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Does prepregnancy weight change have an effect on subsequent pregnancy health outcomes? A systematic review and meta-analysis.
Nagpal, Taniya S; Souza, Sara C S; Moffat, Malcolm; Hayes, Louise; Nuyts, Tinne; Liu, Rebecca H; Bogaerts, Annick; Dervis, Sheila; Piccinini-Vallis, Helena; Adamo, Kristi B; Heslehurst, Nicola.
Afiliação
  • Nagpal TS; Faculty of Health Sciences, School of Human Kinetics, University of Ottawa, Ottawa, Canada.
  • Souza SCS; Faculty of Health Sciences, School of Human Kinetics, University of Ottawa, Ottawa, Canada.
  • Moffat M; Population Health Sciences Institute, Faculty of Medical Sciences, Newcastle University, Newcastle, UK.
  • Hayes L; Population Health Sciences Institute, Faculty of Medical Sciences, Newcastle University, Newcastle, UK.
  • Nuyts T; Department of Development and Regeneration, Research Unit Woman and Child, KU Leuven, Leuven, Belgium.
  • Liu RH; Institute for Health System Solutions & Virtual Care, Women's College Hospital, Toronto, Canada.
  • Bogaerts A; Department of Development and Regeneration, Research Unit Woman and Child, KU Leuven, Leuven, Belgium.
  • Dervis S; Faculty of Medicine and Health Sciences, Centre for Research and Innovation in Care (CRIC), University of Antwerp, Antwerp, Belgium.
  • Piccinini-Vallis H; Faculty of Health, University of Plymouth, Plymouth, UK.
  • Adamo KB; Faculty of Health Sciences, School of Human Kinetics, University of Ottawa, Ottawa, Canada.
  • Heslehurst N; Faculty of Medicine, Departments of Family Medicine and Obstetrics and Gynecology, Dalhousie University, Halifax, Canada.
Obes Rev ; 23(1): e13324, 2022 01.
Article em En | MEDLINE | ID: mdl-34694053
International guidelines recommend women with an overweight or obese body mass index (BMI) aim to reduce their body weight prior to conception to minimize the risk of adverse perinatal outcomes. Recent systematic reviews have demonstrated that interpregnancy weight gain increases women's risk of developing adverse pregnancy outcomes in their subsequent pregnancy. Interpregnancy weight change studies exclude nulliparous women. This systematic review and meta-analysis was conducted following MOOSE guidelines and summarizes the evidence of the impact of preconception and interpregnancy weight change on perinatal outcomes for women regardless of parity. Sixty one studies met the inclusion criteria for this review and reported 34 different outcomes. We identified a significantly increased risk of gestational diabetes (OR 1.88, 95% CI 1.66, 2.14, I2  = 87.8%), hypertensive disorders (OR 1.46 95% CI 1.12, 1.91, I2  = 94.9%), preeclampsia (OR 1.92 95% CI 1.55, 2.37, I2  = 93.6%), and large-for-gestational-age (OR 1.36, 95% CI 1.25, 1.49, I2  = 92.2%) with preconception and interpregnancy weight gain. Interpregnancy weight loss only was significantly associated with increased risk for small-for-gestational-age (OR 1.29 95% CI 1.11, 1.50, I2  = 89.9%) and preterm birth (OR 1.06 95% CI 1.00, 1.13, I2  = 22.4%). Our findings illustrate the need for effective preconception and interpregnancy weight management support to improve pregnancy outcomes in subsequent pregnancies.
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Texto completo: 1 Base de dados: MEDLINE Assunto principal: Complicações na Gravidez / Nascimento Prematuro Tipo de estudo: Etiology_studies / Prognostic_studies / Risk_factors_studies / Systematic_reviews Limite: Female / Humans / Newborn / Pregnancy Idioma: En Ano de publicação: 2022 Tipo de documento: Article

Texto completo: 1 Base de dados: MEDLINE Assunto principal: Complicações na Gravidez / Nascimento Prematuro Tipo de estudo: Etiology_studies / Prognostic_studies / Risk_factors_studies / Systematic_reviews Limite: Female / Humans / Newborn / Pregnancy Idioma: En Ano de publicação: 2022 Tipo de documento: Article