Association of preconception paternal health on perinatal outcomes: analysis of U.S. claims data
To assess whether paternal health is associated with maternal peripartum and neonatal outcomes. Retrospective cohort study. University research departments. Analytic sample of children born to paired fathers and mothers covering live births within the United States between 2009–2016. Paternal health...
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| Veröffentlicht in: | Fertility and sterility 2020-05, Vol.113 (5), p.947-954 |
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| creator | Kasman, Alex M. Zhang, Chiyuan A. Li, Shufeng Stevenson, David K. Shaw, Gary M. Eisenberg, Michael L. |
| description | To assess whether paternal health is associated with maternal peripartum and neonatal outcomes.
Retrospective cohort study.
University research departments.
Analytic sample of children born to paired fathers and mothers covering live births within the United States between 2009–2016.
Paternal health status (e.g., metabolic syndrome diagnoses, individual chronic disease diagnoses).
Primary outcome of preterm birth (i.e., live birth before 37 weeks), and secondary outcomes of low birth weight, neonatal intensive care unit (NICU) stay, gestational diabetes, preeclampsia, eclampsia, and length of maternal stay.
The IBM Marketscan Research database covers reimbursed health care claims data on inpatient and outpatient encounters who are privately insured through employment-sponsored health insurance. We assessed 785,809 singleton live births, with 6.6% born preterm. The presence of paternal comorbidities was associated with higher odds of preterm birth, low birth weight (LBW), and NICU stay. After adjusting for maternal factors, fathers with most or all components of the metabolic syndrome had 19% higher odds of having a child born preterm (95% CI 1.11–1.28), 23% higher odds of LBW (95% CI 1.01–1.51), and 28% higher odds of NICU stay (95% CI 1.08–1.52). Maternal morbidity (e.g., gestational diabetes or preeclampsia) was also positively associated with preconception paternal health.
Increased preconception paternal comorbidity may be associated with negative infant and maternal outcomes. Although the paternal effect remains modest, these findings highlight the importance of the health of both parents, particularly the mother, on healthy pregnancy.
Asociación entre la salud preconcepcional del varón sobre los resultados perinatales: estudio de datos de solicitudes de reembolso en EE.UU
Evaluar si la salud del varón está asociada con los resultados maternos periparto y neonatales.
Estudio de cohorte retrospectiva.
Departamentos de investigación universitarios.
Muestra analítica de hijos nacidos de padres y madres emparejados que cubre los nacimientos en Estados Unidos entre 2009 y 2016.
Estado de salud de los progenitores (e.g. diagnóstico de síndrome metabólico, diagnósticos de enfermedades crónicas individuales).
Resultado primario: nacimiento pretérmino (i.e. nacido vivo antes de la semana 37) y resultados secundarios: bajo peso, estancia en unidad de cuidados intensivos neonatales (NICU), diabetes gestacional, preeclampsia, eclampsia y duración de la estancia m |
| doi_str_mv | 10.1016/j.fertnstert.2019.12.026 |
| format | Article |
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Retrospective cohort study.
University research departments.
Analytic sample of children born to paired fathers and mothers covering live births within the United States between 2009–2016.
Paternal health status (e.g., metabolic syndrome diagnoses, individual chronic disease diagnoses).
Primary outcome of preterm birth (i.e., live birth before 37 weeks), and secondary outcomes of low birth weight, neonatal intensive care unit (NICU) stay, gestational diabetes, preeclampsia, eclampsia, and length of maternal stay.
The IBM Marketscan Research database covers reimbursed health care claims data on inpatient and outpatient encounters who are privately insured through employment-sponsored health insurance. We assessed 785,809 singleton live births, with 6.6% born preterm. The presence of paternal comorbidities was associated with higher odds of preterm birth, low birth weight (LBW), and NICU stay. After adjusting for maternal factors, fathers with most or all components of the metabolic syndrome had 19% higher odds of having a child born preterm (95% CI 1.11–1.28), 23% higher odds of LBW (95% CI 1.01–1.51), and 28% higher odds of NICU stay (95% CI 1.08–1.52). Maternal morbidity (e.g., gestational diabetes or preeclampsia) was also positively associated with preconception paternal health.
Increased preconception paternal comorbidity may be associated with negative infant and maternal outcomes. Although the paternal effect remains modest, these findings highlight the importance of the health of both parents, particularly the mother, on healthy pregnancy.
