Association between pre‐pregnancy body mass index and gestational weight gain and perinatal outcomes in pregnant women diagnosed with gestational diabetes mellitus: The Japan Environment and Children's Study
Abstract Aims/Introduction We investigated the association between gestational diabetes mellitus (GDM) and perinatal outcomes stratified by pre‐pregnancy body mass index (BMI) and/or gestational weight gain (GWG). Materials and Methods Data from the national birth cohort in the Japan Environment and...
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| Format: | Article |
| Language: | English |
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Wiley
2022-05-01
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| Series: | Journal of Diabetes Investigation |
| Subjects: | |
| Online Access: | https://doi.org/10.1111/jdi.13723 |
| _version_ | 1811338583551770624 |
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| author | Yoshihiro Saito Sumitaka Kobayashi Atsuko Ikeda‐Araki Sachiko Ito Chihiro Miyashita Takashi Kimura Takumi Hirata Akiko Tamakoshi Michinori Mayama Kiwamu Noshiro Kinuko Nakagawa Takeshi Umazume Kentaro Chiba Satoshi Kawaguchi Mamoru Morikawa Kazutoshi Cho Hidemichi Watari Yoshiya Ito Yasuaki Saijo Reiko Kishi the Japan Environment and Children's Study (JECS) group |
| author_facet | Yoshihiro Saito Sumitaka Kobayashi Atsuko Ikeda‐Araki Sachiko Ito Chihiro Miyashita Takashi Kimura Takumi Hirata Akiko Tamakoshi Michinori Mayama Kiwamu Noshiro Kinuko Nakagawa Takeshi Umazume Kentaro Chiba Satoshi Kawaguchi Mamoru Morikawa Kazutoshi Cho Hidemichi Watari Yoshiya Ito Yasuaki Saijo Reiko Kishi the Japan Environment and Children's Study (JECS) group |
| author_sort | Yoshihiro Saito |
| collection | DOAJ |
| description | Abstract Aims/Introduction We investigated the association between gestational diabetes mellitus (GDM) and perinatal outcomes stratified by pre‐pregnancy body mass index (BMI) and/or gestational weight gain (GWG). Materials and Methods Data from the national birth cohort in the Japan Environment and Children's Study from 2011 to 2014 (n = 85,228) were used. Japan uses the GDM guidelines of the International Association of Diabetes and Pregnancy Study Groups. The odds ratios (ORs) of perinatal outcomes were compared between women with and those without GDM. Results The OR (95% confidence interval) of having a small for gestational age infant in the GDM group with a pre‐pregnancy BMI of ≥25.0 kg/m2 and insufficient GWG (<2.75 kg) was 1.78 (1.02–3.12). The OR of having a large for gestational age infant of the same BMI group with excessive GWG (>7.25 kg) was 2.04 (1.56–2.67). The OR of hypertensive disorders of pregnancy was higher in women with a BMI ≥18.5 kg/m2 in the GDM group than in the non‐GDM group. Conclusions Large for gestational age and hypertensive disorders of pregnancy were associated with pre‐pregnancy BMI and GWG in either normal weight or overweight/obese women, and the relationship was strengthened when GDM was present. Women with GDM and a BMI of ≥25.0 kg/m2 are at risk of having small for gestational age and large for gestational age infants depending on GWG. |
| first_indexed | 2024-04-13T18:13:16Z |
| format | Article |
| id | doaj.art-5b4081fda0104b91ab9b3ec0ae51126f |
| institution | Directory Open Access Journal |
| issn | 2040-1116 2040-1124 |
| language | English |
| last_indexed | 2024-04-13T18:13:16Z |
| publishDate | 2022-05-01 |
| publisher | Wiley |
| record_format | Article |
| series | Journal of Diabetes Investigation |
| spelling | doaj.art-5b4081fda0104b91ab9b3ec0ae51126f2022-12-22T02:35:49ZengWileyJournal of Diabetes Investigation2040-11162040-11242022-05-0113588989910.1111/jdi.13723Association between pre‐pregnancy body mass index and gestational weight gain and perinatal outcomes in pregnant women diagnosed with gestational diabetes mellitus: The Japan Environment and Children's StudyYoshihiro Saito0Sumitaka Kobayashi1Atsuko Ikeda‐Araki2Sachiko Ito3Chihiro Miyashita4Takashi Kimura5Takumi Hirata6Akiko Tamakoshi7Michinori Mayama8Kiwamu Noshiro9Kinuko Nakagawa10Takeshi Umazume11Kentaro Chiba12Satoshi Kawaguchi13Mamoru Morikawa14Kazutoshi Cho15Hidemichi Watari16Yoshiya Ito17Yasuaki Saijo18Reiko Kishi19the Japan Environment and Children's Study (JECS) groupDepartment of Obstetrics and Gynecology Hokkaido University Graduate School of Medicine Sapporo JapanCenter for Environmental and Health Sciences Hokkaido University Sapporo JapanCenter for Environmental and Health Sciences Hokkaido University Sapporo JapanCenter for Environmental and Health Sciences Hokkaido University Sapporo JapanCenter for Environmental and Health Sciences Hokkaido University Sapporo JapanDepartment of Public Health Hokkaido University Graduate School of Medicine Sapporo JapanDepartment of Public Health Hokkaido University Graduate School of Medicine Sapporo JapanDepartment of