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Nutrición Hospitalaria
versão On-line ISSN 1699-5198versão impressa ISSN 0212-1611
Nutr. Hosp. vol.31 no.4 Madrid Abr. 2015
https://dx.doi.org/10.3305/nh.2015.31.4.8297
REVISIÓN
Association of excessive GWG with adiposity indicators and metabolic diseases of their offspring: systematic review
Asociación de ganancia de peso excesiva durante el embarazo con indicadores de adiposidad y enfermedades metabólicas de sus descendientes: revisión sistemática
María Eugenia Pérez-Morales1, Montserrat Bacardi-Gascon2 and Arturo Jimenez-Cruz2
1Facultad de Ciencias Químicas e Ingeniería, Universidad Autónoma de Baja California, Mesa de Otay 14418, Tijuana BC.
2Facultad de Medicina y Psicología, Postgrado en Nutrición, Universidad Autónoma de Baja California, Mesa de Otay 14418, Tijuana BC. México.
ABSTRACT
Introduction: It has been reported that excessive gestational weight gain (GWG) during pregnancy is associated with an increase in adiposity indicators and metabolic disorders of the offspring.
Objective: The objective of this review, using the Institute of Medicine (IOM) criteria, was to analyze the association of excessive GWG in prospective studies with the adiposity indicators and metabolic diseases of the offspring, and the association of excessive GWG with adiposity indicators and metabolic disease of the . 15 years offspring.
Methods: An electronic search was conducted in the MEDLINE/PubMed, EMBASE, and CINAHL databases of prospective cohort studies published from January 2004 to September 2014. Selection was restricted to prospective cohort studies where the definition of GWG was used according to the IOM-recommendations; and prospective cohort studies including offspring ≥ 15 years, independent of using the definition for excessive GWG.
Results: Nine prospective cohort studies meet the inclusion criteria. Five studies used the IOM-recommendations for assessing GWG, and six studies assessed adiposity or metabolic indicators of their offspring at ≥ 15 years. In seven of the nine studies, excessive GWG was associated with adiposity and metabolic diseases. Due to the limitations found, the evidence of the association was shown to be low.
Conclusions: The results of this review showed, that independently of the criteria used to diagnose excessive GWG, all the included studies, consistently showed an association of excessive GWG with adiposity indicators or other components of metabolic disease early in life, during adolescence or adulthood. However, due to the limitations of the studies the strength of the evidence was low. Better designed studies are warranted to confirm a stronger evidence.
Key words: Gestational weight gain. Excessive gestational weight gain. Offspring obesity. Offspring BMI.
RESUMEN
Introduction: It has been reported that excessive gestational weight gain (GWG) during pregnancy is associated with an increase in adiposity indicators and metabolic disorders of the offspring.
Objective: The objective of this review, using the Institute of Medicine (IOM) criteria, was to analyze the association of excessive GWG in prospective studies with the adiposity indicators and metabolic diseases of the offspring, and the association of excessive GWG with adiposity indicators and metabolic disease of the . 15 years offspring.
Methods: An electronic search was conducted in the MEDLINE/PubMed, EMBASE, and CINAHL databases of prospective cohort studies published from January 2004 to September 2014. Selection was restricted to prospective cohort studies where the definition of GWG was used according to the IOM-recommendations; and prospective cohort studies including offspring ≥ 15 years, independent of using the definition for excessive GWG.
Results: Nine prospective cohort studies meet the inclusion criteria. Five studies used the IOM-recommendations for assessing GWG, and six studies assessed adiposity or metabolic indicators of their offspring at ≥ 15 years. In seven of the nine studies, excessive GWG was associated with adiposity and metabolic diseases. Due to the limitations found, the evidence of the association was shown to be low.
Conclusions: The results of this review showed, that independently of the criteria used to diagnose excessive GWG, all the included studies, consistently showed an association of excessive GWG with adiposity indicators or other components of metabolic disease early in life, during adolescence or adulthood. However, due to the limitations of the studies the strength of the evidence was low. Better designed studies are warranted to confirm a stronger evidence.
Palabras clave: Aumento de peso durante la gestación. Aumento excesivo de peso durante la gestación. Obesidad en los descendientes. IMC de los descendientes.