兰州大学机构库
Burden and Trend of Macrosomia and Large-for-Gestational-Age Neonates Attributable to High Pre-Pregnancy Body Mass Index in China, 2013-2017: A Population-Based Retrospective Cohort Study
2023-02
Source PublicationHEALTHCARE   Impact Factor & Quartile Of Published Year  The Latest Impact Factor & Quartile
Volume11Issue:3
page numbers12
AbstractBackground: The world is transitioning to an obese future, but few studies have measured the burden of increased maternal body mass index (BMI) on pathological fetal overgrowth, especially the trends in this burden and its heterogeneity in populations with different characteristics. Methods: A population-based retrospective cohort study was conducted with 7,998,620 Chinese females who had participated in the National Free Pre-Pregnancy Check-ups Project and became pregnant during 2013-2017. The proportions of macrosomic and LGA neonates attributable to high BMI (population attributable fraction, PAF) and annual percent change of yearly PAFs were estimated. Results: We found that the burden of macrosomic and LGA (large-for-gestational-age) neonates attributable to high pre-pregnancy BMI increased among Chinese females with planned pregnancies during 2013-2017. The PAF of macrosomia attributable to high BMI increased from 3.16% (95% confidence interval: 2.97-3.35%) to 7.11% (6.79-7.42%) by 23.60% (16.76-30.85%) annually, and the PAF of LGA increased from 2.35% (2.21-2.48%) to 5.00% (4.79-5.21%) by 21.98% (16.14-28.11%) annually. Our study identified that participants with disadvantaged socioeconomic status (including those without higher education, living in provinces with GDP per capita < 40,000 CNY, tier IV, and tier V cities) and residing in northern and southwestern China were at high risk of a rapidly expanding burden. Conclusions: Government authorities should control pre-pregnancy BMI through nationwide intervention programs and direct more resources to focus on the unfair burden on females with disadvantaged socioeconomic status.
Keywordfetal macrosomia large-for-gestational-age body mass index population attributable fraction cohort studies
PublisherMDPI
DOI10.3390/healthcare11030331
Indexed BySCIE ; SSCI
Language英语
WOS Research AreaHealth Care Sciences & Services
WOS SubjectHealth Care Sciences & Services ; Health Policy & Services
WOS IDWOS:000930165800001
Original Document TypeArticle
PMID 36766906
Citation statistics
Document Type期刊论文
Identifierhttps://ir.lzu.edu.cn/handle/262010/499084
Collection兰州大学
公共卫生学院
Corresponding AuthorWang, Long; Ma, Xu
Affiliation
1.Lanzhou Univ, Inst Epidemiol & Stat, Sch Publ Hlth, Lanzhou 730000, Peoples R China;
2.Natl Res Inst Family Planning, Beijing 100081, Peoples R China;
3.Natl Human Genet Resources Ctr, Beijing 100035, Peoples R China;
4.Peking Union Med Coll, Grad Sch, Beijing 100730, Peoples R China;
5.Natl Hlth Commiss PRC, Dept Maternal & Child Hlth, Beijing 100044, Peoples R China
First Author AffilicationSchool of Public health
Corresponding Author AffilicationSchool of Public health
First Signature AffilicationSchool of Public health
Recommended Citation
GB/T 7714
Zeng, Shuai,Yang, Ying,Han, Chunying,et al. Burden and Trend of Macrosomia and Large-for-Gestational-Age Neonates Attributable to High Pre-Pregnancy Body Mass Index in China, 2013-2017: A Population-Based Retrospective Cohort Study[J]. HEALTHCARE,2023,11(3).
APA Zeng, Shuai.,Yang, Ying.,Han, Chunying.,Mu, Rongwei.,Deng, Yuzhi.,...&Ma, Xu.(2023).Burden and Trend of Macrosomia and Large-for-Gestational-Age Neonates Attributable to High Pre-Pregnancy Body Mass Index in China, 2013-2017: A Population-Based Retrospective Cohort Study.HEALTHCARE,11(3).
MLA Zeng, Shuai,et al."Burden and Trend of Macrosomia and Large-for-Gestational-Age Neonates Attributable to High Pre-Pregnancy Body Mass Index in China, 2013-2017: A Population-Based Retrospective Cohort Study".HEALTHCARE 11.3(2023).
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