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Prepregnancy body mass index as an important predictor of perinatal outcomes in Japanese

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Abstract

Objective

The influence of maternal body mass index (BMI) before pregnancy and weight gain during pregnancy on perinatal outcomes in the Japanese population remains to be elucidated. Therefore, we estimated the risk of perinatal morbidity of the mother and infant with respect to maternal prepregnancy BMI and weight gain during pregnancy in Japanese.

Results

In the obese before pregnancy group, the risks of cesarean delivery, preeclampsia, and gestational diabetes were significantly elevated compared with the normal group. In the underweight before pregnancy group, the risks of low birth weight infant and hospitalization of infant were elevated significantly.

Conclusion

However, weight gain during pregnancy did not show any significant influence on the perinatal outcomes of the mother or infant.

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References

  1. Barker D (1998) Programming the baby. Anonymous mothers, babies and health in later life, 2nd edn. Churchill Livingstone, Toronto, pp 13–41

  2. Barker DJ, Martyn CN, Osmond C, Hales CN, Fall CH (1993) Growth in utero and serum cholesterol concentrations in adult life. Br Med J 307:1524–1527

    CAS  Google Scholar 

  3. Bianco AT, Smilen SW, Davis Y, Lopez S, Lapinski R, Lockwood CJ (1998) Pregnancy outcome and weight gain recommendations for the morbidly obese woman. Obstet Gynecol 91:97–102

    Google Scholar 

  4. Choo V (2002) WHO reassesses appropriate body-mass index for Asian populations. Lancet 360:235

    Article  Google Scholar 

  5. Clark PM, Atton C, Law CM, Shiell A, Godfrey K, Barker DJ (1998) Weight gain in pregnancy, triceps skinfold thickness, and blood pressure in offspring. Obstet Gynecol 91:103–107

    Article  CAS  PubMed  Google Scholar 

  6. Cogswell ME, Perry GS, Schieve LA, Dietz WH (2001) Obesity in women of childbearing age: risks, prevention, and treatment. Prim Care Update Ob Gyns 8:89–105

    Article  PubMed  Google Scholar 

  7. Committee of Nutritional Problems, Japan Society of Obstetrics and Gynecology (1988) Women in childbearing age, fetus, and neonate. Nippon Sanka Fujinka Gakkai Zasshi 40:1487

    Google Scholar 

  8. Eriksson J, Forsen T, Tuomilehto J, Osmond C, Barker D (2000) Fetal and childhood growth and hypertension in adult life. Hypertension 36:790–794

    CAS  PubMed  Google Scholar 

  9. Hrazdilov O, Unzeitig V, Znojil V, Izakovicov Holl L, Janku P, Vasku A (2001) Relationship of age and the body mass index to selected hypertensive complications in pregnancy. Int J Gynaecol Obstet 75:165–169

    Article  PubMed  Google Scholar 

  10. Institute of Medicine, Committee on Nutritional Status during Pregnancy and Lactation (1990) Nutrition during pregnancy. National Academy, Washington

  11. Japan Society for the Study of Obesity (2000) Novel criteria for “obesity disease” in Japan on the recommendation of Japan Society for the Study of Obesity. J Jpn Soc Stud Obes 6:18–28

    Google Scholar 

  12. Japan Society of Obstetrics and Gynecology (1995) Anonymous terminology in obstetrics and gynecology, 4th edn. Kanehara, Tokyo

  13. Japan Society of Obstetrics and Gynecology (2002) Definition and criteria of gestational diabetes mellitus. Nippon Sanka Fujinka Gakkai Zasshi 54:11–14

    Google Scholar 

  14. Kaiser PS, Kirby RS (2001) Obesity as a risk factor for cesarean in a low-risk population. Obstet Gynecol 97:39–43

    Article  CAS  PubMed  Google Scholar 

  15. Kumari AS (2001) Pregnancy outcome in women with morbid obesity. Int J Gynaecol Obstet 73:101–107

    Article  CAS  PubMed  Google Scholar 

  16. Lao TT, Ho LF (1998) Obstetric outcome of teenage pregnancies. Hum Reprod 13:3228–3232

    Article  CAS  PubMed  Google Scholar 

  17. Lee CJ, Hsieh TT, Chiu TH, Chen KC, Lo LM, Hung TH (2000) Risk factors for pre-eclampsia in an Asian population. Int J Gynaecol Obstet 70:327–333

    Article  CAS  PubMed  Google Scholar 

  18. Major CA, deVeciana M, Weeks J, Morgan MA (1998) Recurrence of gestational diabetes: who is at risk? Am J Obstet Gynecol 179:1038–1042