Asociación entre la salud preconcepcional del varón sobre los resultados perinatales: estudio de datos de solicitudes de reembolso en EE.UU
Evaluar si la salud del varón está asociada con los resultados maternos periparto y neonatales.
Estudio de cohorte retrospectiva.
Departamentos de investigación universitarios.
Muestra analítica de hijos nacidos de padres y madres emparejados que cubre los nacimientos en Estados Unidos entre 2009 y 2016.
Estado de salud de los progenitores (e.g. diagnóstico de síndrome metabólico, diagnósticos de enfermedades crónicas individuales).
Resultado primario: nacimiento pretérmino (i.e. nacido vivo antes de la semana 37) y resultados secundarios: bajo peso, estancia en unidad de cuidados intensivos neonatales (NICU), diabetes gestacional, preeclampsia, eclampsia y duración de la estancia materna.
La base de datos IBM Marketscan Research abarca los datos de las solicitudes de reembolso de actos médicos en pacientes ingresados y ambulatorios con seguro médico privado pagado por el empleador. Evaluamos 785.809 partos únicos con recién nacido vivo, con 6,6% nacidos pretérmino. La presencia de comorbilidades paternas se asoció con una mayor probabilidad de parto pretérmino, bajo peso al nacer (LBW) y estancia en NICU. Tras ajustar por factores maternos, los padres con la mayoría o todos los componentes del síndrome metabólico tuvieron un riesgo un 19% mayor de tener un hijo pretérmino (IC 95% 1.11—1.28), un riesgo un 23% mayor de LBW (IC 95% 1.01—1.51) y un riesgo un 28% mayor de estancia en NICU (IC 95% 1.08—1.52). La morbilidad materna (e.g., diabetes gestacional o preeclampsia) también estuvo asociada positivamente con la salud paterna preconcepcional.
El aumento de comorbilidades preconcepcionales en el varón puede estar asociado con resultados negativos maternos y en neonatos. Aunque el efecto paterno es modesto, estos resultados resaltan la importancia de la salud de ambos progenitores, sobre todo la madre, para un embarazo saludable.</description><identifier>ISSN: 0015-0282</identifier><identifier>ISSN: 1556-5653</identifier><identifier>EISSN: 1556-5653</identifier><identifier>DOI: 10.1016/j.fertnstert.2019.12.026</identifier><identifier>PMID: 32147174</identifier><language>eng</language><publisher>United States: Elsevier Inc</publisher><subject>Administrative Claims, Healthcare ; Adult ; Birth Weight ; Comorbidity ; Databases, Factual ; Fathers ; Female ; Gestational Age ; Health Status ; Humans ; Incidence ; Infant, Low Birth Weight ; Infant, Premature ; Intensive Care Units, Neonatal ; Length of Stay ; Male ; Metabolic Syndrome - epidemiology ; Middle Aged ; Neonatal outcomes ; paternal health ; peripartum outcomes ; Pregnancy ; Pregnancy Complications - epidemiology ; Premature Birth - epidemiology ; Retrospective Studies ; Risk Assessment ; Risk Factors ; Time Factors ; United States - epidemiology ; Young Adult</subject><ispartof>Fertility and sterility, 2020-05, Vol.113 (5), p.947-954</ispartof><rights>2019 American Society for Reproductive Medicine</rights><rights>Copyright © 2019 American Society for Reproductive Medicine. Published by Elsevier Inc. All rights reserved.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c424t-783b0379ae2e98fd0e94f2a32408ce384ec8187256c1631a42399c62ec756ef23</citedby><cites>FETCH-LOGICAL-c424t-783b0379ae2e98fd0e94f2a32408ce384ec8187256c1631a42399c62ec756ef23</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://dx.doi.org/10.1016/j.fertnstert.2019.12.026$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,780,784,3541,27915,27916,45986</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/32147174$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Kasman, Alex M.</creatorcontrib><creatorcontrib>Zhang, Chiyuan A.</creatorcontrib><creatorcontrib>Li, Shufeng</creatorcontrib><creatorcontrib>Stevenson, David K.</creatorcontrib><creatorcontrib>Shaw, Gary M.</creatorcontrib><creatorcontrib>Eisenberg, Michael L.</creatorcontrib><title>Association of preconception paternal health on perinatal outcomes: analysis of U.S. claims data</title><title>Fertility and sterility</title><addtitle>Fertil Steril</addtitle><description>To assess whether paternal health is associated with maternal peripartum and neonatal outcomes.
Retrospective cohort study.
