Obesity in older mothers, gestational weight gain, and risk estimates for preterm phenotypes

Aliyu, Muktar H.; Luke, Sabrina; Wilson, Roneé E.; Saidu, Rakiya; Alio, Amina P.; Salihu, Hamisu M.; Belogolovkin, Victoria

doi:10.1016/j.maturitas.2010.02.016

Cited by 21 publications

(27 citation statements)

References 39 publications

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“…Também havia a expectativa de que no grupo de obesas houvesse maior frequên-cia de doenças crônicas anteriores à gestação e, nesse caso, isso foi confirmado tanto nesse estudo como em outros 10,14 . Aliyu et al 15 apresentaram em seu estudo a associação entre obesidade materna e ocorrência de parto instrumental. Adamo et al 16 também verificaram um número maior de cesarianas em pacientes com IMC superiores aos valores normais.…”

Section: Discussionunclassified

“…O IMC (kg/m²) pré-gestacional foi classificado a partir dos critérios da OMS como de baixo peso (<18,5), normal (18,(5)(6)(7)(8)(9)(10)(11)(12)(13)(14)(15)(16)(17)(18)(19)(20)(21)(22)(23)(24)9) Referências a chance de parto normal foi reduzida em cinco vezes nas mulheres obesas. A ocorrência de diabetes gestacional e DHEG tem sido associada diretamente ao excesso de peso da gestante 10,13,17,18 .…”

Section: Métodosunclassified

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Obesidade durante a gravidez: resultados adversos da gestação e do parto

Silva

Amaral

Ferreira

et al. 2014

Rev. Bras. Ginecol. Obstet.

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ResumoOBJETIVO: Avaliar a influência do excesso de peso materno na gestação, no parto e nos desfechos neonatais. MÉTODOS: Estudo transversal e retrospectivo que incluiu 298 puérperas. As informações foram obtidas por meio de entrevistas e acesso aos prontuários das pacientes. As puérperas foram divididas em três grupos, conforme o índice de massa corpórea pré-gestacional: normal (18,5-24,9 kg/m²); sobrepeso (25,0-29,9 kg/m²) e obesidade (≥30,0 kg/m²). Foram construídos modelos de regressão logística multinominal para ajustar o efeito das variáveis de confusão. Estabeleceram-se intervalos de confiança de 95% (IC95%). RESULTADOS: Comparadas às gestantes com peso normal, pacientes com sobrepeso apresentaram chances maiores de cesariana, sendo a odds ratio (OR) de 2,2 e IC95% 1,3-3,9, e as obesas tiveram ainda maiores (OR=4,2; IC95% 2,1-8,1). As chances de desenvolvimento de diabetes gestacional aumentaram nos grupos Sobrepeso (OR=2,5; IC95% 1,1-5,6) e Obesidade (OR=11,1; IC95% 5,0-24,6). A síndrome hipertensiva na gravidez também se mostrou mais provável nas gestantes com sobrepeso (OR=3,2; IC95% 1,2-8,1) e obesas (OR=7,5; IC95% 2,9-19,1). A hemorragia de grande porte no momento do parto somente apresentou maiores valores no grupo de obesas (OR=4,1; IC95% 1,1-15,8). Quanto aos recém-nascidos, a probabilidade de Apgar baixo no primeiro minuto foi superior entre as obesas (OR=5,5; IC95% 1,2-23,7), e a ocorrência de macrossomia aumentou nas mulheres com sobrepeso (OR=2,9; IC95% 1,3-6,3). Os resultados quanto à hipoglicemia neonatal não foram conclusivos. CONCLUSÃO: As chances de intercorrências maternas (diabetes gestacional, síndrome hipertensiva, hemorragia pós-parto) e neonatais (cesariana, macrossomia e escore Apgar baixo) foram maiores nos grupos com excesso de peso (sobrepeso e obesidade). Abstract PURPOSE:To evaluate the influence of maternal obesity on pregnancy, childbirth, and neonatal outcomes. METHODS: A cross-sectional study with 298 postpartum women. Information was obtained through interviews and access to patients' medical records. The patients were divided into three groups according to their pre-gestational body mass index: normal weight (18.5-24.9 kg/m²), overweight (25.0-29.9 kg/m²), and obese (≥30.0 kg/m²). Data are reported as adjusted odds ratios with 95% confidence interval (95%CI) following multinomial logistic regression analysis to account for confounding variables. RESULTS: Compared to pregnant women with normal body mass index, overweight women had greater chances of having cesarean delivery, odds ratio (OR) of 2.2 and 95%CI 1.3-3.9, and obese women even more (OR=4.2; 95%CI 2.1-8.1). The chances of gestational diabetes increased in the Overweight (OR=2.5; 95%CI 1.1-5.6) and Obese groups (OR=11.1; 95%CI 5.0-24.6). The occurrence of hypertensive syndrome was also higher in overweight (OR=3.2; 95%CI 1.2-8.1) and obese pregnant women (OR=7.5; 95%CI 2.9-19.1). Major postpartum hemorrhage only showed greater values in the obese women group (OR=4.1; 95%CI 1.1-15.8).Regarding the newborns, the pro...

