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Šarac J, Havaš Auguštin D, Zajc Petranović M, Novokmet N, Bočkor L, Stanišić L, Petherick E, Karelović D, Šelović A, Mrdjen Hodžić R, Musić Milanović S, Demerath EW, Schell LM, Cameron N, Missoni S. Testing the Institute of Medicine (IOM) recommendations on maternal reproductive health and associated neonatal characteristics in a transitional, Mediterranean population. Ann Hum Biol 2022; 49:91-99. [PMID: 35604837 DOI: 10.1080/03014460.2022.2080863] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/01/2022]
Abstract
BACKGROUND High pre-pregnancy body mass index (BMI) and excessive gestational weight gain (GWG) are significant risk factors for maternal and neonatal health. AIM To assess pre-pregnancy BMI and GWG during pregnancy and their association with different maternal and neonatal characteristics in the transitional Mediterranean population from the Eastern Adriatic islands. SUBJECTS AND METHODS 262 mother-child dyads from the CRoatian Islands' Birth Cohort Study (CRIBS) were included in the study. Chi-square test, ANOVA and regression analysis were used to test the association between selected characteristics. RESULTS 22% of women entered pregnancy with overweight/obesity and 46.6% had excessive GWG. Pre-pregnancy overweight and obesity were significantly associated with elevated triglycerides uric acid levels, and decreased HDL cholesterol in pregnancy. Excessive GWG was associated with elevated fibrinogen and lipoprotein A levels. Women with high pre-pregnancy BMI and GWG values were more likely to give birth to babies that were large for gestational age (LGA), additionally confirmed in the multiple logistic regression model. CONCLUSION High maternal pre-pregnancy BMI and excessive GWG were both significantly associated with deviated biochemical parameters and neonatal size. More careful monitoring of maternal nutritional status can lead to better pre- and perinatal maternal health care.
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Affiliation(s)
- Jelena Šarac
- Center for Applied Bioanthropology, Institute for Anthropological Research, Zagreb, Croatia.,Institute for Anthropological Research, Zagreb, Croatia
| | - Dubravka Havaš Auguštin
- Center for Applied Bioanthropology, Institute for Anthropological Research, Zagreb, Croatia.,Institute for Anthropological Research, Zagreb, Croatia
| | | | | | - Luka Bočkor
- Center for Applied Bioanthropology, Institute for Anthropological Research, Zagreb, Croatia.,Institute for Anthropological Research, Zagreb, Croatia
| | - Lada Stanišić
- Department of Medical Laboratory Diagnostics, Split University Hospital Centre, Split, Croatia
| | - Emily Petherick
- School of Sport, Exercise and Health Sciences, Loughborough University, Loughborough, UK
| | - Deni Karelović
- Department of Obstetrics and Gynaecology, Split University Hospital Centre, Split, Croatia
| | - Alen Šelović
- Gynaecological practice Dr. Alen Šelović, Bjelovar, Croatia
| | | | - Sanja Musić Milanović
- Croatian National Institute of Public Health, Zagreb, Croatia.,University of Zagreb, School of Medicine, School of Public Health "Andrija Štampar", Zagreb, Croatia
| | - Ellen W Demerath
- School of Public Health, University of Minnesota, Minneapolis, USA
| | | | - Noel Cameron
- School of Sport, Exercise and Health Sciences, Loughborough University, Loughborough, UK
| | - Saša Missoni
- Institute for Anthropological Research, Zagreb, Croatia.,"J. J. Strossmayer" University, School of Medicine, Osijek, Croatia
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