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Effect of excess gestational weight gain on pregnancy outcomes in women with type 1 diabetes.

Identifieur interne : 002B62 ( PubMed/Corpus ); précédent : 002B61; suivant : 002B63

Effect of excess gestational weight gain on pregnancy outcomes in women with type 1 diabetes.

Auteurs : Christina M. Scifres ; Maisa N. Feghali ; Andrew D. Althouse ; Steve N. Caritis ; Janet M. Catov

Source :

RBID : pubmed:24807331

English descriptors

Abstract

To evaluate the prevalence and clinical effects of excess gestational weight gain on birth weight and other pregnancy outcomes in women with type 1 diabetes.

DOI: 10.1097/AOG.0000000000000271
PubMed: 24807331

Links to Exploration step

pubmed:24807331

Le document en format XML

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<title xml:lang="en">Effect of excess gestational weight gain on pregnancy outcomes in women with type 1 diabetes.</title>
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<name sortKey="Scifres, Christina M" sort="Scifres, Christina M" uniqKey="Scifres C" first="Christina M" last="Scifres">Christina M. Scifres</name>
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<nlm:affiliation>Department of Obstetrics, Gynecology and Reproductive Sciences, Magee Women's Research Institute, University of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania.</nlm:affiliation>
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<author>
<name sortKey="Feghali, Maisa N" sort="Feghali, Maisa N" uniqKey="Feghali M" first="Maisa N" last="Feghali">Maisa N. Feghali</name>
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<name sortKey="Althouse, Andrew D" sort="Althouse, Andrew D" uniqKey="Althouse A" first="Andrew D" last="Althouse">Andrew D. Althouse</name>
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<name sortKey="Caritis, Steve N" sort="Caritis, Steve N" uniqKey="Caritis S" first="Steve N" last="Caritis">Steve N. Caritis</name>
</author>
<author>
<name sortKey="Catov, Janet M" sort="Catov, Janet M" uniqKey="Catov J" first="Janet M" last="Catov">Janet M. Catov</name>
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<title xml:lang="en">Effect of excess gestational weight gain on pregnancy outcomes in women with type 1 diabetes.</title>
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<name sortKey="Scifres, Christina M" sort="Scifres, Christina M" uniqKey="Scifres C" first="Christina M" last="Scifres">Christina M. Scifres</name>
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<nlm:affiliation>Department of Obstetrics, Gynecology and Reproductive Sciences, Magee Women's Research Institute, University of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania.</nlm:affiliation>
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<author>
<name sortKey="Feghali, Maisa N" sort="Feghali, Maisa N" uniqKey="Feghali M" first="Maisa N" last="Feghali">Maisa N. Feghali</name>
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<author>
<name sortKey="Althouse, Andrew D" sort="Althouse, Andrew D" uniqKey="Althouse A" first="Andrew D" last="Althouse">Andrew D. Althouse</name>
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<name sortKey="Caritis, Steve N" sort="Caritis, Steve N" uniqKey="Caritis S" first="Steve N" last="Caritis">Steve N. Caritis</name>
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<author>
<name sortKey="Catov, Janet M" sort="Catov, Janet M" uniqKey="Catov J" first="Janet M" last="Catov">Janet M. Catov</name>
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<series>
<title level="j">Obstetrics and gynecology</title>
<idno type="eISSN">1873-233X</idno>
<imprint>
<date when="2014" type="published">2014</date>
</imprint>
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<keywords scheme="KwdEn" xml:lang="en">
<term>Birth Weight (physiology)</term>
<term>Body Mass Index</term>
<term>Diabetes Mellitus, Type 1</term>
<term>Female</term>
<term>Humans</term>
<term>Logistic Models</term>
<term>Mothers</term>
<term>Pregnancy</term>
<term>Pregnancy Outcome</term>
<term>Pregnancy in Diabetics (physiopathology)</term>
<term>Retrospective Studies</term>
<term>Weight Gain (physiology)</term>
</keywords>
<keywords scheme="MESH" qualifier="physiology" xml:lang="en">
<term>Birth Weight</term>
<term>Weight Gain</term>
</keywords>
<keywords scheme="MESH" qualifier="physiopathology" xml:lang="en">
<term>Pregnancy in Diabetics</term>
</keywords>
<keywords scheme="MESH" xml:lang="en">
<term>Body Mass Index</term>
<term>Diabetes Mellitus, Type 1</term>
<term>Female</term>
<term>Humans</term>
<term>Logistic Models</term>
<term>Mothers</term>
<term>Pregnancy</term>
<term>Pregnancy Outcome</term>
<term>Retrospective Studies</term>
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<front>
<div type="abstract" xml:lang="en">To evaluate the prevalence and clinical effects of excess gestational weight gain on birth weight and other pregnancy outcomes in women with type 1 diabetes.</div>
</front>
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<PMID Version="1">24807331</PMID>
