Role of Body Mass Index and gestational weight gain on preterm birth and adverse perinatal outcomes
Autor(a) principal: | |
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Data de Publicação: | 2019 |
Outros Autores: | , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Repositório Institucional da UNESP |
Texto Completo: | http://dx.doi.org/10.1038/s41598-019-49704-x http://hdl.handle.net/11449/186177 |
Resumo: | The association of body mass index (BMI) and gestational weight gain (GWG) with preterm birth (PTB) remains controversial in the literature. To evaluate different maternal BMI and GWG categories, according to the initial BMI, in relation to different PTB subtypes and perinatal outcomes, we conducted a secondary analysis of a multicentre cross-sectional study, along with a nested case-control study including PTB from 20 centers in Brazil. Pre-pregnancy underweight was associated with a lower risk of provider-initiated PTB, while overweight and obesity were associated with a higher risk of provider-initiated PTB and a lower risk of spontaneous preterm birth. Insufficient gestational weight gain was associated with a higher prevalence of spontaneous PTB and preterm premature rupture of membranes. Excessive GWG correlated with a higher prevalence of provider-initiated PTB or preterm premature rupture of membranes. Irrespective of the initial BMI, the greater the rate of GWG, the higher the predicted probability of all PTB subtypes, except for spontaneous PTB in underweight women and those with normal BMI. On multivariate analysis, the initial BMI was shown to be the only factor associated with pi-PTB. Briefly, further studies evaluating the risk for PTB should consider that GWG may have a different role depending on the initial BMI and PTB subtype. |
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Role of Body Mass Index and gestational weight gain on preterm birth and adverse perinatal outcomesThe association of body mass index (BMI) and gestational weight gain (GWG) with preterm birth (PTB) remains controversial in the literature. To evaluate different maternal BMI and GWG categories, according to the initial BMI, in relation to different PTB subtypes and perinatal outcomes, we conducted a secondary analysis of a multicentre cross-sectional study, along with a nested case-control study including PTB from 20 centers in Brazil. Pre-pregnancy underweight was associated with a lower risk of provider-initiated PTB, while overweight and obesity were associated with a higher risk of provider-initiated PTB and a lower risk of spontaneous preterm birth. Insufficient gestational weight gain was associated with a higher prevalence of spontaneous PTB and preterm premature rupture of membranes. Excessive GWG correlated with a higher prevalence of provider-initiated PTB or preterm premature rupture of membranes. Irrespective of the initial BMI, the greater the rate of GWG, the higher the predicted probability of all PTB subtypes, except for spontaneous PTB in underweight women and those with normal BMI. On multivariate analysis, the initial BMI was shown to be the only factor associated with pi-PTB. Briefly, further studies evaluating the risk for PTB should consider that GWG may have a different role depending on the initial BMI and PTB subtype.Fundação de Amparo à Pesquisa do Estado de São Paulo (FAPESP)Conselho Nacional de Desenvolvimento Científico e Tecnológico (CNPq)Bill and Melinda Gates FoundationUniv Estadual Campinas, UNICAMP, Sch Med Sci, Dept Obstet & Gynecol, Campinas, SP, BrazilJundiai Med Sch, Dept Obstet & Gynecol, Jundiai, SP, BrazilUniv Estadual Campinas, UNICAMP, Sch Med Sci, Unit Stat, Campinas, BrazilUniv Estadual Campinas, UNICAMP, Sch Med Sci, Dept Pediat, Campinas, SP, BrazilUniv Fed Sao Paulo, UNIFESP, EPM, Div Neonatal Med, Sao Paulo, SP, BrazilUniv Sao Paulo, Fac Med Ribeirao Preto, Sao Paulo, BrazilMatern Sch, Fortaleza, Ceara, BrazilInst Med Integral Prof Fernando Figueira, Recife, PE, BrazilUniv