Association among pre-pregnancy body mass index, gestational weight gain and neonatal birth weight: a prospective cohort study in China
العنوان: | Association among pre-pregnancy body mass index, gestational weight gain and neonatal birth weight: a prospective cohort study in China |
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المؤلفون: | Yu Jiang, Yahui Feng, Shuya Cai, Yongle Zhan, Yunli Chen, Liangkun Ma, Yingjie Shi, Sansan Wu, Haihui Ma, Yawen Wang |
المصدر: | BMC Pregnancy and Childbirth BMC Pregnancy and Childbirth, Vol 20, Iss 1, Pp 1-9 (2020) |
بيانات النشر: | Springer Science and Business Media LLC, 2020. |
سنة النشر: | 2020 |
مصطلحات موضوعية: | Adult, China, medicine.medical_specialty, Pregnancy Trimester, Third, Birth weight, Gestational weight gain, Overweight, lcsh:Gynecology and obstetrics, Body Mass Index, Young Adult, 03 medical and health sciences, 0302 clinical medicine, Pregnancy, Risk Factors, medicine, Birth Weight, Humans, Prospective Studies, 030212 general & internal medicine, lcsh:RG1-991, 030219 obstetrics & reproductive medicine, Obstetrics, business.industry, Infant, Newborn, Pregnancy Outcome, Obstetrics and Gynecology, Small for gestational age, medicine.disease, Diabetes, Gestational, Logistic Models, Large for gestational age, Infant, Small for Gestational Age, Gestation, Female, Underweight, medicine.symptom, business, Body mass index, Weight gain, Research Article |
الوصف: | Background This study aims to explore the relationships between pre-pregnancy body mass index (BMI), gestational weight gain (GWG), rate of GWG during the second and third trimesters (GWGrate) and birth weight among Chinese women. Methods Women were enrolled by 24 hospitals in 15 different provinces in mainland China from July 25th, 2017 to 26 November 2018. Pre-pregnancy BMI, GWG and GWGrate were calculated and divided in to different groups. The multinomial logistic regression model and restrictive cubic spline model were used to explore the relationships. Results Of the 3585 participants, women who were underweight, had insufficient GWG or GWGrate had 1.853-, 1850- or 1.524-fold higher risks for delivering small-for-gestational-age (SGA) infant compared with women who had normal BMI, sufficient GWG or GWGrate. Women who were overweight/obese, had excessive GWG or GWGrate had 1.996-, 1676- or 1.673-fold higher risks for delivering large-for-gestational-age (LGA) infant. The effects of GWG and GWGrate on birth weight varied by pre-pregnancy BMI statuses. Dose-response analysis demonstrated L-shaped and S-shaped relationships between pre-pregnancy BMI, GWG, GWGrate and neonatal birth weight. Conclusions Pre-pregnancy BMI, GWG or GWGrate were associated with neonatal birth weight among Chinese women. Both body weight before and during pregnancy should be maintained within the recommendations to prevent abnormal birth weight. |
تدمد: | 1471-2393 |
URL الوصول: | https://explore.openaire.eu/search/publication?articleId=doi_dedup___::0bac0b9b8385f5ec77973faad10ecc1a https://doi.org/10.1186/s12884-020-03323-x |
حقوق: | OPEN |
رقم الأكسشن: | edsair.doi.dedup.....0bac0b9b8385f5ec77973faad10ecc1a |
قاعدة البيانات: | OpenAIRE |
تدمد: | 14712393 |
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