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学科主题: 公共卫生
题名:
Prepregnancy body mass index and gestational weight gain with the outcome of pregnancy: a 13-year study of 292,568 cases in China
作者: Liu, Yuanyuan1,2; Dai, Wei; Dai, Xiaoqiu3,4; Li, Zhu1
关键词: Gestational weight gain ; Body mass index ; Pregnancy ; Infant
刊名: ARCHIVES OF GYNECOLOGY AND OBSTETRICS
发表日期: 2012-10-01
DOI: 10.1007/s00404-012-2403-6
卷: 286, 期:4, 页:905-911
收录类别: SCI
文章类型: Article
WOS标题词: Science & Technology
类目[WOS]: Obstetrics & Gynecology
研究领域[WOS]: Obstetrics & Gynecology
关键词[WOS]: CESAREAN DELIVERY ; OBESITY ; BIRTH ; RISK ; WOMEN ; DEFECTS ; STATES
英文摘要:

We aimed to investigate the combined associations of prepregnancy body mass index (BMI) and gestational weight gain (GWG) with pregnancy outcomes in Chinese women.

Data for 292,568 singleton term pregnancies were selected from 1993 to 2005 based on the Perinatal Health Care Surveillance System, with anthropometric measurements being collected prospectively. Prepregnancy BMI was categorized according to the definitions of the World Health Organization (WHO). Total GWG was categorized into four groups. Adjusted associations of prepregnancy BMI and GWG with outcomes of interest were estimated using logistic regression analyses. GWG was categorized as below, within and above the Institute of Medicine (IOM) (2009) recommendations.

Maternal overweight and high GWG or GWG above the IOM recommendation were associated with hypertensive disorders complicating pregnancy, cesarean delivery, macrosomia and large-for-gestational-age (LGA) infants. Maternal underweight and low GWG or GWG below the IOM recommendation were risk factors for low-birth-weight (LBW) and small-for-gestational-age (SGA) infants. Moreover, being overweight [odds ratio (OR) 1.2, 95 % confidence interval (CI) 1.0-1.3) and having a low weight gain (OR 1.1, 95 % CI 1.0-1.1) increased the risk of newborn asphyxia.

Being overweight/obese and having a high weight gain, as well as being underweight and having a low weight gain, were associated with increased risks for adverse pregnancy outcomes in Chinese women.

语种: 英语
WOS记录号: WOS:000308647200012
Citation statistics:
内容类型: 期刊论文
URI标识: http://ir.bjmu.edu.cn/handle/400002259/53631
Appears in Collections:北京大学公共卫生学院_期刊论文

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作者单位: 1.Peking Univ, Inst Reprod & Child Hlth, Minist Hlth, Key Lab Reprod Hlth,Hlth Sci Ctr, Beijing 100191, Peoples R China
2.Peking Univ, Dept Epidemiol & Biostat, Sch Publ Hlth, Beijing 100191, Peoples R China
3.Acad Med Sci, Editorial Off, Canc Hosp, Beijing, Peoples R China
4.Peking Union Med Coll, Beijing 100021, Peoples R China

Recommended Citation:
Liu, Yuanyuan,Dai, Wei,Dai, Xiaoqiu,et al. Prepregnancy body mass index and gestational weight gain with the outcome of pregnancy: a 13-year study of 292,568 cases in China[J]. ARCHIVES OF GYNECOLOGY AND OBSTETRICS,2012,286(4):905-911.
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