The effect of maternal and paternal height and weight on antenatal, perinatal and postnatal morphology in sex‐stratified analyses

Skåren, Lise Hansen; Davies, Braidy; Bjørnerem, Åshild

doi:10.1111/aogs.13724

Cited by 12 publications

(8 citation statements)

References 30 publications

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“…These findings are similar to findings from the Generation R cohort of EFW in the Netherlands [33] and fetal biometric measurements in an Italian cohort [34] although another study from the UK also found maternal weight to have a stronger influence on birthweight, while maternal and paternal height had similar contributions [35]. The fact that maternal factors have a stronger influence on anthropometrics during fetal life compared to paternal factors has been hypothesized to be due to maternal preservation in conditions of constraint [36].…”

Section: Plos Onesupporting

confidence: 84%

A new method for customized fetal growth reference percentiles

Grantz

Hinkle

et al. 2023

PLoS ONE

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Background Customized fetal growth charts assume birthweight at term to be normally distributed across the population with a constant coefficient of variation at earlier gestational ages. Thus, standard deviation used for computing percentiles (e.g., 10th, 90th) is assumed to be proportional to the customized mean, although this assumption has never been formally tested. Methods In a secondary analysis of NICHD Fetal Growth Studies-Singletons (12 U.S. sites, 2009–2013) using longitudinal sonographic biometric data (n = 2288 pregnancies), we investigated the assumptions of normality and constant coefficient of variation by examining behavior of the mean and standard deviation, computed following the Gardosi method. We then created a more flexible model that customizes both mean and standard deviation using heteroscedastic regression and calculated customized percentiles directly using quantile regression, with an application in a separate study of 102, 012 deliveries, 37–41 weeks. Results Analysis of term optimal birthweight challenged assumptions of proportionality and that values were normally distributed: at different mean birthweight values, standard deviation did not change linearly with mean birthweight and the percentile computed with the normality assumption deviated from empirical percentiles. Composite neonatal morbidity and mortality rates in relation to birthweight < 10th were higher for heteroscedastic and quantile models (10.3% and 10.0%, respectively) than the Gardosi model (7.2%), although prediction performance was similar among all three (c-statistic 0.52–0.53). Conclusions Our findings question normality and constant coefficient of variation assumptions of the Gardosi customization method. A heteroscedastic model captures unstable variance in customization characteristics which may improve detection of abnormal growth percentiles. Trial registration ClinicalTrials.gov identifier: NCT00912132.

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Section: Plos Onesupporting

confidence: 84%

A new method for customized fetal growth reference percentiles

Grantz

Hinkle

et al. 2023

PLoS ONE

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“…In a study by Ghi et al ( 18 ), it was found that paternal height significantly affected fetal growth. On the contrary, a recent study by Skåren et al ( 19 ) revealed that it is maternal and not paternal factors that determine fetal growth in both genders. In the Intergrowth-21 study, fathers of infants born LGA were reported to be taller and heavier but it was the maternal BMI that had a dominant influence on LGA ( 20 ).…”

Section: Discussionmentioning

confidence: 87%

Maternal Variables as Determinant of Fetal Growth: Study Protocol on Customized Fetal Growth Charts in Malaysia (GROW-My)

et al. 2021

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Adverse perinatal outcomes such as stillbirth, low birth weight and small for gestational age are still reported to be of high prevalence despite advanced healthcare technology and good quality hospital services in Malaysia. The purpose of this study is to create a model to evaluate individualized birth weight customized for maternal characteristics in a Malaysian population. Three phases are involved in designing the customized fetal growth chart (GROW-My). Baseline data is collected from previous pregnancies in the UKM Medical Centre from year 2010 to 2017. Specific maternal attributes were screened for its completeness and validity, namely maternal height and weight at booking, maternal ethnicity and parity, and the baby's birth weight, for all singleton pregnancies. The design and construction of a Malaysian customized fetal growth chart, Growth Related Optimal Weight (GROW-MY) was based on baseline birth data. The customized chart is used in the implementation phase for testing its feasibility, taking into consideration feedback from caregivers and patients before and after implementation. The current study provides staunch information and data regarding the needs and strategies for using maternal variables for estimating birth weight and the risk of being small for gestational age, in order to facilitate screening and appropriate management. With improved diagnosis of fetal growth restriction, medical care and treatment costs can be reduced.

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“…Where data for overall prevalence were not reported for n > 1000 participants (The Barwon Infant Study and NDSHS Cohort from 2010), these results were also excluded from the meta-analysis. Findings from 55 small cohort studies (<1000 participants) and/or case-control studies were reported by 59 publications, from which all relevant data were extracted and tabulated ( Supplementary Tables S8 and S9 ) [ 18 , 19 , 95 , 96 , 97 , 98 , 99 , 100 , 101 , 102 , 103 , 104 , 105 , 106 , 107 , 108 , 109 , 110 , 111 , 112 , 113 , 114 , 115 , 116 , 117 , 118 , 119 , 120 , 121 , 122 , 123 , 124 , 125 , 126 , 127 , 128 , 129 , 130 , 131 , 132 , 133 , 134 , 135 , 136 , 137 , 138 , 139 , 140 , 141 ...…”

Section: Resultsmentioning

confidence: 99%

Prevalence and Patterns of Prenatal Alcohol Exposure in Australian Cohort and Cross-Sectional Studies: A Systematic Review of Data Collection Approaches

Young

Steane

Kent

et al. 2022

IJERPH

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This study sought to determine data collection approaches in Australian cohort studies and explore the potential impact on reported prenatal alcohol exposure (PAE) prevalence and patterns. Inclusion criteria were that studies related to a general Australian antenatal population where PAE was assessed and reported. Studies were excluded if they were not peer reviewed, examined the prevalence of PAE in pregnancies complicated by alcohol-use disorders, or were published in a language other than English. A systematic search of five electronic databases (PubMed, Embase, CINAHL, Web of Science, and Scopus) was conducted. Risk of bias was assessed using the Effective Public Health Practice Project quality assessment tool. Results were synthesised using MetaXL. Data from 16 separate birth cohorts (n = 78 articles) were included. Included cohorts were either general cohorts that included alcohol as a variable or alcohol-focused cohorts that were designed with a primary focus on PAE. PAE prevalence was estimated as 48% (95% CI: 38 to 57%). When subgroup analysis was performed, estimates of PAE prevalence when self-administered surveys and interviews were used for data collection were 53% (95% CI: 41% to 64%) and 43% (95% CI: 28% to 59%), respectively. Use of trained assessors was an influencing factor of the prevalence estimates when data were collected via interview. Alcohol-focused studies reported higher prevalence of PAE, regardless of method of survey administration. Where interviewer training is not possible, self-administered questionnaires will likely provide the most reliable PAE estimates. No funding sources are relevant to mention. Review was registered with PROSPERO (CRD42020204853).

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The effect of maternal and paternal height and weight on antenatal, perinatal and postnatal morphology in sex‐stratified analyses

Abstract: This is an open access article under the terms of the Creative Commons Attribution License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited.

Cited by 12 publications

References 30 publications

A new method for customized fetal growth reference percentiles

A new method for customized fetal growth reference percentiles

Maternal Variables as Determinant of Fetal Growth: Study Protocol on Customized Fetal Growth Charts in Malaysia (GROW-My)

Prevalence and Patterns of Prenatal Alcohol Exposure in Australian Cohort and Cross-Sectional Studies: A Systematic Review of Data Collection Approaches

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