scholarly journals Prevalence and Association of Congenital Anomalies According to the Maternal Body Mass Index: Cross-Sectional Study

Author(s):  
Carolina Leão de Moraes ◽  
Carolina Rodrigues Mendonça ◽  
Natália Cruz e Melo ◽  
Waldemar Naves do Amaral

Objective To evaluate and compare the prevalence of structural congenital anomalies (CAs) according to maternal body mass index (BMI). Methods The present cross-sectional study involved pregnant women with fetuses diagnosed with structural CAs through morphological ultrasonography between November 2014 and January 2016. The nutritional status of the pregnant women was classified according to the gross value of the body mass index. The pregnant women were categorized into four groups: low weight, adequate weight, overweight, and obesity. Statistical analysis was performed using Stata/SE version 12.0 (Stata Corporation, College Station, TX), with values of p ≤ 0.05 considered statistically significant. Results A total of 223 pregnant women had fetuses diagnosed with CAs. The prevalence of structural CAs in pregnant women with low weight was of 20.18%, of 43.50% in pregnant women with adequate weight, of 22.87% in pregnant women with overweight, and of 13.45% in pregnant women with obesity. The prevalence of central nervous system (CNS) anomalies and of genitourinary system anomalies was high for the four groups of pregnant women. A positive association was observed between multiple anomalies in pregnant women with adequate weight (prevalence ratio [PR] = 1.65; p ≤ 0.004) and between anomalies of the lymphatic system in obese pregnant women (PR = 4.04, p ≤ 0.000). Conclusion The prevalence of CNS and genitourinary system anomalies was high in all of the BMI categories. Obese pregnancies were associated with lymphatic system anomalies. Therefore, screening and identification of the risk factors for CAs are important, regardless of the maternal BMI. Our findings reinforce the importance of discussing with pregnant women maternal nutrition and its effect on fetal development and on neonatal outcome.

Nutrients ◽  
2019 ◽  
Vol 11 (4) ◽  
pp. 759 ◽  
Author(s):  
Adina Lang ◽  
Cheryce Harrison ◽  
Jacqueline Boyle

Obesity is a rising global health challenge, particularly for reproductive-aged women. Our cross-sectional study of pregnant women (n = 223) examined associations between preconception body mass index (BMI) and socio-demographics, weight perceptions and lifestyle behaviors. Over half of women were overweight (33.2%) or obese (22.0%), 49.6% of which perceived their weight as normal. High proportions of women reported planning their pregnancies (70.0%) and were actively trying to lose or maintain their weight preconception (72.7%). Weight management approaches varied from reducing discretionary foods (63.7%) to professional support (8.1%). Obese women had significantly greater odds of reducing discretionary foods (odds ratio (OR) = 6.69 95% confidence interval (CI) 2.13–21.00, p = 0.001) and using structured diets (adjusted odds ratio (AOR) = 9.13 95% CI 2.90–28.81, p < 0.001) compared to normal-weight women. After adjusting for socio-demographics, compared to normal-weight women, overweight (AOR = 5.24 95% CI 2.19–12.56, p < 0.001) and obese (AOR = 2.85 95% CI 1.06–7.67, p = 0.04) women had significantly increased odds of exercising for weight management and significantly lower odds of taking folic-acid preconception (overweight: AOR = 0.40 95% CI 0.18–0.90, p = 0.01, obese: AOR = 0.38 95% CI 0.16–0.91, p = 0.03). Large proportions of women planning a pregnancy have an overweight/obese BMI, with associated suboptimal health behaviors and reduced health professional engagement preconception. Further research exploring women’s perspectives regarding preconception lifestyles is needed to inform effective preconception health promotion strategies.


2016 ◽  
Vol 51 (8) ◽  
pp. 803-811 ◽  
Author(s):  
Kelvin D. MacDonald ◽  
Kimberly K. Vesco ◽  
Kristine L. Funk ◽  
Jerena Donovan ◽  
Thuan Nguyen ◽  
...  

2019 ◽  
Vol 35 (5) ◽  
Author(s):  
Resmiye Özdilek ◽  
Yılda Arzu Aba ◽  
Sena Dilek Aksoy ◽  
Bulat Aytek Şık ◽  
Yaşam Kemal Akpak

Objective: To investigate the adaptation of pregnant women to the recommended weight gain range according to body mass index (BMI) and to determine the factors affecting them. Methods: This cross-sectional study was performed in a university hospital’s obstetrics and gynecology unit (tertiary center) in Turkey. This study was conducted between March 2018 and August 2018 (6 months) in pregnant women. Pregnant women with chronic disease and receiving treatment during antenatal follow-up, with twin pregnancy, with a fetus with a congenital abnormality, and nutritional disturbance were excluded from the study. Eight hundred twelve pregnant women with normal antenatal follow-up and who volunteered to participate were included in the study. Results: The mean age of the participants was 27.66±5.05 years. The mean weight and BMI before pregnancy were near standard in all participants. The group with the highest rate of recommended weight gain according to BMI before pregnancy was the group with low weight pregnant women. The ideal weight gain rate in all groups was 32%. Conclusions: The groups with overweight and obese pregnant women according to BMI before pregnancy had the highest rates of weight gain, above the recommended limits. BMI before pregnancy directly affects weight gain during pregnancy and the importance of pre-pregnancy counseling and weight loss is emphasized once again. doi: https://doi.org/10.12669/pjms.35.5.133 How to cite this:Ozdilek R, Aba YA, Aksoy SD, Sik BA, Akpak YK. The relationship between body mass index before pregnancy and the amount of weight that should be gained during pregnancy: A cross-sectional study. Pak J Med Sci. 2019;35(5):---------.  doi: https://doi.org/10.12669/pjms.35.5.133 This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/3.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.


2020 ◽  
Vol 70 (6) ◽  
pp. 1880-84
Author(s):  
Minal Akram ◽  
Shahnai Basharat ◽  
Muhammad Mustafa Qamar ◽  
Ayesha Basharat ◽  
Tanveer Ahmed ◽  
...  

Objective: To determine whether the body mass index (BMI) and hemoglobin (HB) level are associated withsocioeconomic strata among pregnant women belonging to different socioeconomic strata. Study Design: A cross-sectional study. Place and Duration of Study: Sheikh Zayed Hospital, National Hospital & Medical Center, and Hameed LatifHospital Lahore (Punjab; Pakistan), from Mar to Dec 2018. Methodology: A cross-sectional study was conducted on 300 pregnant women of lower, middle and upper class; age range from 15-39 years. Women from all trimesters were included in the study. A self-structured questionnaire was used to collect socio-demographic data about participants of the study. Anthropometric measurements, body mass index (BMI), and hemoglobin (HB) level were evaluated in participants belonging to different socioeconomic status. Results: The study determined that 3% of participants were underweight, 29% had average weight, 45% belong to an overweight category, and 23% were obese as assessed based on BMI values. Hemoglobin level varied from 9.1 mg/dl to 11 mg/dl among participants of different socioeconomic strata. A significant association was observed between BMI, HB level, and socioeconomic status (p=0.000). However, there was no significant association observed between BMI and hemoglobin. Conclusion: It was concluded that the body mass index (BMI) and hemoglobin (HB) were significantly associated with socioeconomic conditions of pregnant women but showed no association with each other. This provided the potential for new avenues to improve health status during pregnancy.


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