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Impact of maternal body mass index and gestational weight gain on pregnancy complications: an individual participant data meta-analysis of European, North American and Australian cohorts
- Source :
- Bjog-An International Journal of Obstetrics and Gynaecology, 126(8), 984-995. Wiley-Blackwell Publishing Ltd, BJOG : An International Journal of Obstetrics and Gynaecology, 126(8), 984-995. Wiley, BJOG 126, 984-995 (2019), Bjog-an International Journal of Obstetrics and Gynaecology, 126(8), 984-995. Wiley, BJOG: An International Journal of Obstetrics and Gynaecology, 126(8), 984-995. Wiley-Blackwell, BJOG: An International Journal of Obstetrics and Gynaecology 126 (2019) 8, BJOG: An International Journal of Obstetrics and Gynaecology, BJOG: An International Journal of Obstetrics and Gynaecology, Wiley, 2019, 126 (8), pp.984-995. ⟨10.1111/1471-0528.15661⟩, Santos, S, Voerman, E, Amiano, P, Barros, H, Beilin, L J, Bergstrom, A, Charles, M-A, Chatzi, L, Chevrier, C, Chrousos, G P, Corpeleijn, E, Costa, O, Costet, N, Crozier, S, Devereux, G, Doyon, M, Eggesbo, M, Fantini, M P, Farchi, S, Forastiere, F, Georgiu, V, Godfrey, K M, Gori, D, Grote, V, Hanke, W, Hertz-Picciotto, I, Heude, B, Hivert, M-F, Hryhorczuk, D, Huang, R-C, Inskip, H, Karvonen, A M, Kenny, L C, Koletzko, B, Kupers, L K, Lagstrom, H, Lehmann, I, Magnus, P, Majewska, R, Makela, J, Manios, Y, McAuliffe, F M, McDonald, S W, Mehegan, J, Melen, E, Mommers, M, Morgen, C S, Moschonis, G, Murray, D, Ni Chaoimh, C, Nohr, E A, Andersen, A-M N, Oken, E, Oostvogels, A J J M, Pac, A, Papadopoulou, E, Pekkanen, J, Pizzi, C, Polanska, K, Porta, D, Richiardi, L, Rifas-Shiman, S L, Roeleveld, N, Ronfani, L, Santos, A C, Standl, M, Stigum, H, Stoltenberg, C, Thiering, E, Thijs, C, Torrent, M, Tough, S C, Trnovec, T, Turner, S, van Gelder, M M H J, van Rossem, L, von Berg, A, Vrijheid, M, Vrijkotte, T G M, West, J, Wijga, A H, Wright, J, Zvinchuk, O, Sørensen, T I A, Lawlor, D A, Gaillard, R & Jaddoe, V W V 2019, ' Impact of maternal body mass index and gestational weight gain on pregnancy complications : an individual participant data meta-analysis of European, North American and Australian cohorts ', B J O G, vol. 126, no. 8, pp. 984-995 . https://doi.org/10.1111/1471-0528.15661, BJOG : an International Journal of Obstetrics and Gynaecology, 126, 984-995, Santos, S, Voerman, E, Amiano, P, Barros, H, Beilin, L J, Bergström, A, Charles, M-A, Chatzi, L, Chevrier, C, Chrousos, G P, Corpeleijn, E, Costa, O, Costet, N, Crozier, S, Devereux, G, Doyon, M, Eggesbø, M, Fantini, M P, Farchi, S, Forastiere, F, Georgiu, V, Godfrey, K M, Gori, D, Grote, V, Hanke, W, Hertz-Picciotto, I, Heude, B, Hivert, M-F, Hryhorczuk, D, Huang, R-C, Inskip, H, Karvonen, A M, Kenny, L C, Koletzko, B, Küpers, L K, Lagström, H, Lehmann, I, Magnus, P, Majewska, R, Mäkelä, J, Manios, Y, McAuliffe, F M, McDonald, S W, Mehegan, J, Melén, E, Mommers, M, Morgen, C S, Moschonis, G, Murray, D, Chaoimh, C N, Nohr, E A, Nybo Andersen, A-M, Oken, E, Oostvogels, A J J M, Pac, A, Papadopoulou, E, Pekkanen, J, Pizzi, C, Polanska, K, Porta, D, Richiardi, L, Rifas-Shiman, S L, Roeleveld, N, Ronfani, L, Santos, A C, Standl, M, Stigum, H, Stoltenberg, C, Thiering, E, Thijs, C, Torrent, M, Tough, S