ORIGINAL PAPER
Somatic traits of the mother, her weight gain during pregnancy
as well as blood parameters, versus infant birth parameters
1
Department of Gynaecology and Obstetrics, Collegium Medicum, Jan Kochanowski University, Kielce, Poland Head of the Department: Marek Sikorski Prof. UJK, MD, PhD
2
Department of Gynaecology and Obstetrics, Provincial Integrated Hospital, Kielce, Poland Head of the Department: Grzegorz Świercz MD, PhD
3
Institute of Health Sciences, Jan Kochanowski University, Kielce, Poland Head of the Institute: Prof. Edyta Suliga PhD
4
II Department and Clinic of Obstetrics and Gynaecology, Medical University of Warsaw, Warsaw, Poland Head of the Department: Prof. Krzysztof Czajkowski MD, PhD
5
Collegium Medicum, Jan Kochanowski University, Kielce, Poland Head of the Collegium: Dorota Kozieł Prof. UJK, PhD
Submission date: 2022-06-21
Final revision date: 2022-11-27
Acceptance date: 2022-12-12
Publication date: 2022-12-16
Medical Studies 2022;38(4):302-310
KEYWORDS
TOPICS
ABSTRACT
Introduction:
The female body creates specific conditions for the growth of a foetus during pregnancy. It is important to assess a mother’s anthropometric and physiological parameters in the context of the development of particular parameters of the newborn in order to better monitor the course of pregnancy. One of such parameter is a woman’s body mass before pregnancy and its increase during pregnancy. Currently, overweight and obesity are a major problem in women of childbearing age.
Aim of the research:
To assess the relationship between the mother’s anthropometric features, selected haematological indicators, and smoking during pregnancy, and birth parameters in her child.
Material and methods:
A cohort study was conducted among 403 women with singleton pregnancy, who were admitted into the Obstetrics and Gynaecology Clinic at the Regional Polyclinical Hospital in Kielce (Poland). Data about the women and their newborns were collected using a survey questionnaire, anthropometric measurements, and medical documentation. The following parameters of the newborns were registered: body length, head circumference, and Apgar score at one minute after birth. Among the newborns, 52.11% were boys and 47.89% were girls.
Results and conclusions:
One-fourth of the women entered pregnancy with excessive weight or obesity. Multiple regression analysis showed that the mother’s somatic traits explained 13% of the variance of body mass, 9% of body length at birth, and 8% of the newborn’s head circumference. An excessive increase in mother’s body mass during pregnancy was associated with increased parameters of the newborn compared to mothers with a normal increase in body mass.
The female body creates specific conditions for the growth of a foetus during pregnancy. It is important to assess a mother’s anthropometric and physiological parameters in the context of the development of particular parameters of the newborn in order to better monitor the course of pregnancy. One of such parameter is a woman’s body mass before pregnancy and its increase during pregnancy. Currently, overweight and obesity are a major problem in women of childbearing age.
Aim of the research:
To assess the relationship between the mother’s anthropometric features, selected haematological indicators, and smoking during pregnancy, and birth parameters in her child.
Material and methods:
A cohort study was conducted among 403 women with singleton pregnancy, who were admitted into the Obstetrics and Gynaecology Clinic at the Regional Polyclinical Hospital in Kielce (Poland). Data about the women and their newborns were collected using a survey questionnaire, anthropometric measurements, and medical documentation. The following parameters of the newborns were registered: body length, head circumference, and Apgar score at one minute after birth. Among the newborns, 52.11% were boys and 47.89% were girls.
Results and conclusions:
One-fourth of the women entered pregnancy with excessive weight or obesity. Multiple regression analysis showed that the mother’s somatic traits explained 13% of the variance of body mass, 9% of body length at birth, and 8% of the newborn’s head circumference. An excessive increase in mother’s body mass during pregnancy was associated with increased parameters of the newborn compared to mothers with a normal increase in body mass.
REFERENCES (36)
1.
Rottenstreich M, Rotem R, Reichman O, Farkash R, Rottenstreich A, Samueloff A, Sela HY. Previous non-diabetic pregnancy with a macrosomic infant – Is it a risk factor for subsequent gestational diabetes mellitus? Diabetes Res Clin Pract 2020; doi: 10.1016/j.diabres.2020.108364.
2.
Kirchengast S, Hartmann B. Determinants of gestational weight gain with special respect to maternal stature height and its consequences for newborn vital parameters. Anthropol Rev 2013; 76: 151-162.