University research departments.
Analytic sample of children born to paired fathers and mothers covering live births within the United States between 2009–2016.
Paternal health status (e.g., metabolic syndrome diagnoses, individual chronic disease diagnoses).
Primary outcome of preterm birth (i.e., live birth before 37 weeks), and secondary outcomes of low birth weight, neonatal intensive care unit (NICU) stay, gestational diabetes, preeclampsia, eclampsia, and length of maternal stay.
The IBM Marketscan Research database covers reimbursed health care claims data on inpatient and outpatient encounters who are privately insured through employment-sponsored health insurance. We assessed 785,809 singleton live births, with 6.6% born preterm. The presence of paternal comorbidities was associated with higher odds of preterm birth, low birth weight (LBW), and NICU stay. After adjusting for maternal factors, fathers with most or all components of the metabolic syndrome had 19% higher odds of having a child born preterm (95% CI 1.11–1.28), 23% higher odds of LBW (95% CI 1.01–1.51), and 28% higher odds of NICU stay (95% CI 1.08–1.52). Maternal morbidity (e.g., gestational diabetes or preeclampsia) was also positively associated with preconception paternal health.
Increased preconception paternal comorbidity may be associated with negative infant and maternal outcomes. Although the paternal effect remains modest, these findings highlight the importance of the health of both parents, particularly the mother, on healthy pregnancy.
Asociación entre la salud preconcepcional del varón sobre los resultados perinatales: estudio de datos de solicitudes de reembolso en EE.UU
Evaluar si la salud del varón está asociada con los resultados maternos periparto y neonatales.
Estudio de cohorte retrospectiva.
Departamentos de investigación universitarios.
Muestra analítica de hijos nacidos de padres y madres emparejados que cubre los nacimientos en Estados Unidos entre 2009 y 2016.
Estado de salud de los progenitores (e.g. diagnóstico de síndrome metabólico, diagnósticos de enfermedades crónicas individuales).
Resultado primario: nacimiento pretérmino (i.e. nacido vivo antes de la semana 37) y resultados secundarios: bajo peso, estancia en unidad de cuidados intensivos neonatales (NICU), diabetes gestacional, preeclampsia, eclampsia y duración de la estancia materna.
La base de datos IBM Marketscan Research abarca los datos de las solicitudes de reembolso de actos médicos en pacientes ingresados y ambulatorios con seguro médico privado pagado por el empleador. Evaluamos 785.809 partos únicos con recién nacido vivo, con 6,6% nacidos pretérmino. La presencia de comorbilidades paternas se asoció con una mayor probabilidad de parto pretérmino, bajo peso al nacer (LBW) y estancia en NICU. Tras ajustar por factores maternos, los padres con la mayoría o todos los componentes del síndrome metabólico tuvieron un riesgo un 19% mayor de tener un hijo pretérmino (IC 95% 1.11—1.28), un riesgo un 23% mayor de LBW (IC 95% 1.01—1.51) y un riesgo un 28% mayor de estancia en NICU (IC 95% 1.08—1.52). La morbilidad materna (e.g., diabetes gestacional o preeclampsia) también estuvo asociada positivamente con la salud paterna preconcepcional.
