Naslov
Obesity and pregnancy complications

Autori
Banjari, Ines

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

Izvornik
Acta Medica Saliniana Abstracts of the First Congress of Society for Obesity in Bosnia and Herzegovina / Salkić, Nermin ; Pašić, Fuad - Tuzla, 2015, 33-33

Skup
The First Congress of Society for Obesity in Bosnia and Herzegovina

Mjesto i datum
Tuzla, Bosna i Hercegovina, 13.11.2015. - 14.11.2015

Vrsta sudjelovanja
Pozvano predavanje

Vrsta recenzije
Međunarodna recenzija

Ključne riječi
obesity ; pregnancy complications ; pregnancy outcomes ; diet ; epigenetics ; gestational diabetes ; gestosis

Sažetak
Pregnancy is a very delicate period in every woman’s life, and can be considered as a critical window in child’s growth and development. Several characteristics of a woman prior or in early pregnancy, as well as external, environmental factors affect pregnancy outcomes. External factors account for 30% of the pregnancy outcome and infant's birth weight, and mother’s diet during pregnancy is one of the most important ones. Also, advanced maternal age (35 years and older), pre-pregnancy body mass index (BMI), and excessive weight gain during pregnancy are all considered as important risk factors for pregnancy complications and adverse outcomes. Today pre-pregnancy overweight/obesity is considered as one of the most common high-risk obstetric situations, and Croatia is not an exception. In Croatia, 16.7% of women enter pregnancy with overweight BMI, and additional 10.3% with obese BMI. Besides that, 10.4% of the population is 35 years or older, and increases day-by-day. Extensive number of studies has shown a correlation between overweight/obese BMI with an increased risk of foetal macrosomia and medical complications, including pregnancy-induced hypertension, gestational diabetes (GDM), and caesarean delivery. On the other hand, for women entering pregnancy with a normal BMI the higher concern is inadequate weight gain during pregnancy that shows a significant association with adverse maternal and neonatal outcomes. Excessive weight gain has 40.5% of pregnant women in Croatia. Additionally, excessive weight gain was found to correlate with a higher probability of weight retention, especially in consecutive pregnancies which creates a spiral of obesity-related-lifelong-complications. Diet during pregnancy should complement pregnancy, especially since studies found that for example, a diet with <30% fat and >50% carbohydrate, together with the increase in energy intake during pregnancy will reduce their risk of both impaired glucose tolerance and GDM. In order to prevent second generation obesity cases and obesity-related complications later in life of the children, more intensive preventative actions are needed to reverse the current negative trend in reproductive health and demographic indicators.

Izvorni jezik
Engleski

Znanstvena područja
Kliničke medicinske znanosti, Javno zdravstvo i zdravstvena zaštita, Prehrambena tehnologija

POVEZANOST RADA