Orós Miriam, Lorenzo Marta, Serna María Catalina, Siscart Júlia, Perejón Daniel, Salinas-Roca Blanca
Family Medicine Department, University of Lleida, 25003 Lleida, Spain.
Miami Platja Health Center, Catalan Institute of Health, 43892 Tarragona, Spain.
Metabolites. 2024 Jan 15;14(1):56. doi: 10.3390/metabo14010056.
The prevalence of overweight and obesity has risen dramatically in the last few years. This has led to an increase in both conditions in pregnant women. Obesity and overweight are associated with complications for both the mother and the newborn. The aim of this study is to determine the prevalence of obesity and its association with the risk of complications during pregnancy. Materials and Methods: We conducted a retrospective cohort study of pregnant women who delivered from 1 January 2012 to 31 December 2018. Results: A higher prevalence of obesity is observed in the group of women aged 35 or older. Women with a BMI > 25 present a higher risk of cesarean section (aOR 1.49, 95% CI: 1.37-1.61), preeclampsia (aOR 1.64, 95% CI: 1.19-2.26), high-risk pregnancy (aOR 2.34, 95% CI: 1.68-2.6), Apgar < 7 at one minute (aOR 1.53, 95% CI: 1.25-1.89) and macrosomia (aOR 2.08, 95% CI: 1.83-2.37). Maternal overweight and obesity are important determinants of the risk of complications for both the mother and the newborn.
在过去几年中,超重和肥胖的患病率急剧上升。这导致孕妇中这两种情况的发生率都有所增加。肥胖和超重与母亲和新生儿的并发症都有关联。本研究的目的是确定肥胖的患病率及其与妊娠期间并发症风险的关联。材料与方法:我们对2012年1月1日至2018年12月31日分娩的孕妇进行了一项回顾性队列研究。结果:在35岁及以上的女性群体中观察到更高的肥胖患病率。BMI>25的女性剖宫产风险更高(调整后比值比1.49,95%置信区间:1.37-1.61)、子痫前期风险更高(调整后比值比1.64,95%置信区间:1.19-2.26)、高危妊娠风险更高(调整后比值比2.34,95%置信区间:1.68-2.6)、1分钟时阿氏评分<7的风险更高(调整后比值比1.53,95%置信区间:1.25-1.89)以及巨大儿风险更高(调整后比值比2.08,95%置信区间:1.83-2.37)。母亲超重和肥胖是母亲和新生儿并发症风险的重要决定因素。