دورية أكاديمية
Patterns of gestational weight gain among women with obesity and its correlation with hypertensive disorders of pregnancy in Chinese women
| العنوان: | Patterns of gestational weight gain among women with obesity and its correlation with hypertensive disorders of pregnancy in Chinese women |
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| المؤلفون: | Wei Song, Zhi Zhang, Wei Zheng, Lei Gao, Shengnan Liang, Dongmei Cheng, Xiaoxin Wang, Cuimei Guo, Guanghui Li |
| المصدر: | Maternal and Child Nutrition, Vol 19, Iss 3, Pp n/a-n/a (2023) |
| بيانات النشر: | Wiley, 2023. |
| سنة النشر: | 2023 |
| المجموعة: | LCC:Pediatrics LCC:Gynecology and obstetrics LCC:Nutritional diseases. Deficiency diseases |
| مصطلحات موضوعية: | hypertension, obesity, pattern of gestational weight gain, pregnancy outcomes, pregnancy, weight gain, Pediatrics, RJ1-570, Gynecology and obstetrics, RG1-991, Nutritional diseases. Deficiency diseases, RC620-627 |
| الوصف: | Abstract Gestational weight management in obese women is critical in clinical work. Adverse pregnancy outcomes are associated with improper gestational weight gain (GWG). However, the pattern of GWG (PGWG) and its correlation with hypertensive disorders of pregnancy (HDP) in obesity are still unclear in China. This retrospective cohort study evaluates clinical data from 799 women through multivariate analyses and trajectory analyses. All the participants are stratified per first trimester weight gain category into three groups (Inadequate‐1st, 2.0 kg) and PGWG refers to the weekly weight gain during each gestational period. GWG is positively associated with first trimester weight gain. 78.4% of the Excessive‐1st participants have excessive total GWG, in contrast to Inadequate‐1st (32.7%) and Adequate‐1st (48.2%). After 20 weeks, the weekly weight gain rapidly accelerates, and 77.3% have a weekly weight gain exceeding the Institute of Medicine recommendations. Trajectory analysis of weekly weight gain based on HDP shows two separate weight gain curves after 20 weeks in women with and without a high risk of HDP. Especially in Excessive‐1st participants, weekly weight gain after 20 weeks over 0.32 kg/w is positively related to the risk of HDP (0.61 kg/w, aOR: 5.362, 95% CI: 1.719–16.729). In summary, the first trimester is critical for gestational weight management in obesity. Excessive weight gain during the first trimester and after 20 weeks predicts a high risk of HDP, which should be noted in clinical practice. |
| نوع الوثيقة: | article |
| وصف الملف: | electronic resource |
| اللغة: | English |
| تدمد: | 1740-8709 1740-8695 |
| Relation: | https://doaj.org/toc/1740-8695; https://doaj.org/toc/1740-8709 |
| DOI: | 10.1111/mcn.13416 |
| URL الوصول: | https://doaj.org/article/342f77c5b7784ad49477ee7cfb9dd8f2 |
| رقم الأكسشن: | edsdoj.342f77c5b7784ad49477ee7cfb9dd8f2 |
| قاعدة البيانات: | Directory of Open Access Journals |
Full Text Finder | تدمد: | 17408709 17408695 |
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| DOI: | 10.1111/mcn.13416 |