Prevalencia de obesidad en la población gestante de Gran Canaria

Bautista-Castaño, Inmaculada; Alemán-Perez, Nestor; Garcia-Salvador, Jose J.; Gonzalez-Quesada, A.; Hernández, José Ángel García; Serra-Majem, Lluís

doi:10.1016/j.medcli.2010.07.021

Cited by 7 publications

(6 citation statements)

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“…As previously reported [2] , 25.0% of the studied sample of pregnant women were overweight and 17.1% were obese, increasing both with age and not influenced with the educational level. Among the values available from other European countries, only the UK reported values greater [1] , [14] .…”

Section: Discussionsupporting

confidence: 81%

“…A review published by Guelinckx et al [1] refers to a prevalence of obesity in pregnant women varying between 1.8% and 25.3%, depending on the country. A previously published study found a pregnant women overweight prevalence of 25% and an obesity prevalence of 17.1% in Gran Canaria [2] .…”

Section: Introductionmentioning

confidence: 83%

“…A population-based retrospective cohort study of all the pregnant women having delivered at the HUMIGC in 2008, summing up 6,887 women, has been performed. This number represents approximately 90% of all the 2008 births (n = 7,729) at Gran Canaria [2] .…”

Section: Methodsmentioning

confidence: 99%

“…To our knowledge no studies have been published about the health consequences of maternal overweight and obesity at the start of pregnancy on gestational pathologies, delivery and newborn characteristics in the Canary Island, a Spanish community with a high obesity prevalence at the start of pregnancy [2] and therefore the objective of the present study was to investigate this relationship in women who delivered at the HUMIGC in 2008.…”

Section: Introductionmentioning

confidence: 99%

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Maternal Obesity in Early Pregnancy and Risk of Adverse Outcomes

et al. 2013

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ObjectivesTo assess the role of the health consequences of maternal overweight and obesity at the start of pregnancy on gestational pathologies, delivery and newborn characteristics.MethodsA cohort of pregnant women (n = 6.558) having delivered at the Maternal & Child University Hospital of Gran Canaria (HUMIGC) in 2008 has been studied. Outcomes were compared using multivariate analyses controlling for confounding variables.ResultsCompared to normoweight, overweight and obese women have greater risks of gestational diabetes mellitus (RR = 2.13 (95% CI: 1.52–2.98) and (RR = 2.85 (95% CI: 2.01–4.04), gestational hypertension (RR = 2.01 (95% CI: 1.27–3.19) and (RR = 4.79 (95% CI: 3.13–7.32) and preeclampsia (RR = 3.16 (95% CI: 1.12–8.91) and (RR = 8.80 (95% CI: 3.46–22.40). Obese women have also more frequently oligodramnios (RR = 2.02 (95% CI: 1.25–3.27), polyhydramnios. (RR = 1.76 (95% CI: 1.03–2.99), tearing (RR = 1.24 (95% CI: 1.05–1.46) and a lower risk of induced deliveries (RR = 0.83 (95% CI: 0.72–0.95). Both groups have more frequently caesarean section (RR = 1.36 (95% CI: 1.14–1.63) and (RR = 1.84 (95% CI: 1.53–2.22) and manual placenta extraction (RR = 1.65 (95% CI: 1.28–2.11) and (RR = 1.77 (95% CI: 1.35–2.33). Newborns from overweight and obese women have higher weight (p<0.001) and a greater risk of being macrosomic (RR = 2.00 (95% CI: 1.56–2.56) and (RR = 2.74 (95% CI: 2.12–3.54). Finally, neonates from obese mother have a higher risk of being admitted to special care units (RR = 1.34 (95% CI: 1.01–1.77). Apgar 1 min was significantly higher in newborns from normoweight mothers: 8.65 (95% CI: 8.62–8.69) than from overweight: 8.56 (95% CI: 8.50–8.61) or obese mothers: 8.48 (95% CI: 8.41–8.54).ConclusionObesity and overweight status at the beginning of pregnancy increase the adverse outcomes of the pregnancy. It is important to promote the normalization of bodyweight in those women who intend to get pregnant and to provide appropriate advice to the obese women of the risks of obesity at the start of the pregnancy.

