scholarly journals The obese woman with gestational diabetes: effects of body mass index and weight gain in pregnancy on obstetric and glycaemic outcomes

2012 ◽  
Vol 5 (2) ◽  
pp. 65-70 ◽  
Author(s):  
Flora Ip ◽  
Jennifer Bradford ◽  
Tien-Ming Hng ◽  
Susan Hendon ◽  
Mark McLean
Keyword(s):  
Body Mass Index ◽  
Weight Gain ◽  
Gestational Diabetes ◽  
Body Mass ◽  
Obese Woman ◽  
Obstetric Outcomes ◽  
Obese Women ◽  
Group A ◽  
Group B ◽  
In Pregnancy

Background Obese women with gestational diabetes mellitus (GDM) represent a high-risk group in pregnancy, although the effects of increasing degrees of obesity and weight gain in pregnancy in this group is poorly defined. Methods We performed a retrospective analysis of 375 singleton pregnancies complicated by maternal obesity and GDM. Women with a body mass index (BMI) of 30–35 kg/m2 were compared with those with a BMI of ≥ 35 kg/m2. Additionally, women were categorized according to weight gain in pregnancy: Group A (<0.18 kg/week), Group B (0.18–0.27 kg/week), Group C (>0.27 kg/week). Results Obstetric outcomes did not differ between the groups; however, postpartum dysglycaemia was more likely in women with a BMI ≥ 35 kg/m2 (odds ratio [OR] 3.2, 95% confidence interval [CI]: 1.2–8.9). Group B and Group C had higher odds of LGA (OR 3.8, 95% CI: 1.3–11.3; OR 5.0, 95% CI: 2.0–12.1, respectively) compared with Group A. Group C also had a lower risk of SGA (OR 0.4, 95% CI: 0.2–1.0) and a higher risk of postpartum dysglycaemia (OR 6.8, 95% CI: 1.7–26.9) compared with Group A. Conclusion Greater degrees of obesity are associated with higher risk of abnormal metabolic outcomes after pregnancy. Excessive weight gain in pregnancy in obese women increases adverse obstetric and glycaemic outcomes. Our findings suggest that targets for weight gain in pregnancy for obese women should be reduced from current recommendations.

The association of body mass index, weight gain and central obesity with activity-related breathlessness: the Swedish Cardiopulmonary Bioimage Study

Thorax ◽  
2019 ◽  
Vol 74 (10) ◽  
pp. 958-964 ◽  
Author(s):  
Magnus Pär Ekström ◽  
Anders Blomberg ◽  
Göran Bergström ◽  
John Brandberg ◽  
Kenneth Caidahl ◽  
...  
Keyword(s):  
Body Mass Index ◽  
Weight Gain ◽  
Body Mass ◽  
Lung Volume ◽  
Airflow Obstruction ◽  
Adult Life ◽  
Population Based ◽  
Obese Women ◽  
Adverse Health Outcomes ◽  
Lower Lung

IntroductionBreathlessness is common in the population, especially in women and associated with adverse health outcomes. Obesity (body mass index (BMI) >30 kg/m2) is rapidly increasing globally and its impact on breathlessness is unclear.MethodsThis population-based study aimed primarily to evaluate the association of current BMI and self-reported change in BMI since age 20 with breathlessness (modified Research Council score ≥1) in the middle-aged population. Secondary aims were to evaluate factors that contribute to breathlessness in obesity, including the interaction with spirometric lung volume and sex.ResultsWe included 13 437 individuals; mean age 57.5 years; 52.5% women; mean BMI 26.8 (SD 4.3); mean BMI increase since age 20 was 5.0 kg/m2; and 1283 (9.6%) reported breathlessness. Obesity was strongly associated with increased breathlessness, OR 3.54 (95% CI, 3.03 to 4.13) independent of age, sex, smoking, airflow obstruction, exercise level and the presence of comorbidities. The association between BMI and breathlessness was modified by lung volume; the increase in breathlessness prevalence with higher BMI was steeper for individuals with lower forced vital capacity (FVC). The higher breathlessness prevalence in obese women than men (27.4% vs 12.5%; p<0.001) was related to their lower FVC. Irrespective of current BMI and confounders, individuals who had increased in BMI since age 20 had more breathlessness.ConclusionBreathlessness is independently associated with obesity and with weight gain in adult life, and the association is stronger for individuals with lower lung volumes.

