Prenatal weight and regional body composition trajectories and neonatal body composition: The NICHD Foetal Growth

Elizabeth M Widen1,2, Natalie Burns3, Linda G Kahn4

  • 1Department of Nutritional Sciences, University of Texas at Austin, Austin, Texas, USA.

Pediatric Obesity
|January 6, 2023
PubMed

Insights

Gestational weight gain patterns minimally impacted neonatal body composition. Pre-pregnancy BMI appears to be a stronger predictor of fetal development than weight gain trajectories during pregnancy.

Area of Science:

  • Obstetrics and Gynecology
  • Maternal-Fetal Medicine
  • Neonatal Health

Background:

  • Gestational weight gain (GWG) and changes in maternal anthropometry during pregnancy can influence fetal development.
  • Understanding these prenatal exposures is crucial for optimizing neonatal outcomes.
  • Prenatal anthropometric trajectories are potentially modifiable factors.

Purpose of the Study:

  • To identify distinct patterns of weight gain and anthropometric changes throughout pregnancy.
  • To investigate the relationship between these integrated prenatal exposure patterns and neonatal body composition.
  • To analyze these associations stratified by pre-pregnancy body mass index (BMI).

Main Methods:

  • Prospective cohort study of 2182 singleton pregnancies in US perinatal centers (2009-2013).
  • Joint latent trajectory models used to analyze concurrent changes in weight, mid-upper arm circumference (MUAC), triceps (TSF), and subscapular (SSF) skinfolds.
  • Weighted least squares regression assessed differences in neonatal body composition across identified trajectory classes.

Main Results:

  • Six distinct trajectory patterns of prenatal weight and anthropometric changes were identified overall and by pre-pregnancy BMI group.
  • Minor differences in neonatal subcutaneous adipose tissue were observed for healthy weight individuals, and lean mass for overweight/obese individuals.
  • Infants born to mothers with overweight/obesity exhibited higher measures of neonatal adiposity.

Conclusions:

  • Six integrated trajectory patterns of prenatal weight, adiposity, and circumferences were identified.
  • These patterns showed minimal association with neonatal body composition, indicating a limited role.
  • Pre-pregnancy BMI emerged as a more significant determinant of neonatal body composition than GWG trajectories.
Abstract

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