Maternal build and pregnancy outcome

The effect of maternal build on the outcome of pregnancy was studied in two birth cohorts in Northern Finland, for 1966 and 1985–1986. Prospectively collected data were available for 10,969 women in the earlier cohort and 9128 in the later one. The women in the earlier cohort were on average 2.9 cm...

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Veröffentlicht in:Journal of clinical epidemiology 1995-02, Vol.48 (2), p.199-207
Hauptverfasser: Rantakallio, Paula, Läärä, Esa, Koiranen, Markku, Sarpola, Ari
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container_title Journal of clinical epidemiology
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creator Rantakallio, Paula
Läärä, Esa
Koiranen, Markku
Sarpola, Ari
description The effect of maternal build on the outcome of pregnancy was studied in two birth cohorts in Northern Finland, for 1966 and 1985–1986. Prospectively collected data were available for 10,969 women in the earlier cohort and 9128 in the later one. The women in the earlier cohort were on average 2.9 cm shorter but 0.2 kg thinner and had 0.7 kg/m 2 greater BMI. 13% of the women in the earlier cohort had a BMI below 20, but 24% in the later one, while 96% in both cohorts had BMI below 30. The women with low BMI were on average taller than the others, and at all BMI levels the women of the earlier cohort were shorter and lighter than those of the later one. The outcome of pregnancy was measured by the incidence of pre-term births and perinatal plus childhood deaths up to the age of 4 years, and the association of maternal body measurements with low birth weight (
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Prospectively collected data were available for 10,969 women in the earlier cohort and 9128 in the later one. The women in the earlier cohort were on average 2.9 cm shorter but 0.2 kg thinner and had 0.7 kg/m 2 greater BMI. 13% of the women in the earlier cohort had a BMI below 20, but 24% in the later one, while 96% in both cohorts had BMI below 30. The women with low BMI were on average taller than the others, and at all BMI levels the women of the earlier cohort were shorter and lighter than those of the later one. The outcome of pregnancy was measured by the incidence of pre-term births and perinatal plus childhood deaths up to the age of 4 years, and the association of maternal body measurements with low birth weight (&lt;2500 g) and small for gestational age (SGA) infants was also studied. An additive logistic regression model was fitted in each analysis, to determine the probability of the outcome separately in terms of BMI, weight and height, adjusting for maternal age, parity, smoking, marital status, father's social class and place of residence. No evidence was found that BMI values 20–25, commonly judged as optimum for the mother's own longevity, predicted a better prognosis for the child than values below 20. The finding was similar for pre-term births in the later cohort, but in the earlier cohort there were signs that the optimum tended to be at BMI levels indicating fatness. 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Prospectively collected data were available for 10,969 women in the earlier cohort and 9128 in the later one. The women in the earlier cohort were on average 2.9 cm shorter but 0.2 kg thinner and had 0.7 kg/m 2 greater BMI. 13% of the women in the earlier cohort had a BMI below 20, but 24% in the later one, while 96% in both cohorts had BMI below 30. The women with low BMI were on average taller than the others, and at all BMI levels the women of the earlier cohort were shorter and lighter than those of the later one. The outcome of pregnancy was measured by the incidence of pre-term births and perinatal plus childhood deaths up to the age of 4 years, and the association of maternal body measurements with low birth weight (&lt;2500 g) and small for gestational age (SGA) infants was also studied. An additive logistic regression model was fitted in each analysis, to determine the probability of the outcome separately in terms of BMI, weight and height, adjusting for maternal age, parity, smoking, marital status, father's social class and place of residence. No evidence was found that BMI values 20–25, commonly judged as optimum for the mother's own longevity, predicted a better prognosis for the child than values below 20. The finding was similar for pre-term births in the later cohort, but in the earlier cohort there were signs that the optimum tended to be at BMI levels indicating fatness. The incidences of SGA infants and low birth weight (&lt; 2500 g) were less suitable for judging the outcome of pregnancy from maternal build.