https://scholars.lib.ntu.edu.tw/handle/123456789/583775
標題: | Maternal prepregnancy body mass index, gestational weight gain, and risk of adverse perinatal outcomes in Taiwan: A population-based birth cohort study | 作者: | CHI-NIEN CHEN HO-SHENG CHEN HENG-CHENG HSU |
公開日期: | 2020 | 出版社: | MDPI AG | 卷: | 17 | 期: | 4 | 起(迄)頁: | 1221 | 來源出版物: | International Journal of Environmental Research and Public Health | 摘要: | Epidemiological studies have shown that maternal prepregnancy body mass index (BMI) and gestational weight gain (GWG) are associated with increased risk of perinatal outcomes. However, the evidence of such associations in Asian populations is limited. We conducted a secondary data analysis to investigate the relationships of prepregnancy BMI and GWG with the risks of adverse perinatal outcomes, including gestational diabetes (GDM), gestational hypertension (GHTN), preeclampsia, cesarean delivery, preterm birth, low birth weight (LBW), and macrosomia. We categorized prepregnancy BMI by the WHO classification and GWG by the Institute of Medicine guidelines. We performed adjusted logistic regression models to estimate the odds ratios of adverse perinatal outcomes. A total of 19,052 women were included; prepregnancy overweight and obesity were associated with a greater risk of GDM, GHTN, preeclampsia, cesarean delivery, preterm birth, and macrosomia. Women with excessive GWG had a greater risk of GHTN, preeclampsia, cesarean delivery, and macrosomia. In conclusion, regardless of the range of GWG during pregnancy, maternal prepregnancy BMI is significantly associated with the risk of adverse perinatal outcomes in Taiwan. Public health attention regarding obesity reduction before conception and prenatal counseling for optimal GWG is needed to mitigate the risk of poor perinatal outcomes. ? 2020 by the authors. Licensee MDPI, Basel, Switzerland. |
URI: | https://www.scopus.com/inward/record.uri?eid=2-s2.0-85079616318&doi=10.3390%2fijerph17041221&partnerID=40&md5=6d478be0a1c5418894ea195d5cfa9c9d https://scholars.lib.ntu.edu.tw/handle/123456789/583775 |
ISSN: | 1661-7827 | DOI: | 10.3390/ijerph17041221 | SDG/關鍵字: | body mass; health risk; numerical model; obesity; pregnancy; regression analysis; weight; womens health; adult; adverse outcome; Article; birth; body mass; cesarean section; cohort analysis; controlled study; female; gestational weight gain; human; low birth weight; macrosomia; major clinical study; maternal hypertension; maternal welfare; obesity; perinatal period; population research; preeclampsia; pregnancy diabetes mellitus; pregnancy outcome; premature labor; Taiwan; birth weight; newborn; pregnancy; pregnancy complication; pregnancy diabetes mellitus; pregnancy outcome; risk; Taiwan; Adult; Birth Weight; Body Mass Index; Cohort Studies; Diabetes, Gestational; Female; Gestational Weight Gain; Humans; Infant, Newborn; Pregnancy; Pregnancy Complications; Pregnancy Outcome; Risk; Taiwan |
顯示於: | 醫學系 |
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