The mediating role of gestational diabetes mellitus in the associations of maternal prepregnancy body mass index with neonatal birth weight

Hu, Hao; Peng, Feng; Yu, Qian; Zhu, Wei; Xu, He; Wu, Di; Wu, Lei; Yin, Jieyun; Li, Hongmei

doi:10.1111/1753-0407.13233

Cited by 7 publications

(3 citation statements)

References 38 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…It could be considered as excess GWG. Except for GWG, prior studies 34 – 36 considered that pre-pregnancy BMI was a stronger predictor of adverse pregnancy outcomes. Our previous study 16 found that Chinese GDM women with underweight at a higher risk of SGA.…”

Section: Discussionmentioning

confidence: 99%

The exploration of optimal gestational weight gain after oral glucose tolerance test for Chinese women with gestational diabetes mellitus

Zheng,

Zhu,

Jiang

et al. 2024

Sci Rep

View full text Add to dashboard Cite

Now, no recommendations of gestational weight gain (GWG) after gestational diabetes mellitus (GDM) diagnosis for Chinese women was made. This study aimed to explore the optimal GWG after oral glucose tolerance test (OGTT) for Chinese women with GDM. The GWG status of 11,570 women was retrospectively analyzed. Binary regression model and restricted cubic spline were used to estimate the association between GWG after OGTT and the predicted probability of adverse outcomes. Based on above, the optimal GWG was defined as the range that not exceed 1% increase in the predicted probability from the lowest point. Results shown that every increased one unit GWG after OGTT was associated with higher risks of macrosomia, cesarean section and LGA, and lower risk of preterm birth. According to the WHO and Working Group on Obesity in China (WGOC) recommended pre-pregnancy BMI category, the optimal GWG were proposed: 3.66 to 6.66 kg/3.66 to 6.66 kg in underweight group, 3.07 to 6.50 kg/3.02 to 6.40 kg in normal weight group, 1.06 to 2.73 kg/0 to 1.99 kg in overweight group, and not applicable/− 0.22 to 2.53 kg in obese group, respectively. Therefore, it is necessary to classified Chinese population based on the WGOC recommended pre-pregnancy BMI category, that influenced the contribution of pre-pregnancy BMI groups and the optimal GWG recommendation for GDM women with overweight or obesity.

show abstract

Section: Discussionmentioning

confidence: 99%

The exploration of optimal gestational weight gain after oral glucose tolerance test for Chinese women with gestational diabetes mellitus

Zheng,

Zhu,

Jiang

et al. 2024

Sci Rep

View full text Add to dashboard Cite

show abstract

“…Bu bilgi, obez gebelerin doğum planının yapılması ve yenidoğan bakımı konusunda karşılaşılabilecek sorunların öngörülmesi açısından önemlidir. Ayrıca bu bilgi, doğum ağırlığı daha yüksek olan çocukların yetişkinlik döneminde de obez olma eğiliminde oldukları için, 0-5 yaş çocuk izlemi açısından da önemlidir (71).…”

Section: Discussionunclassified

Effects of Maternal Obesity on Maternal-Infant Health: Systematic Review and Meta-Analysis

