کد مقاله کد نشریه سال انتشار مقاله انگلیسی نسخه تمام متن
3444530 1595294 2011 8 صفحه PDF دانلود رایگان
عنوان انگلیسی مقاله ISI
Gestational Weight Gain and Birth Outcome in Relation to Prepregnancy Body Mass Index and Ethnicity
موضوعات مرتبط
علوم پزشکی و سلامت پزشکی و دندانپزشکی پزشکی و دندانپزشکی (عمومی)
پیش نمایش صفحه اول مقاله
Gestational Weight Gain and Birth Outcome in Relation to Prepregnancy Body Mass Index and Ethnicity
چکیده انگلیسی

PurposeThe obesity epidemic raises concerns about the impact of excessive and insufficient weight gain during pregnancy.MethodsWe examined the association between gestational weight gain (GWG) and preterm birth, term small- and large-for-gestational-age (SGA and LGA), term birthweight, and term primary Cesarean delivery, considering prepregnancy body mass index (BMI) and ethnicity in a cohort of 33,872 New York City residents who gave birth between 1995 and 2003 and delivered in hospitals elsewhere in New York State.ResultsPreterm birth (<37 weeks’ gestation) showed a modest U-shaped relationship, with projected GWG of <10 kg and 20+ kg associated with odds ratios of 1.4 and 1.3, respectively, relative to 10 to 14 kg. The pattern was stronger for preterm birth <32 weeks’ and for underweight women with low GWG and overweight/obese women with high GWG. Term SGA decreased and term LGA and birthweight increased monotonically with increasing GWG. Primary Cesarean delivery followed the same pattern as LGA, but less strongly.ConclusionsAlthough the study is limited by potential selection bias and measurement error, our findings support the contention that GWG may be a modifiable predictor of pregnancy outcome that warrants further investigation, particularly randomized trials, to assess whether the relation is causal.

ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: Annals of Epidemiology - Volume 21, Issue 2, February 2011, Pages 78–85
نویسندگان
, , , ,