Maternal visceral adipose tissue during the first half of pregnancy predicts gestational diabetes at the time of delivery – a cohort study

Rocha, Alexandre da Silva; Bernardi, Juliana Rombaldi; Matos, Salete de; Kretzer, Daniela Cortés; Schöffel, Alice Carvalhal; Goldani, Marcelo Zubarán; Magalhães, José Antônio de Azevedo

doi:10.1371/journal.pone.0232155

Cited by 24 publications

(42 citation statements)

References 19 publications

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“…The mechanisms responsible for the structural and functional differences speci c to adipose tissue deposits are still being investigated (2). However, it is known that visceral fat is strongly associated with increased metabolic diseases (3). The investigation of measures that assist in the identi cation of different fat deposits can be useful to predict risk and set speci c treatment goals, reducing negative consequences for fetal and maternal health.…”

Section: Introductionmentioning

confidence: 99%

Anthropometrical measurements and maternal visceral fat during first half of pregnancy: a cross-sectional survey

Kretzer¹,

Matos

Diemen

et al. 2020

Preprint

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Background: Determining anthropometric measures that indicate different fat deposits can be useful to predict metabolic risk and set specific treatment goals, reducing negative consequences for maternal and fetal health. In cases where pre-gestational weight measure and subsequent body mass index (BMI) values cannot be determined, other anthropometric measurements may be ideal for measuring the nutritional status of pregnant women, especially in low- and middle-income countries. This study aims to identify which anthropometric measurements correlate better with the maternal fat deposits measured by ultrasound. Methods: A cross-sectional study was conducted with pregnant women from the city of Porto Alegre (city), capital of Rio Grande do Sul (state), southern Brazil, from October 2016 until January 2018. Anthropometrical variables (weight, height, mid-upper arm circumference [MUAC], circumferences of calf and neck and triceps skinfolds [TSF] and subscapular skinfolds [SBSF]), and ultrasound variables (visceral adipose tissue [VAT] and total adipose tissue [TAT]) were collected. To verify the correlation of anthropometric and ultrasound measurements, a non-adjusted and adjusted Spearman correlation was used. The study was approved by the ethics committees.Results: The age median of the 149 pregnant women was 25 years [21 - 31], pre-pregnancy BMI was 26.22kg/m² [22.16 – 31.21] and gestational age was 16.2 weeks [13.05 – 18.10]. The best measurements correlated with VAT and TAT were MUAC and SBSF, both of which showed a higher correlation than pre-pregnancy BMI.Conclusion: It is possible to provide a practical and reliable estimate of VAT and TAT from the anthropometric evaluation (MUAC or SBSF) that is low cost, efficient and replicable in an outpatient clinic environment, especially in low- and middle-income countries.

show abstract

Section: Introductionmentioning

confidence: 99%

Anthropometrical measurements and maternal visceral fat during first half of pregnancy: a cross-sectional survey

Kretzer¹,

Matos

Diemen

et al. 2020

Preprint

Self Cite

View full text Add to dashboard Cite

show abstract

Section: Introductionmentioning

confidence: 99%

Anthropometrical measurements and maternal visceral fat during first half of pregnancy: a cross-sectional survey

