Effects of maternal anthropometrics on pregnancy outcomes in South Asian women: a systematic review

Emma Slack, Judith Rankin, Daniel Jones, Nicola Heslehurst

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Abstract

Aim: This systematic review investigates associations between maternal
pre-pregnancy/early-pregnancy anthropometrics (e.g. weight and body fat), anthro-pometric change and pregnancy outcomes in South Asian and White women.
Methods: Twelve electronic literature databases, reference lists and citations of all included studies were searched. Observational studies published in the English language were included. Descriptive synthesis was used to summarize the evidence base.
Results: Twenty-two studies met the inclusion criteria (403,609 births [351,856 White and 51,753 South Asian]). Nine were prospective cohort studies, nine were retrospective cohort studies and two were cross-sectional studies. Results suggested that in South Asian women, maternal pre-pregnancy/early-pregnancy anthropometrics were associated with anthropometric change, birthweight, mode of delivery and gestational diabetes mellitus (GDM). Gestational anthropometric change was found to be associated with GDM. There was limited evidence to suggest that there may be associations between maternal pre-anthropometrics/early anthropometrics and hypertensive disorders, stillbirth, congenital anomalies, post-natal weight retention and post-natal impaired glucose tolerance. The evidence suggested a combined effect of pre-pregnancy/early-pregnancy anthropometrics and gestational anthropometric change on both GDM and post-natal weight retention.
Conclusion: The increased risk of adverse pregnancy outcomes in South Asian women should be considered in guidelines for weight management before and during pregnancy.
Original languageEnglish
Pages (from-to)485-500
JournalObesity Reviews
Volume19
Issue number4
Early online date19 Jan 2018
DOIs
Publication statusPublished - Apr 2018

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Pregnancy Outcome
Mothers
Pregnancy
Gestational Diabetes
Weights and Measures
Cohort Studies
Congenital, Hereditary, and Neonatal Diseases and Abnormalities
Glucose Intolerance
Stillbirth
Observational Studies
Adipose Tissue
Language
Retrospective Studies
Cross-Sectional Studies
Parturition
Databases
Prospective Studies
Guidelines

Cite this

Slack, Emma ; Rankin, Judith ; Jones, Daniel ; Heslehurst, Nicola. / Effects of maternal anthropometrics on pregnancy outcomes in South Asian women: a systematic review. In: Obesity Reviews. 2018 ; Vol. 19, No. 4. pp. 485-500.
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abstract = "Aim: This systematic review investigates associations between maternalpre-pregnancy/early-pregnancy anthropometrics (e.g. weight and body fat), anthro-pometric change and pregnancy outcomes in South Asian and White women.Methods: Twelve electronic literature databases, reference lists and citations of all included studies were searched. Observational studies published in the English language were included. Descriptive synthesis was used to summarize the evidence base.Results: Twenty-two studies met the inclusion criteria (403,609 births [351,856 White and 51,753 South Asian]). Nine were prospective cohort studies, nine were retrospective cohort studies and two were cross-sectional studies. Results suggested that in South Asian women, maternal pre-pregnancy/early-pregnancy anthropometrics were associated with anthropometric change, birthweight, mode of delivery and gestational diabetes mellitus (GDM). Gestational anthropometric change was found to be associated with GDM. There was limited evidence to suggest that there may be associations between maternal pre-anthropometrics/early anthropometrics and hypertensive disorders, stillbirth, congenital anomalies, post-natal weight retention and post-natal impaired glucose tolerance. The evidence suggested a combined effect of pre-pregnancy/early-pregnancy anthropometrics and gestational anthropometric change on both GDM and post-natal weight retention.Conclusion: The increased risk of adverse pregnancy outcomes in South Asian women should be considered in guidelines for weight management before and during pregnancy.",
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Effects of maternal anthropometrics on pregnancy outcomes in South Asian women: a systematic review. / Slack, Emma; Rankin, Judith; Jones, Daniel; Heslehurst, Nicola.

In: Obesity Reviews, Vol. 19, No. 4, 04.2018, p. 485-500.

Research output: Contribution to journalArticleResearchpeer-review

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