title: Plasma lipids and lipoproteins during pregnancy and related pregnancy outcomes.
abstract: OBJECTIVE
  To study the effect of maternal lipid profile changes in pregnancy in relation to fetal growth and development, prognosis, and complications of pregnancy.
  
  
  METHODS
  One thousand pregnant women between 17 and 48 years of age were included in this prospective longitudinal and uni-center study. Lipid profile tests [triglyceride (TG), total cholesterol, high density lipoprotein (HDL), low density lipoprotein (LDL)] were first requested as part of the routine pregnancy follow-up in first antenatal visit (<14 weeks) then repeated in the last trimester (>28 weeks). The analysis included the medical, social-demographic, and nutritional status of the women as well. Primer outcome measures were defined as the association of the pregnancy-related lipid profile change to neonatal weight, the weight of the infant in third month and pregnancy complications (preeclampsia, gestational diabetes mellitus, IUGR, and preterm birth).
  
  
  RESULTS
  The levels of TG, total cholesterol, HDL, LDL increased significantly as pregnancy progressed. The percentage of the change in the TG levels were higher in patients with well nutritional parameters (p = 0.033). As the percentage of change in the TG levels increased, the neonatal weight increased (p = 0.033) but no effect on the placental weight and the third month weight of the infant was seen. As the percent change in TG levels decreased, the risk of the preterm birth significantly increased. In women who were positive in 50 g screening test, but were uncomplicated with gestational diabetes mellitus, the percent change in cholesterol was lower (p = 0.010), the percent change in LDL was lower (p = 0.015), and the percent change in TG was higher (p = 0.032).
  
  
  CONCLUSIONS
  In pregnancy, complex alterations occur in lipid metabolism. Percent change in TG is affected positively by the nutrition level. The neonatal weight also increases as well but postnatal weight is unaffected. Conversely TG levels significantly decrease in preterm birth. No association between preeclampsia and gestational diabetes mellitus with lipid profile changes were noted except in patients with glucose intolerance (>140 mg/dl in 50 g screening test) in which change in cholesterol, LDL was low and TG was high.
authors: Department of Obstetrics and Gynecology, Recep Tayyip Erdoğan University School of Medicine, İslampaşa Mahallesi, Şehitler Caddesi, No.74, Rize, Turkey.
authors: Turgay
authors: T
authors: Emet
authors: Işık
authors: I
authors: Ustüner
authors: Seda Güvendağ
authors: SG
authors: Güven
authors: Gülşah
authors: G
authors: Balık
authors: Ulkü Mete
authors: UM
authors: Ural
authors: Yeşim Bayoğlu
authors: YB
authors: Tekin
authors: Senol
authors: S
authors: Sentürk
authors: Figen Kır
authors: FK
authors: Sahin
authors: Ayşe Filiz
authors: AF
authors: Avşar
mesh_terms: D000293:Adolescent; D000328:Adult; D001724:Birth Weight; D002784:Cholesterol / Q000097:blood*; D016640:Diabetes, Gestational / Q000097:blood; D005260:Female; D005317:Fetal Growth Retardation / Q000097:blood; D006801:Humans; D008075:Lipoproteins, HDL / Q000097:blood*; D008077:Lipoproteins, LDL / Q000097:blood*; D008137:Longitudinal Studies; D008875:Middle Aged; D009752:Nutritional Status; D011225:Pre-Eclampsia / Q000097:blood; D011247:Pregnancy / Q000097:blood*; D047928:Premature Birth / Q000097:blood; D011446:Prospective Studies; D018709:Statistics, Nonparametric; D014280:Triglycerides / Q000097:blood*; D055815:Young Adult
chemical_list: D008075:Lipoproteins, HDL; D008077:Lipoproteins, LDL; D014280:Triglycerides; D002784:Cholesterol