C, Trnovec, T, Turner, S, van Gelder, M M H J, van Rossem, L, von Berg, A, Vrijheid, M, Vrijkotte, T G M, West, J, Wijga, A H, Wright, J, Zvinchuk, O, Sørensen, T I A, Lawlor, D A, Gaillard, R & Jaddoe, V W V 2019, ' Impact of maternal body mass index and gestational weight gain on pregnancy complications : An individual participant data meta-analysis of European, North American and Australian cohorts ', B J O G, vol. 126, no. 8, pp. 984-995 . https://doi.org/10.1111/1471-0528.15661, BJOG: An International Journal of Obstetrics & Gynaecology, BJOG: An International Journal of Obstetrics and Gynaecology, 126(8), 984-995, BJOG : an International Journal of Obstetrics and Gynaecology, 126, 8, pp. 984-995, BJOG-AN INTERNATIONAL JOURNAL OF OBSTETRICS AND GYNAECOLOGY, r-FISABIO. Repositorio Institucional de Producción Científica, instname, BJOG : an international journal of obstetrics and gynaecology, vol 126, iss 8, r-FISABIO: Repositorio Institucional de Producción Científica, Fundación para el Fomento de la Investigación Sanitaria y Biomédica de la Comunitat Valenciana (FISABIO), BJOG: An International Journal of Obstetrics and Gynaecology, 2019, 126 (8), pp.984-995. ⟨10.1111/1471-0528.15661⟩, BJOG: an International Journal of Obstetrics and Gynaecology
- Publication Year :
- 2019
-
Abstract
- ObjectiveTo assess the separate and combined associations of maternal pre‐pregnancy body mass index (BMI) and gestational weight gain with the risks of pregnancy complications and their population impact.DesignIndividual participant data meta‐analysis of 39 cohorts.SettingEurope, North America, and Oceania.Population265 270 births.MethodsInformation on maternal pre‐pregnancy BMI, gestational weight gain, and pregnancy complications was obtained. Multilevel binary logistic regression models were used.Main outcome measuresGestational hypertension, pre‐eclampsia, gestational diabetes, preterm birth, small and large for gestational age at birth.ResultsHigher maternal pre‐pregnancy BMI and gestational weight gain were, across their full ranges, associated with higher risks of gestational hypertensive disorders, gestational diabetes, and large for gestational age at birth. Preterm birth risk was higher at lower and higher BMI and weight gain. Compared with normal weight mothers with medium gestational weight gain, obese mothers with high gestational weight gain had the highest risk of any pregnancy complication (odds ratio 2.51, 95% CI 2.31– 2.74). We estimated that 23.9% of any pregnancy complication was attributable to maternal overweight/obesity and 31.6% of large for gestational age infants was attributable to excessive gestational weight gain.ConclusionsMaternal pre‐pregnancy BMI and gestational weight gain are, across their full ranges, associated with risks of pregnancy complications. Obese mothers with high gestational weight gain are at the highest risk of pregnancy complications. Promoting a healthy pre‐pregnancy BMI and gestational weight gain may reduce the burden of pregnancy complications and ultimately the risk of maternal and neonatal morbidity.Tweetable abstractPromoting a healthy body mass index and gestational weight gain might reduce the population burden of pregnancy complications.
