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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.
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.
Background:
Gestational weight gain (GWG) and anthropometric trajectories may affect foetal programming and are potentially modifiable.
Objectives:
To assess concomitant patterns of change in weight, circumferences and adiposity across gestation as an integrated prenatal exposure, and determine how they relate to neonatal body composition.
Methods:
Data are from a prospective cohort of singleton pregnancies (n = 2182) enrolled in United States perinatal centres, 2009-2013. Overall and by prepregnancy BMI group (overweight/obesity and healthy weight), joint latent trajectory models were fit with prenatal weight, mid-upper arm circumference (MUAC), triceps (TSF) and subscapular (SSF) skinfolds. Differences in neonatal body composition by trajectory class were assessed via weighted least squares.
Results:
Six trajectory patterns reflecting co-occurring changes in weight and MUAC, SSF and TSF across pregnancy were identified overall and by body mass index (BMI) group. Among people with a healthy weight BMI, some differences were observed for neonatal subcutaneous adipose tissue, and among individuals with overweight/obesity some differences in neonatal lean mass were found. Neonatal adiposity measures were higher among infants born to individuals with prepregnancy overweight/obesity.
Conclusions:
Six integrated trajectory patterns of prenatal weight, subcutaneous adipose tissue and circumferences were observed that were minimally associated with neonatal body composition, suggesting a stronger influence of prepregnancy BMI.
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