title: [Maternal metabolic diseases related to pre-pregnancy overweight and obesity in mexican women with high risk pregnancy].
abstract: BACKGROUND
  Pre-pregnancy obesity has been proposed as a risk factor related to gestational diabetes and hypertensive disorders during pregnancy.
  
  
  OBJECTIVE
  Identify pregnancy related diseases associated with pre-pregnancy obesity as a risk factor ina high risk preganancy patient population.
  
  
  METHODS
  600 patients whose pre-pregnancy obesity had been assessed as a high risk factor were included in the study. The means, standard deviation, median, interquartile intervals, Pearson and Spearman correlation and logistic regression to estimate risk with the odds ratio and 95% confidence intervals were calculated.
  
  
  RESULTS
  The mean pre-pregnancy body mass index was 29.59 ± 6.42 kg/m2. The mean for recommended pregnancy weight gain was 2.31 ± 1.03 kg, but the mean of real weight gain was 8.91 ± 6.84 kg. A significant correlation between pre-pregnancy obesity and family history of diabetes mellitus (p=0.000), systemic hypertension (p=0.003), cardiac diseases (p=0.000), dyslipidemia (p=0.000) and obesity (p=0.000) was identified. Pre-pregnancy obesity was identified as a risk factor for the development of gestational diabetes (OR: 1.95; IC95%: 1.39 to 2.76; p=0.000) in this kind of patient.
  
  
  CONCLUSIONS
  75% of high risk pregnancy women in a high specialty hospital in West Mexico are overweight or obese when they become pregnant. These are risk factors in the development of gestational diabetes.
authors.affiliation: División de Medicina Perinatal, Unidad Médica de Alta Especialidad (UMAE), Hospital de Gineco-Obstetricia, Centro Médico Nacional de Occidente (CMNO), Instituto Mexicano del Seguro Social (IMSS), Guadalajara, Jalisco, México.
authors.forename: Salvador
authors.initials: S
authors.lastname: Hernández-Higareda
authors.affiliation: División de Medicina Perinatal, Unidad Médica de Alta Especialidad (UMAE), Hospital de Gineco-Obstetricia, Centro Médico Nacional de Occidente (CMNO), Instituto Mexicano del Seguro Social (IMSS), Guadalajara, Jalisco, México.
authors.forename: Omar-Alejandro
authors.initials: OA
authors.lastname: Pérez-Pérez
authors.affiliation: Unidad de Investigación Médica en Epidemiología Clínica, Unidad Médica de Alta Especialidad (UMAE), Hospital de Especialidades (HE), Centro Médico Nacional de Occidente (CMNO), Instituto Mexicano del Seguro Social, Guadalajara, Jalisco, México. Electronic address: luz.ma.adriana@gmail.com.
authors.forename: Luz-Ma-Adriana
authors.initials: LM
authors.lastname: Balderas-Peña
authors.affiliation: Unidad de Investigación Médica en Epidemiología Clínica, Unidad Médica de Alta Especialidad (UMAE), Hospital de Especialidades (HE), Centro Médico Nacional de Occidente (CMNO), Instituto Mexicano del Seguro Social, Guadalajara, Jalisco, México.
authors.forename: Brenda-Eugenia
authors.initials: BE
authors.lastname: Martínez-Herrera
authors.affiliation: Unidad de Investigación Social, Epidemiológica y en Servicios de Salud, Delegación Estatal Jalisco, Instituto Mexicano del Seguro Social, Guadalajara, Jalisco, México.
authors.forename: Ana-Leticia
authors.initials: AL
authors.lastname: Salcedo-Rocha
authors.affiliation: Unidad de Investigación Social, Epidemiológica y en Servicios de Salud, Delegación Estatal Jalisco, Instituto Mexicano del Seguro Social, Guadalajara, Jalisco, México.
authors.forename: Rosa-Emilia
authors.initials: RE
authors.lastname: Ramírez-Conchas
mesh_terms: D000328:Adult; D003430:Cross-Sectional Studies; D016640:Diabetes, Gestational / Q000453:epidemiology / Q000209:etiology; D005260:Female; D006801:Humans; D008659:Metabolic Diseases / Q000453:epidemiology / Q000209:etiology*; D008800:Mexico; D009765:Obesity / Q000150:complications*; D050177:Overweight / Q000150:complications*; D011247:Pregnancy; D011248:Pregnancy Complications / Q000453:epidemiology / Q000209:etiology*; D018566:Pregnancy, High-Risk; D012307:Risk Factors
keywords: Diabetes gestacional; Embarazo de alto riesgo; Gestational diabetes; High risk pregnancy; Obesidad pregestacional; Pre-pregnancy obesity; Pregnancy hypertensive disorders; Trastornos hipertensivos del embarazo