Association of body mass index and weight gain patterns with albumin excretion in pregnancy

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dc.contributor.authorTulmac, Ozlem B.
dc.contributor.authorDag, Zeynep O.
dc.contributor.authorErdogan, Funda
dc.contributor.authorSayan, Cemile D.
dc.contributor.authorSagsoz, Nevin
dc.date.accessioned2020-06-25T18:29:43Z
dc.date.available2020-06-25T18:29:43Z
dc.date.issued2018
dc.departmentKırıkkale Üniversitesi
dc.description.abstractAimWe examined body mass index (BMI) and gestational weight gain (GWG) patterns of pregnant women and investigated the impact of these factors on the urinary albumin-creatinine ratio (ACR) during pregnancy. MethodsThe data of 163 women whose basal BMI and ACR were measured during the first trimester were used in this study. Body weight alone between 12-16 weeks and body weight together with ACR after 37 weeks of gestation were measured. ResultsOverall, 46% of women were overweight or obese, 60.7% had excessive weight gain and 16.6% had inadequate weight gain. Only 22.7% of women gained weight within the recommended range. There was no difference in weight gain patterns with respect to BMI. ACR during the third trimester was significantly higher than during the first trimester (7.08 [0.00-1180.90] mg/g vs 4.73 [0.00-275.00] mg/g, respectively; P = 0.001). The ACR of obese women was higher than in normal weight subjects during the third trimester (16.79mg/g [0.01-1180.90] vs 8.07mg/g [0.10-402.14] respectively; adjusted P = 0.015). Both ACR change and third trimester ACR were weakly but significantly correlated with basal BMI (r: 0.228 P: 0.003 and r: 0.301 P<0.001, respectively) but not with GWG or GWG rate. Basal BMI was not associated with first-trimester ACR. ConclusionObesity is associated with an increase in urinary albumin excretion during the course of pregnancy. Distinction of this relationship during pregnancy offers an opportunity for further research on pathophysiological mechanisms. The alarmingly high rate of non-compliance with IOM guidelines in pregnant women is a concern. Prompt measures for counseling of women before and during pregnancy in order to maintain healthy weight are needed.en_US
dc.identifier.citationclosedAccessen_US
dc.identifier.doi10.1111/jog.13548
dc.identifier.endpage389en_US
dc.identifier.issn1341-8076
dc.identifier.issn1447-0756
dc.identifier.issue3en_US
dc.identifier.pmid29239056
dc.identifier.scopus2-s2.0-85037983491
dc.identifier.scopusqualityQ2
dc.identifier.startpage384en_US
dc.identifier.urihttps://doi.org/10.1111/jog.13548
dc.identifier.urihttps://hdl.handle.net/20.500.12587/7433
dc.identifier.volume44en_US
dc.identifier.wosWOS:000426792400003
dc.identifier.wosqualityQ4
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.language.isoen
dc.publisherWileyen_US
dc.relation.ispartofJournal Of Obstetrics And Gynaecology Research
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectgestational diabetes mellitusen_US
dc.subjectgestational weight gainen_US
dc.subjectmicroalbuminuriaen_US
dc.subjectobesity in pregnancyen_US
dc.subjecturinary albumin-creatinine ratioen_US
dc.titleAssociation of body mass index and weight gain patterns with albumin excretion in pregnancyen_US
dc.typeArticle

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