Obesity, gestational weight gain, and birth weight in women with gestational diabetes: the LINDA-Brasil (2014–2017) and the EBDG (1991–1995) studies

Detalhes bibliográficos
Autor(a) principal: Silveira,Letícia Ribeiro Pavão da
Data de Publicação: 2021
Outros Autores: Schmidt,Maria Inês, Reichelt,Angela de Azevedo Jacob, Drehmer,Michele
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Jornal de Pediatria (Online)
Texto Completo: http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0021-75572021000200167
Resumo: ABSTRACT Objective: This study aimed to evaluate gestational weight gain and birth weight in women with gestational diabetes mellitus of two Brazilian cohorts enrolled three decades apart. Methods: The authors compared data of 2362 women from the Lifestyle INtervention for Diabetes Prevention After Pregnancy study (LINDA-Brasil, 2014–2017) to those of 359 women from the Estudo Brasileiro de Diabetes Gestacional study (EBDG, 1991–1995). Gestational weight gain was classified by the 2009 Institute of Medicine criteria; large and small for gestational age newborns, by the Intergrowth-21st chart. Differences in birth weight means between pregestational BMI and gestational weight gain categories were evaluated by ANOVA; the associations of gestational weight gain and birth weight, through multivariable Poisson regression. Results: In LINDA-Brasil, women presented higher pregestational body mass index (30.3 ± 6.5 vs. 24.6 ± 4.4 kg/m2) and were frequently obese (46.4 vs. 11.1%) compared to those of the EBDG. In the EBDG, gestational weight gain was larger (11.3 ± 6.1 vs. 9.2 ± 7.6 kg) and rates of small for gestational age higher (7.5 vs. 4.5%) compared to LINDA-Brasil. In LINDA-Brasil, excessive gestational weight gain was associated to macrosomia (adjusted relative risk [aRR]: 1.59, 95% CI 1.08–2.35) and large for gestational age (aRR: 1.40; 95% CI 1.05–1.86); less gain increased the risk of low birth weight (aRR: 1.66; 95% CI 1.05–2.62) and small for gestational age (aRR: 1.79; 95% CI 1.03–3.11). These associations were similar in the EBDG, although not statistically significant. Conclusions: Improvements in gestational weight gain and rates of small for gestational age occurred over time in gestational diabetes mellitus pregnancies, accompanied by a worsening in maternal weight profile. This highlights the nutritional transition during this period and the importance of avoiding excessive gestational weight gain as well as promoting adequate weight before conception.
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spelling Obesity, gestational weight gain, and birth weight in women with gestational diabetes: the LINDA-Brasil (2014–2017) and the EBDG (1991–1995) studiesGestational diabetes mellitusGestational weight gainBirth weightABSTRACT Objective: This study aimed to evaluate gestational weight gain and birth weight in women with gestational diabetes mellitus of two Brazilian cohorts enrolled three decades apart. Methods: The authors compared data of 2362 women from the Lifestyle INtervention for Diabetes Prevention After Pregnancy study (LINDA-Brasil, 2014–2017) to those of 359 women from the Estudo Brasileiro de Diabetes Gestacional study (EBDG, 1991–1995). Gestational weight gain was classified by the 2009 Institute of Medicine criteria; large and small for gestational age newborns, by the Intergrowth-21st chart. Differences in birth weight means between pregestational BMI and gestational weight gain categories were evaluated by ANOVA; the associations of gestational weight gain and birth weight, through multivariable Poisson regression. Results: In LINDA-Brasil, women presented higher pregestational body mass index (30.3 ± 6.5 vs. 24.6 ± 4.4 kg/m2) and were frequently obese (46.4 vs. 11.1%) compared to those of the EBDG. In the EBDG, gestational weight gain was larger (11.3 ± 6.1 vs. 9.2 ± 7.6 kg) and rates of small for gestational age higher (7.5 vs. 4.5%) compared to LINDA-Brasil. In LINDA-Brasil, excessive gestational weight gain was associated to macrosomia (adjusted relative risk [aRR]: 1.59, 95% CI 1.08–2.35) and large for gestational age (aRR: 1.40; 95% CI 1.05–1.86); less gain increased the risk of low birth weight (aRR: 1.66; 95% CI 1.05–2.62) and small for gestational age (aRR: 1.79; 95% CI 1.03–3.11). These associations were similar in the EBDG, although not statistically significant. Conclusions: Improvements in gestational weight gain and rates of small for gestational age occurred over time in gestational diabetes mellitus pregnancies, accompanied by a worsening in maternal weight profile. This highlights the nutritional transition during this period and the importance of avoiding excessive gestational weight gain as well as promoting adequate weight before conception.Sociedade Brasileira de Pediatria2021-04-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersiontext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S0021-75572021000200167Jornal de Pediatria v.97 n.2 2021reponame:Jornal de Pediatria (Online)instname:Sociedade Brasileira de Pediatria (SBP)instacron:SBPE10.1016/j.jped.2020.02.004info:eu-repo/semantics/openAccessSilveira,Letícia Ribeiro Pavão daSchmidt,Maria InêsReichelt,Angela de Azevedo JacobDrehmer,Micheleeng2021-04-15T00:00:00Zoai:scielo:S0021-75572021000200167Revistahttp://www.jped.com.br/https://old.scielo.br/oai/scielo-oai.php||jped@jped.com.br1678-47820021-7557opendoar:2021-04-15T00:00Jornal de Pediatria (Online) - Sociedade Brasileira de Pediatria (SBP)false
