Inadequate Weight Gain According to the Institute of Medicine 2009 Guidelines in Women with Gestational Diabetes: Frequency, Clinical Predictors, and the Association with Pregnancy Outcomes

Xie, Xinglei; Liu, Jiaming; Pujol, Isabel; López, Alicia; Martı́nez, Marı́a José; García‐Patterson, Apolonia; Adelantado, Juan M.; Ginovart, Gemma; Corcoy, Rosa

doi:10.3390/jcm9103343

Cited by 24 publications

(24 citation statements)

References 56 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Our findings highlighted that gestational diabetes was higher among adult women who started pregnancy with pregestational obesity and adults with insufficient GWG. These findings coincide with other research showing that insufficient GWG among women with prior diabetes and gestational diabetes is up to 50%, and excessive GWG is 20% in Hispanics [ 40 ] and Anglo-Saxon women [ 41 ]. An explanation for the insufficient GWG is that women diagnosed with gestational diabetes in weeks 24–28 are likely to change their habits, and less gestational weight gain is recommended after diagnosis [ 42 ].…”

Section: Discussionsupporting

confidence: 91%

Association of Pregestational BMI and Gestational Weight Gain with Maternal and Neonatal Outcomes in Adolescents and Adults from Mexico City

Sámano

Chico-Barba

Flores-Quijano

et al. 2021

IJERPH

View full text Add to dashboard Cite

During pregnancy, adolescents experience physiological changes different from adults because they have not concluded their physical growth. Therefore, maternal and neonatal outcomes may not be the same. This paper aimed to analyze the association between pregestational BMI (pBMI) and gestational weight gain (GWG) with maternal and neonatal outcomes in adolescent and adult pregnant women. The authors performed an observational study that included 1112 women, where 52.6% (n = 585) were adolescents. Sociodemographic information, pBMI, GWG, neonatal anthropometric measures, and maternal and neonatal outcomes were obtained. Adolescent women had a mean lower (21.4 vs. 26.2, p ≤ 0.001) pBMI than adults and a higher gestational weight gain (12.3 vs. 10.7 kg, p ≤ 0.001). According to Poisson regression models, gestational diabetes is positively associated with insufficient GWG and with pregestational obesity. Furthermore, the probability of developing pregnancy-induced hypertension increased with pBMI of obesity compared to normal weight. Preeclampsia, anemia, and preterm birth were not associated with GWG. Insufficient GWG was a risk factor, and being overweight was a protective factor for low birth weight and small for gestational age. We conclude that pBMI, GWG, and age group were associated only with gestational diabetes and low birth weight.

show abstract

Section: Discussionsupporting

confidence: 91%

Association of Pregestational BMI and Gestational Weight Gain with Maternal and Neonatal Outcomes in Adolescents and Adults from Mexico City

Sámano

Chico-Barba

Flores-Quijano

et al. 2021

IJERPH

View full text Add to dashboard Cite

show abstract

“…A meta-analysis reported that 30, 34, and, 37% of women with GDM had insufficient, adequate, and excessive GWG (which occurred more in pre pregnancy overweight or obese women), respectively ( 62 ). Although GWG is significantly elevated in women with GDM combined with PE ( 23 , 53 ), most studies considered that the overall excess GWG had no independent correlation with the occurrence of PE ( 23 , 36 , 53 , 63 – 65 ); the same result was reported for obese women with GDM ( 66 ). A recent retrospective cohort study of 1,606 women with GDM in China reported different conclusions, after adjusting for maternal age, pre pregnancy BMI, maternal education, in vitro fertilization, fasting, and 2 h glucose, the risk of the total excess GWG developing to PE is 2.06 times; with 2.28 and 2.17 times in the second and third trimesters, respectively ( 67 ).…”

Section: Factors Associated With Occurrence Of Pe In Women With Gdmmentioning

confidence: 91%

“…Recent prospective cohort study in China suggested that a unit increase in GWG level after GDM diagnosis is not related with the occurrence of PE, but in women with excessive GWG before GDM diagnosis, both adequate and excessive GWG after GDM diagnosis increased the incidence of PE ( 69 ). Both insufficient weight gain after diagnosis of GDM and total insufficient GWG are not associated with the occurrence of PE ( 36 , 65 , 67 – 69 ); however, in obese women with GDM, total insufficient GWG is negatively associated with the occurrence of PE ( 66 ). A meta-analysis of GWG and GDM pregnancy outcomes showed that excessive GWG is associated with an increased risk of pregnancy-induced hypertension, but PE was not analyzed separately ( 62 ).…”

Section: Factors Associated With Occurrence Of Pe In Women With Gdmmentioning

confidence: 99%

Gestational Diabetes Mellitus and Preeclampsia: Correlation and Influencing Factors

Yang

2022

Front. Cardiovasc. Med.

