The association of pre-pregnancy body mass and weight gain during pregnancy with macrosomia: a cohort study
10.3760/cma.j.issn.0253-9624.2019.11.014
- VernacularTitle: 孕前体质、孕期增重与巨大儿发生风险关联的队列研究
- Author:
Ping FENG
1
;
Xiaoyu WANG
1
;
Zhiwen LONG
1
;
Shufang SHAN
1
;
Danting LI
1
;
Yi LIANG
1
;
Mengxue CHEN
1
;
Yunhui GONG
2
;
Rong ZHOU
2
;
Dagang YANG
3
;
Ruonan DUAN
1
;
Tian QIAO
1
;
Yue CHEN
1
;
Jing LI
1
;
Guo CHENG
4
Author Information
1. West China School of Public Health, Sichuan University, Chengdu 610041, China
2. Department of Obstetrics and Gynecology, West China Second University Hospital, Sichuan University, Chengdu 610041, China
3. Department of Clinical Nutrition, Affiliated Hospital of Guizhou Medical University, Guiyang 550001, China
4. West China School of Public Health and Healthy Food Evaluation Research Cente, Sichuan University, Chengdu 610041, China
- Publication Type:Journal Article
- Keywords:
Pregnant women;
Body weight changes;
Birth weight;
Cohort studies
- From:
Chinese Journal of Preventive Medicine
2019;53(11):1147-1151
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To examine the association of pre-pregnancy body mass and weight gain during pregnancy with macrosomia.
Methods:From January 2015 to December 2015, a total of 20 477 pregnant women were recruited by probabilistic proportional scale sampling with simple randomization in Sichuan, Yunnan and Guizhou Provinces. Basic information of pregnant women, weight gain during pregnancy and weight of newborn were collected. A multiple logistic regression model was used to assess the association between the pre-pregnancy body mass and gestational weight gain indicators with macrosomia.
Results:20 321 mother-infant were included in the final analysis. 20 321 pregnant women were (30.09±4.10) years old and delivered at (39.20±1.29) weeks, among which 12 341 (60.73%) cases were cesarean delivery. The birth weight of 20 321 infants were (3 292.26±431.67) grams, and 970 (4.77%) were macrosomia. The multiple logistic regression model showed that after adjusting for the age of women, compared to the normal weight group in the pre-pregnancy, the overweight and obesity group elevated the risk of macrosomia, with OR (95%CI) about 1.99 (95%CI: 1.69−2.35) and 4.05 (95%CI: 3.05−5.39), respectively. After adjusting for the age, the pre-pregnancy BMI, delivery weeks, delivery mode and infant′s gender, compared to the weight-gain appropriate group, higher weight gain rate in the mid-pregnancy and excessive total gestational weight gain elevated the risk of macrosomia, with OR (95%CI) about 1.99 (95%CI: 1.66−2.39) and 1.80 (95%CI: 1.55−2.08), respectively.
Conclusion:The overweight before pregnancy, obesity before pregnancy, the rate of weight gain in the second trimester and the high total weight gain during pregnancy could increase the risk of macrosomia.
