Impact of insufficient weight gain after GDM diagnosis on small for gestational age and adverse perinatal outcomes

Ak, Mehmet; Eraslan Sahin, Mefkure; CÜNDÜBEY, CEVAT RIFAT; Madendag, Yusuf; Demir, Mustafa Bertan

doi:10.5455/annalsmedres.2022.12.390

Impact of insufficient weight gain after GDM diagnosis on small for gestational age and adverse perinatal outcomes

Mehmet AK, (Kayseri Şehir Hastanesi, Kadın Hastalıkları ve Doğum Kliniği, Kayseri, Türkiye)

Mefkure Eraslan ŞAHİN, (Kayseri Şehir Hastanesi, Kadın Hastalıkları ve Doğum Kliniği, Kayseri, Türkiye)

Cevat Rıfat CÜNDÜBEY, (Kayseri Şehir Hastanesi, Kadın Hastalıkları ve Doğum Kliniği, Kayseri, Türkiye)

Yusuf MADENDAĞ, (Erciyes Üniversitesi, Tıp Fakültesi, Kadın Hastalıkları ve Doğum Anabilim Dalı, Kayseri, Türkiye)

Mustafa Bertan DEMİR (Kayseri Şehir Hastanesi, Kadın Hastalıkları ve Doğum Kliniği, Kayseri, Türkiye)

Annals of Medical Research

1 0

Yıl: 2023 Cilt: 30 Sayı: 3 Sayfa Aralığı: 361 - 365 Metin Dili: İngilizce DOI: 10.5455/annalsmedres.2022.12.390 İndeks Tarihi: 06-04-2023

Impact of insufficient weight gain after GDM diagnosis on small for gestational age and adverse perinatal outcomes

Öz:

Aim: In the current study, we purposed to examine the role of insufficient weight gain after GDM diagnosis in small for gestational age (SGA) and other adverse perinatal outcomes. Materials and Methods: This retrospective cohort study conducted in a referral center over a 5-year period from 2017 through 2022 and 260 pregnant women who met the inclusion criteria were classified as insufficient weight gain (n:68) or appropriate weight gain as a control group (n:192) based on the United States Institute of Medicine (IOM) recommendations for body mass index as calculated by gestational weight gain per week after a diagnosis of GDM. Results: Maternal demographic characteristics and delivery outcomes were similar be- tween groups. BMI at the first visit, BMI at GDM screening, and BMI at delivery were significantly higher in the appropriate gain group compared to the insufficient gain group. After adjusting for the variables, we observed that insufficient weight gain after a GDM diagnosis was not associated with SGA (adjusted odds ratio [aOR], 1.964; 95% confidence interval [CI], 0.306–12.590).In addition, we found that other variables such as the prema- turity (aOR, 1.205; 95% CI, 0.335–4.320) and NICU admission rates (aOR, 2.361; 95% CI, 0.456–12.231) were not associated with insufficient weight gain after a GDM diagnosis. Conclusion: Our results indicate that insufficient weight gain after a GDM diagnosis is not a risk factor for SGA, prematurity, and NICU admission rates.

Anahtar Kelime: Gestational diabetes mellitus GDM Insufficient weight gain Small for gestational age Prematurity NICU admission

Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık

1. Sahin, Erdem, et al. "Effect of vitamin D deficiency on the 75 g oral glucose tolerance test screening and insulin resistance." Gynecological Endocrinology 35.6 (2019): 535-538.
2. Kirlangic, Mehmet Mete, et al. "First-trimester maternal serum betatrophin levels are decreased in pregnancies complicated by gestational diabetes mellitus." Placenta (2022).
3. ACOG Practice Bulletin No. 190: Gestational Diabetes Mellitus. Obstet Gynecol 2018; 131:e49.
4. Goldstein RF, Abell SK, Ranasinha S, Misso M, Boyle JA, Black MH, Li N, Hu G, Corrado F, Rode L, et al. Association of Ges- tational Weight Gain with Maternal and Infant Outcomes: a systematic review and meta-analysis. Jama. 2017;317(21):2207– 25.
5. Liu Y, Dai W, Dai X, Li Z. Prepregnancy body mass index and gestational weight gain with the outcome of pregnancy: a 13-year study of 292,568 cases in China. Arch Gynecol Obstet. 2012;286(4):905–11.
6. Kim SY, Sharma AJ, Sappenfield W, Wilson HG, Salihu HM. Association of maternal body mass index, excessive weight gain, and gestational diabetes mellitus with large-for-gestational-age births. Obstet Gynecol. 2014;123(4): 737–44.
7. Viecceli C, Remonti LR, Hirakata VN, Mastella LS, Gnielka V, Oppermann ML, Silveiro SP, Reichelt AJ. Weight gain ade- quacy and pregnancy outcomes in gestational diabetes: a meta- analysis. Obes Rev. 2017;18(5):567–80.
8. Wong T, Barnes RA, Ross GP, Cheung NW, Flack JR. Are the Institute of Medicine weight gain targets applicable in women with gestational diabetes mellitus? Diabetologia. 2017;60(3):416–23.
9. Institute of M, “National research council committee to reexam- ine IOMPWG. the national academies collection: reports funded by national institutes of health,” in Weight Gain During Preg- nancy: Reexamining the Guidelines. Washington (DC): National Academies Press (US)National Academy of Sciences, K. M. Ras- mussen and A. L. Yaktine, Eds., 2009.National Research Coun- cil. "Weight gain during pregnancy: reexamining the guidelines." (2010).
10. International Association of Diabetes and Pregnancy Study Groups Consensus Panel, Metzger BE, Gabbe SG, et al. In- ternational association of diabetes and pregnancy study groups recommendations on the diagnosis and classification of hyper- glycemia in pregnancy. Diabetes Care 2010; 33:676.
11. S. Gordijn, I. Beune, B. Thilaganathan, et al., Consensus defini- tion of fetal growth restriction: a Delphi procedure, Ultrasound Obstet. Gynecol. 48 (3) (2016) 333–339.
12. Eraslan Sahin, Mefkure, et al. "Evaluation of midtrimester duc- tus venosus diameter and peak systolic velocity to predict late onset small for gestational age fetuses." The Journal of Maternal- Fetal & Neonatal Medicine (2020): 1-7.
13. Durie DE, Thornburg LL, Glantz JC. Effect of second-trimester and thirdtrimester rate of gestational weight gain on maternal and neonatal outcomes. Obstet Gynecol. 2011;118(3):569.
14. Gaillard R, Steegers EA, Franco OH, Hofman A, Jaddoe VW. Maternal weight gain in different periods of pregnancy and child- hood cardio-metabolic outcomes. The Generation R Study. Int J Obes. 2014;39(4):677.
15. Nohr EA, Vaeth M, Baker JL, Sorensen T, Olsen J, Rasmussen KM (2008) Combined associations of prepregnancy body mass index and gestational weight gain with the outcome of preg- nancy. Am J Clin Nutr 87:1750–1759.
16. Cogswell ME, Serdula MK, Hungerford DW, Yip R (1995) Gestational weight gain among average-weight and overweight women–what is excessive? Am J Obstet Gynecol 172:705–712.
17. Nohr EA, Bech BH, Vaeth M, Rasmussen KM, Henriksen TB, Olsen J (2007) Obesity, gestational weight gain and preterm birth:a study within the Danish National Birth Cohort. Paediatr PerinatEpidemiol 21:5–14.
18. Cheng YW, Chung JH, Kurbisch-Block I, Inturrisi M, Shafer S, Caughey AB. Gestational weight gain and gesta- tional diabetes mellitus: perinatal outcomes. Obstet Gynecol. 2008;112(5):1015–22.
19. Katon, Jodie, et al. "Weight loss after diagnosis with gestational diabetes and birth weight among overweight and obese women." Maternal and child health journal 17.2 (2013): 374-383.
20. Xie, Xinglei, et al. "Inadequate weight gain according to the In- stitute of Medicine 2009 Guidelines in Women with Gestational Diabetes: frequency, clinical predictors, and the association with pregnancy outcomes." Journal of clinical medicine 9.10 (2020): 3343.
21. Horosz E, Bomba-Opon DA, Szymanska M, Wielgos M. Mater- nal weight gain in women with gestational diabetes mellitus. J Perinat Med. 2013; 41(5):523–8.
22. Berggren EK, Stuebe AM, Boggess KA. Excess maternal weight gain and large for gestational age risk among women with ges- tational diabetes. Am J Perinatol. 2015;32(3):251–6.
23. Zheng, Wei, et al. "Weight gain after diagnosis of gestational di- abetes mellitus and its association with adverse pregnancy out- comes: a cohort study." BMC pregnancy and childbirth 21.1 (2021): 1-9.
24. Viecceli C, Remonti LR, Hirakata VN, Mastella LS, Gnielka V, Oppermann ML, Silveiro SP, Reichelt AJ. Weight gain ade- quacy and pregnancy outcomes in gestational diabetes: a meta- analysis. Obes Rev. 2017;18(5):567–80.
25. Kurtzhals, Lise L., et al. "The impact of restricted gestational weight gain by dietary intervention on fetal growth in women with gestational diabetes mellitus." Diabetologia 61.12 (2018): 2528-2538.

