Maternal BMI, glucose tolerance, and adverse pregnancy outcomes.
Am J Obstet Gynecol
; 207(1): 62.e1-7, 2012 Jul.
Article
em En
| MEDLINE
| ID: mdl-22609018
ABSTRACT
OBJECTIVE:
The purpose of this study was to estimate the association of pregravid body mass index (BMI), independent of 3-hour oral glucose tolerance test (OGTT) results, with pregnancy outcome. STUDYDESIGN:
In this secondary analysis of a cohort of women with untreated mild gestational glucose intolerance, which was defined as a 50-g glucose loading test between 135 and 199 mg/dL and fasting glucose level of <95 mg/dL, we modeled the association between pregravid BMI, OGTT results, and both pregnancy complications and neonatal adiposity.RESULTS:
Among 1250 participants, both pregravid BMI and glucose at hour 3 of the OGTT were associated with increased risk of gestational hypertension. Maternal pregravid BMI also was associated positively with large-for-gestational-age infants; both maternal BMI and fasting glucose were associated with birthweight z-score and neonatal fat mass.CONCLUSION:
Among women with untreated mild gestational glucose intolerance, pregravid BMI is associated with increased gestational hypertension, birthweight, and neonatal fat mass, independent of OGTT values.
Texto completo:
1
Base de dados:
MEDLINE
Assunto principal:
Macrossomia Fetal
/
Índice de Massa Corporal
/
Intolerância à Glucose
/
Hipertensão Induzida pela Gravidez
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Obesidade
Idioma:
En
Ano de publicação:
2012
Tipo de documento:
Article