</description><subject>Analysis. Health state</subject><subject>Biological and medical sciences</subject><subject>BMI</subject><subject>Body Mass Index</subject><subject>childhood mortality</subject><subject>Epidemiology</subject><subject>Female</subject><subject>Finland</subject><subject>General aspects</subject><subject>Height</subject><subject>Humans</subject><subject>Infant Mortality</subject><subject>Infant, Low Birth Weight</subject><subject>Infant, Newborn</subject><subject>Infant, Premature</subject><subject>Infant, Small for Gestational Age</subject><subject>Logistic Models</subject><subject>Low birth weight</subject><subject>Medical sciences</subject><subject>Perinatal</subject><subject>Pre-pregnant weight</subject><subject>Pregnancy - physiology</subject><subject>Pregnancy Outcome</subject><subject>Preterm births</subject><subject>Prospective Studies</subject><subject>Public health. Hygiene</subject><subject>Public health. 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Health state</topic><topic>Biological and medical sciences</topic><topic>BMI</topic><topic>Body Mass Index</topic><topic>childhood mortality</topic><topic>Epidemiology</topic><topic>Female</topic><topic>Finland</topic><topic>General aspects</topic><topic>Height</topic><topic>Humans</topic><topic>Infant Mortality</topic><topic>Infant, Low Birth Weight</topic><topic>Infant, Newborn</topic><topic>Infant, Premature</topic><topic>Infant, Small for Gestational Age</topic><topic>Logistic Models</topic><topic>Low birth weight</topic><topic>Medical sciences</topic><topic>Perinatal</topic><topic>Pre-pregnant weight</topic><topic>Pregnancy - physiology</topic><topic>Pregnancy Outcome</topic><topic>Preterm births</topic><topic>Prospective Studies</topic><topic>Public health. Hygiene</topic><topic>Public health. Hygiene-occupational medicine</topic><topic>SGA</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Rantakallio, Paula</creatorcontrib><creatorcontrib>Läärä, Esa</creatorcontrib><creatorcontrib>Koiranen, Markku</creatorcontrib><creatorcontrib>Sarpola, Ari</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Risk Abstracts</collection><collection>Safety Science and Risk</collection><collection>Environmental Sciences and Pollution Management</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of clinical epidemiology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Rantakallio, Paula</au><au>Läärä, Esa</au><au>Koiranen, Markku</au><au>Sarpola, Ari</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Maternal build and pregnancy outcome</atitle><jtitle>Journal of clinical epidemiology</jtitle><addtitle>J Clin Epidemiol</addtitle><date>1995-02-01</date><risdate>1995</risdate><volume>48</volume><issue>2</issue><spage>199</spage><epage>207</epage><pages>199-207</pages><issn>0895-4356</issn><eissn>1878-5921</eissn><abstract>The effect of maternal build on the outcome of pregnancy was studied in two birth cohorts in Northern Finland, for 1966 and 1985–1986. Prospectively collected data were available for 10,969 women in the earlier cohort and 9128 in the later one. The women in the earlier cohort were on average 2.9 cm shorter but 0.2 kg thinner and had 0.7 kg/m 2 greater BMI. 13% of the women in the earlier cohort had a BMI below 20, but 24% in the later one, while 96% in both cohorts had BMI below 30. The women with low BMI were on average taller than the others, and at all BMI levels the women of the earlier cohort were shorter and lighter than those of the later one. The outcome of pregnancy was measured by the incidence of pre-term births and perinatal plus childhood deaths up to the age of 4 years, and the association of maternal body measurements with low birth weight (&lt;2500 g) and small for gestational age (SGA) infants was also studied. An additive logistic regression model was fitted in each analysis, to determine the probability of the outcome separately in terms of BMI, weight and height, adjusting for maternal age, parity, smoking, marital status, father's social class and place of residence. No evidence was found that BMI values 20–25, commonly judged as optimum for the mother's own longevity, predicted a better prognosis for the child than values below 20. The finding was similar for pre-term births in the later cohort, but in the earlier cohort there were signs that the optimum tended to be at BMI levels indicating fatness. The incidences of SGA infants and low birth weight (&lt; 2500 g) were less suitable for judging the outcome of pregnancy from maternal build.</abstract><cop>New York, NY</cop><pub>Elsevier Inc</pub><pmid>7869066</pmid><doi>10.1016/0895-4356(94)00130-I</doi><tpages>9</tpages></addata></record>
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source MEDLINE; Elsevier ScienceDirect Journals Complete
subjects Analysis. Health state
Biological and medical sciences
BMI
Body Mass Index
childhood mortality
Epidemiology
Female
Finland
General aspects
Height
Humans
Infant Mortality
Infant, Low Birth Weight
Infant, Newborn
Infant, Premature
Infant, Small for Gestational Age
Logistic Models
Low birth weight
Medical sciences
Perinatal
Pre-pregnant weight
Pregnancy - physiology
Pregnancy Outcome
Preterm births
Prospective Studies
Public health. Hygiene
Public health. Hygiene-occupational medicine
SGA
title Maternal build and pregnancy outcome
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