followed up by measuring their BMI, weight gain, blood sugars in every trimester. Also, data was collected regarding any adverse outcomes.Results: Among all participants, 16.8% were diagnosed as GDM. 44% women of study group had weight gain beyond Institute of Medicine (IOM) recommendations. Higher risk of GDM was observed in women with raised BMI and excessive GWG. Also, odds of preeclampsia, preterm deliveries, caesarean section, macrosomia, intrauterine fetal death, neonatal intensive care unit (NICU) admissions were higher in women with GDM.Conclusions: Compliance of recommended weight gain during pregnancy have a strong impact on the fetal outcome. Amount and timing of weight gain plays a crucial role in GDM.

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Gestational weight gain and gestational diabetes among Emirati and Arab women in the United Arab Emirates: results from the MISC cohort

Cited by 19 publications

References 61 publications

The Association between Pre-Pregnancy BMI, Gestational Weight Gain and Pregnancy Outcomes: A Retrospective Cohort Study in Ahvaz, Iran

The Association between Pre-Pregnancy BMI, Gestational Weight Gain and Pregnancy Outcomes: A Retrospective Cohort Study in Ahvaz, Iran

Burden, associated risk factors and adverse outcomes of gestational diabetes mellitus in twin pregnancies in Al Ain, UAE

Body mass index and gestational weight gain in pregnant women with gestational diabetes and its relation with adverse maternal and fetal outcome

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