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Association between paternal pre-pregnancy body mass index with preterm birth and low birth weight
Mengting Sun1, Senmao Zhang1, Letao Chen1
1Department of Epidemiology and Health Statistics, Xiangya School of Public Health, Central South University, Changsha, Hunan, China.
Insights
Paternal pre-pregnancy overweight and obesity significantly increase the risk of preterm birth and low birth weight in offspring. This highlights the importance of paternal body mass index (BMI) for adverse pregnancy outcomes.
Area of Science:
- Reproductive Health
- Public Health
- Epidemiology
Background:
- Rising global obesity rates, particularly in men, necessitate understanding its impact on pregnancy.
- Paternal pre-pregnancy body mass index (BMI) is an under-examined factor in adverse pregnancy outcomes.
Purpose of the Study:
- To investigate the association between paternal pre-pregnancy BMI and adverse pregnancy outcomes.
- Specifically assess the link between paternal overweight/obesity and preterm birth and low birth weight in offspring.
Main Methods:
- A multinomial logistic regression model was employed.
- Analysis adjusted for maternal and paternal confounding factors.
- Subgroup analysis confirmed the stability of observed risk associations.
Main Results:
- Overweight or obese paternal pre-pregnancy BMI was linked to significantly increased risks of preterm birth and low birth weight.
- Adjusted odds ratios for preterm birth were 1.34 (1.25-1.45) for overweight and 1.26 (1.14-1.40) for obese fathers.
- Adjusted odds ratios for low birth weight were 1.60 (1.46-1.74) for overweight and 1.40 (1.25-1.58) for obese fathers.
Conclusions:
- Paternal pre-pregnancy overweight and obesity are associated with increased risks of preterm birth and low birth weight.
- These findings underscore the importance of paternal health in ensuring positive pregnancy outcomes.
Background:
With the current global epidemic of obesity, especially among men, there is a need to understand its impact on adverse pregnancy outcomes. This study aimed to assess whether paternal pre-pregnancy body mass index (BMI) was associated with preterm birth and low birth weight in offspring.
Methods:
Multinomial logistic regression model was used to analyze associations between paternal BMI and preterm birth and low birth weight in different subgroups, the final model was adjusted for confounding factors of mothers and fathers. Further subgroup analysis was conducted to explore the stability of the risk associations.
Results:
A total of 34,104 participants were included in this study, including 1,442 (4.2%) underweight, 13,930 (40.9%) overweight and 5,008 (14.7%) obese according to paternal BMI. The total incidence of preterm birth was 11.85% (4041/34104), and the incidence of low birth weight was 8.86% (3020/34104). In the total study population, compared with normal weight men, paternal pre-pregnancy overweight or obese was associated with a significantly increased risk of preterm birth [aOR; 95% CI respectively (1.34; 1.25-1.45 vs. 1.26; 1.14-1.40)] and low birth weight [aOR; 95% CI respectively (1.60; 1.46-1.74 vs. 1.40; 1.25-1.58)] in offspring. The results of subgroup analysis showed that the direction of the risk association was consistent, indicating good stability.
Conclusion:
Paternal pre-pregnancy overweight and obesity were associated with an increased risk of preterm birth and low birth weight in their offspring.
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