Association of Maternal Weight Gain in Pregnancy With Offspring Obesity and Metabolic and Vascular Traits in Childhood

Fraser, A. et al. (2010) Association of Maternal Weight Gain in Pregnancy With Offspring Obesity and Metabolic and Vascular Traits in Childhood. Circulation, 121(23), pp. 2557-2564. (doi:10.1161/CIRCULATIONAHA.109.906081)

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Abstract

Background-We sought to examine the association of gestational weight gain (GWG) and prepregnancy weight with offspring adiposity and cardiovascular risk factors. Methods and Results-Data from 5154 (for adiposity and blood pressure) and 3457 (for blood assays) mother-offspring pairs from a UK prospective pregnancy cohort were used. Random-effects multilevel models were used to assess incremental GWG (median and range of repeat weight measures per woman: 10 [1, 17]). Women who exceeded the 2009 Institute of Medicine-recommended GWG were more likely to have offspring with greater body mass index, waist, fat mass, leptin, systolic blood pressure, C-reactive protein, and interleukin-6 levels and lower high-density lipoprotein cholesterol and apolipoprotein A1 levels. Children of women who gained less than the recommended amounts had lower levels of adiposity, but other cardiovascular risk factors tended to be similar in this group to those of offspring of women gaining recommended amounts. When examined in more detail, greater prepregnancy weight was associated with greater offspring adiposity and more adverse cardiovascular risk factors at age 9 years. GWG in early pregnancy (0 to 14 weeks) was positively associated with offspring adiposity across the entire distribution but strengthened in women gaining >500 g/wk. By contrast, between 14 and 36 weeks, GWG was only associated with offspring adiposity in women gaining >500 g/wk. GWG between 14 and 36 weeks was positively and linearly associated with adverse lipid and inflammatory profiles, with these associations largely mediated by the associations with offspring adiposity. Conclusions-Greater maternal prepregnancy weight and GWG up to 36 weeks of gestation are associated with greater offspring adiposity and adverse cardiovascular risk factors. Before any GWG recommendations are implemented, the balance of risks and benefits of attempts to control GWG for short-and long-term outcomes in mother and child should be ascertained. (Circulation. 2010; 121: 2557-2564.)

Item Type:Articles
Keywords:adiposity AGE ASSAY ASSAYS ASSOCIATION ASSOCIATIONS BENEFITS BIRTH BLOOD blood pressure BLOOD-PRESSURE body mass index BODY-MASS-INDEX C-REACTIVE PROTEIN cardiovascular risk CHILDHOOD CHILDREN CHOLESTEROL Cohort DIETARY DISEASE Distribution ENGLAND Epidemiology FAT gestational weight gain INDEX INTERLEUKIN-6 LEVEL lipids LONG-TERM Long-term outcome MASS MODEL MULTILEVEL nutrition NUTRITIONAL-STATUS Obesity outcome OUTCOMES OVERWEIGHT pediatrics PREGNANCY PROFILE PROFILES Prospective PROTEIN RECOMMENDATIONS RISK risk factors RISK-FACTOR RISK-FACTORS SYSTEM SYSTEMS vascular disease weight WOMEN
Status:Published
Refereed:Yes
Glasgow Author(s) Enlighten ID:Nelson, Professor Scott and Sattar, Professor Naveed
Authors: Fraser, A., Tilling, K., Macdonald-Wallis, C., Sattar, N., Brion, M. J., Benfield, L., Ness, A., Deanfield, J., Hingorani, A., Nelson, S. M., Smith, G. D., and Lawlor, D. A.
College/School:College of Medical Veterinary and Life Sciences > Institute of Cardiovascular and Medical Sciences
College of Medical Veterinary and Life Sciences > School of Medicine, Dentistry & Nursing > Clinical Specialities
Journal Name:Circulation
ISSN:0009-7322

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Project CodeAward NoProject NamePrincipal InvestigatorFunder's NameFunder RefLead Dept
413871Genetic and environmental determinants of arterial function in childhood - insight into causal pathways from the avon longitudinal study...Naveed SattarBritish Heart Foundation (BHF)PG/07/002Institute of Cardiovascular and Medical Sciences