Body Composition of Women with Newborns Who Are Small for Gestational Age

Levario-Carrillo, Margarita; Rodríguez, Nora María Orive; Tufiño-Olivares, Edith; Jiménez, María del Refugio; Delgado-Monge, Martha Cecilia; Reza-López, Sandra A.

doi:10.1159/000151751

Cited by 10 publications

(9 citation statements)

References 59 publications

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“…However, conclusions regarding body composition, and TBW in particular, are still inconsistent in literature [2][3][4]. Nevertheless, changes in TBW as part of the total body composition is of potential interest to clinicians as abnormal fluid adaptation might give rise to maternal and fetal pathologies such as intrauterine growth restriction [5] or hypertensive gestational complications [6].…”

Section: Introductionmentioning

confidence: 99%

Maternal body fluid composition in uncomplicated pregnancies and preeclampsia: a bioelectrical impedance analysis

Staelens

Vonck

Molenberghs

et al. 2016

European Journal of Obstetrics & Gynecology and Reproductiv

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A B S T R A C TObjectives: Body fluid composition changes during the course of pregnancy and there is evidence to suggest that these changes are different in uncomplicated pregnancies compared to hypertensive pregnancies. The aim of this study was to evaluate the changes in maternal body fluid composition during the course of an uncomplicated pregnancy and to assess differences in uncomplicated pregnancies versus hypertensive pregnancies by using a bio-impedance analysis technique. Study design: Body fluid composition of each patient was assessed using a multiple frequency bioelectrical impedance analyser. Measurements were performed in 276 uncomplicated pregnancies, 34 patients with gestational hypertension, 35 with late onset preeclampsia and 11 with early onset preeclampsia. Statistical analysis was performed at nominal level a = 0.05. A longitudinal linear mixed model based analysis was performed for longitudinal evolutions, and ANOVA with a post-hoc Bonferroni was used to identify differences between groups. Results: Measurements showed that total body water (TBW), intracellular (ICW) and extracellular water (ECW) and ECW/ICW significantly increase during the course of pregnancy. Late onset preeclampsia is associated with a higher TBW and ECW as compared to uncomplicated pregnancies, the ECW/ICW ratio is higher in preeclamptic patients compared to uncomplicated pregnancies and gestational hypertension, and ICW is not different between groups. Conclusion: Body fluid composition changes differently during the course of uncomplicated pregnancies versus hypertensive pregnancies.

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Section: Introductionmentioning

confidence: 99%

Maternal body fluid composition in uncomplicated pregnancies and preeclampsia: a bioelectrical impedance analysis

Staelens

Vonck

Molenberghs

et al. 2016

European Journal of Obstetrics & Gynecology and Reproductiv

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“…Although the effective radiation dose during DXA scanning is very small, this technique should not be used in pregnant women. Body composition has been reported by DXA 10 years after delivery in women with previous preeclampsia or foetuses with low birth weight [6], and other studies have performed multi-frequency bioelectrical impedance during pregnancy [7]. The body composition assessment by DXA in the early postpartum period has not been heretofore described.…”

Section: Introductionmentioning

confidence: 99%

Relationship between Foetal Growth Restriction and Maternal Nutrition Status Measured by Dual-Energy X-Ray Absorptiometry, Leptin, and Insulin-Like Growth Factor

Ferrero

Mazarico

Valls

et al. 2015

Gynecol Obstet Invest

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Aims: The aim of this study was to determine if maternal nutritional status, as defined by body composition, leptin, and insulin-like growth factor (IGF)-I levels, relates to foetal growth. Methods: In this prospective study, mothers of foetuses with foetal growth restriction (FGR; cases; n = 46) and mothers of appropriate-for-gestational-age (AGA) foetuses (controls; n = 81) were consecutively recruited over a 14- month period. A maternal blood sample was obtained during the third trimester (between 32 and 34 weeks of gestation) for the assessment of IGF-I and leptin. Body composition was assessed by dual-energy X-ray absorptiometry within the first 15 days after delivery. The study used the SPSS-PC statistical package, version 19.0, and p < 0.05 was considered statistically significant. Results: Mean serum IGF-I levels were lower in the cases than in the controls (p < 0.05), whereas leptin concentrations were higher in the cases after adjusting for age, body mass index and cigarette consumption (p < 0.05). Cases had less lean and fat tissue than controls (p < 0.05) but a relatively higher fat percentage. Conclusions: The mothers of foetuses with FGR have a body composition pattern characterized by a slightly increased fraction of fat mass, lower IGF-I concentrations, and increased serum leptin levels. Optimization of maternal nutritional status should be considered, as the nutritional status may be involved in the pathogenesis of FGR.

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“…Newborns from mothers with low pregestational body mass index (BMI) have increased risk of being small for gestational age (Bolzan & Guimarey 2001). Furthermore, maternal weight gain and changes in body composition during pregnancy are associated with birthweight (Levario‐Carrillo et al . 2009).…”

Section: Introductionmentioning

confidence: 99%

Body composition and newborn birthweight in pregnancies of adolescent and mature women

Campos¹,

Rodríguez-Cervantes²,

Reza-López³

et al. 2012

Maternal & Child Nutrition

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Teenage pregnancy has been associated with adverse effects for the mother and the newborn (NB). In order to compare body composition (BC) between adolescents (Ad) and mature women (MW) during pregnancy and to determine the difference in birthweight and perinatal morbidity, pregnant Ad (n=40) and MW (n=227) were studied. BC changes between the second and third trimesters were determined by multifrequency bioelectrical impedance analysis, and birthweight and NB morbidity were evaluated. During the second and third trimesters of the pregnancy, fat mass was lower in the Ad group [16 kg (13-19)] than in the MW group [22 kg (17-27)] (P<0.01; median and quartiles 1-3). Fat-free mass increased by 3.09 kg (2.29-4.20) and 2.20 kg (1.0-3.59) (P≤0.01), and total body water increased by 2.77 L (0.84-4.49) vs. 2.04 L (0.55-3.89) (P=0.36), in the Ad and MW groups, respectively (median and quartiles 1-3). Birthweight was not significantly different between NBs of Ad (3223 ± 399 g) and NBs of MW (3312 ± 427 g, P=0.22). The youngest Ad (<18 year old, n=8) had NB with lower birthweight than MW (3031 ± 503 g, P=0.06). NBs of Ad mothers showed a non-significant trend towards a higher rate of morbidity relative to the NBs of MW. In conclusion, the BC of Ad differs from that of MW during pregnancy. In addition, the NB infants of Ad mothers tended to have a lower birthweight than those from MW, a result that suggests that the Ad should be in strict prenatal control.

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Body Composition of Women with Newborns Who Are Small for Gestational Age

Cited by 10 publications

References 59 publications

Maternal body fluid composition in uncomplicated pregnancies and preeclampsia: a bioelectrical impedance analysis

Maternal body fluid composition in uncomplicated pregnancies and preeclampsia: a bioelectrical impedance analysis

Relationship between Foetal Growth Restriction and Maternal Nutrition Status Measured by Dual-Energy X-Ray Absorptiometry, Leptin, and Insulin-Like Growth Factor

Body composition and newborn birthweight in pregnancies of adolescent and mature women

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