Kretzer

Matos

Diemen

et al. 2020

Preprint

Self Cite

View full text Add to dashboard Cite

Background Determining anthropometric measures that indicate different fat deposits can be useful to predict metabolic risk and set specific treatment goals, reducing negative consequences for maternal and fetal health. In cases where pre-gestational weight measure and subsequent body mass index (BMI) values cannot be determined, other anthropometric measurements may be ideal for measuring the nutritional status of pregnant women, especially in low- and middle-income countries. This study aims to identify which anthropometric measurements correlate better with the maternal fat deposits measured by ultrasound. Methods A cross-sectional study was conducted with pregnant women from the city of Porto Alegre (city), capital of Rio Grande do Sul (state), southern Brazil, from October 2016 until January 2018. Anthropometrical variables (weight, height, mid-upper arm circumference [MUAC], circumferences of calf and neck and triceps skinfolds [TSF] and subscapular skinfolds [SBSF]), and ultrasound variables (visceral adipose tissue [VAT] and total adipose tissue [TAT]) were collected. To verify the correlation of anthropometric and ultrasound measurements, a non-adjusted and adjusted Spearman correlation was used. The study was approved by the ethics committees. Results The age median of the 149 pregnant women was 25 years [21 - 31], pre-pregnancy BMI was 26.22kg/m² [22.16 – 31.21] and gestational age was 16.2 weeks [13.05 – 18.10]. The best measurements correlated with VAT and TAT were MUAC and SBSF, both of which showed a higher correlation than pre-pregnancy BMI. Conclusion It is possible to provide a practical and reliable estimate of VAT and TAT from the anthropometric evaluation (MUAC or SBSF) that is low cost, efficient and replicable in an outpatient clinic environment, especially in low- and middle-income countries.

show abstract

“…The mechanisms responsible for the structural and functional differences specific to adipose tissue deposits are still being investigated [ 2 ]. However, it is known that visceral fat is strongly associated with increased metabolic diseases [ 3 ]. The investigation of measures that assist in the identification of different fat deposits can be useful to predict risk and set specific treatment goals, reducing negative consequences for fetal and maternal health.…”

Section: Introductionmentioning

confidence: 99%

Anthropometrical measurements and maternal visceral fat during first half of pregnancy: a cross-sectional survey

Kretzer¹,

Matos²,

Diemen³

et al. 2020

BMC Pregnancy Childbirth

Self Cite

View full text Add to dashboard Cite

Background Determining anthropometric measures that indicate different fat deposits can be useful to predict metabolic risk and set specific treatment goals, reducing negative consequences for maternal and fetal health. In cases where pre-gestational weight measure and subsequent body mass index (BMI) values cannot be determined, other anthropometric measurements may be ideal for measuring the nutritional status of pregnant women, especially in low- and middle-income countries. This study aims to identify which anthropometric measurements correlate better with the maternal fat deposits measured by ultrasound. Methods A cross-sectional study was conducted with pregnant women from the city of Porto Alegre (city), capital of Rio Grande do Sul (state), southern Brazil, from October 2016 until January 2018. Anthropometrical variables (weight, height, mid-upper arm circumference [MUAC], circumferences of calf and neck and triceps skinfolds [TSF] and subscapular skinfolds [SBSF]), and ultrasound variables (visceral adipose tissue [VAT] and total adipose tissue [TAT]) were collected. To verify the correlation of anthropometric and ultrasound measurements, a non-adjusted and adjusted Spearman correlation was used. The study was approved by the ethics committees. Results The age median of the 149 pregnant women was 25 years [21–31], pre-pregnancy BMI was 26.22 kg/m² [22.16–31.21] and gestational age was 16.2 weeks [13.05–18.10]. The best measurements correlated with VAT and TAT were MUAC and SBSF, both of which showed a higher correlation than pre-pregnancy BMI. Conclusions It is possible to provide a practical and reliable estimate of VAT and TAT from the anthropometric evaluation (MUAC or SBSF) that is low cost, efficient and replicable in an outpatient clinic environment, especially in low- and middle-income countries.

show abstract

Maternal visceral adipose tissue during the first half of pregnancy predicts gestational diabetes at the time of delivery – a cohort study

Cited by 24 publications

References 19 publications

Anthropometrical measurements and maternal visceral fat during first half of pregnancy: a cross-sectional survey

Anthropometrical measurements and maternal visceral fat during first half of pregnancy: a cross-sectional survey

Anthropometrical measurements and maternal visceral fat during first half of pregnancy: a cross-sectional survey

Anthropometrical measurements and maternal visceral fat during first half of pregnancy: a cross-sectional survey

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