Prevalence and predictors of early gestational weight gain associated with obesity risk in a diverse Australian antenatal population: a cross-sectional study.
Prevalence and predictors of early gestational weight gain associated with obesity risk in a diverse Australian antenatal population: a cross-sectional study.
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DOI：
10.1186/s12884-017-1482-6
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发表时间：
2017-09-07
影响因子：
3.1
通讯作者：
Black K
中科院分区：
文献类型：
--
作者：
Cheney K;Berkemeier S;Sim KA;Gordon A;Black K
过多的妊娠体重增加(GWG)会给女性及其后代带来短期和长期的不良后果。有证据表明，怀孕早期过多的GWG可能特别有害，导致肥胖的代际循环。主要结果是调查怀孕早期GWG过多的患病率和预测因素，以及妇女是否了解按母亲体重指数(BMI)分层对自己和子女的风险。这是对2015年在澳大利亚悉尼四家妇产医院就诊的孕妇在怀孕22周前的6个多月进行的横断面研究的二次分析(n=2131)。调查使用了一份自填问卷，以调查怀孕期间预期体重增加的知识、对与过量GWG相关的风险的了解、自我报告的人体测量指标和社会人口数据。三分之一(34.2%)的女性在怀孕22周时体重超过了推荐值。与正常体重妇女相比，孕前超重(OR：1.69，95%CI：1.33-2.14)或肥胖(OR：1.64，95%CI：1.20-2.24)的妇女更有可能在怀孕早期超重；来自较低社会经济地区的妇女(OR：1.89，95%CI：1.49-2.41)。一半(51%)的妇女不确定过多的GWG对婴儿的影响；11%的人不相信过多的GWG会影响婴儿的体重，14%的人不相信过多的GWG会影响她们婴儿的长期结局。体重增加超过推荐标准的女性更有可能相信怀孕期间过多的GWG不会对未来的健康结果或婴儿体重产生任何不利影响。超重和肥胖和/或居住在社会经济水平较低地区的妇女特别有可能过早超重。这些妇女需要针对怀孕前或怀孕早期的妇女进行适当的咨询。鉴于早孕期GWG过多会带来严重的不良后果，GWG方面的先入为主或早孕咨询以及关于最佳方法的干预研究仍然是公共卫生的优先事项。本文的在线版本(10.1186/s12884-0171482-6)包含向授权用户提供的补充材料。
Excess gestational weight gain (GWG) leads to adverse short- and long-term consequences for women and their offspring. Evidence suggests that excess GWG in early pregnancy may be particularly detrimental, contributing to the intergenerational cycle of obesity. The primary outcome was to investigate the prevalence and predictors of excess GWG in early pregnancy, and if women understand the risks to themselves and their offspring stratified by maternal body mass index (BMI). This was a secondary analysis (n = 2131) of a cross-sectional study (n = 2338) conducted over 6 months in 2015 of pregnant women attending antenatal clinics at four maternity hospitals across Sydney, Australia before 22 completed weeks gestation An self-completed questionnaire was used to investigate knowledge of expected weight gain in pregnancy, understanding of risks associated with excess GWG, self-reported anthropometric measures and socio-demographic data. One third (34.2%) of women gained weight in excess of the recommendations by 22 completed weeks gestation. Women who were overweight (OR: 1.69, 95% CI: 1.33–2.14) or obese (OR: 1.64, 95% CI: 1.20–2.24) pre-pregnancy were more likely to gain excess weight in early pregnancy compared to normal weight women; as were women from lower socio-economic areas (OR: 1.89, 95% CI: 1.49–2.41). Half (51%) the women were unsure about the effect of excess GWG on their baby; 11% did not believe that excess GWG would affect the weight of the baby and 14% did not believe that excess GWG would affect longer term outcomes for their baby. Women who gained weight above the recommendations were significantly more likely to believe that excessive GWG in pregnancy would not have any adverse future effect on health outcomes or weight of their baby. The women at particular risk of excess early GWG are those who are overweight and obese and/or residing in lower socio-economic areas. These women need to be targeted for appropriate counselling preconception or in early pregnancy. Given the significant adverse outcomes associated with excess GWG in early pregnancy, preconception or early pregnancy counselling with respect to GWG and intervention research regarding best approach remains a public health priority. The online version of this article (10.1186/s12884-017-1482-6) contains supplementary material, which is available to authorized users.
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影响因子：
2.3
作者：
Holland, Erica;Simas, Tiffany A. Moore;Waring, Molly E.
通讯作者：
Waring, Molly E.
DOI：
10.3109/14767058.2011.638953
发表时间：
2012-05-01
影响因子：
1.8
作者：
Ferraro, Z. M.;Barrowman, N.;Adamo, K. B.
通讯作者：
Adamo, K. B.
早期和中期妊娠体重增加与年龄中期的肥胖相关。
DOI：
10.1002/oby.21511
发表时间：
2016-07
期刊：
Obesity (Silver Spring, Md.)
影响因子：
--
作者：
Hivert MF;Rifas-Shiman SL;Gillman MW;Oken E
通讯作者：
Oken E
影响因子：
9.8
作者：
Herring, Sharon J.;Oken, Emily;Rifas-Shiman, Sheryl L.;Rich-Edwards, Janet W.;Stuebe, Alison M.;Kleinman, Ken P.;Gillman, Matthew W.
通讯作者：
Gillman, Matthew W.
影响因子：
3.1
作者：
Haugen M;Brantsæter AL;Winkvist A;Lissner L;Alexander J;Oftedal B;Magnus P;Meltzer HM
通讯作者：
Meltzer HM