Relación entre el índice de masa corporal materno y los resultados adversos en el embarazo: Revisión sistemática de la literatura. / Relationship between the maternal body mass index and adverse pregnancy outcome: Systematic review of the literature.

  • María José Aguilar-Cordero Universidad de Granada
  • Ximena Alejandra León-Rios Universidad de Granada
  • Sandra Ruiz Moreno Universidad de Granada
  • Norma Mur-Villar Facultad de Ciencias Médicas de Cienfuegos
Palabras clave: embarazo, índice de masa corporal, obesidad, sobrepeso, complicaciones del embarazo, educación en salud, pregnancy, body mass index, obesity, overweight, pregnancy complications, health education.

Resumen

Resumen.

La creciente incidencia de la obesidad a nivel mundial, ha hecho de esta uno de los principales problemas de Salud Pública durante la gestación, al aumentar las comorbilidades maternas y perinatales y alterar el curso normal del embarazo, que pasa a denominarse embarazo de alto riesgo. El objetivo de este estudio fue determinar la asociación entre el índice de masa corporal y las complicaciones que se producen en el embarazo. Se ha efectuado una revisión sistemática siguiendo los criterios del protocolo PRISMA. La búsqueda se realizó en las bases de datos PubMed, Scopus y Cinahl entre los meses de enero y mayo de 2019. Las mujeres obesas o con sobrepeso mostraron más complicaciones en el embarazo, como diabetes mellitus gestacional, preeclampsia, parto pretérmino, cesárea, niños macrosómicos y una mayor tasa de abortos que las gestantes de peso normal. Las intervenciones de educación sanitaria durante el embarazo mejoraron la condición física de las gestantes, pero no redujeron las complicaciones. Se concluye que el sobrepeso y la obesidad se asocian con importantes complicaciones durante la gestación y durante el parto.

Abstract.

The increasing incidence of obesity worldwide has made this one of the main problems of Public Health during pregnancy, increasing maternal and perinatal comorbidities and altering the normal course of pregnancy; resulting in what it is known as high-risk pregnancy. The aim of this study was to determine the association between the body mass index and the complications that occur during pregnancy. A systematic review has been carried out following the criteria of the PRISMA protocol. The search was carried out in the PubMed, Scopus and Cinahl databases between January and May 2019. Obese or overweight women showed more complications in pregnancy, such as gestational diabetes mellitus, preeclampsia, preterm birth, caesarean section, macrosomic children and a higher abortion rate, than pregnant women of normal weight. Health education intervention during pregnancy, improved the physical condition of pregnant women, but did not reduce pregnancy complications. It is concluded that overweight and obesity are associated with significant complications during pregnancy and during childbirth.

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Amorim TV, Souza Ívis E, Moura MA, Queiroz AB, Salimena AM. Perspectivas de los cuidados de enfermería en el embarazo de alto riesgo: revisión integradora. Eglobal 2017; 16(2): 500-543.

Institute of Medicine. Weight gain during pregnancy: reexamining the guidelines. Washington, DC. National Academies Press; 2009.

Ogburn P. Obesity and gestational diabetes in pregnancy: an evolving epidemic. J Peri- nat Med 2016; 44(4): 361-362.

World Health Organization. Global Health Observatory (GHO). Obesity and overweight. 2016. Disponible en: https:// www.who.int/en/news-room/fact-sheets/ detail/obesity-and-overweight

World Health Organization. Global Health Observatory (GHO). España: perfiles del país. 2016. Disponible en: https://www. who.int/gho/countries/esp/country_profi- les/en/

Sociedad Española para el Estudio de la Obesidad. Día de la Lucha Contra la Obe- sidad. 2016. Disponible en: https://www. elmundo.es/salud/2016/12/14/585171aa 268e3e750d8b45e1.html

The American College of Obstetricians and Gynecologists. La obesidad y el embarazo. Washington. 2019. Disponible en: https:// www.acog.org/Patients/Search-Patient- Education-Pamphlets-Spanish/Files/La- obesidad-y-el-embarazo?IsMobileSet=false.

