Incidence of excessive gestational weight gain among overweight and obese women
1
조회
0
다운로드
0
인용
0
참고문헌
키워드
초록
Objective To determine the incidence of excessive gestational weight gain (GWG) among overweight and obese pregnant women, its associated factors, and pregnancy outcomes. Methods A total of 355 overweight or obese singleton pregnant women who were included. Obstetric characteristics, weight gain, and pregnancy outcomes, were extracted from medical records. GWG was categorized according to the Institute of Medicine recommendation. Comparisons were made between individuals with inadequate, normal, and excessive GWG. Logistic regression analysis was performed to determine independent associated factors for excessive GWG. Results Majority of the women were overweight (68.7%), 38.9% were nulliparous, and mean pre-pregnancy body mass index was 28.9 kg/m2. Excessive GWG was observed in 53% of the women. Women with excessive GWG had significantly higher weight gain in every trimester. Risk of excessive GWG increased in women ≤30 years, while gestational diabetes (GDM) significantly decreased the risk. Women with excessive GWG had a significantly higher primary cesarean section rate. Both women with normal and excessive GWG showed higher rate of having large for gestational age (LGA) infants (P=0.003). Maternal age of ≤30 years significantly increased the risk of excessive GWG (adjusted odds ratio [aOR], 1.91; 95% confidence interval [CI], 1.11-3.27) and GDM significantly decreased this risk (aOR, 0.40; 95% CI, 0.24-0.67). Conclusion The incidence of excessive GWG among overweight and obese women was 53%. Maternal age of ≤30 years significantly increased this risk while women with GDM were significantly decreased risk. Primary cesarean section and fetal LGA significantly increased in women with excessive GWG.
Abstract
Objective To determine the incidence of excessive gestational weight gain (GWG) among overweight and obese pregnant women, its associated factors, and pregnancy outcomes. Methods A total of 355 overweight or obese singleton pregnant women who were included. Obstetric characteristics, weight gain, and pregnancy outcomes, were extracted from medical records. GWG was categorized according to the Institute of Medicine recommendation. Comparisons were made between individuals with inadequate, normal, and excessive GWG. Logistic regression analysis was performed to determine independent associated factors for excessive GWG. Results Majority of the women were overweight (68.7%), 38.9% were nulliparous, and mean pre-pregnancy body mass index was 28.9 kg/m2. Excessive GWG was observed in 53% of the women. Women with excessive GWG had significantly higher weight gain in every trimester. Risk of excessive GWG increased in women ≤30 years, while gestational diabetes (GDM) significantly decreased the risk. Women with excessive GWG had a significantly higher primary cesarean section rate. Both women with normal and excessive GWG showed higher rate of having large for gestational age (LGA) infants (P=0.003). Maternal age of ≤30 years significantly increased the risk of excessive GWG (adjusted odds ratio [aOR], 1.91; 95% confidence interval [CI], 1.11-3.27) and GDM significantly decreased this risk (aOR, 0.40; 95% CI, 0.24-0.67). Conclusion The incidence of excessive GWG among overweight and obese women was 53%. Maternal age of ≤30 years significantly increased this risk while women with GDM were significantly decreased risk. Primary cesarean section and fetal LGA significantly increased in women with excessive GWG.
참고문헌 (18)
- "Regional office for the Western Pacific. The Asia-Pacific perspective: redefining obesity and its treatment" (2000)[URL]
- WHO Expert Consultation, "Appropriate body-mass index for Asian populations and its implications for policy and intervention strategies", Lancet, 363, pp.157~163 (2004)
- Caballero B, "The global epidemic of obesity : an overview", Epidemiol Rev, 29, pp.1~5 (2007)
- Jitnarin N, "Prevalence of overweight and obesity in Thai population : results of the National Thai Food Consumption Survey", Eat Weight Disord, 16, pp.e242~e249 (2011)
- Goldstein RF, "Association of gestational weight gain with maternal and infant outcomes : a systematic review and meta-analysis", JAMA, 317, pp.2207~2225 (2017)
- Verma A, "Maternal body mass index and pregnancy outcome", J Clin Diagn Res, 6, pp.1531~1533 (2012)
- Durst JK, "Impact of gestational weight gain on perinatal outcomes in obese women", Am J Perinatol, 33, pp.849~855 (2016)
- Choi H, "Impact of pre-pregnancy body mass index and gestational weight gain on the risk of maternal and infant pregnancy complications in Korean women", Int J Obes(Lond), 46, pp.59~67 (2022)
- Lewandowska M, "Maternal obesity and risk of low birth weight, fetal growth restriction, and macrosomia : multiple analyses", Nutrients, 13, pp.1213~ (2021)
- Sunsaneevithayakul P, "Relation between gestational weight gain and pregnancy outcomes", J Obstet Gynaecol Res, 40, pp.995~1001 (2014)
- Sun Y, "Effects of pre-pregnancy body mass index and gestational weight gain on maternal and infant complications", BMC Pregnancy Childbirth, 20, pp.390~ (2020)
- Yazdani S, "Effect of maternal body mass index on pregnancy outcome and newborn weight", BMC Res Notes, 5, pp.34~ (2012)
- Samura T, "Factors associated with excessive gestational weight gain : review of current literature", Glob Adv Health Med, 5, pp.87~93 (2016)
- American College of Obstetricians and Gynecologists, "ACOG committee opinion no. 548 : weight gain during pregnancy", Obstet Gynecol, 121, pp.210~212 (2013)
- Rasmussen KM, "Weight gain during pregnancy: reexamining the guidelines" (2009), National Academies Press
- Phattanachindakun B, "Early universal screening of gestational diabetes in a university hospital in Thailand", J Obstet Gynaecol, 42, pp.2001~2007 (2022)
- Sunsaneevitayakul P, "Effect of gestational weight gain on overweight and obese pregnant women", Siriraj Med J, 74, pp.364~370 (2022)
- Lappharat S, "A model for predicting gestational diabetes mellitus in early pregnancy : a prospective study in Thailand", Obstet Gynecol Sci, 65, pp.156~165 (2022)