检查解释体重变化在奥特罗阿,新西兰出生人口。

IF 1.4 4区 医学 Q3 OBSTETRICS & GYNECOLOGY
Emma Le Lievre, Per Kempe, Robin Cronin, Alice Hyun Min Kim, Rosemary Hall
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引用次数: 0

摘要

妊娠期体重变化(IPWC)与随后妊娠的不良结局有关。没有研究检查IPWC在新西兰奥特罗阿(AoNZ)。本研究旨在:1。调查生育人群中IPWC的分布。在围产期和孕产妇死亡率审查委员会(PMMRC)确定的优先人群中调查IPWC。方法:AoNZ的回顾性队列研究纳入了2016年至2021年间头两次单胎妊娠的人。IPWC以孕前体重指数(BMI)的差值计算,分为四类:1。解释性体重减轻(IPWL) (BMI降低> 1 kg/m2)体重无变化(NC) (BMI变化-1-0.9 kg/m2);中度解释性体重增加:(BMI增加1 ~ 3 kg/m2), IPWG增加(BMI增加1 ~ 3 kg/m2)。结果:研究队列(n = 856)的平均IPWC为1.13 kg/m2 (SD 3.5)。49.9% (n = 427)的患者体重指数(BMI)升高(>.1 kg/m2)。不同类别的IPWC观察率:IPWL: 167 (19.5%);Nc 262 (30.6%);IPWG: 427(49.9%)(中度IPWG: 235(27.5%),增高IPWG: 192(22.4%))。妊娠指数中IPWC因种族、社会经济剥夺、年龄和BMI而异;在包含这些变量的多元回归模型中,指数妊娠中年龄和BMI的增加与IPWC的降低相关。讨论:22.4%的队列经历了与不良围产期结局相关的IPWG水平。在优先生育人群中观察到IPWG增加的比率升高,与PMMRC强调的人群一致。需要进一步的研究来了解IPWC对AoNZ生育群体的影响。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Examining Interpregnancy Weight Change Across a Birthing Population in Aotearoa, New Zealand.

Introduction: Inter-pregnancy weight change (IPWC) has been linked to adverse outcomes in subsequent pregnancies. No studies have examined IPWC in Aotearoa New Zealand (AoNZ). This study aims to 1. Examine the distribution of IPWC in a birthing population in AoNZ and 2. Investigate IPWC across priority populations identified by the Perinatal and Maternal Mortality Review Committee (PMMRC).

Methods: This retrospective cohort study in AoNZ, included people who birthed their first two singleton pregnancies between 2016 and 2021. IPWC was calculated as the difference in pre-pregnancy body mass index (BMI) and divided into four categories: 1. Interpregnancy weight loss (IPWL) (BMI reduction of > 1 kg/m2) no change in weight (NC) (BMI change -1-0.9 kg/m2); moderate interpregnancy weight gain: (BMI increase 1-3 kg/m2) and increased IPWG (BMI increase > 3 kg/m2).

Results: The study cohort (n = 856) had a mean IPWC of 1.13 kg/m2 (SD 3.5). 49.9% (n = 427) experienced a BMI increase (> 1 kg/m2). IPWC rates observed across categories: IPWL: 167 (19.5%); NC 262 (30.6%); IPWG: 427 (49.9%) (moderate IPWG: 235 [27.5%] and increased IPWG: 192 [22.4%]). IPWC varied by ethnicity, socioeconomic deprivation, age, and BMI in the index pregnancy; in a multiple regression model with these variables, increasing age and BMI in the index pregnancy were associated with lower IPWC.

Discussion: 22.4% of the cohort experienced IPWG at a level associated with adverse perinatal outcomes. Elevated rates of increased IPWG were observed in priority birthing populations, consistent with populations highlighted by the PMMRC. Further research is required to understand the impact of IPWC in AoNZ birthing populations.

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来源期刊
CiteScore
3.40
自引率
11.80%
发文量
165
审稿时长
4-8 weeks
期刊介绍: The Australian and New Zealand Journal of Obstetrics and Gynaecology (ANZJOG) is an editorially independent publication owned by the Royal Australian and New Zealand College of Obstetricians and Gynaecologists (RANZCOG) and the RANZCOG Research foundation. ANZJOG aims to provide a medium for the publication of original contributions to clinical practice and/or research in all fields of obstetrics and gynaecology and related disciplines. Articles are peer reviewed by clinicians or researchers expert in the field of the submitted work. From time to time the journal will also publish printed abstracts from the RANZCOG Annual Scientific Meeting and meetings of relevant special interest groups, where the accepted abstracts have undergone the journals peer review acceptance process.
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