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Relationship between Maternal Body Composition during Pregnancy and Newborn Birth Weight in Japan

Year: 2025
Type: article
Study design: Observational Study
Abstract: Introduction: This study aimed to investigate the changes in maternal body composition during pregnancy in Japanese women and the relationship between maternal body composition and newborn birth weight using pre-pregnancy body mass index (BMI) in all trimesters. Methods: A total of 1,851 pregnant Japanese women were enrolled in this study. Body composition was measured using TANITA MC-190EM. The associations between newborn birth weight and maternal BMI, fat mass (FM), fat-free mass (FFM), total body water (TBW), muscle mass (MM), FM gain, FFM gain, and weight gain were evaluated. Results: , respectively. Among the patients, 13.4%, 73.0%, 10.3%, and 3.3% were underweight, average weight, overweight, and obese, respectively. The FM showed no significant change from the second to third trimesters in the underweight, overweight, and obese groups. Moreover, the FM in the overweight and obese groups did not change during any period. The FFM, TBW, and MM significantly increased from the first to second and second to third trimesters. In BMI-stratified multivariate regression analyses, FFM in the normal and overweight groups was positively associated with birth weight, whereas FM gain was negatively associated in the underweight and normal groups. No significant associations were observed in the obese group. Conclusions: Changes in maternal body composition during pregnancy in Japanese women varied by pre-pregnancy BMI. Associations with birth weight also differed by BMI group. Further prospective studies are needed to confirm these relationships and investigate the mechanisms.
Source: JMA Journal
Authors: Eriko Eto, Masakazu Kato, Satoe Kirino, Chiaki Kuriyama, Shujiro Sakata, Hikari Nakato, Sakurako Mishima, Akiko Ohira, Hisashi Masuyama
Institution: Okayama University
Language: English
Field: Medicine
Open Access status: diamond
OpenAlex ID: W4417181236
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