Waist circumference in the prediction of obesity-related adverse pregnancy outcomes

Detalhes bibliográficos
Autor(a) principal: Wendland,Eliana M. D. R.
Data de Publicação: 2007
Outros Autores: Duncan,Bruce Bartholow, Mengue,Sotero Serrate, Nucci,Luciana Bertoldi, Schmidt,Maria Inês
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Cadernos de Saúde Pública
Texto Completo: http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0102-311X2007000200015
Resumo: The aim of this study is to evaluate the diagnostic properties of waist circumference in the prediction of obesity-related gestational outcomes. Pregnant women 20 years or older were consecutively enrolled in six Brazilian State capitals from 1991 to 1995. Weight, height, and waist circumference were measured and an oral glucose tolerance test was performed. Patients were followed through childbirth by chart review. Diagnostic performance for the different outcomes, as measured by area under the receiver operating characteristic (ROC) curve, was estimated through logistic regression. Areas under the ROC curve (95%CI) for waist circumference were 0.621(0.589-0.652) for gestational diabetes, 0.640 (0.588-0.692) for preeclampsia, and 0.645(0.617-0.673) for macrosomia. These areas were similar to those for BMI (p > 0.05). A waist circumference of 82cm jointly maximized sensitivity (63%) and specificity (57%). Cutoff points of 23kg/m² for pre-pregnancy BMI and 26kg/m² for BMI at enrollment produced similar diagnostic properties. In conclusion, waist circumference predicts obesity-related adverse pregnancy outcomes at least as well as BMI.
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spelling Waist circumference in the prediction of obesity-related adverse pregnancy outcomesObesityPregnancyAnthropometryThe aim of this study is to evaluate the diagnostic properties of waist circumference in the prediction of obesity-related gestational outcomes. Pregnant women 20 years or older were consecutively enrolled in six Brazilian State capitals from 1991 to 1995. Weight, height, and waist circumference were measured and an oral glucose tolerance test was performed. Patients were followed through childbirth by chart review. Diagnostic performance for the different outcomes, as measured by area under the receiver operating characteristic (ROC) curve, was estimated through logistic regression. Areas under the ROC curve (95%CI) for waist circumference were 0.621(0.589-0.652) for gestational diabetes, 0.640 (0.588-0.692) for preeclampsia, and 0.645(0.617-0.673) for macrosomia. These areas were similar to those for BMI (p > 0.05). A waist circumference of 82cm jointly maximized sensitivity (63%) and specificity (57%). Cutoff points of 23kg/m² for pre-pregnancy BMI and 26kg/m² for BMI at enrollment produced similar diagnostic properties. In conclusion, waist circumference predicts obesity-related adverse pregnancy outcomes at least as well as BMI.Escola Nacional de Saúde Pública Sergio Arouca, Fundação Oswaldo Cruz2007-02-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersiontext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S0102-311X2007000200015Cadernos de Saúde Pública v.23 n.2 2007reponame:Cadernos de Saúde Públicainstname:Fundação Oswaldo Cruz (FIOCRUZ)instacron:FIOCRUZ10.1590/S0102-311X2007000200015info:eu-repo/semantics/openAccessWendland,Eliana M. D. R.Duncan,Bruce BartholowMengue,Sotero SerrateNucci,Luciana BertoldiSchmidt,Maria Inêseng2007-01-09T00:00:00Zoai:scielo:S0102-311X2007000200015Revistahttp://cadernos.ensp.fiocruz.br/csp/https://old.scielo.br/oai/scielo-oai.phpcadernos@ensp.fiocruz.br||cadernos@ensp.fiocruz.br1678-44640102-311Xopendoar:2007-01-09T00:00Cadernos de Saúde Pública - Fundação Oswaldo Cruz (FIOCRUZ)false
dc.title.none.fl_str_mv Waist circumference in the prediction of obesity-related adverse pregnancy outcomes
title Waist circumference in the prediction of obesity-related adverse pregnancy outcomes
spellingShingle Waist circumference in the prediction of obesity-related adverse pregnancy outcomes
Wendland,Eliana M. D. R.