Fed Pernambuco, Sch Med, Dept Mother & Child Hlth, Recife, PE, BrazilInst Saude Elpidio Almeida, Campina Grande, Paraiba, BrazilFed Univ Maranhao UFMA, Dept Gynecol & Obstet, Sao Luis, MA, BrazilUniv Fed Paraiba, Joao Pessoa, Paraiba, BrazilUniv Fed Parana, Curitiba, Parana, BrazilUniv Fed Bahia, Salvador, BA, BrazilUniv Fed Rio Grande do Sul, Porto Alegre, RS, BrazilInst Fernandes Figueira Fiocruz, Rio De Janeiro, RJ, BrazilSao Paulo State Univ, Dept Gynecol & Obstet, Botucatu, SP, BrazilUniv Fed Sao Paulo, EPM UNIFESP, Paulista Sch Med, Dept Obstet, Sao Paulo, SP, BrazilSanta Casa Limeira Hosp, Limeira, SP, BrazilSanta Casa Sao Carlos Hosp, Sao Carlos, SP, BrazilMatern Casa Maternal Leonor Mendes Barros, Sao Paulo, SP, BrazilMatern Escola Vila Nova Cachoeirinha, Sao Paulo, SP, BrazilHosp Estadual Sumare, Sumare, SP, BrazilSao Paulo State Univ, Dept Gynecol & Obstet, Botucatu, SP, BrazilBill and Melinda Gates Foundation: 401636/2013-5Bill and Melinda Gates Foundation: 05/2013CNPq: 401636/2013-5CNPq: 05/2013Nature Publishing GroupUniversidade Estadual de Campinas (UNICAMP)Jundiai Med SchUniversidade Federal de São Paulo (UNIFESP)Universidade de São Paulo (USP)Matern SchInst Med Integral Prof Fernando FigueiraUniversidade Federal de Pernambuco (UFPE)Inst Saude Elpidio AlmeidaFed Univ Maranhao UFMAUniv Fed ParaibaUniv Fed ParanaUniversidade Federal da Bahia (UFBA)Univ Fed Rio Grande do SulInst Fernandes Figueira FiocruzUniversidade Estadual Paulista (Unesp)Santa Casa Limeira HospSanta Casa Sao Carlos HospMatern Casa Maternal Leonor Mendes BarrosMatern Escola Vila Nova CachoeirinhaHosp Estadual SumareSilva, Fabia PigattiSouza, Renato T.Cecatti, Jose G.Passini, RenatoTedesco, Ricardo P.Lajos, Giuliane J.Nomura, Marcelo L.Rehder, Patricia M.Dias, Tabata Z.Oliveira, Paulo F.Silva, Cleide M.Costa, Maria L.Pacagnella, Rodolfo C.Haddad, Samira M.Zotarelli, VilmaGurgel, Lucio T.Maia Filho, Nelson L.Mathias, Jacinta P.Marba, Sergio T.Guinsburg, RuthMartinez, Francisco E.Quintana, Silvana M.Melli, Patricia P. S.Feitosa, Francisco E.Chaves, George N.Porto, Ana M.Coutinho, Isabela C.Barbosa Lima, Antonio C.Melo, Elias F.Leite, Debora F.Amorim, Melania M.Melo, Adriana S. O.Melo, Fabiana O.Martins, Marilia G.Nunes, Marinea V.Paiva, Claudio S.Lima, Moises D.Freire, Djacyr M.Tristao, Edson G.Nascimento, Denis J.Menezes, Carlos A.Aquino, MarceloVettorazzi, JaneteSenger, Cintia E.Assumpcao, Augusta M. B.Guedes, Marcela A. F.Moreira, Maria E. L.Borges, Vera T. [UNESP]Souza, EduardoZamarian, Ana C. P.Lotufo, Fatima A.Uzilin, KalianeZanette, Elvira A.Andreucci, Carla B.Oliveira, Tenilson A.Oliveira, Laercio R.Santos, Marcos A. N.Sass, NelsonSilveira, Mirian R. F.Coutinho, Pedro R.Siqueira, LucianaBrazilian Multictr Study Preterm2019-10-04T12:42:24Z2019-10-04T12:42:24Z2019-09-11info:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/article12http://dx.doi.org/10.1038/s41598-019-49704-xScientific Reports. London: Nature Publishing Group, v. 9, 12 p., 2019.2045-2322http://hdl.handle.net/11449/18617710.1038/s41598-019-49704-xWOS:000485215700003Web of Sciencereponame:Repositório Institucional da UNESPinstname:Universidade Estadual Paulista (UNESP)instacron:UNESPengScientific Reportsinfo:eu-repo/semantics/openAccess2024-08-16T14:07:08Zoai:repositorio.unesp.br:11449/186177Repositório InstitucionalPUBhttp://repositorio.unesp.br/oai/requestopendoar:29462024-08-16T14:07:08Repositório Institucional da UNESP - Universidade Estadual Paulista (UNESP)false |
dc.title.none.fl_str_mv |
Role of Body Mass Index and gestational weight gain on preterm birth and adverse perinatal outcomes |
title |
Role of Body Mass Index and gestational weight gain on preterm birth and adverse perinatal outcomes |
spellingShingle |
Role of Body Mass Index and gestational weight gain on preterm birth and adverse perinatal outcomes Silva, Fabia Pigatti |
title_short |
Role of Body Mass Index and gestational weight gain on preterm birth and adverse perinatal outcomes |