Total gestational weight gain and the risk of preeclampsia by pre-pregnancy body mass index categories: a population-based cohort study from 2013 to 2017

2019 ◽  
Vol 47 (6) ◽  
pp. 585-591 ◽  
Author(s):  
Tanja Premru-Srsen ◽  
Zorana Kocic ◽  
Vesna Fabjan Vodusek ◽  
Ksenija Geršak ◽  
Ivan Verdenik
Keyword(s):  
Body Mass Index ◽  
Weight Gain ◽  
Gestational Weight Gain ◽  
Body Mass ◽  
Odds Ratio ◽  
Protective Factor ◽  
Population Based ◽  
Normal Weight ◽  
Obese Women ◽  
Gestational Weight

Abstract Background Identifying the risk factors for preeclampsia (PE) is essential for the implementation of preventive actions. In the present study, we aimed at exploring the association between total gestational weight gain (GWG) and PE. Methods We performed a population-based cohort survey of 98,820 women with singleton pregnancies who delivered in Slovenia from 2013 to 2017. Aggregated data were obtained from the National Perinatal Information System (NPIS). The main outcome measure was the incidence of PE. The main exposure variable was total GWG standardized for the gestational duration by calculating the z-scores. The associations between total GWG and PE stratified by pre-pregnancy body mass index (BMI) categories adjusted for a variety of covariates were determined using multivariable logistic regression. We calculated the crude odds ratio (OR) and adjusted odds ratio (aOR) with a 95% confidence interval using a two-way test. Results Excessive GWG was associated with increased odds of PE in all pre-pregnancy BMI categories. The increase in the odds of PE by 445% was the highest in underweight women and by 122% was the lowest in obese women. Low GWG was associated with decreased odds of PE in all pre-pregnancy BMI categories except in normal-weight women with a GWG below −2 standard deviation (SD) and underweight women. The decrease in the odds of PE by 67% was the highest in obese women and by 41% was the lowest in normal-weight women. Conclusion Excessive GWG is a significant risk factor for PE, especially in underweight women, while low GWG is an important protective factor against PE, especially in obese women.

scholarly journals Changes in anthropometric and metabolic parameters in pregnancy and neonatal physical development during last decades

Medicina ◽  
2006 ◽  
Vol 43 (1) ◽  
pp. 10 ◽  
Author(s):  
Gražina Drąsutienė ◽  
Janina Tutkuvienė ◽  
Jolita Zakarevičienė ◽  
Diana Ramašauskaitė ◽  
Žaneta Kasilovskienė ◽  
...  
Keyword(s):  
Body Mass Index ◽  
Weight Gain ◽  
Body Mass ◽  
Biochemical Parameters ◽  
Inverse Correlation ◽  
Serum Levels ◽  
The Body ◽  
Anthropometric Parameters ◽  
Changes In Pregnancy ◽  
In Pregnancy

Objective. To evaluate changes in anthropometric and biochemical parameters in pregnancy and their dynamics during last two decades and to determine the association between anthropometric and biochemical parameters, their influence on fetal and neonatal development. Material and methods. In 1985–2005, anthropometric (height, body mass, weight gain during pregnancy, pelvic measurements, skinfold thicknesses, passive body mass) and biochemical (cholesterol, triglyceride, protein, and iron levels) parameters, their correlation, changes in pregnancy were examined; also the correlations between these parameters and neonatal body mass indices were evaluated. In 1986–1987, 383 pregnant women were examined, in 1998 – 130, and in 2003–2005 – 133. Results. During 20 years, the height of examined women increased on an average of 2.5 cm; they became thinner; body mass index decreased. The body composition became similar to “cylinder” shape due to decreased thickness of adipose tissue in the limbs. The dimensions of bony pelvis – external conjugate and bicristal diameters – decreased. Primiparous women became older (1995 – 22.5 years of age, 2004 – 27.6). At the beginning of investigation, the weight gain was on an average of 21.9% of body mass before pregnancy (13.3 kg) and at the end – 23.9% (14.2 kg). The values of anthropometric parameters vary in a consistent pattern during pregnancy: the lower body mass and body mass index at the beginning of pregnancy, the higher weight gain at the end of pregnancy. Blood serum levels of cholesterol, triglycerides, and especially iron were decreased during the study. Conclusions. An inverse correlation between body mass index and lipid metabolism in pregnancy was revealed: the higher body mass index was at the beginning of pregnancy, the lower increase in lipid concentration was during pregnancy. At the beginning of investigation as well as after 20 years, women with low body mass index showed the most significant anthropometric and lipid metabolic changes in pregnancy.

