Prepregnant obesity and risks of selected birth defects in offspring
Gary M Shaw1, Suzan L Carmichael
1March of Dimes, California Research Division, Children's Hospital Oakland Research Institute, Oakland, CA, USA. GShaw@marchofdimes.com
Insights
Maternal obesity (BMI ≥30) showed a slight association with anencephaly and spina bifida, but not other major birth defects. This study did not fully confirm previous findings linking prepregnant obesity to these conditions.
Area of Science:
- Reproductive Health
- Pediatrics
- Public Health
Background:
- Prepregnant obesity is a known risk factor for certain birth defects, particularly neural tube defects.
- Previous research suggested a link between maternal obesity and conditions like spina bifida.
- This study aimed to investigate these associations further and explore others.
Purpose of the Study:
- To examine the relationship between prepregnant maternal obesity and specific birth defects.
- To assess the association between obesity and anencephaly, spina bifida, d-transposition of great arteries, and tetralogy of Fallot.
- To investigate if increased waist circumference in obese women further modifies the risk of these birth defects.
Main Methods:
- A case-control study was conducted using California birth data from July 1999 to June 2004.
- Mothers of infants with specific birth defects (cases) and healthy infants (controls) were interviewed.
- Maternal prepregnant Body Mass Index (BMI) was calculated from self-reported weight and height.
Main Results:
- Obesity (BMI ≥30) was associated with an increased odds ratio for anencephaly (1.6) and spina bifida (1.4).
- No significant association was found between maternal obesity and d-transposition of great arteries or tetralogy of Fallot.
- Women with prepregnant obesity and increased waist size showed a modestly elevated risk for anencephaly and spina bifida.
Conclusions:
- The findings do not entirely support prior research linking prepregnant obesity to anencephaly and spina bifida.
- While a slight association was observed, the results suggest a weaker relationship than previously reported.
- Further research is needed to clarify the complex interplay between maternal obesity and birth defect development.
Background:
Prepregnant obesity has been shown to be related to several birth defects, most notably neural tube defects. We investigated the previously observed association between obesity and spina bifida and also possible associations between obesity and other birth defects.
Results:
We conducted a case-control study of fetuses and liveborn infants among California births, July 1999 and June 2004. Of those eligible, 80% of case mothers (n = 659) and 77% of control mothers (n = 700) were interviewed. Cases were 147 infants with anencephaly, 191 with spina bifida, 142 with d-transposition of great arteries, and 181 with tetralogy of Fallot. Maternal body mass index (BMI) was based on prepregnant weight and height.
Results:
The odds ratios of birth defects with obesity (BMI > or =30 relative to normal BMI) were 1.6 for anencephaly (95% confidence intervals = 1.0-2.6); 1.4 for spina bifida (0.8-2.2); 0.7 for d-transposition of great arteries (0.4-1.4); and 0.8 for tetralogy of Fallot (0.4-1.4). Modestly elevated odds ratios were observed with obesity among women who reported weight gain in their waist before pregnancy-for anencephaly, 2.4 (1.2-5.1) and for spina bifida, 1.8 (0.9-3.6).
Conclusion:
These data do not fully support earlier findings with respect to the relationships of obesity with anencephaly and spina bifida.
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