dc.title.none.fl_str_mv Obesity, gestational weight gain, and birth weight in women with gestational diabetes: the LINDA-Brasil (2014–2017) and the EBDG (1991–1995) studies
title Obesity, gestational weight gain, and birth weight in women with gestational diabetes: the LINDA-Brasil (2014–2017) and the EBDG (1991–1995) studies
spellingShingle Obesity, gestational weight gain, and birth weight in women with gestational diabetes: the LINDA-Brasil (2014–2017) and the EBDG (1991–1995) studies
Silveira,Letícia Ribeiro Pavão da
Gestational diabetes mellitus
Gestational weight gain
Birth weight
title_short Obesity, gestational weight gain, and birth weight in women with gestational diabetes: the LINDA-Brasil (2014–2017) and the EBDG (1991–1995) studies
title_full Obesity, gestational weight gain, and birth weight in women with gestational diabetes: the LINDA-Brasil (2014–2017) and the EBDG (1991–1995) studies
title_fullStr Obesity, gestational weight gain, and birth weight in women with gestational diabetes: the LINDA-Brasil (2014–2017) and the EBDG (1991–1995) studies
title_full_unstemmed Obesity, gestational weight gain, and birth weight in women with gestational diabetes: the LINDA-Brasil (2014–2017) and the EBDG (1991–1995) studies
title_sort Obesity, gestational weight gain, and birth weight in women with gestational diabetes: the LINDA-Brasil (2014–2017) and the EBDG (1991–1995) studies
author Silveira,Letícia Ribeiro Pavão da
author_facet Silveira,Letícia Ribeiro Pavão da
Schmidt,Maria Inês
Reichelt,Angela de Azevedo Jacob
Drehmer,Michele
author_role author
author2 Schmidt,Maria Inês
Reichelt,Angela de Azevedo Jacob
Drehmer,Michele
author2_role author
author
author
dc.contributor.author.fl_str_mv Silveira,Letícia Ribeiro Pavão da
Schmidt,Maria Inês
Reichelt,Angela de Azevedo Jacob
Drehmer,Michele
dc.subject.por.fl_str_mv Gestational diabetes mellitus
Gestational weight gain
Birth weight
topic Gestational diabetes mellitus
Gestational weight gain
Birth weight
description ABSTRACT Objective: This study aimed to evaluate gestational weight gain and birth weight in women with gestational diabetes mellitus of two Brazilian cohorts enrolled three decades apart. Methods: The authors compared data of 2362 women from the Lifestyle INtervention for Diabetes Prevention After Pregnancy study (LINDA-Brasil, 2014–2017) to those of 359 women from the Estudo Brasileiro de Diabetes Gestacional study (EBDG, 1991–1995). Gestational weight gain was classified by the 2009 Institute of Medicine criteria; large and small for gestational age newborns, by the Intergrowth-21st chart. Differences in birth weight means between pregestational BMI and gestational weight gain categories were evaluated by ANOVA; the associations of gestational weight gain and birth weight, through multivariable Poisson regression. Results: In LINDA-Brasil, women presented higher pregestational body mass index (30.3 ± 6.5 vs. 24.6 ± 4.4 kg/m2) and were frequently obese (46.4 vs. 11.1%) compared to those of the EBDG. In the EBDG, gestational weight gain was larger (11.3 ± 6.1 vs. 9.2 ± 7.6 kg) and rates of small for gestational age higher (7.5 vs. 4.5%) compared to LINDA-Brasil. In LINDA-Brasil, excessive gestational weight gain was associated to macrosomia (adjusted relative risk [aRR]: 1.59, 95% CI 1.08–2.35) and large for gestational age (aRR: 1.40; 95% CI 1.05–1.86); less gain increased the risk of low birth weight (aRR: 1.66; 95% CI 1.05–2.62) and small for gestational age (aRR: 1.79; 95% CI 1.03–3.11). These associations were similar in the EBDG, although not statistically significant. Conclusions: Improvements in gestational weight gain and rates of small for gestational age occurred over time in gestational diabetes mellitus pregnancies, accompanied by a worsening in maternal weight profile. This highlights the nutritional transition during this period and the importance of avoiding excessive gestational weight gain as well as promoting adequate weight before conception.
publishDate 2021
dc.date.none.fl_str_mv 2021-04-01
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dc.identifier.uri.fl_str_mv http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0021-75572021000200167
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dc.language.iso.fl_str_mv eng
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dc.relation.none.fl_str_mv 10.1016/j.jped.2020.02.004
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dc.publisher.none.fl_str_mv Sociedade Brasileira de Pediatria
publisher.none.fl_str_mv Sociedade Brasileira de Pediatria
dc.source.none.fl_str_mv Jornal de Pediatria v.97 n.2 2021
reponame:Jornal de Pediatria (Online)
instname:Sociedade Brasileira de Pediatria (SBP)
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