Obesity
Pregnancy
Anthropometry
title_short Waist circumference in the prediction of obesity-related adverse pregnancy outcomes
title_full Waist circumference in the prediction of obesity-related adverse pregnancy outcomes
title_fullStr Waist circumference in the prediction of obesity-related adverse pregnancy outcomes
title_full_unstemmed Waist circumference in the prediction of obesity-related adverse pregnancy outcomes
title_sort Waist circumference in the prediction of obesity-related adverse pregnancy outcomes
author Wendland,Eliana M. D. R.
author_facet Wendland,Eliana M. D. R.
Duncan,Bruce Bartholow
Mengue,Sotero Serrate
Nucci,Luciana Bertoldi
Schmidt,Maria Inês
author_role author
author2 Duncan,Bruce Bartholow
Mengue,Sotero Serrate
Nucci,Luciana Bertoldi
Schmidt,Maria Inês
author2_role author
author
author
author
dc.contributor.author.fl_str_mv Wendland,Eliana M. D. R.
Duncan,Bruce Bartholow
Mengue,Sotero Serrate
Nucci,Luciana Bertoldi
Schmidt,Maria Inês
dc.subject.por.fl_str_mv Obesity
Pregnancy
Anthropometry
topic Obesity
Pregnancy
Anthropometry
description The aim of this study is to evaluate the diagnostic properties of waist circumference in the prediction of obesity-related gestational outcomes. Pregnant women 20 years or older were consecutively enrolled in six Brazilian State capitals from 1991 to 1995. Weight, height, and waist circumference were measured and an oral glucose tolerance test was performed. Patients were followed through childbirth by chart review. Diagnostic performance for the different outcomes, as measured by area under the receiver operating characteristic (ROC) curve, was estimated through logistic regression. Areas under the ROC curve (95%CI) for waist circumference were 0.621(0.589-0.652) for gestational diabetes, 0.640 (0.588-0.692) for preeclampsia, and 0.645(0.617-0.673) for macrosomia. These areas were similar to those for BMI (p > 0.05). A waist circumference of 82cm jointly maximized sensitivity (63%) and specificity (57%). Cutoff points of 23kg/m² for pre-pregnancy BMI and 26kg/m² for BMI at enrollment produced similar diagnostic properties. In conclusion, waist circumference predicts obesity-related adverse pregnancy outcomes at least as well as BMI.
publishDate 2007
dc.date.none.fl_str_mv 2007-02-01
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
format article
status_str publishedVersion
dc.identifier.uri.fl_str_mv http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0102-311X2007000200015
url http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0102-311X2007000200015
dc.language.iso.fl_str_mv eng
language eng
dc.relation.none.fl_str_mv 10.1590/S0102-311X2007000200015
dc.rights.driver.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv text/html
dc.publisher.none.fl_str_mv Escola Nacional de Saúde Pública Sergio Arouca, Fundação Oswaldo Cruz
publisher.none.fl_str_mv Escola Nacional de Saúde Pública Sergio Arouca, Fundação Oswaldo Cruz
dc.source.none.fl_str_mv Cadernos de Saúde Pública v.23 n.2 2007
reponame:Cadernos de Saúde Pública
instname:Fundação Oswaldo Cruz (FIOCRUZ)
instacron:FIOCRUZ
instname_str Fundação Oswaldo Cruz (FIOCRUZ)
instacron_str FIOCRUZ
institution FIOCRUZ
reponame_str Cadernos de Saúde Pública
collection Cadernos de Saúde Pública
repository.name.fl_str_mv Cadernos de Saúde Pública - Fundação Oswaldo Cruz (FIOCRUZ)
repository.mail.fl_str_mv cadernos@ensp.fiocruz.br||cadernos@ensp.fiocruz.br
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