Prepregnancy weight and pregnancy outcome
Abstract
In this issue ofTHE JOURNAL, there are two articles that describe the relationship between maternal size and a pregnancy with a neural tube defect (NTD).1,2Both investigations are population-based, case-controlled studies involving more than 500 NTD cases and controls. Information on maternal characteristics, including pregnancy events, prepregnancy weight, and dietary intake, was obtained by in-person interviews with each mother within 5 to 6 months of delivery. The risk of NTD-affected pregnancy was estimated after adjusting for multiple confounders. These two groups of investigators independently reached a similar conclusion: women who are obese (ie, women who have a body mass index [BMI] of >29 kg/m2or body weight of more than 80 kg) at the beginning of pregnancy are more likely to have infants with NTDs and this association is independent of folate intake. Since previous studies have indicated similar relationships,3,4it is likely that this association
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Obese women are more likely to have infants with congenital anomalies such as neural-tube defects, and these infants are more likely to be delivered preterm.
“Obese women are more likely to have infants with congenital anomalies, such as neural-tube defects, and these infants are more likely to be delivered preterm.39”
From Epidemiology and causes of preterm birth (2008) · cites this paper as [39]
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- Authors
- Goldenberg, R. L.
- Corresponding author
- Goldenberg, Robert L.
- Venue
- JAMA: The Journal of the American Medical Association
- Publisher
- American Medical Association (AMA)
- Published
- 1996-04-10
- Volume
- 275
- Issue
- 14
- Pages
- 1127
- ISSN
- 0002-9955 (ISSN-L)
- 0098-7484
- OpenAlex
- W2001032332
- Cited by
- 42
- References
- 19
- Citations by year
- 2025: 2 · 2024: 1 · 2022: 1 · 2021: 1 · 2019: 1 · 2018: 3 · 2017: 1 · 2014: 1 · 2013: 3 · 2012: 2
- FWCI
- 1.48
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- JAMA (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Spinal Dysraphism and Malformations
- Health Sciences › Medicine › Rheumatology › Folate and B Vitamins Research
- Health Sciences › Medicine › Obstetrics and Gynecology › Gestational Diabetes Research and Management
- Keywords
- pre-pregnancy weight, maternal obesity, neural tube defects, pregnancy outcomes, body mass index, folate intake, maternal body size, birth defects risk
- MeSH terms
- Body Weight, Female, Folic Acid, Humans, Neural Tube Defects, Obesity, Pregnancy, Pregnancy Complications, Pregnancy Outcome, Risk Factors, Zinc
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