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Maternal and Child Health Journal

Erschienen in:

26.07.2016

Obesity, Diabetes, and Birth Outcomes Among American Indians and Alaska Natives

verfasst von: Kermyt G. Anderson, Paul Spicer, Michael T. Peercy

Erschienen in: Maternal and Child Health Journal | Ausgabe 12/2016

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Abstract

Objectives To examine the relationships between prepregnancy diabetes mellitus (DM), gestational diabetes mellitus (GDM), and prepregnancy body mass index, with several adverse birth outcomes: preterm delivery (PTB), low birthweight (LBW), and macrosomia, comparing American Indians and Alaska Natives (AI/AN) with other race/ethnic groups. Methods The sample includes 5,193,386 singleton US first births from 2009–2013. Logistic regression is used to calculate adjusted odds ratios controlling for calendar year, maternal age, education, marital status, Kotelchuck prenatal care index, and child’s sex. Results AI/AN have higher rates of diabetes than all other groups, and higher rates of overweight and obesity than whites or Hispanics. Neither overweight nor obesity predict PTB for AI/AN, in contrast to other groups, while diabetes predicts increased odds of PTB for all groups. Being overweight predicts reduced odds of LBW for all groups, but obesity is not predictive of LBW for AI/AN. Diabetes status also does not predict LBW for AI/AN; for other groups, LBW is more likely for women with DM or GDM. Overweight, obesity, DM, and GDM all predict higher odds of macrosomia for all race/ethnic groups. Conclusions for Practice Controlling diabetes in pregnancy, as well as prepregnancy weight gain, may help decrease preterm birth and macrosomia among AI/AN.

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Titel: Obesity, Diabetes, and Birth Outcomes Among American Indians and Alaska Natives
verfasst von: Kermyt G. Anderson
Paul Spicer
Michael T. Peercy
Publikationsdatum: 26.07.2016
Verlag: Springer US
Erschienen in: Maternal and Child Health Journal / Ausgabe 12/2016
Print ISSN: 1092-7875
Elektronische ISSN: 1573-6628
DOI: https://doi.org/10.1007/s10995-016-2080-3

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