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Chapter 11 - Obesity and Metabolic Syndrome in Pregnancy

from Section II - Hormones and Gestational Disorders

Published online by Cambridge University Press:  09 November 2022

By
Kent L. R. Thornburg ,
Amy M. Valent ,
Nicole E. Marshall  and
Jonathan Q. Purnell
Edited by
Felice Petraglia ,
Mariarosaria Di Tommaso  and
Federico Mecacci
Felice Petraglia
Affiliation:
Università degli Studi, Florence
Mariarosaria Di Tommaso
Affiliation:
Università degli Studi, Florence
Federico Mecacci
Affiliation:
Università degli Studi, Florence
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Summary

Increasing numbers of women who are pregnant have a body mass index exceeding >30 kg/m2, the definition of obesity. The obese condition is associated with a number of adverse outcomes among mothers and offspring. Offspring are at greater risk for adult onset diseases, including obesity compared to babies born to women in the normal BMI category. The risk of mortality in offspring caused by ischemic heart disease increases linearly by three-fold between a BMI of 25 to 30 kg/m2. Women with obesity are less likely to breastfeed than normal weight women. An important aspect of the obese condition is an altered range of weight around which the body regulates appetite. The medical management of women who suffer obesity can include attention to a number of factors including lifestyle modifications. Importantly, eating a healthy diet during pregnancy has been shown to improve perinatal outcomes in women across the BMI spectrum.

Type
Chapter
Information
Hormones and Pregnancy
Basic Science and Clinical Implications
 , pp. 107 - 119
Publisher: Cambridge University Press
Print publication year: 2022

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