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Open Access 01-12-2019 | Gestational Diabetes | Research article

Gestational weight gain and gestational diabetes among Emirati and Arab women in the United Arab Emirates: results from the MISC cohort

Authors: Mona Hashim, Hadia Radwan, Hayder Hasan, Reyad Shaker Obaid, Hessa Al Ghazal, Marwa Al Hilali, Rana Rayess, Noor Chehayber, Hamid Jan Jan Mohamed, Farah Naja

Published in: BMC Pregnancy and Childbirth | Issue 1/2019

Abstract

Background

Nutritional status of women during pregnancy has been considered an important prognostic indicator of pregnancy outcomes.

Objectives

To investigate the pattern of gestational weight gain (GWG) and gestational diabetes mellitus (GDM) and their risk factors among a cohort of Emirati and Arab women residing in the United Arab Emirates (UAE). A secondary objective was to investigate pre-pregnancy body mass index (BMI) and its socio-demographic correlates among study participants.

Methods

Data of 256 pregnant women participating in the cohort study, the Mother-Infant Study Cohort (MISC) were used in this study. Healthy pregnant mothers with no history of chronic diseases were interviewed during their third trimester in different hospitals in UAE. Data were collected using interviewer-administered multi-component questionnaires addressing maternal sociodemographic and lifestyle characteristics. Maternal weight, weight gain, and GDM were recorded from the hospital medical records.

Results

Among the study participants, 71.1% had inadequate GWG: 31.6% insufficient and 39.5% excessive GWG. 19.1% reported having GDM and more than half of the participants (59.4%) had a pre-pregnancy BMI ≥ 25 kg/m². The findings of the multiple multinomial logistic regression showed that multiparous women had decreased odds of excessive gain as compared to primiparous [odds ratio (OR): 0.17; 95% CI: 0.05–0.54]. Furthermore, women with a pre-pregnancy BMI ≥ 25 kg/m² had increased odds of excessive gain (OR: 2.23; 95%CI: 1.00–5.10) as compared to those with pre-pregnancy BMI < 25 kg/m². Similarly, women who had a pre-pregnancy BMI ≥ 25 kg/m² were at higher risk of having GDM (OR: 2.37; 95%CI: 1.10–5.12). As for the associations of women’s characteristics with pre-pregnancy BMI, age and regular breakfast consumption level were significant predictors of higher pre-pregnancy BMI.

Conclusions

This study revealed alarming prevalence rates of inadequate, mainly excessive, GWG and GDM among the MISC participants. Pre-pregnancy BMI was found a risk factor for both of these conditions (GWG and GDM). In addition, age and regular breakfast consumption were significant determinants of pre-pregnancy BMI. Healthcare providers are encouraged to counsel pregnant women to maintain normal body weight before and throughout pregnancy by advocating healthy eating and increased physical activity in order to reduce the risk of excessive weight gain and its associated complications.

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Title: Gestational weight gain and gestational diabetes among Emirati and Arab women in the United Arab Emirates: results from the MISC cohort
Authors: Mona Hashim
Hadia Radwan
Hayder Hasan
Reyad Shaker Obaid
Hessa Al Ghazal
Marwa Al Hilali
Rana Rayess
Noor Chehayber
Hamid Jan Jan Mohamed
Farah Naja
Publication date: 01-12-2019
Publisher: BioMed Central
Keywords: Gestational Diabetes
Gestational Diabetes
Overweight
Published in: BMC Pregnancy and Childbirth / Issue 1/2019
Electronic ISSN: 1471-2393
DOI: https://doi.org/10.1186/s12884-019-2621-z

At a glance: The ONWARDS insulin icodec trials

Springer Medicine

Gestational weight gain and gestational diabetes among Emirati and Arab women in the United Arab Emirates: results from the MISC cohort

Abstract

Background

Objectives

Methods

Results

Conclusions

At a glance: The ONWARDS insulin icodec trials

Springer Medicine

Abstract

Background

Objectives

Methods

Results

Conclusions

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