Association between prepregnancy body mass index and congenital heart defects

Objective The purpose of this study was to examine associations between prepregnancy body mass index (BMI) and congenital heart defects (CHDs). Study Design These analyses included case infants with CHDs (n = 6440) and liveborn control infants without birth defects (n = 5673) enrolled in the Nationa...

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Veröffentlicht in:American journal of obstetrics and gynecology 2010, Vol.202 (1), p.51.e1-51.e10
Hauptverfasser: Gilboa, Suzanne M., PhD, Correa, Adolfo, MD, PhD, Botto, Lorenzo D., MD, Rasmussen, Sonja A., MD, MS, Waller, D. Kim, PhD, Hobbs, Charlotte A., MD, PhD, Cleves, Mario A., PhD, Riehle-Colarusso, Tiffany J., MD, MSE
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container_end_page 51.e10
container_issue 1
container_start_page 51.e1
container_title American journal of obstetrics and gynecology
container_volume 202
creator Gilboa, Suzanne M., PhD
Correa, Adolfo, MD, PhD
Botto, Lorenzo D., MD
Rasmussen, Sonja A., MD, MS
Waller, D. Kim, PhD
Hobbs, Charlotte A., MD, PhD
Cleves, Mario A., PhD
Riehle-Colarusso, Tiffany J., MD, MSE
description Objective The purpose of this study was to examine associations between prepregnancy body mass index (BMI) and congenital heart defects (CHDs). Study Design These analyses included case infants with CHDs (n = 6440) and liveborn control infants without birth defects (n = 5673) enrolled in the National Birth Defects Prevention Study (1997-2004). Results Adjusted odds ratios for all CHDs combined were 1.16 (95% confidence interval [CI], 1.05–1.29), 1.15 (95% CI, 1.00–1.32), and 1.31 (95% CI, 1.11–1.56) for overweight status, moderate obesity, and severe obesity, respectively. Phenotypes associated with elevated BMI (≥25.0 kg/m2 ) were conotruncal defects (tetralogy of Fallot), total anomalous pulmonary venous return, hypoplastic left heart syndrome, right ventricular outflow tract (RVOT) defects (pulmonary valve stenosis), and septal defects (secundum atrial septal defect). Conclusion These results corroborated those of previous studies and suggested new associations between obesity and conotruncal defects and RVOT defects.
doi_str_mv 10.1016/j.ajog.2009.08.005
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Kim, PhD ; Hobbs, Charlotte A., MD, PhD ; Cleves, Mario A., PhD ; Riehle-Colarusso, Tiffany J., MD, MSE</creator><creatorcontrib>Gilboa, Suzanne M., PhD ; Correa, Adolfo, MD, PhD ; Botto, Lorenzo D., MD ; Rasmussen, Sonja A., MD, MS ; Waller, D. Kim, PhD ; Hobbs, Charlotte A., MD, PhD ; Cleves, Mario A., PhD ; Riehle-Colarusso, Tiffany J., MD, MSE ; National Birth Defects Prevention Study</creatorcontrib><description>Objective The purpose of this study was to examine associations between prepregnancy body mass index (BMI) and congenital heart defects (CHDs). Study Design These analyses included case infants with CHDs (n = 6440) and liveborn control infants without birth defects (n = 5673) enrolled in the National Birth Defects Prevention Study (1997-2004). Results Adjusted odds ratios for all CHDs combined were 1.16 (95% confidence interval [CI], 1.05–1.29), 1.15 (95% CI, 1.00–1.32), and 1.31 (95% CI, 1.11–1.56) for overweight status, moderate obesity, and severe obesity, respectively. Phenotypes associated with elevated BMI (≥25.0 kg/m2 ) were conotruncal defects (tetralogy of Fallot), total anomalous pulmonary venous return, hypoplastic left heart syndrome, right ventricular outflow tract (RVOT) defects (pulmonary valve stenosis), and septal defects (secundum atrial septal defect). 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Obstetrics</topic><topic>Heart Defects, Congenital - epidemiology</topic><topic>Humans</topic><topic>Medical sciences</topic><topic>obesity</topic><topic>Obesity - epidemiology</topic><topic>Obstetrics and Gynecology</topic><topic>Odds Ratio</topic><topic>Pregnancy</topic><topic>Pregnancy Complications - epidemiology</topic><topic>Risk Factors</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Gilboa, Suzanne M., PhD</creatorcontrib><creatorcontrib>Correa, Adolfo, MD, PhD</creatorcontrib><creatorcontrib>Botto, Lorenzo D., MD</creatorcontrib><creatorcontrib>Rasmussen, Sonja A., MD, MS</creatorcontrib><creatorcontrib>Waller, D. 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Kim, PhD</au><au>Hobbs, Charlotte A., MD, PhD</au><au>Cleves, Mario A., PhD</au><au>Riehle-Colarusso, Tiffany J., MD, MSE</au><aucorp>National Birth Defects Prevention Study</aucorp><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Association between prepregnancy body mass index and congenital heart defects</atitle><jtitle>American journal of obstetrics and gynecology</jtitle><addtitle>Am J Obstet Gynecol</addtitle><date>2010</date><risdate>2010</risdate><volume>202</volume><issue>1</issue><spage>51.e1</spage><epage>51.e10</epage><pages>51.e1-51.e10</pages><issn>0002-9378</issn><eissn>1097-6868</eissn><coden>AJOGAH</coden><abstract>Objective The purpose of this study was to examine associations between prepregnancy body mass index (BMI) and congenital heart defects (CHDs). 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subjects Biological and medical sciences
Body Mass Index
congenital heart defects
Diabetes, Gestational - epidemiology
Female
gestational diabetes
Gynecology. Andrology. Obstetrics
Heart Defects, Congenital - epidemiology
Humans
Medical sciences
obesity
Obesity - epidemiology
Obstetrics and Gynecology
Odds Ratio
Pregnancy
Pregnancy Complications - epidemiology
Risk Factors
title Association between prepregnancy body mass index and congenital heart defects
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