3.
Pickett KE, Abrams B, Selvin S. Maternal height, pregnancy weight gain, and birthweight. Am J Hum Biol 2000; 12: 682-687.
4.
Voigt M, Meyer-Kahrweg LM, Landau-Crangle E, So HY, Däbritz J, Rochow M, Kunze M, Rochow N. Individualized birth length and head circumference percentile charts based on maternal body weight and height. J Perinat Med 2020; 48: 656-664.
5.
Chen CH, Wen HJ, Chen PC, Lin SJ, Chiang TL, Hsieh IC, Guo YL. Prenatal and postnatal risk factors for infantile pneumonia in a representative birth cohort. Epidemiol Infect 2012; 140: 1277-1285.
6.
Vasistha NA, Khodosevich K. The impact of (ab)normal maternal environment on cortical development. Prog Neurobiol 2021; 202: 102054.
7.
Negrão ME, Rocha PR, Saraiva MC, Barbieri MA, Simões VM, Batista RF, Ferraro AA, Bettiol H. Association between tobacco and/or alcohol consumption during pregnancy and infant development: BRISA Cohort. Braz J Med Biol Res 2021; 54: e10252.
8.
Zhang CH, Liu XY, Zhan YW, Zhang L, Huang YJ, Zhou H. Effects of prepregnancy body mass index and gestational weight gain on pregnancy outcomes. Asia Pacific J Public Health 2015; 27: 620-630.
9.
Pereda J, Bove I, Pineyro MM. Excessive maternal weight and diabetes are risk factors for macrosomia: a cross-sectional study of 42,663 pregnancies in Uruguay. Front Endocrinol 2020; 11: 588443.
10.
Drywień ME, Hamulka J, Zielinska-Pukos MA, Jeruszka-Bielak M, Górnicka M. The COVID-19 pandemic lockdowns and changes in body weight among polish women. A cross-sectional online survey plifecovid-19 study. Sustainability 2020; 12: 7768.
11.
Amiri FN, Faramarzi M, Bakhtiari A, Omidvar S. Risk factors for gestational diabetes mellitus: a case-control study. Am J Lifestyle Med 2018; 15: 184-190.
12.
Weschenfelder F, Lohse K, Lehmann T, Schleußner E, Groten T. Circadian rhythm and gestational diabetes: working conditions, sleeping habits and lifestyle influence insulin dependency during pregnancy. Acta Diabetologica 2021; 58: 1177-1186.
13.
Wawer AA, Hodyl NA, Fairweather-Tait S, Froessler B. Are pregnant women who are living with overweight or obesity at greater risk of developing iron deficiency/anaemia? Nutrients 2021; 13: 1572.
14.
Elwan D, Olveda R, Medrano R, Wojcicki JM. Excess pregnancy weight gain in latinas: impact on infant’s adiposity and growth hormones at birth. Prev Med Rep 2021; 22: 101341.
15.
Helle E, Priest JR. Maternal obesity and diabetes mellitus as risk factors for congenital heart disease in the offspring. J Am Heart Assoc 2020; 9: e011541.
16.
Rasmussen K, Yaktine A (eds.). Weight Gain During Pregnancy. National Academies Press, Washington (US) 2009.
17.
Günther J, Hoffmann J, Stecher L, Spies M, Geyer K, Raab R, Meyer D, Rauh K, Hauner H. How does antenatal lifestyle affect the risk for gestational diabetes mellitus? A secondary cohort analysis from the GeliS trial. Eur J Clin Nutr 2022; 76: 150-158.
18.
Alfadhli EM. Maternal obesity influences birth weight more than gestational diabetes. BMC Pregnancy Childbirth 2021; 21: 111.
19.
Goldstein RF, Abell SK, Ranasinha S, Misso M, Boyle JA, Black MH, Li N, Hu G, Corrado F, Rode L, Kim YJ, Haugen M, Song WO, Kim MH, Bogaerts A, Devlieger R, Chung JH, Teede HJ. Association of gestational weight gain with maternal and infant outcomes. JAMA 2017; 317: 2207-2225.
20.
Ounjaijean S, Wongthanee A, Kulprachakarn K, Rerkasem A, Pruenglampoo S, Mangklabruks A, Rerkasem K, Derraik JG. Higher maternal BMI early in pregnancy is associated with overweight and obesity in young adult offspring in Thailand. BMC Public Health 2021; 21: 724.
