Impact of prepregnancy body mass index on pregnancy outcomes, incidence of urinary incontinence and quality of life during pregnancy - An observational cohort study.
Impact of prepregnancy body mass index on pregnancy outcomes, incidence of urinary incontinence and quality of life during pregnancy - An observational cohort study.
复制标题
DOI：
10.1016/j.bj.2019.11.001
复制
发表时间：
2020-12
影响因子：
5.5
通讯作者：
Chiu SY
中科院分区：
文献类型：
--
作者：
Liang CC;Chao M;Chang SD;Chiu SY
目的：评价孕前体重指数(BMI)对妊娠结局、尿失禁发生率和生活质量的影响。观察队列包括2210名孕妇，根据孕前体重指数分为4组：体重不足(≥=18.5)、正常体重(18.5~24.9)、超重(25~29.9)和肥胖(BMI=30)。对妊娠结局、妊娠期尿失禁患病率、简表12健康调查(SF-12)得分和性功能变化进行数据分析。与正常体重相比，超重和肥胖与孕妇年龄较高、教育水平低、多胎、早产、剖宫产、妊娠体重增加超过国际医学研究所(IOM)指南、先兆子痫、妊娠期糖尿病、巨大儿和胎儿头围过大有关。在调整了混杂因素后，与正常体重的女性相比，超重和肥胖的女性更有可能出现不良的母亲结果(妊娠体重增加超过IOM指南，先兆子痫和妊娠期糖尿病)和胎儿结果(胎儿头围过大和巨大儿)。超重和肥胖的女性(体重指数和≥为25)比正常体重和体重不足的女性更有可能出现尿失禁。4个BMI组间SF-12评分差异无统计学意义，但超过90%的孕妇无论BMI如何，均有性行为减少或无性行为。孕妇孕前超重和肥胖与先兆子痫、妊娠期糖尿病、巨大儿和尿失禁的风险更大相关。卫生保健提供者应该通知妇女从正常体重类别的BMI开始怀孕。
To evaluate the effects of prepregnancy body mass index (BMI) on pregnancy outcomes, prevalence of urinary incontinence, and quality of life. The observational cohort included 2210 pregnant women who were divided into 4 groups according to their prepregnancy BMI: underweight (<18.5), normal weight (18.5–24.9), overweight (25–29.9), and obese (≥30). Data were analyzed for pregnancy outcomes, prevalence of urinary incontinence during pregnancy, scores of the Short Form 12 health survey (SF-12) and changes in sexual function. Compared with normal weight, overweight and obesity were associated with advanced maternal age, low education level, multiparity, preterm delivery, cesarean section, gestational weight gain above the Institute of Medicine (IOM) guidelines, preeclampsia, gestational diabetes, macrosomia and large fetal head circumference. After adjusting for confounding factors, women with overweight and obesity were more likely to have adverse maternal outcomes (gestational weight gain above the IOM guidelines, preeclampsia and gestational diabetes) and fetal outcomes (large fetal head circumference and macrosomia) compared to normal weight women. Overweight and obese women (BMI ≥ 25) were more likely to have urinary incontinence than normal weight and underweight women. There were no significant differences in SF-12 scores among the 4 BMI groups, but more than 90% of pregnant women had reduced or no sexual activities regardless of BMI. Maternal prepregnancy overweight and obesity are associated with greater risks of preeclampsia, gestational diabetes, macrosomia and urinary incontinence. Health care providers should inform women to start their pregnancy at a BMI in the normal weight category.
登录
查看更多内容
影响因子：
4.5
作者：
Bhattacharya S;Campbell DM;Liston WA;Bhattacharya S
通讯作者：
Bhattacharya S
DOI：
10.1186/1477-7827-9-6
发表时间：
2011-01-18
期刊：
Reproductive biology and endocrinology : RB&E
影响因子：
--
作者：
Choi SK;Park IY;Shin JC
通讯作者：
Shin JC
影响因子：
1.6
作者：
Horng, Huann-Cheng;Huang, Ben-Shian;Wang, Peng-Hui
通讯作者：
Wang, Peng-Hui
影响因子：
4.3
作者：
Sahrakorpi, Niina;Koivusalo, Saila B.;Roine, Risto P.
通讯作者：
Roine, Risto P.
实施国际糖尿病和妊娠研究协会的影响，以诊断孕产妇和新生儿结局诊断妊娠糖尿病的标准。
影响因子：
3.7
作者：
Hung TH;Hsieh TT
通讯作者：
Hsieh TT