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.
Abstract

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