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Article

Association of Pregestational BMI and Gestational Weight Gain with Maternal and Neonatal Outcomes in Adolescents and Adults from Mexico City

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Coordinación de Nutrición y Bioprogramación, Instituto Nacional de Perinatología, Secretaría de Salud, Mexico City 11000, Mexico
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Programa de Posgrado Doctorado en Ciencias Biológicas y de la Salud, División de Ciencias Biológicas y de la Salud, Universidad Autónoma Metropolitana, Mexico City 04960, Mexico
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Escuela de Enfermería, Facultad de Ciencias de la Salud, Universidad Panamericana, Mexico City 03920, Mexico
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Programa de Maestría y Doctorado en Ciencias Médicas, Odontológicas y de la Salud, Universidad Nacional Autónoma de México, Mexico City 04510, Mexico
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Sección de Posgrado e Investigación de la Escuela Superior de Medicina del Instituto Politécnico Nacional, Mexico City 11340, Mexico
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Departamento de Atención a la Salud, Universidad Autónoma Metropolitana Xochimilco, Mexico City 04960, Mexico
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Departamento de Neurobiología del Desarrollo, Instituto Nacional de Perinatología, Secretaría de Salud, Mexico City 11000, Mexico
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Escuela de Ciencias de la Salud, Universidad del Valle de México-Chapultepec, Mexico City 11810, Mexico
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Authors to whom correspondence should be addressed.
Academic Editors: Madhulata Singh Chauhan and Yuanlin Dong
Int. J. Environ. Res. Public Health 2022, 19(1), 280; https://doi.org/10.3390/ijerph19010280
Received: 30 October 2021 / Revised: 13 December 2021 / Accepted: 24 December 2021 / Published: 28 December 2021
(This article belongs to the Special Issue Maternal Health and Pregnancy Complications)
During pregnancy, adolescents experience physiological changes different from adults because they have not concluded their physical growth. Therefore, maternal and neonatal outcomes may not be the same. This paper aimed to analyze the association between pregestational BMI (pBMI) and gestational weight gain (GWG) with maternal and neonatal outcomes in adolescent and adult pregnant women. The authors performed an observational study that included 1112 women, where 52.6% (n = 585) were adolescents. Sociodemographic information, pBMI, GWG, neonatal anthropometric measures, and maternal and neonatal outcomes were obtained. Adolescent women had a mean lower (21.4 vs. 26.2, p ≤ 0.001) pBMI than adults and a higher gestational weight gain (12.3 vs. 10.7 kg, p ≤ 0.001). According to Poisson regression models, gestational diabetes is positively associated with insufficient GWG and with pregestational obesity. Furthermore, the probability of developing pregnancy-induced hypertension increased with pBMI of obesity compared to normal weight. Preeclampsia, anemia, and preterm birth were not associated with GWG. Insufficient GWG was a risk factor, and being overweight was a protective factor for low birth weight and small for gestational age. We conclude that pBMI, GWG, and age group were associated only with gestational diabetes and low birth weight. View Full-Text
Keywords: adolescent pregnancy; perinatal outcomes; preeclampsia; anemia; Mexico adolescent pregnancy; perinatal outcomes; preeclampsia; anemia; Mexico
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MDPI and ACS Style

Sámano, R.; Chico-Barba, G.; Flores-Quijano, M.E.; Godínez-Martínez, E.; Martínez-Rojano, H.; Ortiz-Hernandez, L.; Nájera-Medina, O.; Hernández-Trejo, M.; Hurtado-Solache, C. Association of Pregestational BMI and Gestational Weight Gain with Maternal and Neonatal Outcomes in Adolescents and Adults from Mexico City. Int. J. Environ. Res. Public Health 2022, 19, 280. https://doi.org/10.3390/ijerph19010280

AMA Style

Sámano R, Chico-Barba G, Flores-Quijano ME, Godínez-Martínez E, Martínez-Rojano H, Ortiz-Hernandez L, Nájera-Medina O, Hernández-Trejo M, Hurtado-Solache C. Association of Pregestational BMI and Gestational Weight Gain with Maternal and Neonatal Outcomes in Adolescents and Adults from Mexico City. International Journal of Environmental Research and Public Health. 2022; 19(1):280. https://doi.org/10.3390/ijerph19010280

Chicago/Turabian Style

Sámano, Reyna, Gabriela Chico-Barba, María E. Flores-Quijano, Estela Godínez-Martínez, Hugo Martínez-Rojano, Luis Ortiz-Hernandez, Oralia Nájera-Medina, María Hernández-Trejo, and Cristopher Hurtado-Solache. 2022. "Association of Pregestational BMI and Gestational Weight Gain with Maternal and Neonatal Outcomes in Adolescents and Adults from Mexico City" International Journal of Environmental Research and Public Health 19, no. 1: 280. https://doi.org/10.3390/ijerph19010280

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