Weight Loss Instead of Weight Gain within the Guidelines in Obese Women during Pregnancy: A Systematic Review and Meta-Analyses of Maternal and Infant Outcomes
| Autor: | Lucy Giglia, Christina K. Park, Joseph Beyene, Cynthia Maxwell, Sarah D. McDonald, Mufiza Zia Kapadia |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2015 |
| Předmět: |
Pediatrics
medicine.medical_specialty Birth weight lcsh:Medicine Weight Gain Weight loss Pregnancy Weight Loss medicine Humans Obesity lcsh:Science Multidisciplinary business.industry Obstetrics lcsh:R Infant Newborn Pregnancy Outcome Gestational age medicine.disease 3. Good health Gestational diabetes Pregnancy Complications Premature birth Infant Small for Gestational Age Small for gestational age Premature Birth lcsh:Q Female medicine.symptom business Weight gain Research Article |
| Zdroj: | PLoS ONE PLoS ONE, Vol 10, Iss 7, p e0132650 (2015) |
| ISSN: | 1932-6203 |
| Popis: | Background Controversy exists about how much, if any, weight obese pregnant women should gain. While the revised Institute of Medicine guidelines on gestational weight gain (GWG) in 2009 recommended a weight gain of 5–9 kg for obese pregnant women, many studies suggested even gestational weight loss (GWL) for obese women. Objectives A systematic review was conducted to summarize pregnancy outcomes in obese women with GWL compared to GWG within the 2009 Institute of Medicine guidelines (5–9 kg). Design Five databases were searched from 1 January 2009 to 31 July 2014. The Cochrane Handbook for Systematic Reviews of Interventions and the PRISMA Statement were followed. A modified version of the Newcastle-Ottawa scale was used to assess individual study quality. Small for gestational age (SGA), large for gestational age (LGA) and preterm birth were our primary outcomes. Results Six cohort studies were included, none of which assessed preterm birth. Compared to GWG within the guidelines, women with GWL had higher odds of SGA 90th percentile (AOR 0.57; 95% CI 0.52–0.62). There was a trend towards a graded relationship between SGA |
| Databáze: | OpenAIRE |
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