Obesity Cut-Off Points Using Prepregnancy Body Mass Index according to Cardiometabolic Conditions in Pregnancy
Aim. To suggest cut-off points for body mass index (BMI) using gestational hypertension, preeclampsia, and gestational diabetes mellitus (GDM) as cardiometabolic conditions in pregnancy. Methods. In this prospective study, singleton pregnant women from the fetal medicine service of the Brazilian Uni...
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| Format: | Article |
| Language: | English |
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Wiley
2023-01-01
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| Series: | Journal of Pregnancy |
| Online Access: | http://dx.doi.org/10.1155/2023/6669700 |
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| author | Renata O. Neves Alexandre da S. Rocha Bruna O. de Vargas Daniela C. Kretzer Salete de Matos Marcelo Z. Goldani Lisia von Diemen José A. de A. Magalhães Juliana R. Bernardi |
| author_facet | Renata O. Neves Alexandre da S. Rocha Bruna O. de Vargas Daniela C. Kretzer Salete de Matos Marcelo Z. Goldani Lisia von Diemen José A. de A. Magalhães Juliana R. Bernardi |
| author_sort | Renata O. Neves |
| collection | DOAJ |
| description | Aim. To suggest cut-off points for body mass index (BMI) using gestational hypertension, preeclampsia, and gestational diabetes mellitus (GDM) as cardiometabolic conditions in pregnancy. Methods. In this prospective study, singleton pregnant women from the fetal medicine service of the Brazilian Unified Health System were included. The pregnancy, perinatal, and newborn data were obtained from the clinical medical records. Maternal anthropometry included an assessment of weight and height and the prepregnancy BMI evaluation categorized according to the World Health Organization cut-off points. The area under the curve and confidence interval values from receiver operator curves were generated to identify the optimal cut-off points using prepregnancy BMI with better sensitivity and specificity. Results. Data on 218 pregnancies were analyzed, with 57.9% (n=124) being classified as overweight/obese, 11% (n=24) with GDM, 6.9% (n=15) with preeclampsia, and 11.0% (n=24) with gestational hypertension. The BMI cut-off points for predicting cardiometabolic conditions were 27.52 kg/m2 (S: 66.7%; E: 63.8%) for women with GDM; 27.40 kg/m2 (S: 73.3%; E: 62.4%; S: 79.2%; E: 64.9%; S: 70.3%; E: 66.3%) for women with preeclampsia, gestational hypertension, and gestational hypertension plus preeclampsia, respectively; and 27.96 kg/m2 (S: 69.6%; E: 65.6%) for women with preeclampsia plus GDM. Conclusion. The findings suggest that the optimal prepregnancy BMI cut-off point is around 27 kg/m2 for pregnant women with maternal cardiometabolic conditions. |
| format | Article |
| id | doaj-art-8effc25e188b4ee1ac9e021a8bac71d5 |
| institution | Kabale University |
| issn | 2090-2735 |
| language | English |
| publishDate | 2023-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Journal of Pregnancy |
| spelling | doaj-art-8effc25e188b4ee1ac9e021a8bac71d52025-02-03T06:42:46ZengWileyJournal of Pregnancy2090-27352023-01-01202310.1155/2023/6669700Obesity Cut-Off Points Using Prepregnancy Body Mass Index according to Cardiometabolic Conditions in PregnancyRenata O. Neves0Alexandre da S. Rocha1Bruna O. de Vargas2Daniela C. Kretzer3Salete de Matos4Marcelo Z. Goldani5Lisia von Diemen6José A. de A. Magalhães7Juliana R. Bernardi8Graduate Program in Child and Adolescent HealthGraduate Program in Health Sciences: Gynaecology and ObstetricsUndergraduate Nutrition CourseGraduate Program in Child and Adolescent HealthGraduate Program in Child and Adolescent HealthDepartment of PediatricHospital de Clínicas de Porto AlegreHospital de Clínicas de Porto AlegreGraduate Program in Child and Adolescent HealthAim. To suggest cut-off points for body mass index (BMI) using gestational hypertension, preeclampsia, and gestational diabetes mellitus (GDM) as cardiometabolic conditions in pregnancy. Methods. In this prospective study, singleton pregnant women from the fetal medicine service of the Brazilian Unified Health System were included. The pregnancy, perinatal, and newborn data were obtained from the clinical medical records. Maternal anthropometry included an assessment of weight and height and the prepregnancy BMI evaluation categorized according to the World Health Organization cut-off points. The area under the curve and confidence interval values from receiver operator curves were generated to identify the optimal cut-off points using prepregnancy BMI with better sensitivity and specificity. Results. Data on 218 pregnancies were analyzed, with 57.9% (n=124) being classified as overweight/obese, 11% (n=24) with GDM, 6.9% (n=15) with preeclampsia, and 11.0% (n=24) with gestational hypertension. The BMI cut-off points for predicting cardiometabolic conditions were 27.52 kg/m2 (S: 66.7%; E: 63.8%) for women with GDM; 27.40 kg/m2 (S: 73.3%; E: 62.4%; S: 79.2%; E: 64.9%; S: 70.3%; E: 66.3%) for women with preeclampsia, gestational hypertension, and gestational hypertension plus preeclampsia, respectively; and 27.96 kg/m2 (S: 69.6%; E: 65.6%) for women with preeclampsia plus GDM. Conclusion. The findings suggest that the optimal prepregnancy BMI cut-off point is around 27 kg/m2 for pregnant women with maternal cardiometabolic conditions.http://dx.doi.org/10.1155/2023/6669700 |
| spellingShingle | Renata O. Neves Alexandre da S. Rocha Bruna O. de Vargas Daniela C. Kretzer Salete de Matos Marcelo Z. Goldani Lisia von Diemen José A. de A. Magalhães Juliana R. Bernardi Obesity Cut-Off Points Using Prepregnancy Body Mass Index according to Cardiometabolic Conditions in Pregnancy Journal of Pregnancy |
| title | Obesity Cut-Off Points Using Prepregnancy Body Mass Index according to Cardiometabolic Conditions in Pregnancy |
| title_full | Obesity Cut-Off Points Using Prepregnancy Body Mass Index according to Cardiometabolic Conditions in Pregnancy |
| title_fullStr | Obesity Cut-Off Points Using Prepregnancy Body Mass Index according to Cardiometabolic Conditions in Pregnancy |
| title_full_unstemmed | Obesity Cut-Off Points Using Prepregnancy Body Mass Index according to Cardiometabolic Conditions in Pregnancy |
| title_short | Obesity Cut-Off Points Using Prepregnancy Body Mass Index according to Cardiometabolic Conditions in Pregnancy |
| title_sort | obesity cut off points using prepregnancy body mass index according to cardiometabolic conditions in pregnancy |
| url | http://dx.doi.org/10.1155/2023/6669700 |
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