Pregestational body mass index, weight gain during pregnancy and maternal hyperglycemia

Gynecological Endocrinology : the Official Journal of the International Society of Gynecological Endocrinology
Shlomit Riskin-MashiahRon Auslander

Abstract

To evaluate the associations between pregestational BMI and weight gain during pregnancy and the risk for maternal hyperglycemia. The charts of all patients who delivered at our hospital between June 2001 and June 2006 were reviewed. Maternal hyperglycemia categories were defined as GDM (by the Carpenter and Coustan criteria); Impaired glucose tolerance (IGT - only one abnormal value in the 100 g OGTT); Abnormal GCT (≥140 mg/dL) but no high values on the OGTT. Women with GCT < 140 were defined as normal glucose tolerance (NGT). Pregravid BMI and glucose tolerance data were available for 9269 women. We also had data on weight gain during pregnancy for 7766 of these women. There was strong graded association between increasing BMI category and all levels of maternal hyperglycemia. There was significant negative correlation between BMI and weight gain during pregnancy (R = -0.251, P value < 0.0001). However, in the multivariate logistic regression model, only pregestational BMI was significantly associated with maternal hyperglycemia, whereas weight gain during pregnancy was no longer significant. Obesity is a strong predictor for gestational maternal hyperglycemia. Weight gain during pregnancy has less effect. Every effort should...Continue Reading

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Citations

Jul 26, 2012·Clinical Obstetrics and Gynecology·Josiah Z S Hawkins, Deborah Wing
Jun 8, 2012·International Journal of Endocrinology·Gregory E RiceMurray D Mitchell
Oct 9, 2013·Maternal and Child Health Journal·Laura E TomediLisa M Bodnar
Apr 8, 2016·Gynecological Endocrinology : the Official Journal of the International Society of Gynecological Endocrinology·Ariel ZilberlichtShlomit Riskin-Mashiah
May 9, 2015·Taiwanese Journal of Obstetrics & Gynecology·Tae-Chul ParkHee-Joong Lee
Apr 23, 2014·The Journal of Obstetrics and Gynaecology Research·Tomohito TanakaMasahide Ohmichi
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Aug 8, 2018·BMC Pregnancy and Childbirth·Hee Joong LeeBanghyun Lee
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