El aumento de comorbilidades preconcepcionales en el varón puede estar asociado con resultados negativos maternos y en neonatos. Aunque el efecto paterno es modesto, estos resultados resaltan la importancia de la salud de ambos progenitores, sobre todo la madre, para un embarazo saludable.</description><subject>Administrative Claims, Healthcare</subject><subject>Adult</subject><subject>Birth Weight</subject><subject>Comorbidity</subject><subject>Databases, Factual</subject><subject>Fathers</subject><subject>Female</subject><subject>Gestational Age</subject><subject>Health Status</subject><subject>Humans</subject><subject>Incidence</subject><subject>Infant, Low Birth Weight</subject><subject>Infant, Premature</subject><subject>Intensive Care Units, Neonatal</subject><subject>Length of Stay</subject><subject>Male</subject><subject>Metabolic Syndrome - epidemiology</subject><subject>Middle Aged</subject><subject>Neonatal outcomes</subject><subject>paternal health</subject><subject>peripartum outcomes</subject><subject>Pregnancy</subject><subject>Pregnancy Complications - epidemiology</subject><subject>Premature Birth - epidemiology</subject><subject>Retrospective Studies</subject><subject>Risk Assessment</subject><subject>Risk Factors</subject><subject>Time Factors</subject><subject>United States - epidemiology</subject><subject>Young Adult</subject><issn>0015-0282</issn><issn>1556-5653</issn><issn>1556-5653</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2020</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqFkMFu1DAQhi0EotvCK6Ace0nqGcd2wq1UhVaq1AP0bFxnonqVxMH2Iu3b42VLOfZiS7--mV_zMVYBb4CDutg2I8W8pFzeBjn0DWDDUb1hG5BS1VJJ8ZZtOAdZc-zwhJ2mtOWcK9D4np0IhFaDbjfs52VKwXmbfViqMFZrJBcWR-vfYLWlYbFT9UR2yk_VIaLoF5tLFnbZhZnS58oWZJ98Oix4aL43lZusn1M1FO4DezfaKdHH5_-MPXy9_nF1U9_df7u9uryrXYttrnUnHrnQvSWkvhsHTn07ohXY8s6R6FpyHXQapXKgBNgWRd87heS0VDSiOGPnx71rDL92lLKZfXI0TXahsEsGhZYSQAtR0O6IuhhSijSaNfrZxr0Bbg5-zdb892sOfg2gKX7L6Kfnlt3jTMPL4D-hBfhyBKjc-ttTNMl5KkIHX8xmMwT_essfrmmRvA</recordid><startdate>202005</startdate><enddate>202005</enddate><creator>Kasman, Alex M.</creator><creator>Zhang, Chiyuan A.</creator><creator>Li, Shufeng</creator><creator>Stevenson, David K.</creator><creator>Shaw, Gary M.</creator><creator>Eisenberg, Michael L.</creator><general>Elsevier Inc</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>202005</creationdate><title>Association of preconception paternal health on perinatal outcomes: analysis of U.S. claims data</title><author>Kasman, Alex M. ; Zhang, Chiyuan A. ; Li, Shufeng ; Stevenson, David K. ; Shaw, Gary M. ; Eisenberg, Michael L.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c424t-783b0379ae2e98fd0e94f2a32408ce384ec8187256c1631a42399c62ec756ef23</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2020</creationdate><topic>Administrative Claims, Healthcare</topic><topic>Adult</topic><topic>Birth Weight</topic><topic>Comorbidity</topic><topic>Databases, Factual</topic><topic>Fathers</topic><topic>Female</topic><topic>Gestational Age</topic><topic>Health Status</topic><topic>Humans</topic><topic>Incidence</topic><topic>Infant, Low Birth Weight</topic><topic>Infant, Premature</topic><topic>Intensive Care Units, Neonatal</topic><topic>Length of Stay</topic><topic>Male</topic><topic>Metabolic Syndrome - epidemiology</topic><topic>Middle Aged</topic><topic>Neonatal outcomes</topic><topic>paternal health</topic><topic>peripartum outcomes</topic><topic>Pregnancy</topic><topic>Pregnancy Complications - epidemiology</topic><topic>Premature Birth - epidemiology</topic><topic>Retrospective Studies</topic><topic>Risk Assessment</topic><topic>Risk Factors</topic><topic>Time Factors</topic><topic>United States - epidemiology</topic><topic>Young Adult</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Kasman, Alex M.</creatorcontrib><creatorcontrib>Zhang, Chiyuan A.</creatorcontrib><creatorcontrib>Li, Shufeng</creatorcontrib><creatorcontrib>Stevenson, David K.</creatorcontrib><creatorcontrib>Shaw, Gary M.</creatorcontrib><creatorcontrib>Eisenberg, Michael L.</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Fertility and sterility</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Kasman, Alex M.</au><au>Zhang, Chiyuan A.</au><au>Li, Shufeng</au><au>Stevenson, David K.</au><au>Shaw, Gary M.</au><au>Eisenberg, Michael L.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Association of preconception paternal health on perinatal outcomes: analysis of U.S. claims data</atitle><jtitle>Fertility and sterility</jtitle><addtitle>Fertil Steril</addtitle><date>2020-05</date><risdate>2020</risdate><volume>113</volume><issue>5</issue><spage>947</spage><epage>954</epage><pages>947-954</pages><issn>0015-0282</issn><issn>1556-5653</issn><eissn>1556-5653</eissn><abstract>To assess whether paternal health is associated with maternal peripartum and neonatal outcomes.
Retrospective cohort study.
University research departments.
Analytic sample of children born to paired fathers and mothers covering live births within the United States between 2009–2016.
