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논문 기본 정보

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저자정보
Kim Seo-Yeon (Department of Obstetrics and Gynecology Kangbuk Samsung Hospital Sungkyunkwan University School of) Oh Soo-young (Department of Obstetrics and Gynecology Samsung Medical Center Sungkyunkwan University School of Me) Sung Ji-Hee (Department of Obstetrics and Gynecology Samsung Medical Center Sungkyunkwan University School of Me) Choi Suk-Joo (Department of Obstetrics and Gynecology Samsung Medical Center Sungkyunkwan University School of Me) Roh Cheong-Rae (Department of Obstetrics and Gynecology Samsung Medical Center Sungkyunkwan University School of Me) Lee Seung Mi (Department of Obstetrics and Gynecology Seoul National University College of Medicine Seoul Korea.) Jun Jong Kwan (Department of Obstetrics and Gynecology Seoul National University College of Medicine Seoul Korea.) Lee Mi-Young (Department of Obstetrics and Gynecology Asan Medical Center University of Ulsan College of Medicine) 이준호 (연세대학교) Kim Soo Hyun (Department of Obstetrics and Gynecology CHA Gangnam Medical Center CHA University Seoul Korea.) Cha Dong Hyun (Department of Obstetrics and Gynecology CHA Gangnam Medical Center CHA University Seoul Korea.) Han You Jung (Department of Obstetrics and Gynecology CHA Gangnam Medical Center CHA University Seoul Korea.) Kim Min Hyoung (Kangseo Mizmedi Hospital Seoul Korea.) Cho Geum Joon (Department of Obstetrics and Gynecology Korea University Guro Hospital Korea University College of) Kwon Han-Sung (Division of Maternal and Fetal Medicine Department of Obstetrics and Gynecology Konkuk University M) Kim Byoung Jae (Department of Obstetrics and Gynecology Seoul Metropolitan Government Seoul National University Bor) Park Mi Hye (Department of Obstetrics and Gynecology Ewha Womans University Seoul Korea.) Cho Hee Young (Department of Obstetrics and Gynecology CHA Gangnam Medical Center CHA University Seoul Korea.) Ko Hyun Sun (Department of Obstetrics and Gynecology Catholic University of Korea College of Medicine Seoul Kore) Shim Jae-Yoon (Mirae and Heemang Obstetrics and Gynecology Clinic Seoul Korea.) 류현미 (차의과학대학교 분당차병원)
저널정보
대한의학회 Journal of Korean Medical Science Journal of Korean Medical Science Vol.36 No.44
발행연도
2021.11
수록면
1 - 10 (10page)
DOI
10.3346/jkms.2021.36.e281

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Background: People are generally considered overweight and obese if their body mass index (BMI) is above 25 kg/m2 and 30.0 kg/m2 , respectively. The World Health Organization proposed stricter criteria for Asians (≥ 23 kg/m2 : overweight, ≥ 25 kg/m2 : obese). We aimed to verify whether this criteria could predict adverse pregnancy outcomes in Korean women. Methods: We included 7,547 Korean women from 12 institutions enrolled between June 2016 and October 2018. Women with no pre-pregnancy BMI data, not Korean, or lost to followup were excluded, leaving 6,331. The subjects were categorized into underweight, normal, overweight, class I obesity, and class II/III obesity based on a pre-pregnancy BMI of < 18.5, 18.5?22.9, 23.0?24.9, 25.0?29.9, and ≥ 30.0 kg/m2 , respectively. Results: Overall, 13.4%, 63.0%, 11.8%, 9.1%, and 2.6% of women were underweight, normal, and overweight and had class I obesity and class II/III obesity, respectively. In the multivariable analysis adjusted for maternal age, a higher BMI significantly increased the risk of preeclampsia, gestational diabetes, preterm delivery caused by maternal-fetal indications, cesarean section, large for gestational age, and neonatal intensive care unit admission. Conclusion: Adverse pregnancy outcomes started to increase in those with a pre-pregnancy BMI ≥ 23.0 kg/m2 after adjusting for maternal age. The modified obesity criteria could help predict adverse pregnancy outcomes in Koreans.
#Pregnancy #Maternal Obesity #Asian #Obesity #Neonatal

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참고문헌 (25)

참고문헌 신청
World Health Organization (WHO) / Obesity and overweight google schola Hales CM / 2020 / Prevalence of obesity and severe obesity among adults:United States, 2017–2018 / NCHS Data Brief (360):1~8 google schola Korean Statistical Information Service (KOSIS) / The annual birth data in Korea google schola Long MT / 2016 / The Framingham Heart Study--67 years of discovery in metabolic disease / Nat Rev Endocrinol 12(3):177~183 google schola Schummers L / 2015 / Risk of adverse pregnancy outcomes by prepregnancy body mass index : a population-based study to inform prepregnancy weight loss counseling / Obstet Gynecol 125(1):133~143 google schola

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