The effects of obesity and weight gain in young women on obstetric outcomes.
The effects of obesity and weight gain in young women on obstetric outcomes.
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DOI：
10.1055/s-0028-1110088
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发表时间：
2009-05
影响因子：
2
通讯作者：
Ickovics JR
中科院分区：
文献类型：
--
作者：
Magriples U;Kershaw TS;Rising SS;Westdahl C;Ickovics JR
我们调查了孕妇（年龄14至25岁）的体重指数（BMI）和体重增加，并评估了BMI和体重增加与出生结局的关系。我们对841名在两所大学附属诊所接受产前护理的随机对照试验的妇女进行了二次分析。几乎一半的患者超重或肥胖。怀孕期间平均体重增加了32.3 ± 23.6磅，只有25.3%的人达到了推荐体重，超过一半的人体重超标。体重增加与出生体重有显着关系。多变量分析显示，孕前BMI而非体重增加是剖宫产的重要预测因素（比值比[OR] 1.91，置信区间[CI] 1.24 - 2.69，p < 0.0001）。当从分析中排除大于胎龄儿时，BMI对剖宫产仍有显著影响（OR 1.76，CI 1.17至2.66，p = 0.007），但对体重增加无显著影响（OR 1.45，CI 0.94至2.17，p = 0.093）。在年轻女性中，孕前BMI比妊娠期体重增加更能预测剖宫产。
We investigated body mass index (BMI) and weight gain among pregnant women (ages 14 to 25) and assessed the relationship of BMI and weight gain on birth outcomes. We performed a secondary analysis of 841 women enrolled in a randomized controlled trial receiving prenatal care in two university-affiliated clinics. Almost half the patients were overweight or obese. An average of 32.3 ± 23.6 pounds was gained in pregnancy with only 25.3% gaining the recommended weight and over half overgaining. Weight gain had a significant relationship to birth weight. Multivariate analysis showed that prepregnancy BMI but not weight gain was a significant predictor of cesarean delivery (odds ratio [OR] 1.91, confidence interval [CI] 1.24 to 2.69, p < 0.0001). When large-for-gestational-age infants were removed from the analysis, there was still a significant effect of BMI on cesarean delivery (OR 1.76, CI 1.17 to 2.66, p = 0.007) but not of weight gain (OR 1.45, CI 0.94 to 2.17, p = 0.093). Prepregnancy BMI is a more significant predictor of cesarean delivery than pregnancy weight gain in young women.
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影响因子：
120.7
作者：
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影响因子：
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作者：
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通讯作者：
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