Aguilar-Cordero MJ, Baena-García L, Sánchez-López AM. Obesidad durante el embarazo y su influencia en el sobrepeso en la edad infantil. Nutr Hosp 2016: 33(5); 18-23.

Triunfo S, Lanzone A. Impact of overweight and obesity on obstetric outcomes. J Endo- crinol Invest 2014; 37(4): 323-329.

World Health Organization. Global Health Observatory (GHO). 10 datos sobre la obe- sidad. Disponible en: https://www.who.int/ features/factfiles/obesity/facts/es/

Briley AL, Barr S, Badger S, Bell R, Cro- ker H, Godfrey KM, Holmes B, Kinnunen TI, Nelson SM, Oteng-Ntim E, Patel N, Robson SC, Sandall J, Sanders T, Sattar N, Seed PT, Wardle J, Poston L1. A com- plex intervention to improve pregnancy outcome in obese women; the UPBEAT ran- domised controlled trial. BMC Pregnancy Childbirth 2014; 14: 74-80.

Solmi F, Morris S. Overweight and obese pre-pregnancy BMI is associated with high- er hospital costs of childbirth in England. BMC Pregnancy Childbirth 2018: 18; 253.

Thangaratinam S, Rogozińska E, Jolly K, Glinkowski S, Roseboom T, Tomlinson JW, Kunz R, Mol BW, Coomarasamy A, Khan KS. Effects of interventions in preg- nancy on maternal weight and obstetric outcomes: meta-analysis of randomised evi- dence. BMJ 2012, 344: e2008.

Descriptores en Ciencias de la Salud: DeCS. Ed. 2017. Sao Paulo (SP): BIREME/ OPS / OMS. 2017 [actualizado 2017 May 18; citado 2019 Mar 11]. Disponible en: http://decs.bvs.br/E/homepagee.htm

Urrútia G, Bonfill X. Declaración PRISMA: una propuesta para mejorar la publicación de revisiones sistemáticas y metanálisis. Med Clin (Barc) 2010; 135(11): 507–511.

Fundación Española para la Ciencia y la Tecnología: FECYT. Herramienta de con- sulta del factor de Impacto y otras. 2017. Disponible en: https://www.recursoscienti- ficos.fecyt.es/factor/

Baena-García L, Ocón-Hernández O, Acos- ta-Manzano P, Coll-Risco I, Borges-Cosis M, Romero-Gallardo L, de la Flor-Alemany M, Aparicio VA. Association of sedentary time and physical activity during pregnan- cy with maternal and neonatal birth outcomes. The

GESTAFIT Project. Scand J Med Sci Sports 2019; 29: 407-414.

Yang Z, Phung H, Freebairn L, Sexton R, Raulli A, Kelly P. Contribution of maternal overweight and obesity to the occurrence of adverse pregnancy outcomes. Aust N Z J Obstet Gynaecol 2018; 59(3):367-374.

Cheney K, Farber R, Barratt AL, Mc- Geechan K, de Vries B, Ogle R. Population attributable fractions of perinatal outcomes for nulliparous women associated with over- weight and obesity, 1990-2014. Med J Aus- tralia 2018; 208(3): 119-125.

Blickstein I, Doyev R, Trojner-Bregar A, Brzan Simenc G, Verdenik I, Tul N. The effect of gestational diabetes, pre-gravid maternal obesity, and their combination (‘diabesity’) on outcomes of singleton ges- tations. J Matern Fetal Neonatal Med 2018; 31(5): 640-643.

Bruno R, Petrella E, Bertarini V, Pedrie- lli G, Neri I, Facchinetti F. Adherence to a lifestyle programme in overweight/obese pregnant women and effect on gestational diabetes mellitus: a randomized controlled trial. Matern Child Nutr 2017; 13(3):1-11.

