Inadequate Weight Gain According to the Institute of Medicine 2009 Guidelines in Women with Gestational Diabetes: Frequency, Clinical Predictors, and the Association with Pregnancy Outcomes
Por:
Xie, XL, Liu, JM, Pujol, I, Lopez, A, Martinez, MJ, Garcia-Patterson, A, Adelantado, JM, Ginovart, G, Corcoy, R
Publicada:
1 oct 2020
Resumen:
Background: In the care of women with gestational diabetes mellitus (GDM), more attention is put on glycemic control than in factors such as gestational weight gain (GWG). We aimed to evaluate the rate of inadequate GWG in women with GDM, its clinical predictors and the association with pregnancy outcomes. Methods: Cohort retrospective analysis. Outcome variables: GWG according to Institute of Medicine 2009 and 18 pregnancy outcomes. Clinical characteristics were considered both as GWG predictors and as covariates in outcome prediction. Statistics: descriptive, multinomial and logistic regression. Results: We assessed 2842 women diagnosed with GDM in the 1985-2011 period. GWG was insufficient (iGWG) in 50.3%, adequate in 31.6% and excessive (eGWG) in 18.1%; length of follow-up for GDM was positively associated with iGWG. Overall pregnancy outcomes were satisfactory. GWG was associated with pregnancy-induced hypertension, preeclampsia, cesarean delivery and birthweight-related outcomes. Essentially, the direction of the association was towards a higher risk with eGWG and lower risk with iGWG (i.e., with Cesarean delivery and excessive growth). Conclusions: In this cohort of women with GDM, inadequate GWG was very common at the expense of iGWG. The associations with pregnancy outcomes were mainly towards a higher risk with eGWG and lower risk with iGWG.
Filiaciones:
Xie, XL:
Univ Autonoma Barcelona, Dept Med, Barcelona 08193, Spain
Liu, JM:
Univ Autonoma Barcelona, Dept Med, Barcelona 08193, Spain
Pujol, I:
Hosp Santa Creu & Sant Pau, Serv Endocrinol & Nutricio, Barcelona 08041, Spain
Lopez, A:
Hosp Santa Creu & Sant Pau, Serv Endocrinol & Nutricio, Barcelona 08041, Spain
Martinez, MJ:
Hosp Santa Creu & Sant Pau, Serv Endocrinol & Nutricio, Barcelona 08041, Spain
Garcia-Patterson, A:
Hosp Santa Creu & Sant Pau, Inst Recerca, Barcelona 08041, Spain
Adelantado, JM:
Hosp Santa Creu & Sant Pau, Serv Ginecol & Obstetricia, Barcelona 08041, Spain
Ginovart, G:
Hosp Santa Creu & Sant Pau, Serv Pediat, Barcelona 08041, Spain
Corcoy, R:
Univ Autonoma Barcelona, Dept Med, Barcelona 08193, Spain
Hosp Santa Creu & Sant Pau, Serv Endocrinol & Nutricio, Barcelona 08041, Spain
Hosp Santa Creu & Sant Pau, Inst Recerca, Barcelona 08041, Spain
CIBER BBN, Madrid 28029, Spain
Green Published, gold
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