Better Predictor of Adverse Pregnancy Outcome: Asian or WHO International Cutoff? A Single-Centre Prospective Study

Abstract

Objectives To compare the Asian Indian body mass index (BMI) and waist circumference (WC) with World Health Organization (WHO) BMI and WC in the prediction of adverse maternal and perinatal outcome in overweight and obese women. Materials and Methods Prospective analysis of 239 women booked within 10 weeks of pregnancy and followed till delivery at our centre was performed. Results The mean age of the study group was 26.08 years, of which elderly gravida was 1.3 %. Overall, 17.6 % were overweight, 29.7 % were obese, and 42.7 % had abdominal obesity as per Asian Indian BMI and WC cutoff, whereas only 8.5 % were obese, and 14.2 % had abdominal obesity as per WHO. In high-risk group, gestational diabetes was commonest complication (20 %). Compared to WHO, Asian Indian BMI cutoff has statistically significant predictability for gestational diabetes, preeclampsia and its complications, labour induction, and Caesarean section rate. On the other hand, Asian WC has the best predictability only for preeclampsia and its complications. Sensitivity, specificity, and negative predictive

Association between maternal adiposity measures and adverse maternal outcomes of pregnancy: Systematic review and meta‐analysis

“…Searches identified 24,027 studies following removal of duplicates; 945 full texts were screened for eligibility, of which 70 20,21,37–104 met the inclusion criteria (Figure S1). Of these studies, 59 were cohort and 11 were case control studies.…”

“…Searches identified 24,027 studies following removal of duplicates; 945 full texts were screened for eligibility, of which 70 20 , 21 , 37 , 38 , 39 , 40 , 41 , 42 , 43 , 44 , 45 , 46 , 47 , 48 , 49 , 50 , 51 , 52 , 53 , 54 , 55 , 56 , 57 , 58 , 59 , 60 , 61 , 62 , 63 , 64 , 65 , 66 , 67 , 68 , 69 , 70 , 71 , 72 , 73 , 74 , 75 , 76 , 77 , 78 , 79 , 80 , 81 , 82 , 83 , 84 , 85 , 86 , 87 , 88 , 89 , 90 ...…”

“…There were 45 studies reporting a diagnosis of GDM 20 , 37 , 38 , 39 , 40 , 41 , 43 , 44 , 46 , 47 , 48 , 49 , 51 , 52 , 55 , 56 , 57 , 58 , 59 , 60 , 61 , 62 , 64 , 65 , 66 , 67 , 69 , 71 , 72 , 73 , 76 , 77 , 78 , 80 , 83 , 86 , 88 , 89 , 92 , 95 , 97 , 99 , 101 , 102 , 103 and associations with circumference measures (WC, arm circumference, neck circumference, hip circumference, leg circumference, and wrist circumference), ratios (WHR, waist to height ratio, neck to thigh ratio, and waist to thigh ratio), fat/mass type (visceral fat, subcutaneous fat thickness, FM, FFM, and total adipose tissue), SFT (tricep, bicep, subscapular, suprailiac, abdominal, and sum of SFTs), and combined measure of hepatic fat + visceral adipose tissue quartiles, and hepatic fat and total adipose tissue quartiles (Tables S3 and…”

“…Fourteen studies reported associations between measures of WC and a diagnosis of GDM 46 , 51 , 55 , 57 , 58 , 59 , 60 , 72 , 77 , 83 , 86 , 88 , 97 , 103 and 16 reported case control data for early pregnancy WC between women diagnosed with GDM during pregnancy (cases) and women not diagnosed with GDM (controls). 37 , 46 , 47 , 48 , 52 , 57 , 58 , 59 , 60 , 67 , 73 , 78 , 80 , 83 , 88 , 103 Nine studies reported categorical measures of WC 37 , 46 , 51 , 55 , 57 , 58 , 60 , 83 , 86 , 103 and eight could be pooled in the meta‐analysis (Figure 1 ).…”

Association between leisure time physical activity preference and behavior: evidence from the China Health & Nutrition Survey, 2004–2011

“…Health-related variables included current health status (self-reported), health insurance coverage, and Body Mass Index (BMI). A unique BMI criterion was applied, recognizing that Chinese have different body shapes and skeletons compared to Westerners: a growing number of studies reveals that Chinese and several other population in Asian Pacific countries have increased risk for obesity-related chronic diseases or conditions at a lower BMI than do Westerners [ 23 – 28 ]. Using this adapted scale, underweight is <18.50, normal weight is 18.50–23.99, overweight is 24.00–27.99, and obesity is 28.00 and over [ 29 ].…”