Naslov
Effect of pre-pregnancy BMI on changes in adipose tissue in pregnancy and delivery outcomes – preliminary results form the CRIBS study

Autori
Šarac, Jelena ; Zajc Petranović, Matea ; Havaš Auguštin, Dubravka ; Novokmet, Natalija ; Fuchs, Nives ; Carić, Tonko ; Musić Milanović, Sanja ; Karelović, Deni ; Missoni, Saša

Vrsta, podvrsta i kategorija rada
Sažeci sa skupova, sažetak, znanstveni

Izvornik
Obesity Facts 11(Suppl. 1) / Hauner, H. - Freiburg : S. Karger GmbH, 2018, 145-145

ISBN
978-3-318-06377-6

Skup
25th European Congress on Obesity

Mjesto i datum
Beč, Austrija, 23.05.2018. - 26.05.2018

Vrsta sudjelovanja
Poster

Vrsta recenzije
Recenziran

Ključne riječi
CRIBS study ; pre-pregnancy BMI ; adipose tissue ; waist circumference ; skin folds ; delivery outcome

Sažetak
Ntroduction: This study evaluated the impact of maternal pre-pregnancy BMI (body mass index) on adipose tissue distribution and weight gain in pregnancy, as well as delivery outcomes, in a cohort of women with term, singleton pregnancies with no history of chronic diseases. All participants are part of the CRoatian Islands` Birth Cohort Study (CRIBS), an ongoing project investigating risk factors for the development of metabolic syndrome. Methods: We tested the association of pre- pregnancy BMI values of 171 CRIBS participants with their preperitoneal adipose tissue, biceps and triceps skin fold and waist circumference values in pregnancy, as well as with the delivery mode (vaginal delivery vs. ceasarean section). Pre-pregnancy BMI has been defined in three categories (underweight <18.5 kg/m2 ; normal weight 18.5 – 25 kg/m2 ; overweight and obese ≥25 kg/m2) and all parameters taken during pregnancy were measured once in each trimester (12. – 14., 18. – 22. and 30. – 32. week of gestation). Results: Trend of increase in all anthropometric parameters followed during pregnancy, from the first to the third trimester, was observed. Furthermore, when pregnant women were divided in nutritional status categories according to their pre- pregnancy BMIs, significant differences in mean values of all the investigated anthropometric parameters between these BMI-defined categories were observed, in all three follow-ups (p≤0.001). Also, a significant association was detected between pre-pregnancy BMIs and delivery mode (143 vaginal deliveries vs. 27 cesarean sections) Women who had a cesarean section had significantly higher mean pre- pregnancy BMI than women who gave birth vaginally (p<0.05), while the type of delivery was not associated with anthropometric parameters of the newborns (birth weight, birth length or head circumference). Conclusion: Pre- pregnancy BMI can be a useful predictor for changes in adipose tissue distribution and weight gain during pregnancy and can also help to detect women at risk for perinatal complications and adverse delivery outcomes. Limitation of this study is the relatively small sample size. CRIBS study is an ongoing project and pregnant women are still being recruited. More far-reaching conclusions will be drawn only after the study is completed.

Izvorni jezik
Engleski

Znanstvena područja
Kliničke medicinske znanosti

POVEZANOST RADA