Association between pre-pregnancy body mass index and socioeconomic status and impact on pregnancy outcomes in Korea

Park, Jung H.; Lee, Bo Eun; Park, Hye-Sang; Ha, Eun Hee; Lee, Seung-Woong; Kim, Young Jin

doi:10.1111/j.1447-0756.2010.01332.x

Cited by 50 publications

(58 citation statements)

References 27 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…In another research, the rate of women who gained an amount of weight above the IOM guidelines was 43.3 %, including 29 % of women gained more than 18 kg [16]. Several studies suggested that excessive weight gain during pregnancy increased the incidence of macrosomia [17][18][19][20][21][22][23][24][25][26][27][28], while others indicated no relation between them [29][30][31]. However, there is no systematic review or metaanalysis of relevant studies.…”

Section: Introductionmentioning

confidence: 96%

Excessive weight gain during pregnancy and risk of macrosomia: a meta-analysis

Tian

et al. 2015

Arch Gynecol Obstet

View full text Add to dashboard Cite

show abstract

Section: Introductionmentioning

confidence: 96%

Excessive weight gain during pregnancy and risk of macrosomia: a meta-analysis

Tian

et al. 2015

Arch Gynecol Obstet

View full text Add to dashboard Cite

show abstract

“…Both advanced maternal age ( > 35 years) and increased BMI are widely recognized risk factors for pregnancy induced hypertension (PIH), including preeclampsia (PE) and gestational hypertension (GH), in various ethnic groups. [2][3][4][5][6][7][8][9][10][11][12][13][14][15][16][17][18][19][20] However, the magnitudes of these two factors for risk of PIH have not been extensively studied among pregnant Japanese women. Defining the exact risk may prove to be important at the beginning of pregnancy.…”

Section: Introductionmentioning

confidence: 99%

Effects of nulliparity, maternal age, and pre-pregnancy body mass index on the development of gestational hypertension and preeclampsia

Morikawa

Yamada

et al. 2013

Hypertens Res Pregnancy

View full text Add to dashboard Cite

Aims:We aimed to determine the effects of nulliparity, maternal age, and pre-pregnancy body mass index (BMI, kg / m 2 ) on the development of pregnancy induced hypertension (PIH) in Japanese women, including gestational hypertension (GH) and preeclampsia (PE). Methods: Data on 138,530 women with singleton pregnancies who were registered with the Japan Society of Obstetrics and Gynecology and gave birth at ≥ 22 weeks of gestation during the three years from 2007 and 2009 were analyzed. Results: PIH was diagnosed in 6,578 (4.7%) women, including 3,326 (2.4%) with GH and 3,252 (2.3%) with PE. PIH was more frequent in nulliparous than multiparous women (relative risk [95% confidence interval], 1.30 [1.24 to 1.37]) and increased linearly with advancing maternal age after 35 years and also with increasing pre-pregnancy BMI. PIH also varied greatly among 24 groups stratified according to 4 maternal age categories and 6 pre-pregnancy BMI categories, with the lowest frequency (2.7%) among lean (BMI < 18.5) women 20-34 years of age and the highest frequency (21.7%) among obese (BMI ≥ 30) women ≥ 40 years of age. Conclusions: Our findings provide useful information for counseling Japanese women about the risk of PIH at the beginning of pregnancy.

show abstract

“…But after multiple logistic regression analysis, only 4 pregnancy outcomes were left significant. They were preeclampsia, higher birth weight group, cesarean sec- [5][6][7][8][9][10]. This study also posed an interesting finding regarding neonatal length.…”

Section: Discussionmentioning

confidence: 56%

“…There were studies stating that, pregnant women with high weight gain had higher risks for preterm delivery, cesarean section, macrosomia, low Apgar score and even offspring overweight/obesity and abdominal obesity in adolescence [5][6][7][8][9][10], while inadequate weight gain increased asthma, hyperemesis and low birth weight, women with ideal weight gain had less smokers, fetal distress, cesarean delivery and preeclampsia [10,11]. Women with excessive rates of gain retained more weight overall, attained a greater postpartum body mass index (BMI) and had higher levels of subcutaneous fat and overweight [11].…”

Section: Introductionmentioning

confidence: 99%

Risk of high gestational weight gain on adverse pregnancy outcomes

Arora¹,

Arora²,

Patumanond³

2013

OJOG

View full text Add to dashboard Cite

Background/Aims: Excessive gestational weight gain was known to be associated with adverse pregnancy outcomes. It increased the complications during pregnancy, delivery and postpartum period. Nevertheless, there are studies reporting the incompliance of pregnant women with recommendations of weight gain. The objectives of this study were to estimate the prevalence of high gestational weight gain and to identify the increased adverse pregnancy outcomes in these women. Methods: This was a cross sectional study. Data were collected retrospectively from hospital electronic database of Lampang Regional Hospital (LPH) along with manual retrieval from medical charts and labor records. Data of all pregnant women who delivered at labor room of LPH were collected from 1st February 2011 to 31st August 2012. After preterm and multifetal pregnancies were excluded, 4747 cases were brought to the study. This study used the new weight gain recommendation from the Institute of Medicine and National Research Council to classify pregnant women by pre-pregnancy body mass index. Data were analyzed by univariate and multivariate analysis. Results: The proportions of pregnant women with different level of weight gain were 28.4%, 38.5% and 33.1% for low, normal and high weight gain. After multivariate analysis was done to control the confounders, women with high weight gain were significantly correlated with having preeclampsia, higher birth weight group, cesarean section and long neonatal length with relative risk (RR) and 95% confidence interval (95% CI) of 4.84 (2.31 -10.16), 3.94 (3.24 -4.79), 2.12 (1.82 -2.47) and 2.33 (1.90 -2.86). Conclusions: There were more than half of pregnant women that were prone to have inappropriate weight gain. Many complications from high weight gain that have been reported from aboard also occurred in Thai pregnant women. This should alert corresponding health institute to establish a new guideline to avoid high gestational weight gain.

show abstract

Association between pre-pregnancy body mass index and socioeconomic status and impact on pregnancy outcomes in Korea

Abstract: Overweight gravidas were associated with low education status, low economic status, and adverse pregnancy, whereas low weight gain during pregnancy was associated with low education status of the gravida and her husband, preterm delivery, and SGA.

Cited by 50 publications

References 27 publications

Excessive weight gain during pregnancy and risk of macrosomia: a meta-analysis

Excessive weight gain during pregnancy and risk of macrosomia: a meta-analysis

Effects of nulliparity, maternal age, and pre-pregnancy body mass index on the development of gestational hypertension and preeclampsia

Risk of high gestational weight gain on adverse pregnancy outcomes

Contact Info

Product

Resources

About