Body fat index: A novel alternative to body mass index for prediction of gestational diabetes and hypertensive disorders in pregnancy

European Journal of Obstetrics, Gynecology, and Reproductive Biology
Ahmed A NassrBrian C Brost

Abstract

To evaluate the association of ultrasound measurement of maternal abdominal subcutaneous and pre-peritoneal fat thickness in relation to the subsequent diagnosis of gestational diabetes (GDM), and to assess the association of body fat index (BFI), compared to conventional body mass index (BMI), with respect to the development of some obstetric related complications. A prospective study included non-diabetic pregnant women who were scheduled for fetal anatomic survey. Women underwent fat measurements and BFI (pre-peritoneal fat x subcutaneous fat/height) was calculated. They underwent routine glucose screening and diagnostic tests for GDM. Obstetric complications, mode of delivery, and delivery related events were reported. Multivariable logistic regression was used to test potential predictors for development of obesity-related complications. Primary outcome was development of GDM. Secondary outcomes included development of hypertensive disorders during pregnancy and need for cesarean delivery due to labor dystocia. The optimal cut-off points for continuous variables were obtained using a receiver operating characteristic (ROC) curve analyses. 389 women met study criteria. Median gestational age at time of ultrasound evaluation...Continue Reading

Citations

Jun 23, 2020·The Journal of Maternal-fetal & Neonatal Medicine : the Official Journal of the European Association of Perinatal Medicine, the Federation of Asia and Oceania Perinatal Societies, the International Society of Perinatal Obstetricians·Fernanda Teixeira BenevidesFrancisco Herlânio Costa Carvalho
Aug 6, 2020·Diabetes, Metabolic Syndrome and Obesity : Targets and Therapy·Yanping LiuLiangkun Ma
Mar 6, 2021·Journal of Genetics and Genomics = Yi Chuan Xue Bao·Xiaoqing LiHongping Zhang

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