- Subjects :
- Gestational hypertension
and promotion of well-being
Nutrition and Disease
Birthweight
Reproductive health and childbirth
Low Birth Weight and Health of the Newborn
Cardiovascular
Medical and Health Sciences
DISEASE
Cohort Studies
0302 clinical medicine
3123 Gynaecology and paediatrics
Risk Factors
Pregnancy
Voeding en Ziekte
Infant Mortality
Odds Ratio
Medicine
Birth Weight
2.1 Biological and endogenous factors
EPIDEMIOLOGY
wq_200
Aetiology
2. Zero hunger
Pediatric
RISK
education.field_of_study
OUTCOMES
030219 obstetrics & reproductive medicine
Obstetrics
pregnancy complications
Diabetes
Obstetrics and Gynecology
Gestational age
weight gain
ASSOCIATION
Gestational Weight Gain
Gestational diabetes
Europe
Body Mass Index
Pregnancy Complications
Preterm Birth
Weight Gain
OBESITY
Female
medicine.symptom
Adult
medicine.medical_specialty
PRETERM BIRTH
Birth weight
Population
Gestational Age
body mass index
[SDV.MHEP.GEO]Life Sciences [q-bio]/Human health and pathology/Gynecology and obstetrics
wa_310
Healthcare improvement science Radboud Institute for Health Sciences [Radboudumc 18]
03 medical and health sciences
All institutes and research themes of the Radboud University Medical Center
Preterm
Clinical Research
Humans
wq_100
Obesity
education
Obstetrics & Reproductive Medicine
Metabolic and endocrine
Nutrition
business.industry
Contraception/Reproduction
Prevention
preterm birth
Australia
Infant
birth weight
DIABETES-MELLITUS
Preterm birth weight gain
Overweight
Perinatal Period - Conditions Originating in Perinatal Period
medicine.disease
Newborn
Prevention of disease and conditions
Reconstructive and regenerative medicine Radboud Institute for Health Sciences [Radboudumc 10]
Good Health and Well Being
North America
3.1 Primary prevention interventions to modify behaviours or promote wellbeing
pregnancy complication
business
Weight gain
Body mass index
wb_200
Subjects
Details
- ISSN :
- 14700328 and 14710528
- Database :
- OpenAIRE
- Journal :
- Bjog-An International Journal of Obstetrics and Gynaecology, 126(8), 984-995. Wiley-Blackwell Publishing Ltd, BJOG : An International Journal of Obstetrics and Gynaecology, 126(8), 984-995. Wiley, BJOG 126, 984-995 (2019), Bjog-an International Journal of Obstetrics and Gynaecology, 126(8), 984-995. Wiley, BJOG: An International Journal of Obstetrics and Gynaecology, 126(8), 984-995. Wiley-Blackwell, BJOG: An International Journal of Obstetrics and Gynaecology 126 (2019) 8, BJOG: An International Journal of Obstetrics and Gynaecology, BJOG: An International Journal of Obstetrics and Gynaecology, Wiley, 2019, 126 (8), pp.984-995. ⟨10.1111/1471-0528.15661⟩, Santos, S, Voerman, E, Amiano, P, Barros, H, Beilin, L J, Bergstrom, A, Charles, M-A, Chatzi, L, Chevrier, C, Chrousos, G P, Corpeleijn, E, Costa, O, Costet, N, Crozier, S, Devereux, G, Doyon, M, Eggesbo, M, Fantini, M P, Farchi, S, Forastiere, F, Georgiu, V, Godfrey, K M, Gori, D, Grote, V, Hanke, W, Hertz-Picciotto, I, Heude, B, Hivert, M-F, Hryhorczuk, D, Huang, R-C, Inskip, H, Karvonen, A M, Kenny, L C, Koletzko, B, Kupers, L K, Lagstrom, H, Lehmann, I, Magnus, P, Majewska, R, Makela, J, Manios, Y, McAuliffe, F M, McDonald, S