APA	Ak M, Eraslan Sahin M, CÜNDÜBEY C, Madendag Y, Demir M (2023). Impact of insufficient weight gain after GDM diagnosis on small for gestational age and adverse perinatal outcomes. , 361 - 365. 10.5455/annalsmedres.2022.12.390
Chicago	Ak Mehmet,Eraslan Sahin Mefkure,CÜNDÜBEY CEVAT RIFAT,Madendag Yusuf,Demir Mustafa Bertan Impact of insufficient weight gain after GDM diagnosis on small for gestational age and adverse perinatal outcomes. (2023): 361 - 365. 10.5455/annalsmedres.2022.12.390
MLA	Ak Mehmet,Eraslan Sahin Mefkure,CÜNDÜBEY CEVAT RIFAT,Madendag Yusuf,Demir Mustafa Bertan Impact of insufficient weight gain after GDM diagnosis on small for gestational age and adverse perinatal outcomes. , 2023, ss.361 - 365. 10.5455/annalsmedres.2022.12.390
AMA	Ak M,Eraslan Sahin M,CÜNDÜBEY C,Madendag Y,Demir M Impact of insufficient weight gain after GDM diagnosis on small for gestational age and adverse perinatal outcomes. . 2023; 361 - 365. 10.5455/annalsmedres.2022.12.390
Vancouver	Ak M,Eraslan Sahin M,CÜNDÜBEY C,Madendag Y,Demir M Impact of insufficient weight gain after GDM diagnosis on small for gestational age and adverse perinatal outcomes. . 2023; 361 - 365. 10.5455/annalsmedres.2022.12.390
IEEE	Ak M,Eraslan Sahin M,CÜNDÜBEY C,Madendag Y,Demir M "Impact of insufficient weight gain after GDM diagnosis on small for gestational age and adverse perinatal outcomes." , ss.361 - 365, 2023. 10.5455/annalsmedres.2022.12.390
ISNAD	Ak, Mehmet vd. "Impact of insufficient weight gain after GDM diagnosis on small for gestational age and adverse perinatal outcomes". (2023), 361-365. https://doi.org/10.5455/annalsmedres.2022.12.390

APA	Ak M, Eraslan Sahin M, CÜNDÜBEY C, Madendag Y, Demir M (2023). Impact of insufficient weight gain after GDM diagnosis on small for gestational age and adverse perinatal outcomes. Annals of Medical Research, 30(3), 361 - 365. 10.5455/annalsmedres.2022.12.390
Chicago	Ak Mehmet,Eraslan Sahin Mefkure,CÜNDÜBEY CEVAT RIFAT,Madendag Yusuf,Demir Mustafa Bertan Impact of insufficient weight gain after GDM diagnosis on small for gestational age and adverse perinatal outcomes. Annals of Medical Research 30, no.3 (2023): 361 - 365. 10.5455/annalsmedres.2022.12.390
MLA	Ak Mehmet,Eraslan Sahin Mefkure,CÜNDÜBEY CEVAT RIFAT,Madendag Yusuf,Demir Mustafa Bertan Impact of insufficient weight gain after GDM diagnosis on small for gestational age and adverse perinatal outcomes. Annals of Medical Research, vol.30, no.3, 2023, ss.361 - 365. 10.5455/annalsmedres.2022.12.390
AMA	Ak M,Eraslan Sahin M,CÜNDÜBEY C,Madendag Y,Demir M Impact of insufficient weight gain after GDM diagnosis on small for gestational age and adverse perinatal outcomes. Annals of Medical Research. 2023; 30(3): 361 - 365. 10.5455/annalsmedres.2022.12.390
Vancouver	Ak M,Eraslan Sahin M,CÜNDÜBEY C,Madendag Y,Demir M Impact of insufficient weight gain after GDM diagnosis on small for gestational age and adverse perinatal outcomes. Annals of Medical Research. 2023; 30(3): 361 - 365. 10.5455/annalsmedres.2022.12.390
IEEE	Ak M,Eraslan Sahin M,CÜNDÜBEY C,Madendag Y,Demir M "Impact of insufficient weight gain after GDM diagnosis on small for gestational age and adverse perinatal outcomes." Annals of Medical Research, 30, ss.361 - 365, 2023. 10.5455/annalsmedres.2022.12.390
ISNAD	Ak, Mehmet vd. "Impact of insufficient weight gain after GDM diagnosis on small for gestational age and adverse perinatal outcomes". Annals of Medical Research 30/3 (2023), 361-365. https://doi.org/10.5455/annalsmedres.2022.12.390