    CAS  PubMed  Google Scholar 

  19. Martyn CN, Barker DJ, Osmond C (1996) Mothers’ pelvic size, fetal growth, and death from stroke and coronary heart disease in men in the UK. Lancet 348:1264–1268

    Article  CAS  PubMed  Google Scholar 

  20. Mi J, Law C, Zhang KL, Osmond C, Stein C, Barker D (2000) Effects of infant birthweight and maternal body mass index in pregnancy on components of the insulin resistance syndrome in China. Ann Intern Med 132:253–260

    CAS  PubMed  Google Scholar 

  21. Ministry of Health, Labour and Welfare (2000) Available at: http://www.mhlw.go.jp/houdou/0111/h1108-3c.html (in Japanese)

  22. National Institute of Health/National Heart, Lung, and Blood Institute (1998) Clinical guidelines on the identification, evaluation, and treatment of overweight and obesity in adults. NIH/NHLBI, Bethesda, MD, p 14

  23. Nucci LB, Schmidt MI, Duncan BB, Fuchs SC, Fleck ET, Santos Britto MM (2001) Nutritional status of pregnant women: prevalence and associated pregnancy outcomes. Rev Saude Publica 35:502–507

    CAS  PubMed  Google Scholar 

  24. Rooney BL, Schauberger CW (2002) Excess pregnancy weight gain and long-term obesity: one decade later. Obstet Gynecol 100:245–252

    Article  PubMed  Google Scholar 

  25. Schieve LA, Cogswell ME, Scanlon KS, Perry G, Ferre C, Blackmore-Prince C, Yu SM, Rosenberg D (2000) Prepregnancy body mass index and pregnancy weight gain: associations with preterm delivery. The NMIHS Collaborative Study Group. Obstet Gynecol 96:194–200

    Article  CAS  PubMed  Google Scholar 

  26. Sebire NJ, Jolly M, Harris J, Regan L, Robinson S (2001) Is maternal underweight really a risk factor for adverse pregnancy outcome? A population-based study in London. BJOG 108:61–66

    Article  CAS  PubMed  Google Scholar 

  27. Solomon CG, Willett WC, Carey VJ, Rich-Edwards J, Hunter DJ, Colditz GA, Stampfer MJ, Speizer FE, Spiegelman D, Manson JE (1997) A prospective study of pregravid determinants of gestational diabetes mellitus. J Am Med Assoc 278:1078–1083

    Article  CAS  Google Scholar 

  28. Strauss RS, Dietz WH (1999) Low maternal weight gain in the second or third trimester increases the risk for intrauterine growth retardation. J Nutr 129:988–993

    CAS  PubMed  Google Scholar 

  29. Thorsdottir I, Torfadottir JE, Birgisdottir BE, Geirsson RT (2002) Weight gain in women of normal weight before pregnancy: complications in pregnancy or delivery and birth outcome. Obstet Gynecol 99:799–806

    Article  PubMed  Google Scholar 

  30. Xiong X, Saunders LD, Wang FL, Demianczuk NN (2001) Gestational diabetes mellitus: prevalence, risk factors, maternal and infant outcomes. Int J Gynaecol Obstet 75:221–228

    Article  CAS  PubMed  Google Scholar 

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Authors and Affiliations

  1. Department of Obstetrics and Gynecology, Yamagata University School of Medicine, 2-2-2 Iida-nishi, Yamagata-city, Yamagata, 9909585, Japan

    Maki Murakami, Masahide Ohmichi & Hirohisa Kurachi

  2. Department of Public Health, Yamagata University School of Medicine, 2-2-2 Iida-nishi, Yamagata-city, Yamagata, 9909585, Japan

    Tatsuya Takahashi, Akiko Shibata & Akira Fukao

  3. Department of Obstetrics and Gynecology, Yamagata Prefectural Nihonkai Hospital, 30 Akiho-cho, Sakata-city, Yamagata, 9988501, Japan

    Nobuyuki Morisaki

Authors
  1. Maki Murakami
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  2. Masahide Ohmichi
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  3. Tatsuya Takahashi
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  4. Akiko Shibata
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  5. Akira Fukao
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  6. Nobuyuki Morisaki
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  7. Hirohisa Kurachi
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Correspondence to Maki Murakami.

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Murakami, M., Ohmichi, M., Takahashi, T. et al. Prepregnancy body mass index as an important predictor of perinatal outcomes in Japanese. Arch Gynecol Obstet 271, 311–315 (2005). https://doi.org/10.1007/s00404-004-0629-7

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  • DOI: https://doi.org/10.1007/s00404-004-0629-7

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