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Perinatal Outcome and Change in Body Mass Index in Mothers of Dichorionic Twins: a Longitudinal Cohort Study

dc.contributor.authorSimões, T
dc.contributor.authorCordeiro, A
dc.contributor.authorJúlio, C
dc.contributor.authorReis, J
dc.contributor.authorDias, E
dc.contributor.authorBlickstein, I
dc.date.accessioned2013-05-09T11:11:28Z
dc.date.available2013-05-09T11:11:28Z
dc.date.issued2008
dc.description.abstractWe used a prospective cohort to analyze the effect of change in BMI rather than change in weight, in mothers carrying dichorionic twins from a population that did not receive any dietary intervention. A total of 269 mothers (150 nulliparas and 119 multiparas) were evaluated. The average change (%) from the pre-gravid BMI was 7.2+/-6.1, 17.4+/-8.2, and 28.7+/-10.8, at 12-14, 22-25, and 30-34 weeks, respectively, without difference between nulliparas and multiparas. The comparison between maternities below or above the average change from the pregravid BMI failed to demonstrate an advantage (in terms of total twin birthweight and gestational age) of an above average change from the pregravid BMI, even when the lower versus upper quartiles were compared. Our observations reached different conclusions regarding the recommended universal dietary intervention in twin gestations. A cautious approach is advocated towards seemingly harmless excess weight gain, as normal weight women may turn overweight, or even obese, by the end of pregnancy, and be exposed to the untoward effects of obesity on future health and body image.por
dc.identifier.citationTwin Res Hum Genet. 2008 Apr;11(2):219-23por
dc.identifier.urihttp://hdl.handle.net/10400.17/1243
dc.language.isoengpor
dc.peerreviewedyespor
dc.publisherCambridgepor
dc.subjectPeso ao Nascerpor
dc.subjectÍndice de Massa Corporalpor
dc.subjectEstudos Longitudinaispor
dc.subjectParidadepor
dc.subjectPortugalpor
dc.subjectGravidezpor
dc.subjectResultado da Gravidezpor
dc.subjectEstudos Prospectivospor
dc.subjectGémeos Dizigóticospor
dc.subjectGanho de Pesopor
dc.titlePerinatal Outcome and Change in Body Mass Index in Mothers of Dichorionic Twins: a Longitudinal Cohort Studypor
dc.typejournal article
dspace.entity.typePublication
oaire.citation.endPage223por
oaire.citation.startPage219por
oaire.citation.titleTwin Research and Human Geneticspor
rcaap.rightsopenAccesspor
rcaap.typearticlepor

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