Patterns of maternal gestational weight gain in association with allergic diseases in offspring: A prospective cohort study.
allergic disease
asthma
dermatitis
diabetes
food allergy
gestational weight gain
nutrition
overweight
pattern
pregnancy
underweight
Journal
BJOG : an international journal of obstetrics and gynaecology
ISSN: 1471-0528
Titre abrégé: BJOG
Pays: England
ID NLM: 100935741
Informations de publication
Date de publication:
08 2023
08 2023
Historique:
revised:
16
02
2023
received:
14
08
2022
accepted:
28
02
2023
medline:
12
7
2023
pubmed:
21
3
2023
entrez:
20
3
2023
Statut:
ppublish
Résumé
To evaluate the association between patterns of gestational weight gain (GWG) and allergic diseases in offspring. Prospective cohort study. Prenatal clinics in Wuhan, China. A cohort of 2546 mother and offspring pairs were enrolled before 16 weeks of gestation and followed up to 24 months postpartum. Maternal body weights were measured regularly during pregnancy, and their GWG patterns were estimated using the growth mixture model. Robust Poisson models were used to evaluate relative risk (RR) and 95% CI after multivariable adjustment. Offspring atopic allergy and allergic contact dermatitis were defined according to a physician's diagnosis reported by the mother, and food allergy was reported by the mother. Three GWG patterns were identified: 18.1% (461) of the women were described as pattern 1, characterised by rapid GWG earlier in pregnancy; 56.6% (1442) of the women were described as pattern 2, with steady GWG throughout pregnancy; and 25.3% (643) of the women was described as pattern 3, with rapid GWG later in pregnancy. By the age of 24 months, 360 (14.1%), 109 (4.3%) and 757 (29.7%) offspring had atopic allergy, allergic contact dermatitis or food allergy, respectively. Compared with women in GWG pattern 2, the RRs (95% CIs) among women in pattern 1 were 0.74 (0.55-0.99) for atopic allergy, 0.64 (0.36-1.15) for allergic contact dermatitis and 0.95 (0.81-1.12) for food allergy. Maternal GWG pattern characterised by rapid GWG earlier in pregnancy was associated with a lower risk of atopic allergy in offspring.
Identifiants
pubmed: 36938832
doi: 10.1111/1471-0528.17448
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
1038-1046Subventions
Organisme : Fundamental Research Funds for the Central Universities
ID : HUST2019kfyXMPY008
Organisme : National Program on Basic Research Project of China
ID : 2013FY114200
Organisme : National Program on Basic Research Project of China
ID : 2019FY101000
Informations de copyright
© 2023 John Wiley & Sons Ltd.
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