View full text Add to dashboard Cite

Gestational diabetes mellitus (GDM) and preeclampsia (PE) are common pregnancy complications with similar risk factors and pathophysiological changes. Evidence from previous studies suggests that the incidence of PE is significantly increased in women with GDM, but whether GDM is independently related to the occurrence of PE has remained controversial. GDM complicated by PE further increases perinatal adverse events with greater impact on the future maternal and offspring health. Identify factors associated with PE in women with GDM women, specifically those that are controllable, is important for improving pregnancy outcomes. This paper provides the findings of a review on the correlation between GDM and PE, factors associated with PE in women with GDM, possible mechanisms, and predictive markers. Most studies concluded that GDM is independently associated with PE in singleton pregnancy, and optimizing the treatment and management of GDM can reduce the incidence of PE, which is very helpful to improve pregnancy outcomes.

show abstract

“…However, one should also take into account the latest data presented by the LifeCycle Project consortium, which showed, in a population of approximately 200,000 pregnant women, that in women with a BMI > 30, the optimal weight gain for reducing obstetric complications is lower (0-6 kg) than that recommended by the IOM for pregnant women with a similar BMI (5-9 kg) [34]. Additionally, authors of a retrospective observational study of 2,842 women with GDM published in 2020 con rmed the dominant pattern of weight gain in pregnancy below the level recommended by IOM in this population (50.3% of the examined patients) [54].…”

Section: Discussionmentioning

confidence: 97%

What Is the Cost of Reducing Adverse Pregnancy Outcomes in Patients With GDM: A Retrospective Cohort Study

Oleszczuk-Modzelewska

Malinowska-Polubiec

Romejko-Wolniewicz

et al. 2021

Preprint

View full text Add to dashboard Cite

Background Gestational diabetes mellitus is a frequent complication of pregnancy, affecting the health of mothers and their offspring. The new diagnostic strategy for GDM, proposed by IADPSG in 2010 and WHO in 2013, raised hope for a reduction in perinatal complications. The purpose of the study was to evaluate factors influencing obstetric results in a group of women diagnosed with diabetes, regardless of the adopted diagnostic criteria, compared to a group of pregnant women in whom GDM was excluded. Methods It was a retrospective study based on the analysis of births given after 37 weeks of pregnancy at the 2nd Department of Obstetrics and Gynaecology, Warsaw Medical University during the period from 2013 to 2015. All pregnant women had a 75g OGTT between the 24th and 28th weeks of pregnancy. The study compared risk factors for obstetric complications for patients with gestational diabetes to a group of women without GDM. The impact was analysed of the aforementioned factors on maternal and paediatric obstetric outcomes. Results The parameters significantly influencing the risk of composite adverse maternal outcomes were the circumference of the pregnant woman’s abdomen [OR: 1.08 (1.04; 1.11)] and multiparity, which reduced the risk of this complication by almost half [OR: 0.47 (0.30; 0.75). The size of the maternal abdominal circumference before delivery was a strong factor correlating with the occurrence of perinatal complications in both the mother and the foetus in the entire examined cohort. A circumference over 100 cm increased the risk of at least one pregnancy complication (increased blood loss, soft tissue injuries, pre-eclampsia) by almost 40% (OR 1.38, p < 0.001). Conclusions Apart from normalization of glycaemia, stabilization of the percentage of adipose tissue and non-glycaemic obstetric risk factors may be necessary to obtain further improvement in obstetric outcomes in this pregnant population.

show abstract

Inadequate Weight Gain According to the Institute of Medicine 2009 Guidelines in Women with Gestational Diabetes: Frequency, Clinical Predictors, and the Association with Pregnancy Outcomes

Cited by 24 publications

References 56 publications

Association of Pregestational BMI and Gestational Weight Gain with Maternal and Neonatal Outcomes in Adolescents and Adults from Mexico City

Association of Pregestational BMI and Gestational Weight Gain with Maternal and Neonatal Outcomes in Adolescents and Adults from Mexico City

Gestational Diabetes Mellitus and Preeclampsia: Correlation and Influencing Factors

What Is the Cost of Reducing Adverse Pregnancy Outcomes in Patients With GDM: A Retrospective Cohort Study

Contact Info

Product

Resources

About