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    The influence of maternal body composition on birth weight.

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    Authors
    Farah, Nadine
    Stuart, Bernard
    Donnelly, Valerie
    Kennelly, Mairead M
    Turner, Michael J
    Affiliation
    UCD Centre for Human Reproduction, Coombe Women and Infants University Hospital, , Dublin, Ireland. nadine.farah@ucd.ie
    Issue Date
    2012-02-01T10:57:03Z
    MeSH
    Adolescent
    Adult
    *Birth Weight
    *Body Composition
    Body Mass Index
    Electric Impedance
    Female
    Hospitals, University
    Humans
    Infant, Newborn
    Ireland
    Longitudinal Studies
    Male
    Obesity/*physiopathology
    Overweight/*physiopathology
    Pregnancy
    Pregnancy Complications/*physiopathology
    Prospective Studies
    Weight Gain
    Young Adult
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    Citation
    Eur J Obstet Gynecol Reprod Biol. 2011 Jul;157(1):14-7. Epub 2011 Feb 25.
    Journal
    European journal of obstetrics, gynecology, and reproductive biology
    URI
    http://hdl.handle.net/10147/207993
    DOI
    10.1016/j.ejogrb.2010.12.047
    PubMed ID
    21353373
    Abstract
    OBJECTIVE: To identify the maternal body composition parameters that independently influence birth weight. STUDY DESIGN: A longitudinal prospective observational study in a large university teaching hospital. One hundred and eighty-four non-diabetic caucasian women with a singleton pregnancy were studied. In early pregnancy maternal weight and height were measured digitally in a standardised way and the body mass index (BMI) was calculated. At 28 and 37 weeks' gestation maternal body composition was assessed using segmental multifrequency bioelectrical impedance analysis. At delivery the baby was weighed and the clinical details were recorded. RESULTS: Of the women studied, 29.2% were overweight and 34.8% were obese. Birth weight did not correlate with maternal weight or BMI in early pregnancy. Birth weight correlated with gestational weight gain (GWG) before the third trimester (r=0.163, p=0.027), but not with GWG in the third trimester. Birth weight correlated with maternal fat-free mass, and not fat mass at 28 and 37 weeks gestation. Birth weight did not correlate with increases in maternal fat and fat-free masses between 28 and 37 weeks. CONCLUSIONS: Contrary to previous reports, we found that early pregnancy maternal BMI in a non-diabetic population does not influence birth weight. Interestingly, it was the GWG before the third trimester and not the GWG in the third trimester that influenced birth weight. Our findings have implications for the design of future intervention studies aimed at optimising gestational weight gain and birth weight. CONDENSATION: Maternal fat-free mass and gestational weight gain both influence birth weight.
    Language
    eng
    ISSN
    1872-7654 (Electronic)
    0301-2115 (Linking)
    ae974a485f413a2113503eed53cd6c53
    10.1016/j.ejogrb.2010.12.047
    Scopus Count
    Collections
    Coombe Women & Infants University Hospital

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