Role of Body Mass Index and gestational weight gain on preterm birth and adverse perinatal outcomes

Detalhes bibliográficos
Autor(a) principal: Silva, Fabia Pigatti
Data de Publicação: 2019
Outros Autores: 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
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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spelling 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
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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
language eng
dc.relation.none.fl_str_mv Scientific Reports
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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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reponame_str Repositório Institucional da UNESP
collection Repositório Institucional da UNESP
repository.name.fl_str_mv Repositório Institucional da UNESP - Universidade Estadual Paulista (UNESP)
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