scholarly journals Maternal body mass index before pregnancy is associated with increased bronchodilator dispensing in early childhood: A cross-sectional study

2016 ◽  
Vol 51 (8) ◽  
pp. 803-811 ◽  
Author(s):  
Kelvin D. MacDonald ◽  
Kimberly K. Vesco ◽  
Kristine L. Funk ◽  
Jerena Donovan ◽  
Thuan Nguyen ◽  
...  
Keyword(s):  
Body Mass Index ◽  
Early Childhood ◽  
Body Mass ◽  
Cross Sectional Study ◽  
Maternal Body Mass Index ◽  
Sectional Study ◽  
Maternal Body ◽  
Cross Sectional

scholarly journals Preconception Lifestyle and Weight-Related Behaviors by Maternal Body Mass Index: A Cross-Sectional Study of Pregnant Women

Nutrients ◽  
2019 ◽  
Vol 11 (4) ◽  
pp. 759 ◽  
Author(s):  
Adina Lang ◽  
Cheryce Harrison ◽  
Jacqueline Boyle
Keyword(s):  
Body Mass Index ◽  
Pregnant Women ◽  
Weight Management ◽  
Body Mass ◽  
Odds Ratio ◽  
Cross Sectional Study ◽  
Normal Weight ◽  
Maternal Body Mass Index ◽  
Sectional Study ◽  
Cross Sectional

Obesity is a rising global health challenge, particularly for reproductive-aged women. Our cross-sectional study of pregnant women (n = 223) examined associations between preconception body mass index (BMI) and socio-demographics, weight perceptions and lifestyle behaviors. Over half of women were overweight (33.2%) or obese (22.0%), 49.6% of which perceived their weight as normal. High proportions of women reported planning their pregnancies (70.0%) and were actively trying to lose or maintain their weight preconception (72.7%). Weight management approaches varied from reducing discretionary foods (63.7%) to professional support (8.1%). Obese women had significantly greater odds of reducing discretionary foods (odds ratio (OR) = 6.69 95% confidence interval (CI) 2.13–21.00, p = 0.001) and using structured diets (adjusted odds ratio (AOR) = 9.13 95% CI 2.90–28.81, p < 0.001) compared to normal-weight women. After adjusting for socio-demographics, compared to normal-weight women, overweight (AOR = 5.24 95% CI 2.19–12.56, p < 0.001) and obese (AOR = 2.85 95% CI 1.06–7.67, p = 0.04) women had significantly increased odds of exercising for weight management and significantly lower odds of taking folic-acid preconception (overweight: AOR = 0.40 95% CI 0.18–0.90, p = 0.01, obese: AOR = 0.38 95% CI 0.16–0.91, p = 0.03). Large proportions of women planning a pregnancy have an overweight/obese BMI, with associated suboptimal health behaviors and reduced health professional engagement preconception. Further research exploring women’s perspectives regarding preconception lifestyles is needed to inform effective preconception health promotion strategies.

scholarly journals Prevalence and Association of Congenital Anomalies According to the Maternal Body Mass Index: Cross-Sectional Study

2019 ◽  
Vol 41 (05) ◽  
pp. 280-290 ◽  
Author(s):  
Carolina Leão de Moraes ◽  
Carolina Rodrigues Mendonça ◽  
Natália Cruz e Melo ◽  
Waldemar Naves do Amaral
Keyword(s):  
Body Mass Index ◽  
Pregnant Women ◽  
Body Mass ◽  
Lymphatic System ◽  
Cross Sectional Study ◽  
Maternal Body Mass Index ◽  
Sectional Study ◽  
Cross Sectional ◽  
Genitourinary System ◽  
Low Weight

Objective To evaluate and compare the prevalence of structural congenital anomalies (CAs) according to maternal body mass index (BMI). Methods The present cross-sectional study involved pregnant women with fetuses diagnosed with structural CAs through morphological ultrasonography between November 2014 and January 2016. The nutritional status of the pregnant women was classified according to the gross value of the body mass index. The pregnant women were categorized into four groups: low weight, adequate weight, overweight, and obesity. Statistical analysis was performed using Stata/SE version 12.0 (Stata Corporation, College Station, TX), with values of p ≤ 0.05 considered statistically significant. Results A total of 223 pregnant women had fetuses diagnosed with CAs. The prevalence of structural CAs in pregnant women with low weight was of 20.18%, of 43.50% in pregnant women with adequate weight, of 22.87% in pregnant women with overweight, and of 13.45% in pregnant women with obesity. The prevalence of central nervous system (CNS) anomalies and of genitourinary system anomalies was high for the four groups of pregnant women. A positive association was observed between multiple anomalies in pregnant women with adequate weight (prevalence ratio [PR] = 1.65; p ≤ 0.004) and between anomalies of the lymphatic system in obese pregnant women (PR = 4.04, p ≤ 0.000). Conclusion The prevalence of CNS and genitourinary system anomalies was high in all of the BMI categories. Obese pregnancies were associated with lymphatic system anomalies. Therefore, screening and identification of the risk factors for CAs are important, regardless of the maternal BMI. Our findings reinforce the importance of discussing with pregnant women maternal nutrition and its effect on fetal development and on neonatal outcome.

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