[Changes in anthropometric and metabolic parameters in pregnancy and neonatal physical development during last decades].
OBJECTIVE
To evaluate changes in anthropometric and biochemical parameters in pregnancy and their dynamics during last two decades and to determine the association between anthropometric and biochemical parameters, their influence on fetal and neonatal development.


METHODS
In 1985-2005, anthropometric (height, body mass, weight gain during pregnancy, pelvic measurements, skinfold thicknesses, passive body mass) and biochemical (cholesterol, triglyceride, protein, and iron levels) parameters, their correlation, changes in pregnancy were examined; also the correlations between these parameters and neonatal body mass indices were evaluated. In 1986-1987, 383 pregnant women were examined, in 1998--130, and in 2003-2005--133.


RESULTS
During 20 years, the height of examined women increased on an average of 2.5 cm; they became thinner; body mass index decreased. The body composition became similar to "cylinder" shape due to decreased thickness of adipose tissue in the limbs. The dimensions of bony pelvis--external conjugate and bicristal diameters--decreased. Primiparous women became older (1995--22.5 years of age, 2004--27.6). At the beginning of investigation, the weight gain was on an average of 21.9% of body mass before pregnancy (13.3 kg) and at the end--23.9% (14.2 kg). The values of anthropometric parameters vary in a consistent pattern during pregnancy: the lower body mass and body mass index at the beginning of pregnancy, the higher weight gain at the end of pregnancy. Blood serum levels of cholesterol, triglycerides, and especially iron were decreased during the study.


CONCLUSIONS
An inverse correlation between body mass index and lipid metabolism in pregnancy was revealed: the higher body mass index was at the beginning of pregnancy, the lower increase in lipid concentration was during pregnancy. At the beginning of investigation as well as after 20 years, women with low body mass index showed the most significant anthropometric and lipid metabolic changes in pregnancy.
Drasutiene
Grazina Stanislava
GS
Clinic of Obstetrics and Gynecology, Vilnius University, Antakalnio 57, 10207 Vilnius, Lithuania. grazina.drasutiene@mf.vu.lt
Tutkuviene
Janina
J
Zakareviciene
Jolita
J
Ramasauskaite
Diana
D
Kasilovskiene
Zaneta
Z
Lauzikiene
Dalia
D
Drazdiene
Nijole
N
Barkus
Arūnas
A
Arlauskiene
Audrone
A
Drasutis
Jonas
J
D000328:Adult; D000886:Anthropometry; D001827:Body Height; D015992:Body Mass Index; D002784:Cholesterol / Q000097:blood; D003627:Data Interpretation, Statistical; D005260:Female; D006801:Humans; D007231:Infant, Newborn / Q000502:physiology; D050356:Lipid Metabolism; D008423:Maternal Age; D011247:Pregnancy / Q000097:blood / Q000378:metabolism; D012885:Skinfold Thickness; D014280:Triglycerides / Q000097:blood; D015430:Weight Gain
D014280:Triglycerides; D002784:Cholesterol