Your browser doesn't support javascript.
loading
The Impact of maternal obesity and race/ethnicity on perinatal outcomes: Independent and joint effects.
Snowden, Jonathan M; Mission, John F; Marshall, Nicole E; Quigley, Brian; Main, Elliott; Gilbert, William M; Chung, Judith H; Caughey, Aaron B.
Afiliación
  • Snowden JM; Department of Obstetrics & Gynecology, Oregon Health & Science University, Portland, Oregon, USA.
  • Mission JF; School of Public Health, Oregon Health & Science University/Portland State University, Portland, Oregon, USA.
  • Marshall NE; Department of Obstetrics, Gynecology, and Reproductive Sciences, University of Pittsburgh, Pittsburgh, Pennsylvania, USA.
  • Quigley B; Department of Obstetrics & Gynecology, Oregon Health & Science University, Portland, Oregon, USA.
  • Main E; Department of Obstetrics & Gynecology, Oregon Health & Science University, Portland, Oregon, USA.
  • Gilbert WM; California Maternal Quality Care Collaborative (CMQCC), Stanford, California, USA.
  • Chung JH; Sutter Medical Center, Sacramento, Sacramento, California, USA.
  • Caughey AB; University of California, Irvine Medical Center, Orange, California, USA.
Obesity (Silver Spring) ; 24(7): 1590-8, 2016 07.
Article en En | MEDLINE | ID: mdl-27222008
OBJECTIVE: Independent and joint impacts of maternal race/ethnicity and obesity on adverse birth outcomes, including pre-eclampsia, low birth weight, and macrosomia, were characterized. METHODS: Retrospective cohort study of all 2007 California births was conducted using vital records and claims data. Maternal race/ethnicity and maternal body mass index (BMI) were the key exposures; their independent and joint impact on outcomes using regression models was analyzed. RESULTS: Racial/ethnic minority women of normal weight generally had higher risk as compared with white women of normal weight (e.g., African-American women, pre-eclampsia adjusted odds ratio [aOR] 1.60, 95% confidence interval [CI]: 1.48-1.74 vs. white women). However, elevated BMI did not usually confer additional risk (e.g., pre-eclampsia aOR comparing African-American women with excess weight with white women with excess weight, 1.17, 95% CI: 0.89-1.54). Obesity was a risk factor for low birth weight only among white women (excess weight aOR, 1.24, 95% CI: 1.04-1.49 vs. white women of normal weight) and not among racial/ethnic minority women (e.g., African-American women, 0.95, 95% CI: 0.83-1.08). CONCLUSIONS: These findings add nuance to our understanding of the interplay between maternal race/ethnicity, BMI, and perinatal outcomes. While the BMI/adverse outcome gradient appears weaker in racial/ethnic minority women, this reflects the overall risk increase in racial/ethnic minority women of all body sizes.
Asunto(s)
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
Buscar en Google

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Complicaciones del Embarazo / Etnicidad / Fenómenos Fisiologicos Nutricionales Maternos / Grupos Raciales / Obesidad Tipo de estudio: Diagnostic_studies / Etiology_studies / Observational_studies / Prognostic_studies / Risk_factors_studies Aspecto: Determinantes_sociais_saude Límite: Adult / Female / Humans / Newborn / Pregnancy País/Región como asunto: America do norte Idioma: En Revista: Obesity (Silver Spring) Asunto de la revista: CIENCIAS DA NUTRICAO / FISIOLOGIA / METABOLISMO Año: 2016 Tipo del documento: Article País de afiliación: Estados Unidos Pais de publicación: Estados Unidos
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
Buscar en Google

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Complicaciones del Embarazo / Etnicidad / Fenómenos Fisiologicos Nutricionales Maternos / Grupos Raciales / Obesidad Tipo de estudio: Diagnostic_studies / Etiology_studies / Observational_studies / Prognostic_studies / Risk_factors_studies Aspecto: Determinantes_sociais_saude Límite: Adult / Female / Humans / Newborn / Pregnancy País/Región como asunto: America do norte Idioma: En Revista: Obesity (Silver Spring) Asunto de la revista: CIENCIAS DA NUTRICAO / FISIOLOGIA / METABOLISMO Año: 2016 Tipo del documento: Article País de afiliación: Estados Unidos Pais de publicación: Estados Unidos