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Obesidade durante a gravidez: resultados adversos da gestação e do parto

Silva

Amaral

Ferreira

et al. 2014

Rev. Bras. Ginecol. Obstet.

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“…Advancing maternal age has been shown to be associated with adverse obstetric outcomes, such as gestational diabetes and pre-eclampsia, as well as adverse perinatal outcomes, such as caesarean section (CS) delivery [4,5]. Advanced maternal age was often referred to as maternal age of 35 years or older [6,7] but the term "elderly gravida" may now have little relevance-there is now growing literature that provides data on pregnancy outcomes in women aged 45 or older [8,9]. Much of this does not distinguish between spontaneous or artiWcial conception: this distinction is important because assisted reproductive techniques (ART) may themselves impact upon the outcomes of the pregnancy.…”

Section: Introductionmentioning

confidence: 99%

Maternal and neonatal outcomes of spontaneously conceived pregnancies in mothers over 45 years: a review of the literature

Wong-Taylor

Lawrence

Cowen

et al. 2012

Arch Gynecol Obstet

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“…International data reported varied rates of obesity, however at least 10% of the children were overweight. Notably, however, the highest rates of obesity were found in Malta (22.4%) and in the United States (25.4%), which are highly industrialized countries 1,2,3,4 . A recent study that addressed young Europeans suggests that Swedish children have the lowest risk of becoming obese in Europe.…”

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confidence: 99%

Contributions in the field of Public Health for decision-making in health

Neves¹

2017

J. Hum. Growth Dev.

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Brazil has made a wide development and contribution in the field of Public Health. These contributions have maximized public health decision-making, which is a factor of great importance for the maintenance of health of a given population, either in the prevention of disease, as is the case of immunizations or with actions in Health Promotion, improving the quality of life of the affected population. Thus, the Journal of Human Growth and Development has contributed enormously to the dissemination of knowledge, not only in Brazil but also in the world making a major effort with its publications in English which is the preferred language of the modern scientific world. It was evidenced the importance of research in the investigation of better ways to obtain the public health of a given community, bringing discussion of themes that involve aspects of human growth and development such as nutritional aspects, sexuality, motor development, covering situations and diseases as obesity, cerebral palsy, dyslexia and violence. The Journal of Human Growth and Development has maintained the tradition of approaching the different aspects that involve clinical practice for people and for Public Health.

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Obesity in older mothers, gestational weight gain, and risk estimates for preterm phenotypes

Cited by 21 publications

References 39 publications

Obesidade durante a gravidez: resultados adversos da gestação e do parto

Obesidade durante a gravidez: resultados adversos da gestação e do parto

Maternal and neonatal outcomes of spontaneously conceived pregnancies in mothers over 45 years: a review of the literature

Contributions in the field of Public Health for decision-making in health

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