Gestational weight gain among American Samoan women and its impact on delivery and infant outcomes.
Gestational weight gain among American Samoan women and its impact on delivery and infant outcomes.
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DOI：
10.1186/s12884-015-0451-1
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发表时间：
2015-02-03
影响因子：
3.1
通讯作者：
McGarvey ST
中科院分区：
文献类型：
--
作者：
Hawley NL;Johnson W;Hart CN;Triche EW;Ah Ching J;Muasau-Howard B;McGarvey ST
随着肥胖在全球范围内的增加，怀孕期间的肥胖水平和妊娠期体重增加（GWG）也在增加。本文的目的是描述GWG美属萨摩亚妇女和检查GWG和四个不良妊娠和婴儿结局之间的关联：剖宫产，小和大胎龄（SGA/LGA），婴儿超重/肥胖。数据取自632名萨摩亚妇女的产前护理记录。混合效应生长模型用于产生个体孕周体重曲线，从中估计妊娠中期和晚期体重增加。二元逻辑回归用于检查GWG和感兴趣的结果之间的关联。大多数妇女在怀孕早期超重/肥胖（86%），78%超过了医学研究所GWG指南。妊娠中期GWG和妊娠早期体重增加与剖腹产几率增加独立相关（OR分别为1.40 [95% CI：1.08，1.83]和1.51 [95% CI：1.17，1.95]）。分娩LGA婴儿的风险随着孕晚期体重增加和孕早期体重增加而增加，而孕中期体重增加与SGA呈负相关。12个月时婴儿超重/肥胖的风险随着早孕体重（OR：1.23 [95% CI：1.01，1.51]）和婴儿出生体重的增加而增加。美属萨摩亚孕妇肥胖率高，体重增加过多，这表明医生必须鼓励妇女及早接受产前护理，并开始教育，使她们了解适当的体重增加，以及母亲和婴儿体重增加过多的潜在风险。
As obesity has increased worldwide, so have levels of obesity during pregnancy and excess gestational weight gain (GWG). The aim of this paper was to describe GWG among American Samoan women and examine the association between GWG and four adverse pregnancy and infant outcomes: cesarean delivery, small- and large-for-gestational age (SGA/LGA), and infant overweight/obesity. Data were extracted from prenatal care records of 632 Samoan women. Mixed-effects growth models were used to produce individual weight-for-gestational week curves from which second and third trimester weight gain was estimated. Binary logistic regression was used to examine associations between GWG and the outcomes of interest. Most women were overweight/obese in early pregnancy (86%) and 78% exceeded the Institute of Medicine GWG guidelines. Greater GWG in the second trimester and early pregnancy weight were independently associated with increased odds of a c-section (OR 1.40 [95% CI: 1.08, 1.83]) and OR 1.51 [95% CI: 1.17, 1.95], respectively). Risk of delivering a LGA infant increased with greater third trimester weight gain and higher early pregnancy weight, while second trimester weight gain was negatively associated with SGA. Risk of infant overweight/obesity at 12 months increased with early pregnancy weight (OR: 1.23 [95% CI: 1.01, 1.51]) and infant birthweight. The high levels of pregnancy obesity and excessive GWG in American Samoa suggest that it is important for physicians to encourage women into prenatal care early and begin education about appropriate GWG and the potential risks of excess weight gain for both the mother and baby.
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影响因子：
7.1
作者：
Mayer, C.;Joseph, K. S.
通讯作者：
Joseph, K. S.
DOI：
10.1017/cbo9780511542510.008
发表时间：
2007-01-01
期刊：
HEALTH CHANGE IN THE ASIA-PACIFIC REGION: BIOCULTURAL AND EPIDEMIOLOGICAL APPROACHES
影响因子：
--
作者：
Keighley, Ember D.;McGarvey, Stephen T.;Maga, Uto'ofili A.
通讯作者：
Maga, Uto'ofili A.
影响因子：
4.9
作者：
Swinburn, BA;Ley, SJ;Planck, LD
通讯作者：
Planck, LD
影响因子：
11.4
作者：
Callaway, LK;Prins, JB;McIntyre, HD
通讯作者：
McIntyre, HD
DOI：
10.1016/j.bpobgyn.2013.08.001
发表时间：
2013-12-01
影响因子：
5.5
作者：
Tan, Eng Kien;Tan, Eng Loy
通讯作者：
Tan, Eng Loy