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

Autor:	Isabel Pujol, Alicia López, Maria Jose Martínez, Apolonia García-Patterson, Gemma Ginovart, Xinglei Xie, Juan M. Adelantado, Jiaming Liu, Rosa Corcoy
Jazyk:	angličtina
Rok vydání:	2020
Předmět:	medicine.medical_specialty endocrine system diseases lcsh:Medicine Lower risk Logistic regression Gestational diabetes mellitus Length of follow-up Pregnancy outcome Article Preeclampsia 03 medical and health sciences 0302 clinical medicine medicine 030212 general & internal medicine Weight gain Glycemic 030219 obstetrics & reproductive medicine length of follow-up pregnancy outcome Obstetrics business.industry lcsh:R Institute of Medicine nutritional and metabolic diseases weight gain General Medicine medicine.disease female genital diseases and pregnancy complications gestational diabetes mellitus Gestational diabetes Cohort Gestation medicine.symptom business
Zdroj:	Journal of Clinical Medicine Dipòsit Digital de Documents de la UAB Universitat Autònoma de Barcelona Journal of Clinical Medicine, Vol 9, Iss 3343, p 3343 (2020) r-IIB SANT PAU. Repositorio Institucional de Producción Científica del Instituto de Investigación Biomédica Sant Pau instname Volume 9 Issue 10
ISSN:	2077-0383
Popis:	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&ndash 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.
Databáze:	OpenAIRE
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