title_full |
Role of Body Mass Index and gestational weight gain on preterm birth and adverse perinatal outcomes |
title_fullStr |
Role of Body Mass Index and gestational weight gain on preterm birth and adverse perinatal outcomes |
title_full_unstemmed |
Role of Body Mass Index and gestational weight gain on preterm birth and adverse perinatal outcomes |
title_sort |
Role of Body Mass Index and gestational weight gain on preterm birth and adverse perinatal outcomes |
author |
Silva, Fabia Pigatti |
author_facet |
Silva, Fabia Pigatti Souza, Renato T. Cecatti, Jose G. Passini, Renato Tedesco, Ricardo P. Lajos, Giuliane J. Nomura, Marcelo L. Rehder, Patricia M. Dias, Tabata Z. Oliveira, Paulo F. Silva, Cleide M. Costa, Maria L. Pacagnella, Rodolfo C. Haddad, Samira M. Zotarelli, Vilma Gurgel, Lucio T. Maia Filho, Nelson L. Mathias, Jacinta P. Marba, Sergio T. Guinsburg, Ruth Martinez, Francisco E. Quintana, Silvana M. Melli, Patricia P. S. Feitosa, Francisco E. Chaves, George N. Porto, Ana M. Coutinho, Isabela C. Barbosa Lima, Antonio C. Melo, Elias F. Leite, Debora F. Amorim, Melania M. Melo, Adriana S. O. Melo, Fabiana O. Martins, Marilia G. Nunes, Marinea V. Paiva, Claudio S. Lima, Moises D. Freire, Djacyr M. Tristao, Edson G. Nascimento, Denis J. Menezes, Carlos A. Aquino, Marcelo Vettorazzi, Janete Senger, Cintia E. Assumpcao, Augusta M. B. Guedes, Marcela A. F. Moreira, Maria E. L. Borges, Vera T. [UNESP] Souza, Eduardo Zamarian, Ana C. P. Lotufo, Fatima A. Uzilin, Kaliane Zanette, Elvira A. Andreucci, Carla B. Oliveira, Tenilson A. Oliveira, Laercio R. Santos, Marcos A. N. Sass, Nelson Silveira, Mirian R. F. Coutinho, Pedro R. Siqueira, Luciana Brazilian Multictr Study Preterm |
author_role |
author |
author2 |
Souza, Renato T. Cecatti, Jose G. Passini, Renato Tedesco, Ricardo P. Lajos, Giuliane J. Nomura, Marcelo L. Rehder, Patricia M. Dias, Tabata Z. Oliveira, Paulo F. Silva, Cleide M. Costa, Maria L. Pacagnella, Rodolfo C. Haddad, Samira M. Zotarelli, Vilma Gurgel, Lucio T. Maia Filho, Nelson L. Mathias, Jacinta P. Marba, Sergio T. Guinsburg, Ruth Martinez, Francisco E. Quintana, Silvana M. Melli, Patricia P. S. Feitosa, Francisco E. Chaves, George N. Porto, Ana M. Coutinho, Isabela C. Barbosa Lima, Antonio C. Melo, Elias F. Leite, Debora F. Amorim, Melania M. Melo, Adriana S. O. Melo, Fabiana O. Martins, Marilia G. Nunes, Marinea V. Paiva, Claudio S. Lima, Moises D. Freire, Djacyr M. Tristao, Edson G. Nascimento, Denis J. Menezes, Carlos A. Aquino, Marcelo Vettorazzi, Janete Senger, Cintia E. Assumpcao, Augusta M. B. Guedes, Marcela A. F. Moreira, Maria E. L. Borges, Vera T. [UNESP] Souza, Eduardo Zamarian, Ana C. P. Lotufo, Fatima A. Uzilin, Kaliane Zanette, Elvira A. Andreucci, Carla B. Oliveira, Tenilson A. Oliveira, Laercio R. Santos, Marcos A. N. Sass, Nelson Silveira, Mirian R. F. Coutinho, Pedro R. Siqueira, Luciana Brazilian Multictr Study Preterm |
author2_role |
author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author |
dc.contributor.none.fl_str_mv |
Universidade Estadual de Campinas (UNICAMP) Jundiai Med Sch Universidade Federal de São Paulo (UNIFESP) Universidade de São Paulo (USP) Matern Sch Inst Med Integral Prof Fernando Figueira Universidade Federal de Pernambuco (UFPE) Inst Saude Elpidio Almeida Fed Univ Maranhao UFMA Univ Fed Paraiba Univ Fed Parana Universidade Federal da Bahia (UFBA) Univ Fed Rio Grande do Sul Inst Fernandes Figueira Fiocruz Universidade Estadual Paulista (Unesp) Santa Casa Limeira Hosp Santa Casa Sao Carlos Hosp Matern Casa Maternal Leonor Mendes Barros Matern Escola Vila Nova Cachoeirinha Hosp Estadual Sumare |
dc.contributor.author.fl_str_mv |
