Influence of body fat percentage during pregnancy on pregnancy diabetes and fetal adverse outcomes
Objective:To investigate the effects of body fat percentage during pregnancy on the risk of gestational diabetes mellitus(GDM)and fetal adverse outcomes.Methods:Data from 1200 pregnant women who underwent routine prenatal care in the hospital from January 2021 to January 2023 were analyzed.According to the percentage of body fat in pregnant women,they were divided into the low body fat group(n=480),the ordinary group(n=420),and the high body fat group(n=420).During the 24-28 weeks of pregnancy,the pregnant women were tested for fasting blood glucose(FBG),1-hour blood glucose(1hPBG),and 2-hour blood glucose(2hPBG)using an oral glucose tolerance test(OGTT).The delivery conditions were recorded,and the fetal outcomes were divided into an adverse outcome group and a good outcome group.The baseline data and body fat percentage at enrollment were compared between the two groups of pregnant women.The effect of body fat percentage on adverse fetal outcomes was analyzed.Results:The blood glucose level and incidence of GDM in the high body fat group were higher than those in the low body fat group and the general group(P<0.05).The incidence of adverse outcomes among 1200 pregnant women was 3.0%.The body fat percentage and blood glucose level in the adverse outcome group were higher than those in the good outcome group(P<0.05).Logistic regression analysis showed that blood glucose level and body fat percentage were risk factors for adverse fetal outcomes(OR>1,P<0.05).Conclusion:Abnormal body fat percentage during pregnancy increases the risk of GDM in pregnant women and increases the risk of adverse fetal outcomes.
Body fat percentageGestational diabetes mellitusAdverse outcome
NETL
NSTL
万方数据