Pre-pregnancy obesity compromises obstetric and neonatal outcomes

2015 ◽  
Vol 43 (2) ◽  
Author(s):  
Katharina Hancke ◽  
Theresa Gundelach ◽  
Birgit Hay ◽  
Sylvia Sander ◽  
Frank Reister ◽  
...  
Keyword(s):  
Preterm Birth ◽  
Gestational Diabetes ◽  
Cesarean Section ◽  
Neonatal Outcomes ◽  
Elective Cesarean Section ◽  
Obese Women ◽  
Elective Cesarean ◽  
Group A ◽  
Grade Ii ◽  
Group B

AbstractObesity is an important issue among fertile women as it may affect obstetric and neonatal outcomes.Obstetric and neonatal outcomes of primiparous women were retrospectively analyzed in non-obese (n=11387) and obese (n=943) women. A subgroup analysis was performed in obese women divided into three groups: Grade I obesity (Group A, n=654), Grade II obesity (Group B, n=192), and Grade III obesity (Group C, n=97). Odds ratios (OR) were expressed with the corresponding 95% confidence intervals (CI).The incidence of gestational diabetes (non-obese, 1.9%; obese, 7.6%; Group C, 19.6%) and preeclampsia (non-obese, 3.3%; obese, 13.5%; Group C, 17.5%) increased with rising weight. The risk of non-elective cesarean section was significantly higher in obese women than in non-obese women (21.7% vs. 13.2%). The risk of extreme preterm birth (before 28 weeks of gestation) doubled in the Grade I obesity group (OR, 2.1; 95% CI, 1.4–3.2) and nearly tripled in women with body mass index ≥35 kg/mPre-pregnancy obesity is associated with higher incidences of gestational diabetes and preeclampsia. Our study shows that obese women have a higher risk of non-elective cesarean section and preterm birth.

P34. Prepregnancy body mass index, weight gain and hypertensive disorders in pregnancy

2011 ◽  
Vol 1 (3-4) ◽  
pp. 288
Author(s):  
Cannata M. Letizia ◽  
F. Corrado ◽  
Bucalo Me ◽  
G. Licata ◽  
M.l. Interdonato ◽  
...  
Keyword(s):  
Body Mass Index ◽  
Weight Gain ◽  
Body Mass ◽  
Prepregnancy Body Mass Index ◽  
Hypertensive Disorders ◽  
Hypertensive Disorders In Pregnancy ◽  
Index Weight ◽  
In Pregnancy

scholarly journals ANALYSIS OF BODY MASS INDEX (BMI) AND COGNITION IN ADOLESCENT FEMALES- A CORRELATIONAL STUDY

2021 ◽  
Vol 9 (5) ◽  
pp. 468-476
Author(s):  
Anjali Belwal ◽  
◽  
Reena Kumari ◽  
Deepak Nainwal ◽  
◽  
...  
Keyword(s):  
Body Mass Index ◽  
Body Mass ◽  
Statistical Significance ◽  
Adolescent Females ◽  
The Body ◽  
Physical Growth ◽  
Future Health ◽  
Wide Range ◽  
Group A ◽  
Group B

Background: Adolescent is characterised by rapid physical growth and sexual development, accompanied by changes in the percentage of body fat. Obesity and underweight are one of the most prominent problems of the modern society which consists of a wide range of short-term and long-term complications. The rising prevalence of childhood obesity is directly related to the vascular, metabolic condition and risk factor to cognitive decline or dementia. Under-weight is also often associated with acute and chronic medical complications like Anorexia nervosa, low bone density and mass with impaired immune system and increased mortality rate. Therefore purpose of this study is to identify early signs of impaired BMI as a cause of cognitive impairment and prevent the child obesity and underweight to overcome the future health risk factors. The aim of this study is to find a correlation between BMI and MMSE score in Indian adolescent females. Methodology: 31 female subjects with mean age 16±3 years were selected according to random sampling in this study. The Quetlets formula was used to measure body mass index. Group division for Underweight, Normal and Over-weight was done for the BMI score then Score of MMSE, a measure of cognition was taken. Data was analyzed using SPSS version 16. The Karl Pearsons Coefficient correlation was calculated to see correlation between BMI and MMSE cognitive function. P < 0.05 was considered of statistical significance. Result: The study found correlative change in variables as observed in group A MMSE mean 25.84±3.83 and BMI mean 16.10±1.08 with P<0.05 i.e which was found statically significant. In group B MMSE mean 26.22±1.30 and BMI mean 20.60±1.80 with P>0.05 i.e which was found statically non significnat. In group C MMSE mean 23.00±3.46 and BMI mean 26.06±1.15 with P<0.05 i.e which was found statically significant. And in total number of subject MMSE mean 25.68±3.3 and BMI mean 18.37±3.51with P>0.05. it was found that there was a significant correlation between the body mass index and cognition in group A and group C but there was no significant correlation between body mass index and cognition in group B and total number of subjects(31). Conclusion: The study conclude to state that there exist a significance correlation and of body mass index on cognition.