W, Mehegan, J, Melen, E, Mommers, M, Morgen, C S, Moschonis, G, Murray, D, Ni Chaoimh, C, Nohr, E A, Andersen, A-M N, Oken, E, Oostvogels, A J J M, Pac, A, Papadopoulou, E, Pekkanen, J, Pizzi, C, Polanska, K, Porta, D, Richiardi, L, Rifas-Shiman, S L, Roeleveld, N, Ronfani, L, Santos, A C, Standl, M, Stigum, H, Stoltenberg, C, Thiering, E, Thijs, C, Torrent, M, Tough, S C, Trnovec, T, Turner, S, van Gelder, M M H J, van Rossem, L, von Berg, A, Vrijheid, M, Vrijkotte, T G M, West, J, Wijga, A H, Wright, J, Zvinchuk, O, Sørensen, T I A, Lawlor, D A, Gaillard, R & Jaddoe, V W V 2019, ' Impact of maternal body mass index and gestational weight gain on pregnancy complications : an individual participant data meta-analysis of European, North American and Australian cohorts ', B J O G, vol. 126, no. 8, pp. 984-995 . https://doi.org/10.1111/1471-0528.15661, BJOG : an International Journal of Obstetrics and Gynaecology, 126, 984-995, Santos, S, Voerman, E, Amiano, P, Barros, H, Beilin, L J, Bergström, A, Charles, M-A, Chatzi, L, Chevrier, C, Chrousos, G P, Corpeleijn, E, Costa, O, Costet, N, Crozier, S, Devereux, G, Doyon, M, Eggesbø, M, Fantini, M P, Farchi, S, Forastiere, F, Georgiu, V, Godfrey, K M, Gori, D, Grote, V, Hanke, W, Hertz-Picciotto, I, Heude, B, Hivert, M-F, Hryhorczuk, D, Huang, R-C, Inskip, H, Karvonen, A M, Kenny, L C, Koletzko, B, Küpers, L K, Lagström, H, Lehmann, I, Magnus, P, Majewska, R, Mäkelä, J, Manios, Y, McAuliffe, F M, McDonald, S W, Mehegan, J, Melén, E, Mommers, M, Morgen, C S, Moschonis, G, Murray, D, Chaoimh, C N, Nohr, E A, Nybo Andersen, A-M, Oken, E, Oostvogels, A J J M, Pac, A, Papadopoulou, E, Pekkanen, J, Pizzi, C, Polanska, K, Porta, D, Richiardi, L, Rifas-Shiman, S L, Roeleveld, N, Ronfani, L, Santos, A C, Standl, M, Stigum, H, Stoltenberg, C, Thiering, E, Thijs, C, Torrent, M, Tough, S C, Trnovec, T, Turner, S, van Gelder, M M H J, van Rossem, L, von Berg, A, Vrijheid, M, Vrijkotte, T G M, West, J, Wijga, A H, Wright, J, Zvinchuk, O, Sørensen, T I A, Lawlor, D A, Gaillard, R & Jaddoe, V W V 2019, ' Impact of maternal body mass index and gestational weight gain on pregnancy complications : An individual participant data meta-analysis of European, North American and Australian cohorts ', B J O G, vol. 126, no. 8, pp. 984-995 . https://doi.org/10.1111/1471-0528.15661, BJOG: An International Journal of Obstetrics & Gynaecology, BJOG: An International Journal of Obstetrics and Gynaecology, 126(8), 984-995, BJOG : an International Journal of Obstetrics and Gynaecology, 126, 8, pp. 984-995, BJOG-AN INTERNATIONAL JOURNAL OF OBSTETRICS AND GYNAECOLOGY, r-FISABIO. Repositorio Institucional de Producción Científica, instname, BJOG : an international journal of obstetrics and gynaecology, vol 126, iss 8, r-FISABIO: Repositorio Institucional de Producción Científica, Fundación para el Fomento de la Investigación Sanitaria y Biomédica de la Comunitat Valenciana (FISABIO), BJOG: An International Journal of Obstetrics and Gynaecology, 2019, 126 (8), pp.984-995. ⟨10.1111/1471-0528.15661⟩, BJOG: an International Journal of Obstetrics and Gynaecology
- Accession number :
- edsair.doi.dedup.....204876733847c1c1939dc9a1dcb16acd