21.
Torres CH, Schultz LF, Veugelers PJ, Mastroeni SS, Mastroeni MF. The effect of pre-pregnancy weight and gestational weight gain on blood pressure in children at 6 years of age. J Public Health 2020; 43: 161-170.
22.
Vinceti M, Malagoli C, Rothman KJ, Rodolfi R, Astolfi G, Calzolari E, Puccini A, Bertolotti M, Lunt M, Paterlini L, Martini M, Nicolini F. Risk of birth defects associated with maternal pregestational diabetes. Eur J Epidemiol 2014; 29: 411-418.
23.
Ukah UV, Bayrampour H, Sabr Y, Razaz N, Chan WS, Lim KI, Lisonkova S. Association between gestational weight gain and severe adverse birth outcomes in Washington State, US: a population-based retrospective cohort study, 2004–2013. PLoS Med 2019; 16: e1003009.
24.
Suliga E, Adamczyk-Gruszka O. Birth weight of newborns and health behaviours and haematological parameters of pregnant women – results of preliminary studies. Pediatr Endocrinol Diabetes Metab 2015; 23: 6-14.
25.
Suliga E, Adamczyk-Gruszka O. Health behaviours of pregnant women and gestational weight gains – a pilot study. Medical Studies 2015; 31: 161-167.
26.
Gueri M, Jutsum P, Sorhaindo B. Anthropometric assessment of nutritional status in pregnant women: a reference table of weight-for-height by week of pregnancy. Am J Clin Nutr 1982; 35: 609-616.
27.
Wojtyla C, Stanirowski P, Gutaj P, Ciebiera M, Wojtyla A. Perinatal outcomes in a population of diabetic and obese pregnant women – the results of the Polish national survey. Int J Environ Res Public Health 2021; 18: 560.
28.
Lewandowska M. Maternal obesity and risk of low birth weight, fetal growth restriction, and macrosomia: multiple analyses. Nutrients 2021; 13: 1213.
29.
Naw Awn JP, Minami M, Eitoku M, Maeda N, Fujieda M, Suganuma N. Lack of concern about body image and health during pregnancy linked to excessive gestational weight gain and small-for-gestational-age deliveries: the Japan Environment and Children’s Study. BMC Pregnancy Childbirth 2021; 21: 396.
30.
Otero-Naveiro A, Gómez-Fernández C, Álvarez-Fernández R, Pérez-López M, Paz-Fernández E. Maternal and fetal outcomes during pregnancy and puerperium in obese and overweight pregnant women. A cohort study. Arch Gynecol Obstet 2021; 304: 1205-1212.
31.
Loh HH, Taipin H, Said A. The effect of obesity in pregnancy and gestational weight gain on neonatal outcome in glucose-tolerant mothers. Obes Sci Pract 2021; 7: 425-431.
32.
Jönsson J, Renault KM, García-Calzón S, Perfilyev A, Estampador AC, Nørgaard K, Lind MV, Vaag A, Hjort L, Michaelsen KF, Carlsen EM, Franks PW, Ling C. Lifestyle intervention in pregnant women with obesity impacts cord blood DNA methylation, which associates with body composition in the offspring. Diabetes 2021; 70: 854-866.
33.
Günther V, Alkatout I, Vollmer C, Maass N, Strauss A, Voigt M. Impact of nicotine and maternal BMI on fetal birth weight. BMC Pregnancy Childbirth 2021; 21: 127.
34.
O’Donnell MM, Baird J, Cooper C, Crozier SR, Godfrey KM, Geary M, Inskip HM, Hayes CB. The effects of different smoking patterns in pregnancy on perinatal outcomes in the Southampton Women’s Survey. Int J Environ Res Public Health 2020; 17: 7991.
35.
Inoue S, Naruse H, Yorifuji T, Kato T, Murakoshi T, Doi H, Subramanian SV. Impact of maternal and paternal smoking on birth outcomes. J Public Health 2017; 39: 557-566.
36.
Moore BF, Starling AP, Magzamen S, Harrod CS, Allshouse WB, Adgate JL, Ringham BM, Glueck DH, Dabelea D. Fetal exposure to maternal active and secondhand smoking with offspring early-life growth in the Healthy Start study. Int J Obes 2018; 43: 652-662.
| eISSN: | 2300-6722 |
| ISSN: | 1899-1874 |
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