Public Health Hokkaido University Graduate School of Medicine Sapporo JapanDepartment of Obstetrics and Gynecology Hokkaido University Graduate School of Medicine Sapporo JapanDepartment of Obstetrics and Gynecology Hokkaido University Graduate School of Medicine Sapporo JapanDepartment of Obstetrics and Gynecology Hokkaido University Graduate School of Medicine Sapporo JapanDepartment of Obstetrics and Gynecology Hokkaido University Graduate School of Medicine Sapporo JapanDepartment of Obstetrics and Gynecology Hokkaido University Graduate School of Medicine Sapporo JapanDepartment of Obstetrics and Gynecology Hokkaido University Graduate School of Medicine Sapporo JapanDepartment of Obstetrics and Gynecology Hokkaido University Graduate School of Medicine Sapporo JapanCenter for Perinatal Medicine Hokkaido University Hospital Sapporo JapanDepartment of Obstetrics and Gynecology Hokkaido University Graduate School of Medicine Sapporo JapanFaculty of Nursing Japanese Red Cross Hokkaido College of Nursing Kitami JapanDepartment of Social Medicine Asahikawa Medical University Asahikawa JapanCenter for Environmental and Health Sciences Hokkaido University Sapporo JapanAbstract Aims/Introduction We investigated the association between gestational diabetes mellitus (GDM) and perinatal outcomes stratified by pre‐pregnancy body mass index (BMI) and/or gestational weight gain (GWG). Materials and Methods Data from the national birth cohort in the Japan Environment and Children's Study from 2011 to 2014 (n = 85,228) were used. Japan uses the GDM guidelines of the International Association of Diabetes and Pregnancy Study Groups. The odds ratios (ORs) of perinatal outcomes were compared between women with and those without GDM. Results The OR (95% confidence interval) of having a small for gestational age infant in the GDM group with a pre‐pregnancy BMI of ≥25.0 kg/m2 and insufficient GWG (<2.75 kg) was 1.78 (1.02–3.12). The OR of having a large for gestational age infant of the same BMI group with excessive GWG (>7.25 kg) was 2.04 (1.56–2.67). The OR of hypertensive disorders of pregnancy was higher in women with a BMI ≥18.5 kg/m2 in the GDM group than in the non‐GDM group. Conclusions Large for gestational age and hypertensive disorders of pregnancy were associated with pre‐pregnancy BMI and GWG in either normal weight or overweight/obese women, and the relationship was strengthened when GDM was present. Women with GDM and a BMI of ≥25.0 kg/m2 are at risk of having small for gestational age and large for gestational age infants depending on GWG.https://doi.org/10.1111/jdi.13723Body mass indexGestational diabetes mellitusGestational weight gain |
| spellingShingle | Yoshihiro Saito Sumitaka Kobayashi Atsuko Ikeda‐Araki Sachiko Ito Chihiro Miyashita Takashi Kimura Takumi Hirata Akiko Tamakoshi Michinori Mayama Kiwamu Noshiro Kinuko Nakagawa Takeshi Umazume Kentaro Chiba Satoshi Kawaguchi Mamoru Morikawa Kazutoshi Cho Hidemichi Watari Yoshiya Ito Yasuaki Saijo Reiko Kishi the Japan Environment and Children's Study (JECS) group Association between pre‐pregnancy body mass index and gestational weight gain and perinatal outcomes in pregnant women diagnosed with gestational diabetes mellitus: The Japan Environment and Children's Study Journal of Diabetes Investigation Body mass index Gestational diabetes mellitus Gestational weight gain |
| title | Association between pre‐pregnancy body mass index and gestational weight gain and perinatal outcomes in pregnant women diagnosed with gestational diabetes mellitus: The Japan Environment and Children's Study |
| title_full | Association between pre‐pregnancy body mass index and gestational weight gain and perinatal outcomes in pregnant women diagnosed with gestational diabetes mellitus: The Japan Environment and Children's Study |
| title_fullStr | Association between pre‐pregnancy body mass index and gestational weight gain and perinatal outcomes in pregnant women diagnosed with gestational diabetes mellitus: The Japan Environment and Children's Study |
| title_full_unstemmed | Association between pre‐pregnancy body mass index and gestational weight gain and perinatal outcomes in pregnant women diagnosed with gestational diabetes mellitus: The Japan Environment and Children's Study |
| title_short | Association between pre‐pregnancy body mass index and gestational weight gain and perinatal outcomes in pregnant women diagnosed with gestational diabetes mellitus: The Japan Environment and Children's Study |
| title_sort | association between pre pregnancy body mass index and gestational weight gain and perinatal outcomes in pregnant women diagnosed with gestational diabetes mellitus the japan environment and children s study |
| topic | Body mass index Gestational diabetes mellitus Gestational weight gain |
| url | https://doi.org/10.1111/jdi.13723 |
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