scholarly journals Excess pregnancy weight gain in latinas: Impact on infant’s adiposity and growth hormones at birth

2021 ◽  
pp. 101341
Author(s):  
Deena Elwan ◽  
Rebecca Olveda ◽  
Rosalinda Medrano ◽  
Janet Wojcicki
Author(s):  
Chetanya Puri ◽  
Koustabh Dolui ◽  
Gerben Kooijman ◽  
Felipe Masculo ◽  
Shannon Van Sambeek ◽  
...  

2021 ◽  
Vol 0 (0) ◽  
Author(s):  
Boris Lovrić ◽  
Siniša Šijanović ◽  
Joško Lešin ◽  
Josip Juras

Abstract Objectives Women with gestational diabetes (GDM) and weight gain during pregnancy above recommended more often give birth to macrosomic children. The goal of this study was to evaluate the diagnostic accuracy of the modified formula for ultrasound assessment of fetal weight created in a pilot study using a similar specimen in comparison to the Hadlock-2 formula. Methods This is a prospective, cohort, applicative, observational, quantitative, and analytical study, which included 213 pregnant women with a singleton pregnancy, GDM, and pregnancy weight gain above recommended. Participants were consecutively followed in the time period between July 1st, 2016, and August 31st, 2020. Ultrasound estimations were made within three days before the delivery. Fetal weights estimated using both formulas were compared to the newborns’ weights. Results A total of 133 fetal weight estimations were made. In comparison to the newborns’ weight modified formula had significantly smaller deviation in weight estimation compared to the Hadlock-2 formula, higher frequency of deviation within 5% of newborns weights (78.2% [95% CI=0.74–0.83] vs. 60.2%), smaller frequency of deviations from 5 to 10% (19.5 vs. 33.8%) and above 10%, which was even more significant among macrosomic children. There were 36/50 (72%) correctly diagnosed cases of macrosomia by modified and 33/50 (66%) by Hadlock-2 formula. Area under the curve (AUC) for the modified formula was 0.854 (95% CI=0.776–0.932), and for the Hadlock-2 formula 0.824 (95% CI=0.740–0.908). The positive predictive value of the modified formula was 81.81%, the negative 97.91%. Conclusions In cases of greater fetal weights, the modified formula showed greater precision.


Obesity ◽  
2017 ◽  
Vol 25 (9) ◽  
pp. 1569-1576 ◽  
Author(s):  
Nicholas T. Broskey ◽  
Peng Wang ◽  
Nan Li ◽  
Junhong Leng ◽  
Weiqin Li ◽  
...  

2018 ◽  
Vol 14 ◽  
pp. 205-212 ◽  
Author(s):  
Lisa M. Bodnar ◽  
Katherine P. Himes ◽  
Barbara Abrams ◽  
Sara M. Parisi ◽  
Jennifer A. Hutcheon

2018 ◽  
Vol 47 (2) ◽  
pp. 754-764 ◽  
Author(s):  
Ebtisam A. Al-ofi ◽  
Hala H. Mosli ◽  
Kholoud A. Ghamri ◽  
Sarah M. Ghazali

Objectives The purpose of this study was to investigate the effect of remotely delivered telemedicine dietary advice on monitoring of blood glucose levels and weight gain of women with gestational diabetes mellitus (GDM). Methods Women with GDM were recruited and randomly allocated into two groups: a Tele-GDM group that received a telemonitoring device, and a control group that was followed-up traditionally. A telemonitoring service calculated the ratio of reaching or exceeding the pregnancy weight gain target (according to pre-pregnancy weight), following Institute of Medicine guidelines for healthy pregnancy weight gain. Results The sample comprised 27 women in the Tele-GDM group and 30 in the control group. At the end of pregnancy, the Tele-GDM group showed significantly lower 2-hour postprandial glucose levels than the control group. Most women in the Tele-GDM group reached their recommended range of weight gain at the end of pregnancy. Additionally, the Tele-GDM group showed significantly lower weight gain than the control group. Conclusions Telemonitoring can facilitate close monitoring of women with GDM and motivate patients to adopt a healthy lifestyle.


PLoS Medicine ◽  
2013 ◽  
Vol 10 (10) ◽  
pp. e1001521 ◽  
Author(s):  
David S. Ludwig ◽  
Heather L. Rouse ◽  
Janet Currie

Hypertension ◽  
2018 ◽  
Vol 72 (2) ◽  
pp. 433-441 ◽  
Author(s):  
Jennifer A. Hutcheon ◽  
Olof Stephansson ◽  
Sven Cnattingius ◽  
Lisa M. Bodnar ◽  
Anna-Karin Wikström ◽  
...  

PLoS ONE ◽  
2020 ◽  
Vol 15 (6) ◽  
pp. e0233774 ◽  
Author(s):  
Sarah D. McDonald ◽  
Zhijie Michael Yu ◽  
Sherry van Blyderveen ◽  
Louis Schmidt ◽  
Wendy Sword ◽  
...  

2016 ◽  
Vol 44 (4) ◽  
Author(s):  
Josefine Theresia Maier ◽  
Elisabeth Schalinski ◽  
Ulrich Gauger ◽  
Lars Hellmeyer

AbstractOverweight and obesity is a serious health risk in both developed and developing nations. It is a common finding among women in their reproductive age. Half of patients entering their pregnancy in the US have a BMI >25.0 and therefore qualify as overweight or obese. Moreover, there is a tendency towards increased weight gain during pregnancy. Studies have shown that gestational overweight is associated with complications in pregnancy and birthing as well as short-term and long-term impacts on neonatal outcome in childhood and adulthood.Five hundred and ninety-one women visiting our tertiary perinatal center in 2014 were analyzed for antenatal BMI, gestational weight gain, as well as pregnancy outcome and complication together with neonatal weight and outcome. Pregnancy weight gain was assessed based on the IOM guidelines (Institute of Medicine) issued in 2009.Twenty-nine percent of our population was overweight with a BMI of more than 25.0. The general weight gain was in every BMI group similar (median ranging from 12.0 to 14.0 kg). Approximately one third gained more than the appropriate amount (37%, P<0.001). Women with more gestational weight were at risk of labor induction (55.0% vs. 45.7% labor induction in total, P=0.007). Strikingly, those patients were found to have significantly higher rates of secondary cesarean section (22.4% vs. 15.4%) and decreased chances of spontaneous vaginal birth (57.5% vs. 61.4%) (P=0.008). Furthermore women with a pregnancy weight gain in excess of the guidelines gave birth to neonates with a higher birth weight (>75.centile, 28.3% vs. 21.3%, P<0.001).Altogether, one third of the analyzed population is already overweight or obese when entering pregnancy. A higher gestational weight gain than the recommended amount was found in 37% of cases. We found an association with pregnancy and birthing complications as well as higher infant weight. This highlights the importance of preconceptive and prenatal advice, and if necessary, intervention on BMI and weight gain.


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