KURNAZ

Karaçam

2023

Adnan Menderes Üniversitesi Sağlık Bilimleri Fakültesi Dergisi

View full text Add to dashboard Cite

Amaç: Bu çalışma, birincil çalışmalara dayalı olarak, maternal obezitenin anne-bebek sağlığına etkilerinin belirlemesi amacı ile yapılmıştır. Yöntem: Sistematik derleme ve meta-analiz niteliğinde olan bu çalışmada, PRISMA kontrol listeleri kullanılmıştır. Çalışma için taramalar Eylül-Ekim 2021 tarihlerinde yapılmış ve Aralık 2022’de güncellenmiştir. Taramalar, PubMed, MEDLINE, theCochrane Library, EBSCO, Web of Science, Ulusal Tez MerkeziveDergiPark arama motorlarından yapılmıştır. Taramalarda obesity* AND (pregnancy*OR “babieshealth” OR “maternalHealth” OR management) kelime ve kelime grupları kullanılmıştır. Araştırmaların metodolojik kalitesi, JoannaBriggsInstitute tarafından geliştirilen “Kritik Değerlendirme Kontrol Listeleri” ile değerlendirilmiştir. Veriler meta-analiz yöntemleri ile sentez edilmiştir. Bulgular: Çalışmaya 2013-2022 yıllarında yayımlanmış 38araştırma dahil edilmiştir. Araştırmaların toplam örneklem hacmi 784265’tir. Yapılan meta-analizlerde maternal obezitenin istatistiksel olarak anlamlı bir şekilde, gestasyonel diyabet oluşumunu 4.09 kat (z=12.07, p<0.00001), gebelikte hipertansiyonu 4.83 kat (z=11.25, p<0.00001) ve preeklampsiyi ise3.34 kat (z=37.91, p<0,00001) arttırdığı saptanmıştır. Ayrıca maternal obezitenin sezaryen doğum, doğumda indüksiyon kullanımı, bebeğin doğum ağırlığı, preterm doğum, gebelik ayına göre iri bebek, makrozomi ve postpartum kanama gelişme olasılığını istatistiksel olarak anlamlı bir şekilde arttırdığı, spontan vajinal doğum vegebelik ayına göre küçük bebek olasılığını azalttığı saptanmıştır. Sonuç: Bu çalışmada, maternal obezitenin anne-bebek sağlığı ile ilgili birçok parametrede olumsuz sonuçları olduğu sonucuna ulaşılmıştır. Kadınların gebeliğe normal kilo ile başlamalarının ve gebelik sürecinde maternal obezitenin yönetiminin sağlanması, anne-bebek sağlığının gelişimine katkıda bulunulabilir

show abstract

“…• Gestational diabetes: Defined as FBG 5.1 mmol/L, 1 hour plasma glucose 10.0 mmol/L, or 2 hours plasma glucose 8.5 mmol/, according to the international diabetes and pregnancy research group criteria [20].…”

Section: Inclusion Criteriamentioning

confidence: 99%

Birth weight in high risk and normal pregnancy: a comparative study

Faraidoon,

Ali

2024

Ital J Gynaecol Obstet

View full text Add to dashboard Cite

Objective. High-risk pregnancy (HRP) is characterized as a complex pregnancy when one or more factors have a negative impact on the pregnancy outcome. This study aimed to find out the impact of high-risk pregnancy on the birth weight. Materials and Methods.A comparative case-control study was conducted between 1 st September to 1 st December on 250 pregnant women giving birth at Kirkuk city hospitals. A case group of 125 cases (high-risk pregnancies) and a control group of 125 cases (normal pregnancies) were allocated.Results. The study found that there was a significant association between chronic hypertension(p=0.030), pre-eclampsia (p=0.013), GDM(p=<0.001), placenta accreta(p=0.028), and anemia(P=0.033) and the weight of the newborn. About 8.0% of the women with high-risk pregnancies have had low birth weights, whereas 4.0% reported high birth weights. Compared to 0.8% of the women with normal pregnancies having low birth weight and (1.6%) having a high birth weight. Also, the findings revealed a high association between the weight of neonates born to women who had High-risk pregnancies in comparison to those who were born to women who had normal pregnancies at (P=<0.001). Conclusions.The main findings revealed that high-risk pregnancy affects the newborn's weight. Creating and implementing into practice interventional strategies to raise pregnant women's awareness of the importance of regular screenings is highly recommended. Furthermore, complications should be managed effectively to minimize the negative impacts on M a n u s c r i p t a c c e p t e d f o r p u b l i c a t i o n 2 the weight of newborns.

show abstract

The mediating role of gestational diabetes mellitus in the associations of maternal prepregnancy body mass index with neonatal birth weight

Cited by 7 publications

References 38 publications

The exploration of optimal gestational weight gain after oral glucose tolerance test for Chinese women with gestational diabetes mellitus

The exploration of optimal gestational weight gain after oral glucose tolerance test for Chinese women with gestational diabetes mellitus

Effects of Maternal Obesity on Maternal-Infant Health: Systematic Review and Meta-Analysis

Birth weight in high risk and normal pregnancy: a comparative study

Contact Info

Product

Resources

About