Kansu-Celik H, Karakaya K, Guzel AI, Tas- ci Y, Erkaya S. To evaluate the effect of pre- pregnancy body mass index on maternal and perinatal outcomes among adolescent pregnant women. J Matern Fetal Neonatal Med 2017; 30(13): 1574-1578.

Toma R, Aoki S, Fujiwara K, Hirahara F. Associations of pre-pregnancy obesity with adverse pregnancy outcomes and the opti- mal gestational weight gain in Japanese wo- men. Clin Exp Obstet Gynecol 2017; 44(2): 190-194.

Garnaes KK, Morkved S, Salvesen O, Mo- holdt T. Exercise Training and Weight Gain in Obese Pregnant Women: A Randomized Controlled Trial (ETIP Trial). PLoS Med 2017; 13(7): e1002079.

McCarthy EA, Walker SP, Ugoni A, Lappas M, Leong O, Shub A. Self-weighing and simple dietary advice for overweight and obese pregnant women to reduce obs- tetric complications without impact on quality of life: a randomised contro- lled trial. BJOG 2016; 123(6): 965–973.

Lamminpaa R, Vehvilainen-Julknunen K, Gissler M, Selander T, Heinonen S. Preg- nancy outcomes of overweight and obese women aged 35 years or older - A registry- based study in Finland. Obes Res Clin Pract 2016; 10(2): 133-142.

Vernini JM, Moreli JB, Magalhaes CG, Costa RAA, Rudge MVC, Calderon IMP. Maternal and fetal outcomes in pregnan- cies complicated by overweight and obesity. Reprod Health 2016; 13(1):1-8.

Van Der Linden EL, Browne JL, Vissers KM, Antwi E, Agyepong IA, Grobbee DE, Klipstein-Grobusch K. Maternal body mass index and adverse pregnancy outcomes: A Ghanaian cohort study. Obesity (Silver Spring) 2016; 24(1): 215-222.

Hung TH, Hsieh TT. Pregestational body mass index, gestational weight gain, and risks for adverse pregnancy outcomes among Taiwanese women: A retrospecti- ve cohort study. Taiwan J Obstet Gynecol 2016; 55(4): 575-581.

Kim SS, Zhu Y, Grantz KL, Hinkle SN, Chen Z, Wallace ME, Smarr M, Epps N, Mendola, P. Obstetric and neonatal risks among obese women without chronic disease. Obstet Gy- necol 2016; 128(1): 104-112.

Metsala J, Stach-Lempinen B, Gissler M, Eriksson JG, Koivusalo S. Risk of pregnan- cy complications in relation to maternal prepregnancy body mass index: population- based study from Finland 2006-10. Paediatr Perinat Epidemiol 2016; 30(1): 28-37.

Cosson E, Cussac-Pillegand C, Benbara A, Pharisien I, Nguyen MT, Chiheb S. Preg- nancy adverse outcomes related to pregrav- id body mass index and gestational weight gain, according to the presence or not of gestational diabetes mellitus: A retrospec- tive observational study. Diabetes Metab 2016; 42(1): 38-46.

Seneviratne SN, Jiang Y, Derraik JGB, McCowan LME, Parry GK, Biggs JB, Crai- gie S, Gusso S, Peres G, Rodrigues RO, Ekeroma A, Cutfield WS, Hofman PL. Ef- fects of antenatal exercise in overweight and obese pregnant women on maternal and perinatal outcomes: a randomised con- trolled trial. BJOG 2016; 123(4): 588–597.

Avci ME, Sandokan F, Celik M, Avci A, Kocaer M, GoÇmen A. Effects of maternal obesity on antenatal, perinatal and neona- tal outcomes. J Matern Fetal Neonatal Med 2015; 28(17): 2080-2083.

