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Higher pre-pregnancy body mass index is associated with excessive gestational weight gain in normal weight Chinese mothers with gestational diabetes.
J Obstet Gynaecol Res. 2016 May; 42(5):511-8.JO

Abstract

AIM

To assess how pre-pregnancy body mass index (BMI) affects pregnancy outcome and total gestational weight gain (GWG) in a cohort of women with gestational diabetes (GDM).

METHODS

Pregnant women at 24-28 gestational weeks diagnosed with GDM were classified as normal weight (pre-pregnancy BMI, 18.5-24.9 kg/m(2)) or overweight (pre-pregnancy BMI, 25.0-29.9 kg/m(2)). GWG was derived from the self-reported pre-pregnancy and pre-delivery weights, and analyzed using 2009 Institute of Medicine categories.

RESULTS

A total of 106 GDM women were categorized as normal weight (n = 79) or overweight (n = 27). No statistically significant differences were found between the groups in terms of various obstetrical and neonatal outcomes. Higher pre-pregnancy BMI, however, was associated with excessive GWG during pregnancy (difference between groups, P = 0.013). Furthermore, pre-pregnancy BMI (OR, 0.529; 95%CI: 0.377-0.742; P = 0.000) and pre-pregnancy overweight (OR, 3.825; 95%CI: 1.469-9.959; P = 0.006) were independent factors of GWG.

CONCLUSIONS

Among Chinese GDM women, overweight GDM mothers gain excessive weight during pregnancy. Regulation of pre-pregnancy bodyweight might be an appropriate precaution against excessive GWG.

Authors+Show Affiliations

Departments of Endocrinology, Affiliated ZhongDa Hospital of Southeast University, Nanjing, China.Departments of Endocrinology, Affiliated ZhongDa Hospital of Southeast University, Nanjing, China.Department of Obstetrics and Gynecology, Affiliated ZhongDa Hospital of Southeast University, Nanjing, China.Departments of Endocrinology, Affiliated ZhongDa Hospital of Southeast University, Nanjing, China.Departments of Endocrinology, Affiliated ZhongDa Hospital of Southeast University, Nanjing, China.Departments of Endocrinology, Affiliated ZhongDa Hospital of Southeast University, Nanjing, China.Departments of Endocrinology, Affiliated ZhongDa Hospital of Southeast University, Nanjing, China.Departments of Endocrinology, Affiliated ZhongDa Hospital of Southeast University, Nanjing, China.Departments of Endocrinology, Affiliated ZhongDa Hospital of Southeast University, Nanjing, China.

Pub Type(s)

Journal Article
Observational Study

Language

eng

PubMed ID

26786662

Citation

Yang, Yue, et al. "Higher Pre-pregnancy Body Mass Index Is Associated With Excessive Gestational Weight Gain in Normal Weight Chinese Mothers With Gestational Diabetes." The Journal of Obstetrics and Gynaecology Research, vol. 42, no. 5, 2016, pp. 511-8.
Yang Y, Wei Q, Yu H, et al. Higher pre-pregnancy body mass index is associated with excessive gestational weight gain in normal weight Chinese mothers with gestational diabetes. J Obstet Gynaecol Res. 2016;42(5):511-8.
Yang, Y., Wei, Q., Yu, H., Wang, P., Xia, W., Huang, R., Cai, R., Sun, H., & Wang, S. (2016). Higher pre-pregnancy body mass index is associated with excessive gestational weight gain in normal weight Chinese mothers with gestational diabetes. The Journal of Obstetrics and Gynaecology Research, 42(5), 511-8. https://doi.org/10.1111/jog.12934
Yang Y, et al. Higher Pre-pregnancy Body Mass Index Is Associated With Excessive Gestational Weight Gain in Normal Weight Chinese Mothers With Gestational Diabetes. J Obstet Gynaecol Res. 2016;42(5):511-8. PubMed PMID: 26786662.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Higher pre-pregnancy body mass index is associated with excessive gestational weight gain in normal weight Chinese mothers with gestational diabetes. AU - Yang,Yue, AU - Wei,Qiong, AU - Yu,Hong, AU - Wang,Pin, AU - Xia,Wenqing, AU - Huang,Rong, AU - Cai,Rongrong, AU - Sun,Haixia, AU - Wang,Shaohua, Y1 - 2016/01/19/ PY - 2015/06/05/received PY - 2015/09/07/revised PY - 2015/11/27/accepted PY - 2016/1/21/entrez PY - 2016/1/21/pubmed PY - 2017/4/1/medline KW - gestational diabetes mellitus KW - pre-pregnancy body mass index KW - pregnancy outcome KW - pregnancy weight gain SP - 511 EP - 8 JF - The journal of obstetrics and gynaecology research JO - J. Obstet. Gynaecol. Res. VL - 42 IS - 5 N2 - AIM: To assess how pre-pregnancy body mass index (BMI) affects pregnancy outcome and total gestational weight gain (GWG) in a cohort of women with gestational diabetes (GDM). METHODS: Pregnant women at 24-28 gestational weeks diagnosed with GDM were classified as normal weight (pre-pregnancy BMI, 18.5-24.9 kg/m(2)) or overweight (pre-pregnancy BMI, 25.0-29.9 kg/m(2)). GWG was derived from the self-reported pre-pregnancy and pre-delivery weights, and analyzed using 2009 Institute of Medicine categories. RESULTS: A total of 106 GDM women were categorized as normal weight (n = 79) or overweight (n = 27). No statistically significant differences were found between the groups in terms of various obstetrical and neonatal outcomes. Higher pre-pregnancy BMI, however, was associated with excessive GWG during pregnancy (difference between groups, P = 0.013). Furthermore, pre-pregnancy BMI (OR, 0.529; 95%CI: 0.377-0.742; P = 0.000) and pre-pregnancy overweight (OR, 3.825; 95%CI: 1.469-9.959; P = 0.006) were independent factors of GWG. CONCLUSIONS: Among Chinese GDM women, overweight GDM mothers gain excessive weight during pregnancy. Regulation of pre-pregnancy bodyweight might be an appropriate precaution against excessive GWG. SN - 1447-0756 UR - https://www.unboundmedicine.com/medline/citation/26786662/Higher_pre_pregnancy_body_mass_index_is_associated_with_excessive_gestational_weight_gain_in_normal_weight_Chinese_mothers_with_gestational_diabetes_ L2 - https://doi.org/10.1111/jog.12934 DB - PRIME DP - Unbound Medicine ER -