<DateCreated>
<Year>2014</Year>
<Month>05</Month>
<Day>22</Day>
</DateCreated>
<DateCompleted>
<Year>2014</Year>
<Month>07</Month>
<Day>14</Day>
</DateCompleted>
<DateRevised>
<Year>2014</Year>
<Month>05</Month>
<Day>22</Day>
</DateRevised>
<Article PubModel="Print">
<Journal>
<ISSN IssnType="Electronic">1873-233X</ISSN>
<JournalIssue CitedMedium="Internet">
<Volume>123</Volume>
<Issue>6</Issue>
<PubDate>
<Year>2014</Year>
<Month>Jun</Month>
</PubDate>
</JournalIssue>
<Title>Obstetrics and gynecology</Title>
<ISOAbbreviation>Obstet Gynecol</ISOAbbreviation>
</Journal>
<ArticleTitle>Effect of excess gestational weight gain on pregnancy outcomes in women with type 1 diabetes.</ArticleTitle>
<Pagination>
<MedlinePgn>1295-302</MedlinePgn>
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<ELocationID EIdType="doi" ValidYN="Y">10.1097/AOG.0000000000000271</ELocationID>
<Abstract>
<AbstractText Label="OBJECTIVE" NlmCategory="OBJECTIVE">To evaluate the prevalence and clinical effects of excess gestational weight gain on birth weight and other pregnancy outcomes in women with type 1 diabetes.</AbstractText>
<AbstractText Label="METHODS" NlmCategory="METHODS">We performed a retrospective cohort study of women with type 1 diabetes delivered between 2009 and 2012. Patients with excess weight gain were identified using the 2009 Institute of Medicine weight gain recommendations adjusted for gestational age at delivery and prepregnancy body mass index (BMI) category. Demographic and outcome data were abstracted from the medical record, and pregnancy outcomes were compared between women with and without excess gestational weight gain.</AbstractText>
<AbstractText Label="RESULTS" NlmCategory="RESULTS">Excess gestational weight gain occurred in 114 of 175 women (65.1%). Large-for-gestational-age (LGA) birth weight occurred in 48 of 114 (42.1%) of women with excess gestational weight gain and 5 of 61 (8.2%) of women with recommended weight gain (P<.001). The association between excess maternal weight gain and LGA birth weight remained significant after adjustment for prepregnancy BMI, gestational age at delivery, nulliparity, vascular complications, and hemoglobin A1c measurements (adjusted odds ratio 8.9, 95% confidence interval 3.1-26.2, P<.001). Stratified analyses demonstrated that excess maternal weight gain is associated with LGA neonates in both normal-weight and overweight or obese women.</AbstractText>
<AbstractText Label="CONCLUSIONS" NlmCategory="CONCLUSIONS">Excess maternal weight gain is common and leads to higher rates of LGA neonates in both normal-weight and overweight or obese women with type 1 diabetes. Interventions designed to limit excess gestational weight gain may reduce the risk for fetal overgrowth in women with type 1 diabetes.</AbstractText>
<AbstractText Label="LEVEL OF EVIDENCE" NlmCategory="METHODS">II.</AbstractText>
</Abstract>
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<LastName>Scifres</LastName>
<ForeName>Christina M</ForeName>
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<Affiliation>Department of Obstetrics, Gynecology and Reproductive Sciences, Magee Women's Research Institute, University of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania.</Affiliation>
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<Language>eng</Language>
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<Country>United States</Country>
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<NlmUniqueID>0401101</NlmUniqueID>
<ISSNLinking>0029-7844</ISSNLinking>
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<CitationSubset>AIM</CitationSubset>
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<MeshHeadingList>
<MeshHeading>
<DescriptorName UI="D001724" MajorTopicYN="N">Birth Weight</DescriptorName>
<QualifierName UI="Q000502" MajorTopicYN="Y">physiology</QualifierName>
</MeshHeading>
<MeshHeading>
<DescriptorName UI="D015992" MajorTopicYN="N">Body Mass Index</DescriptorName>
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<MeshHeading>
<DescriptorName UI="D003922" MajorTopicYN="N">Diabetes Mellitus, Type 1</DescriptorName>
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<DescriptorName UI="D005260" MajorTopicYN="N">Female</DescriptorName>
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<DescriptorName UI="D011247" MajorTopicYN="N">Pregnancy</DescriptorName>
</MeshHeading>
<MeshHeading>
<DescriptorName UI="D011256" MajorTopicYN="Y">Pregnancy Outcome</DescriptorName>
</MeshHeading>
<MeshHeading>
<DescriptorName UI="D011254" MajorTopicYN="N">Pregnancy in Diabetics</DescriptorName>
<QualifierName UI="Q000503" MajorTopicYN="Y">physiopathology</QualifierName>
</MeshHeading>
<MeshHeading>
<DescriptorName UI="D012189" MajorTopicYN="N">Retrospective Studies</DescriptorName>
</MeshHeading>
<MeshHeading>
<DescriptorName UI="D015430" MajorTopicYN="N">Weight Gain</DescriptorName>
<QualifierName UI="Q000502" MajorTopicYN="Y">physiology</QualifierName>
</MeshHeading>
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