Validation of a Strict Obesity Definition Proposed for Asians to Predict Adverse Pregnancy Outcomes in Korean Pregnant Women
- 주제(키워드) Pregnancy , Maternal Obesity , Asian , Obesity , Neonatal
- 주제(기타) Medicine, General & Internal
- 설명문(일반) [Kim, Seo-Yeon] Sungkyunkwan Univ, Sch Med, Kangbuk Samsung Hosp, Dept Obstet & Gynecol, Seoul, South Korea; [Oh, Soo-young; Sung, Ji-Hee; Choi, Suk-Joo; Roh, Cheong-Rae] Sungkyunkwan Univ, Sch Med, Samsung Med Ctr, Dept Obstet & Gynecol, 81 Irwon Ro, Seoul 06351, South Korea; [Lee, Seung Mi; Jun, Jong Kwan] Seoul Natl Univ, Coll Med, Dept Obstet & Gynecol, Seoul, South Korea; [Lee, Mi-Young] Univ Ulsan, Coll Med, Asan Med Ctr, Dept Obstet & Gynecol, Seoul, South Korea; [Lee, JoonHo] Yonsei Univ, Yonsei Univ Hlth Syst, Inst Womens Life Med Sci, Dept Obstet & Gynecol,Coll Med, Seoul, South Korea; [Kim, Soo Hyun; Cha, Dong Hyun; Han, You Jung; Cho, Hee Young] CHA Univ, CHA Gangnam Med Ctr, Dept Obstet & Gynecol, Seoul, South Korea; [Kim, Min Hyoung] Kangseo Mizmedi Hosp, Seoul, South Korea; [Cho, Geum Joon] Korea Univ, Guro Hosp, Coll Med, Dept Obstet & Gynecol, Seoul, South Korea; [Kwon, Han-Sung] Konkuk Univ, Med Ctr, Sch Med, Div Maternal & Fetal Med,Dept Obstet & Gynecol, Seoul, South Korea; [Kim, Byoung Jae] Seoul Natl Univ, Seoul Metropolitan Govt, Boramae Med Ctr, Dept Obstet & Gynecol, Seoul, South Korea; [Park, Mi Hye] Ewha Womans Univ, Dept Obstet & Gynecol, Seoul, South Korea; [Ko, Hyun Sun] Catholic Univ Korea, Coll Med, Dept Obstet & Gynecol, Seoul, South Korea; [Shim, Jae-Yoon] Mirae & Heemang Obstet & Gynecol Clin, Seoul, South Korea; [Ryu, Hyun Mee] CHA Univ, CHA Bundang Med Ctr, Sch Med, Dept Obstet & Gynecol, 59 Yatap Ro, Seongnam 13496, South Korea
- 등재 SCIE, SCOPUS, KCI등재
- OA유형 gold, Green Published
- 발행기관 KOREAN ACAD MEDICAL SCIENCES
- 발행년도 2021
- 총서유형 Journal
- URI http://www.dcollection.net/handler/ewha/000000183839
- 본문언어 영어
- Published As http://dx.doi.org/10.3346/jkms.2021.36.e281
- PubMed https://pubmed.ncbi.nlm.nih.gov/34783214
초록/요약
Background: People are generally considered overweight and obese if their body mass index (BMI) is above 25 kg/m(2) and 30.0 kg/m(2), respectively. The World Health Organization proposed stricter criteria for Asians (>= 23 kg/m(2): overweight, >= 25 kg/m(2): obese). We aimed to verify whether this criteria could predict adverse pregnancy outcomes in Korean women. Methods: We included 7,547 Korean women from 12 institutions enrolled between June 2016 and October 2018. Women with no pre-pregnancy BMI data, not Korean, or lost to followup were excluded, leaving 6,331. The subjects were categorized into underweight, normal, overweight, class I obesity, and class II/III obesity based on a pre-pregnancy BMI of < 18.5, 18.5-22.9, 23.0-24.9, 25.0-29.9, and >= 30.0 kg/m(2), respectively. Results: Overall, 13.4%, 63.0%, 11.8%, 9.1%, and 2.6% of women were underweight, normal, and overweight and had class I obesity and class II/III obesity, respectively. In the multivariable analysis adjusted for maternal age, a higher BMI significantly increased the risk of preeclampsia, gestational diabetes, preterm delivery caused by maternal-fetal indications, cesarean section, large for gestational age, and neonatal intensive care unit admission. Conclusion: Adverse pregnancy outcomes started to increase in those with a pre-pregnancy BMI >= 23.0 kg/m(2) after adjusting for maternal age. The modified obesity criteria could help predict adverse pregnancy outcomes in Koreans.
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