Hancke K, Gundelach T, Hay B, Sander S, Reister F, Weiss JM. Pre-pregnancy obesity compromises obstetric and neonatal outco- mes. J Perinat Med 2015; 43(2):141-146

Lucovnik M, Blickstein I, Verdenik I, Tro- jner-Bregar A, Tul N. Maternal obesity in singleton versus twin gestations: a popu- lation-based matched case-control study. J Matern Fetal Neonatal Med 2015; 28(6): 623-625.

Dodd JM, Turnbull D, McPhee AJ, Deus- sen AR, Grivell RM, Yelland LN, Writtert G, Robinson J. Antenatal lifestyle advice for women who are overweight or obese: LIMIT randomised trial. BMJ 2014; 348: g1285.

Barton JR, Sibai AJ, Istwan NB, Rhea DJ, Desch CN, Sibai BM. Spontaneously conceived pregnancy after 40: influence of age and obesity on outcome. Am J Perinatol 2014; 31(9): 795-798.

Wahabi HA, Fayed AA, Alzeidan RA, Man- dil AA. The independent effects of mater- nal obesity and gestational diabetes on the pregnancy outcomes. BMC Endocr Disord 2014; 14:47.

Al-Obaidly S, Parrish J, Murphy KE, Maxwell C. Maternal pre-gravid body mass index and obstetric outcomes in twin ges- tations. J Perinatol 2014; 34(6): 425-428.

Rahman MM, Abe SK, Kanda M, Narita S, Rahman MS, Bilano V, Ota E, Gilmour S, Shibuya K. Maternal body mass index and risk of birth and maternal health outcomes in low- and middle-income countries: a sys- tematic review and meta-analysis. Obes Rev 2015; 16(9): 758-770.

The International Weight Management in Pregnancy (i-WIP) Collaborative Group. Effect of diet and physical activity based interventions in pregnancy on gestational weight gain and pregnancy outcomes: meta- analysis of individual participant data from randomised trials. BMJ 2017; 358:j3119. doi: 10.1136/bmj.j3119.

Liu L, Hong Z, Zhang L. Associations of prepregnancy body mass index and gesta- tional weight gain with pregnancy outco- mes in nulliparous women delivering sin- gle live babies. Sci Rep 2015; 5: 1-9. Doi: 10.1038/srep12863.

Hiersch L, Berger H, Okby R, Ray JG, Geary M, McDonald SD, Murray-Davis B, Riddell C, Halperin I, Hasan H, Barrett J, Melamed N. Gestational diabetes mellitus is associated with adverse outcomes in twin pregnancies. Am J Obstet Gynecol 2019; 220(1): 102.e1-102.e8.

Vieira MC, White SL, Patel N, Seed PT, Bri- le AL, Sandall J, Welsh P, Sattar N, Nelson SM, Lawlor DA, Poston L, Pasupathy D. Prediction of uncomplicated pregnancies in obese women: a prospective multicentre study. BMC Med 2017; 15(1): 194.

Mousa A, Abell SK, Shorakae S, Harrison CL, Naderpoor N, Hiam D, Moreno-Asso A, Stepto NK, Teede HJ, De Courten B. Rela- tionship between vitamin D and gestational diabetes in overweight or obese pregnant women may be mediated by adiponectin. Mol Nutr Food Res 2017; 61(11):1-11. doi: 10.1002/mnfr.201700488.

González-Guitián C. Estilo de Vancouver en Español. Requisitos de Uniformidad para Manuscritos enviados a Revistas Biomédi- cas. Fisterra. 2011.

Publicado
2020-07-07
Cómo citar
Aguilar-Cordero, M. J., León-Rios, X. A., Ruiz Moreno, S., & Mur-Villar, N. (2020). Relación entre el índice de masa corporal materno y los resultados adversos en el embarazo: Revisión sistemática de la literatura. / Relationship between the maternal body mass index and adverse pregnancy outcome: Systematic review of the literature. Investigación Clínica, 61(2), 149-164. https://doi.org/10.22209/IC.v61n2a06