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Prenatal weight and regional body composition trajectories and neonatal body composition: The NICHD Foetal Growth Studies.
Widen, Elizabeth M; Burns, Natalie; Kahn, Linda G; Grewal, Jagteshwar; Backlund, Grant; Nichols, Amy R; Rickman, Rachel; Foster, Saralyn; Nhan-Chang, Chia-Ling; Zhang, Cuilin; Wapner, Ronald; Wing, Deborah A; Owen, John; Skupski, Daniel W; Ranzini, Angela C; Newman, Roger; Grobman, William; Daniels, Michael J.
Afiliação
  • Widen EM; Department of Nutritional Sciences, University of Texas at Austin, Austin, Texas, USA.
  • Burns N; Department of Women's Health & Pediatrics, Dell Medical School, University of Texas at Austin, Austin, Texas, USA.
  • Kahn LG; Department of Statistics, University of Florida, Gainesville, Florida, USA.
  • Grewal J; Departments of Pediatrics and Population Health, New York University Grossman School of Medicine, New York, New York, USA.
  • Backlund G; Division of Population Health Research, Division of Intramural Research, Division of Intramural Population Health Research, Eunice Kennedy Shriver National Institute of Child Health and Human Development, Bethesda, Maryland, USA.
  • Nichols AR; Department of Statistics, University of Florida, Gainesville, Florida, USA.
  • Rickman R; Department of Nutritional Sciences, University of Texas at Austin, Austin, Texas, USA.
  • Foster S; Department of Nutritional Sciences, University of Texas at Austin, Austin, Texas, USA.
  • Nhan-Chang CL; Department of Nutritional Sciences, University of Texas at Austin, Austin, Texas, USA.
  • Zhang C; Department of Obstetrics and Gynecology, Columbia University Medical Center, Columbia, South Carolina, USA.
  • Wapner R; Division of Population Health Research, Division of Intramural Research, Division of Intramural Population Health Research, Eunice Kennedy Shriver National Institute of Child Health and Human Development, Bethesda, Maryland, USA.
  • Wing DA; Department of Obstetrics and Gynecology, Columbia University Medical Center, Columbia, South Carolina, USA.
  • Owen J; Division of Maternal-Fetal Medicine, Department of Obstetrics-Gynecology, University of California, Irvine, School of Medicine, Irvine, and Fountain Valley Regional Hospital and Medical Center, Fountain Valley, California, USA.
  • Skupski DW; Division of Maternal and Fetal Medicine, Department of Obstetrics and Gynecology, University of Alabama at Birmingham, Birmingham, Alabama, USA.
  • Ranzini AC; Department of Obstetrics and Gynecology, New York-Presbyterian Queens Hospital, Queens, New York, USA.
  • Newman R; Division of Maternal and Fetal Medicine, Department of Obstetrics and Gynecology, St Peter's University Hospital, New Brunswick, New Jersey, USA.
  • Grobman W; Department of Obstetrics and Gynecology, Medical University of South Carolina, Columbia, South Carolina, USA.
  • Daniels MJ; Department of Obstetrics and Gynecology, Feinberg School of Medicine, Northwestern University (WAG), New Rochelle, New York, USA.
Pediatr Obes ; 18(3): e12994, 2023 03.
Article em En | MEDLINE | ID: mdl-36605025
ABSTRACT

BACKGROUND:

Gestational weight gain (GWG) and anthropometric trajectories may affect foetal programming and are potentially modifiable.

OBJECTIVES:

To assess concomitant patterns of change in weight, circumferences and adiposity across gestation as an integrated prenatal exposure, and determine how they relate to neonatal body composition.

METHODS:

Data are from a prospective cohort of singleton pregnancies (n = 2182) enrolled in United States perinatal centres, 2009-2013. Overall and by prepregnancy BMI group (overweight/obesity and healthy weight), joint latent trajectory models were fit with prenatal weight, mid-upper arm circumference (MUAC), triceps (TSF) and subscapular (SSF) skinfolds. Differences in neonatal body composition by trajectory class were assessed via weighted least squares.

RESULTS:

Six trajectory patterns reflecting co-occurring changes in weight and MUAC, SSF and TSF across pregnancy were identified overall and by body mass index (BMI) group. Among people with a healthy weight BMI, some differences were observed for neonatal subcutaneous adipose tissue, and among individuals with overweight/obesity some differences in neonatal lean mass were found. Neonatal adiposity measures were higher among infants born to individuals with prepregnancy overweight/obesity.

CONCLUSIONS:

Six integrated trajectory patterns of prenatal weight, subcutaneous adipose tissue and circumferences were observed that were minimally associated with neonatal body composition, suggesting a stronger influence of prepregnancy BMI.
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Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Aumento de Peso / Sobrepeso Tipo de estudo: Observational_studies / Risk_factors_studies Limite: Female / Humans / Infant / Newborn / Pregnancy País/Região como assunto: America do norte Idioma: En Ano de publicação: 2023 Tipo de documento: Article

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Aumento de Peso / Sobrepeso Tipo de estudo: Observational_studies / Risk_factors_studies Limite: Female / Humans / Infant / Newborn / Pregnancy País/Região como assunto: America do norte Idioma: En Ano de publicação: 2023 Tipo de documento: Article