title: 2-Hour postload serum glucose levels and maternal blood pressure as independent predictors of birth weight in "appropriate for gestational age" neonates in healthy nondiabetic pregnancies.
abstract: BACKGROUND
  Increased neonatal birth weight (NBW), often associated with diabetic pregnancies, is a recognized indicator of childhood obesity and future metabolic risk. Predictors of NBW in healthy non-diabetic pregnancies are not yet established. Here, we investigated the association of maternal parameters of healthy non-diabetic mothers with NBW of their "appropriate-for-gestational age" neonates.
  
  
  METHODS
  The study involved 36 healthy mother/infant pairs. Examined parameters included NBW, maternal age, first and last trimester (BMI), weight gain, fasting serum lipids and glucose, 2-hour postload glucose levels and blood pressure.
  
  
  RESULTS
  Postload-glucose levels were significantly higher in mothers of heavier neonates. ANOVA results indicated that 15% increase in postload-glucose levels corresponded to more than 0.5 Kg increase in NBW in the third tertile. NBW correlated positively with postload glucose levels, and negatively with systolic blood pressure. Regression analysis showed that the main predictors of NBW were postload-glucose levels (B = 0.455, P = 0.003), followed by systolic blood pressure (B = -0.447, P = 0.004), together predicting 31.7% NBW variation.
  
  
  CONCLUSIONS
  This study highlights that increased maternal postload sugar levels and blood pressure, within the normal range, highly predicts NBW of healthy mothers. These findings may provide focus for early dietary intervention measures to avoid future risks to the mother and baby.
authors.affiliation: Biochemistry Department, College of Medicine, Sultan Qaboos University, P.O. Box 35, 123, Muscat, Oman.
authors.forename: Jumana
authors.initials: J
authors.lastname: Saleh
authors.forename: Lovina
authors.initials: L
authors.lastname: Machado
authors.forename: Zahra
authors.initials: Z
authors.lastname: Razvi
mesh_terms: D001724:Birth Weight; D001786:Blood Glucose; D001794:Blood Pressure; D015992:Body Mass Index; D005260:Female; D005865:Gestational Age; D006801:Humans; D007223:Infant; D007231:Infant, Newborn; D033261:Maternal-Fetal Relations; D063766:Pediatric Obesity / Q000097:blood / Q000473:pathology; D011247:Pregnancy; D015430:Weight Gain
chemical_list: D001786:Blood Glucose