scholarly journals The relationship between thyroidectomy complications and body mass index

2020 ◽  
Vol 66 (11) ◽  
pp. 1573-1576
Author(s):  
Mehmet Üstün ◽  
Avni Can Karaca ◽  
Ihsan Birol ◽  
Gülberk Uslu ◽  
Semra Demirli Atici ◽  
...  
Keyword(s):  
Body Mass Index ◽  
Body Mass ◽  
Nerve Palsy ◽  
Operative Time ◽  
Bleeding Complications ◽  
Recurrent Nerve ◽  
Recurrent Nerve Palsy ◽  
Group A ◽  
Group B ◽  
The Relationship

SUMMARY INTRODUCTION: Obesity is a growing public health problem associated with many comorbid diseases. The aim of this study was to evaluate the relationship between body mass index and complications of thyroidectomy. METHODS: Patients who underwent total thyroidectomy between January 2015 and December 2018 were enrolled. Patients were divided into two groups, i.e., BMI <25 (group A) and BMI≥ 25 (group B). Demographics, operative time, and complications were retrospectively reviewed. RESULTS: The study included 145 patients (66 in Group A and 79 in Group B). There was no significant difference between the two groups in terms of age (p=0.330) and gender (p=0.055). No surgical site infection and bleeding complications were observed in any patients. The mean operative time was 148.4 minutes (90-235) in Group A and 153.4 minutes (85-285) in Group B (p=0.399). Transient hypocalcemia was observed in 25 (37.9%) patients in group A, and 23 (29.1%) patients in Group B (p = 0.291). Permanent hypocalcemia was not observed in any patient in group A, and in 2 patients in Group B (2.5%) (p = 0.501). Transient recurrent nerve palsy was observed in 1 (1.5%) patient in Group A and in 3 (3.8%) patients in Group B (p=0.626). None of the patients had permanent recurrent nerve palsy. Parathyroid autotransplantation was performed on 1 patient (1.5%) in group A and on 7 (8.9%) patients in Group B (p=0.055). CONCLUSION: We think there is no relationship between a high BMI and thyroidectomy complications, and surgery can also be performed safely in this patient group.

scholarly journals Utility of modified mid-pregnancy body mass index in predicting obstetric outcomes in Middle Eastern population

2021 ◽  
Vol 7 (1) ◽  
pp. 19-22
Author(s):  
Muzibunnisa A Begam ◽  
Sultan M Salahudheen
Keyword(s):  
Body Mass Index ◽  
Weight Gain ◽  
Body Mass ◽  
Middle Eastern ◽  
Obstetric Outcomes ◽  
Maternal Body Mass Index ◽  
Institute Of Medicine ◽  
Eastern Population ◽  
Significant Difference ◽  
Middle Eastern Population

Objective: To test the value of mid-pregnancy maternal body mass index (BMI) and weight gain in the second half of pregnancy in predicting pregnancy outcomes among Middle Eastern population where pre-gravid BMI was not available. Methods: Retrospective analysis of the obstetric outcomes of 290 women with singleton pregnancies who were categorized into underweight (UW), normal weight (NW), overweight (OW) and obese (OB) according to the BMI at 24-28 weeks of gestation and compared with recommended pre-gravid values by Institute of Medicine (2009). Results: The results showed that the gestational diabetes rate was significantly lower among the UW (2.4%) compared with the NW (8.8%, p<0.05), the OW (14.3%, p=0.006), and OB (20.5%, 0.001). The risk of having macrosomia was eight times higher among OW compared with NW women. The C-section rate was lowest among the UW group but there was no significant difference in terms C-section and low birth weight between groups. The obstetric outcomes among women whose weight gain was above the 90th and below the tenth centiles were not different. Conclusion: The prediction of obstetric outcomes by mid-pregnancy BMI is comparable to pre-gravid BMI. The results are encouraging, and further larger studies are needed to confirm the applicability

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