Paternal health status (e.g., metabolic syndrome diagnoses, individual chronic disease diagnoses).
Primary outcome of preterm birth (i.e., live birth before 37 weeks), and secondary outcomes of low birth weight, neonatal intensive care unit (NICU) stay, gestational diabetes, preeclampsia, eclampsia, and length of maternal stay.
The IBM Marketscan Research database covers reimbursed health care claims data on inpatient and outpatient encounters who are privately insured through employment-sponsored health insurance. We assessed 785,809 singleton live births, with 6.6% born preterm. The presence of paternal comorbidities was associated with higher odds of preterm birth, low birth weight (LBW), and NICU stay. After adjusting for maternal factors, fathers with most or all components of the metabolic syndrome had 19% higher odds of having a child born preterm (95% CI 1.11–1.28), 23% higher odds of LBW (95% CI 1.01–1.51), and 28% higher odds of NICU stay (95% CI 1.08–1.52). Maternal morbidity (e.g., gestational diabetes or preeclampsia) was also positively associated with preconception paternal health.
Increased preconception paternal comorbidity may be associated with negative infant and maternal outcomes. Although the paternal effect remains modest, these findings highlight the importance of the health of both parents, particularly the mother, on healthy pregnancy.
Asociación entre la salud preconcepcional del varón sobre los resultados perinatales: estudio de datos de solicitudes de reembolso en EE.UU
Evaluar si la salud del varón está asociada con los resultados maternos periparto y neonatales.
Estudio de cohorte retrospectiva.
Departamentos de investigación universitarios.
Muestra analítica de hijos nacidos de padres y madres emparejados que cubre los nacimientos en Estados Unidos entre 2009 y 2016.
Estado de salud de los progenitores (e.g. diagnóstico de síndrome metabólico, diagnósticos de enfermedades crónicas individuales).
Resultado primario: nacimiento pretérmino (i.e. nacido vivo antes de la semana 37) y resultados secundarios: bajo peso, estancia en unidad de cuidados intensivos neonatales (NICU), diabetes gestacional, preeclampsia, eclampsia y duración de la estancia materna.
La base de datos IBM Marketscan Research abarca los datos de las solicitudes de reembolso de actos médicos en pacientes ingresados y ambulatorios con seguro médico privado pagado por el empleador. Evaluamos 785.809 partos únicos con recién nacido vivo, con 6,6% nacidos pretérmino. La presencia de comorbilidades paternas se asoció con una mayor probabilidad de parto pretérmino, bajo peso al nacer (LBW) y estancia en NICU. Tras ajustar por factores maternos, los padres con la mayoría o todos los componentes del síndrome metabólico tuvieron un riesgo un 19% mayor de tener un hijo pretérmino (IC 95% 1.11—1.28), un riesgo un 23% mayor de LBW (IC 95% 1.01—1.51) y un riesgo un 28% mayor de estancia en NICU (IC 95% 1.08—1.52). La morbilidad materna (e.g., diabetes gestacional o preeclampsia) también estuvo asociada positivamente con la salud paterna preconcepcional.
El aumento de comorbilidades preconcepcionales en el varón puede estar asociado con resultados negativos maternos y en neonatos. Aunque el efecto paterno es modesto, estos resultados resaltan la importancia de la salud de ambos progenitores, sobre todo la madre, para un embarazo saludable.</abstract><cop>United States</cop><pub>Elsevier Inc</pub><pmid>32147174</pmid><doi>10.1016/j.fertnstert.2019.12.026</doi><tpages>8</tpages><oa>free_for_read</oa></addata></record> |
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| ispartof | Fertility and sterility, 2020-05, Vol.113 (5), p.947-954 |
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| source | MEDLINE; Elsevier ScienceDirect Journals Complete; Alma/SFX Local Collection; EZB Electronic Journals Library |
| subjects | Administrative Claims, Healthcare Adult Birth Weight Comorbidity Databases, Factual Fathers Female Gestational Age Health Status Humans Incidence Infant, Low Birth Weight Infant, Premature Intensive Care Units, Neonatal Length of Stay Male Metabolic Syndrome - epidemiology Middle Aged Neonatal outcomes paternal health peripartum outcomes Pregnancy Pregnancy Complications - epidemiology Premature Birth - epidemiology Retrospective Studies Risk Assessment Risk Factors Time Factors United States - epidemiology Young Adult |
| title | Association of preconception paternal health on perinatal outcomes: analysis of U.S. claims data |
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