Silva, Fabia Pigatti Souza, Renato T. Cecatti, Jose G. Passini, Renato Tedesco, Ricardo P. Lajos, Giuliane J. Nomura, Marcelo L. Rehder, Patricia M. Dias, Tabata Z. Oliveira, Paulo F. Silva, Cleide M. Costa, Maria L. Pacagnella, Rodolfo C. Haddad, Samira M. Zotarelli, Vilma Gurgel, Lucio T. Maia Filho, Nelson L. Mathias, Jacinta P. Marba, Sergio T. Guinsburg, Ruth Martinez, Francisco E. Quintana, Silvana M. Melli, Patricia P. S. Feitosa, Francisco E. Chaves, George N. Porto, Ana M. Coutinho, Isabela C. Barbosa Lima, Antonio C. Melo, Elias F. Leite, Debora F. Amorim, Melania M. Melo, Adriana S. O. Melo, Fabiana O. Martins, Marilia G. Nunes, Marinea V. Paiva, Claudio S. Lima, Moises D. Freire, Djacyr M. Tristao, Edson G. Nascimento, Denis J. Menezes, Carlos A. Aquino, Marcelo Vettorazzi, Janete Senger, Cintia E. Assumpcao, Augusta M. B. Guedes, Marcela A. F. Moreira, Maria E. L. Borges, Vera T. [UNESP] Souza, Eduardo Zamarian, Ana C. P. Lotufo, Fatima A. Uzilin, Kaliane Zanette, Elvira A. Andreucci, Carla B. Oliveira, Tenilson A. Oliveira, Laercio R. Santos, Marcos A. N. Sass, Nelson Silveira, Mirian R. F. Coutinho, Pedro R. Siqueira, Luciana Brazilian Multictr Study Preterm |
description |
The association of body mass index (BMI) and gestational weight gain (GWG) with preterm birth (PTB) remains controversial in the literature. To evaluate different maternal BMI and GWG categories, according to the initial BMI, in relation to different PTB subtypes and perinatal outcomes, we conducted a secondary analysis of a multicentre cross-sectional study, along with a nested case-control study including PTB from 20 centers in Brazil. Pre-pregnancy underweight was associated with a lower risk of provider-initiated PTB, while overweight and obesity were associated with a higher risk of provider-initiated PTB and a lower risk of spontaneous preterm birth. Insufficient gestational weight gain was associated with a higher prevalence of spontaneous PTB and preterm premature rupture of membranes. Excessive GWG correlated with a higher prevalence of provider-initiated PTB or preterm premature rupture of membranes. Irrespective of the initial BMI, the greater the rate of GWG, the higher the predicted probability of all PTB subtypes, except for spontaneous PTB in underweight women and those with normal BMI. On multivariate analysis, the initial BMI was shown to be the only factor associated with pi-PTB. Briefly, further studies evaluating the risk for PTB should consider that GWG may have a different role depending on the initial BMI and PTB subtype. |
publishDate |
2019 |
dc.date.none.fl_str_mv |
2019-10-04T12:42:24Z 2019-10-04T12:42:24Z 2019-09-11 |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
http://dx.doi.org/10.1038/s41598-019-49704-x Scientific Reports. London: Nature Publishing Group, v. 9, 12 p., 2019. 2045-2322 http://hdl.handle.net/11449/186177 10.1038/s41598-019-49704-x WOS:000485215700003 |
url |
http://dx.doi.org/10.1038/s41598-019-49704-x http://hdl.handle.net/11449/186177 |
identifier_str_mv |
Scientific Reports. London: Nature Publishing Group, v. 9, 12 p., 2019. 2045-2322 10.1038/s41598-019-49704-x WOS:000485215700003 |
dc.language.iso.fl_str_mv |
eng |
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eng |
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Scientific Reports |
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info:eu-repo/semantics/openAccess |
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openAccess |
dc.format.none.fl_str_mv |
12 |
dc.publisher.none.fl_str_mv |
Nature Publishing Group |
publisher.none.fl_str_mv |
Nature Publishing Group |
dc.source.none.fl_str_mv |
Web of Science reponame:Repositório Institucional da UNESP instname:Universidade Estadual Paulista (UNESP) instacron:UNESP |
instname_str |
Universidade Estadual Paulista (UNESP) |
instacron_str |
UNESP |
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UNESP |
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Repositório Institucional da UNESP |
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Repositório Institucional da UNESP |
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Repositório Institucional da UNESP - Universidade Estadual Paulista (UNESP) |
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1808128151604166656 |