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Section: Discussionsupporting

confidence: 81%

Section: Introductionmentioning

confidence: 83%

Section: Methodsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Maternal Obesity in Early Pregnancy and Risk of Adverse Outcomes

et al. 2013

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“…Obesity is of great importance to individual and global health ( 1 ). Its prevalence among women of reproductive age is increasing ( 2 ) so that, in Spain for example, up to 17% of pregnant women are obese ( 3 ). The increased prevalence of obesity in pregnant women has occurred concurrently with an increase in gestational diabetes mellitus (GDM) ( 4 ), which now affects up to 14% of all pregnancies in the United States, and around 2–6% of pregnancies in Europe ( 5 , 6 ).…”

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confidence: 99%

Maternal Body Weight and Gestational Diabetes Differentially Influence Placental and Pregnancy Outcomes

Martino

Sebért

Segura

et al. 2016

The Journal of Clinical Endocrinology &Amp; Metabolism

104

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Context:Maternal obesity and gestational diabetes mellitus (GDM) can both contribute to adverse neonatal outcomes. The extent to which this may be mediated by differences in placental metabolism and nutrient transport remains to be determined.Objective:Our objective was to examine whether raised maternal body mass index (BMI) and/or GDM contributed to a resetting of the expression of genes within the placenta that are involved in energy sensing, oxidative stress, inflammation, and metabolic pathways.Methods:Pregnant women from Spain were recruited as part of the “Study of Maternal Nutrition and Genetics on the Foetal Adiposity Programming” survey at the first antenatal visit (12–20 weeks of gestation) and stratified according to prepregnancy BMI and the incidence of GDM. At delivery, placenta and cord blood were sampled and newborn anthropometry measured.Results:Obese women with GDM had higher estimated fetal weight at 34 gestational weeks and a greater risk of preterm deliveries and cesarean section. Birth weight was unaffected by BMI or GDM; however, women who were obese with normal glucose tolerance had increased placental weight and higher plasma glucose and leptin at term. Gene expression for markers of placental energy sensing and oxidative stress, were primarily affected by maternal obesity as mTOR was reduced, whereas SIRT-1 and UCP2 were both upregulated. In placenta from obese women with GDM, gene expression for AMPK was also reduced, whereas the downstream regulator of mTOR, p70S6KB1 was raised.Conclusions:Placental gene expression is sensitive to both maternal obesity and GDM which both impact on energy sensing and could modulate the effect of either raised maternal BMI or GDM on birth weight.

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Socio-Economic Inequalities in Health, Habits and Self-Care During Pregnancy in Spain

Larrañaga

Santa‐Marina

Begiristain

et al. 2012

Matern Child Health J

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Socioeconomic disadvantage can be harmful for mother's health and can influence child's health long term. The aim of this study is to analyse social inequalities between pregnant women from four INMA (INfancia y Medio Ambiente) cohorts. The analysis included 2,607 pregnant women recruited between 2004 and 2008 from four INMA cohorts. Data on maternal characteristics were collected through two questionnaires completed in the first and third trimester of pregnancy. The relationship between socioeconomic status (SES) and maternal health, dietary intake, lifestyle habits and self-care related variables was modelled using logistic regression analysis. 33.5 % of women had a university level of education and 47 % had high occupational class. Women with higher SES reported healthier habits, fewer complications during pregnancy, better weight gain control and attended more prenatal appointments than women with lower SES. The risk of sedentary behaviour and passive smoking was higher among women with a lower level of education (OR = 1.7, 95 % CI 1.3-2.2 and OR = 1.6, 95 % CI 1.2-2.3, respectively) and with less skilled occupations (OR = 1.7, 95 % CI 1.4-2.0 and OR = 1.2, 95 % CI 1.0-1.5, respectively). Although both SES indicators-occupation and education-act as social determinants of diet, occupation was a more powerful determinant than education. For other lifestyle and self-caring variables, education was a more powerful predictor than occupation. Social inequalities were observed in health, habits and self-care during pregnancy. Proper care during pregnancy requires the control of common clinical variables and the knowledge of socioeconomic conditions of the pregnant women.

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Prevalencia de obesidad en la población gestante de Gran Canaria

Cited by 7 publications

References 7 publications

Maternal Obesity in Early Pregnancy and Risk of Adverse Outcomes

Maternal Obesity in Early Pregnancy and Risk of Adverse Outcomes

Maternal Body Weight and Gestational Diabetes Differentially Influence Placental and Pregnancy Outcomes

Socio-Economic Inequalities in Health, Habits and Self-Care During Pregnancy in Spain

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