2017, Number 4
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Rev Sanid Milit Mex 2017; 71 (4)
Nutritional assessment of newborns regarding preconceptional maternal body mass index
Sierra-Wabi YI, Braverman-Bronstein A, Orozco-Romero DP, Iglesias-Leboreiro J, Bernardez-Zapata I
Language: Spanish
References: 18
Page: 374-382
PDF size: 338.42 Kb.
ABSTRACT
Background: Obesity and overweight in pregnancy have a significant
impact in fetal development. However, this association remains
controversial.
Objective: assess the association between maternal preconception
body mass index (BMI) and the newborn nutritional status.
Material and methods: Prospective study, where singleton births
were included. Newborns were classified according to their mother’s preconception BMI and anthropometric measurements were taken to
evaluate the newborn’s nutritional status. For the statistical analysis
we present descriptive statistics for the main variables and we fitted
lineal regression models.
Results: A total of 492 dyads were included, 30.7% of the mothers
had overweight or obesity. We found that mothers with overweight
or obesity tend to have products with higher birth weight (β=0.01;
IC95% (0.002,0.019) p0.015), increased arm circumference (β=0.02;
IC95% (0.001,0.045) p0.037) and a tendency of lower length at birth
(β=0.002; IC95% (-0.003,0.0002) p0.19).
Conclusions: There are significant changes in the newborns
anthropometric measures of mothers with higher BMI; therefore there
could be an association between maternal preconception overweight
and obesity with abnormal intrauterine growth.
REFERENCES
Perichart O, Balas M, Schiffman E, Serrano M, Vadillo F. Impacto de la obesidad pregestacional en el estado nutricio de mujeres embarazadas de la Ciudad de México. Ginecol Obstet Mex 2006;74:77-88.
Pizzi R, Fung L. Obesidad y mujer. Rev Obstet Ginecol Venez 2015;75(4):221-224.
Leddy MA, Power ML, Schulkin J. The impact of maternal obesity on maternal and fetal health. Rev Obstet Gynecol. 2008;1(4):170-178.
Duran P. Nutrición temprana y enfermedades en la edad adulta: acerca de la “hipótesis de Barker”. Arch. argent. Pediatr. 2004; 102(1): 26-34.
Boney C. Metabolic syndrome in childhood: association with birth weight, maternal obesity, and gestational diabetes mellitus. Pediatrics 2005, 115(3), pp.e290- e296.
Chu SY, Kim SY, Lau J, Schmid CH, Dietz PM, Callaghan WM, Curtis KM. Maternal obesity and risk of stillbirth: a metaanalysis. Am J Obstet Gynecol. 2007;197(3):223-228.
McDonald SD, Han Z, Mulla S, Beyene J; Knowledge Synthesis Group. Overweight and obesity in mothers and risk of preterm birth and low birth weight infants: systematic review and meta analyses. BMJ 2010;341:c3428.
Salud.gob.mx(2016). NOM-007-SSA2-1993.[online] [Accessed 24 Oct. 2016]. Disponible en: http://www.salud.gob. mx/unidades/cdi/nom/007ssa23.html
Organización Mundial de la Salud. (2016). Obesidad y sobrepeso. [online] [Accessed 26 Oct. 2016].Disponible en: http://www.who.int/mediacentre/factsheets/fs311/es/
Cárdenas–López C, Haua–Navarro K, Suverza–Fernández A, Otilia Perichart–Perera O. Mediciones antropométricas en el neonato. Bol Med Hosp Infant Mex 2005; 62:214-224.
Sewell MF, Huston-Presley L, Super DN, Catalano P. Increased neonatal fat mass, not lean body mass, is associated with maternal obesity. Am J Obstet Gynecol. 2006;195(4):1100-1103.
Pereira-da-Silva L, Cabo C, Moreira AC, Virella D, Guerra T. The adjusted effect of maternal body mass index, energy and macronutrient intakes during pregnancy, and gestational weight gain on body composition of full-term neonates. Am J Perinatol 2013;31(10): 875-882.
Masud JL, Barrios A, Ávila R, Duarte A. Efecto del estado nutricional de la madre sobre el neonato. Ped Méx 2011;13(3):103-108.
Schummers L, Hutcheon J, Bodnar L, Lieberman E. and Himes K. Risk of adverse pregnancy outcomes by prepregnancy body mass index: A population-based study to inform prepregnancy weight loss counseling. Obstetrics & Gynecology 2015;125(1):133-143.
Haschke F, Ziegler E, Grathwohl D. Crecimiento rápido en los recién nacidos de madres con sobrepeso: ¿se puede retrasar?. Ann Nutr Metab 2014;64(1):19-24.
Perera OP, Nakash MB, Selechnik ES, Avila MS, Ortega FV. Impacto de la obesidad pregestacional en el estudio nutricio de mujeres embarazadas de la Ciudad de México. 2006 Ginecol Obstet Mex 2006;74:77-88.
Valdés R. Nutrición del recién nacido. La Habana, Cuba: Ciencias Médicas; 2010;151-157.
Sharma J, Saxena S, Sharma U. Standard curves for mid arm circumference and mid-arm/head circumference ratio in newborns. Indian J Pediatr 1990; 57: 389-393.