Inadequate Weight Gain According to the Institute of Medicine 2009 Guidelines in Women with Gestational Diabetes: Frequency, Clinical Predictors, and the Association with Pregnancy Outcomes
Xie, Xinglei (Universitat Autònoma de Barcelona. Departament de Medicina)
Pujol, Isabel (Institut d'Investigació Biomèdica Sant Pau)
López, Alicia (Institut d'Investigació Biomèdica Sant Pau)
Martínez, Maria Jose (Institut d'Investigació Biomèdica Sant Pau)
García-Patterson, Apolonia (Institut d'Investigació Biomèdica Sant Pau)
Adelantado, Juan M.. (Institut d'Investigació Biomèdica Sant Pau)
Ginovart, Gemma (Institut d'Investigació Biomèdica Sant Pau)
Corcoy i Pla, Rosa (Universitat Autònoma de Barcelona. Departament de Medicina)
Liu, Jiaming (Universitat Autònoma de Barcelona. Departament de Medicina)

Date:	2020
Abstract:	Background: In the care of women with gestational diabetes mellitus (GDM), more attention is put on glycemic control than in factors such as gestational weight gain (GWG). We aimed to evaluate the rate of inadequate GWG in women with GDM, its clinical predictors and the association with pregnancy outcomes. Methods: Cohort retrospective analysis. Outcome variables: GWG according to Institute of Medicine 2009 and 18 pregnancy outcomes. Clinical characteristics were considered both as GWG predictors and as covariates in outcome prediction. Statistics: descriptive, multinomial and logistic regression. Results: We assessed 2842 women diagnosed with GDM in the 1985-2011 period. GWG was insufficient (iGWG) in 50. 3%, adequate in 31. 6% and excessive (eGWG) in 18. 1%; length of follow-up for GDM was positively associated with iGWG. Overall pregnancy outcomes were satisfactory. GWG was associated with pregnancy-induced hypertension, preeclampsia, cesarean delivery and birthweight-related outcomes. Essentially, the direction of the association was towards a higher risk with eGWG and lower risk with iGWG (i. e. , with Cesarean delivery and excessive growth). Conclusions: In this cohort of women with GDM, inadequate GWG was very common at the expense of iGWG. The associations with pregnancy outcomes were mainly towards a higher risk with eGWG and lower risk with iGWG.
Rights:	Aquest document està subjecte a una llicència d'ús Creative Commons. Es permet la reproducció total o parcial, la distribució, la comunicació pública de l'obra i la creació d'obres derivades, fins i tot amb finalitats comercials, sempre i quan es reconegui l'autoria de l'obra original.
Language:	Anglès
Document:	Article ; recerca ; Versió publicada
Subject:	Gestational diabetes mellitus ; Institute of Medicine ; Weight gain ; Length of follow-up ; Pregnancy outcome
Published in:	Journal of clinical medicine, Vol. 9 Núm. 10 (2020) , p. 3343, ISSN 2077-0383

DOI: 10.3390/jcm9103343
PMID: 33080994

16 p, 890.6 KB

The record appears in these collections:
Research literature > UAB research groups literature > Research Centres and Groups (research output) > Health sciences and biosciences > Institut de Recerca Sant Pau
Articles > Research articles
Articles > Published articles