Evidence map›Paper›PMID 40148797›Full record

ArticleBMC pregnancy and childbirth2025

Relationship between prepregnancy BMI and gestational weight gain(GWG) with preeclampsia: a study based on restricted cubic spline.

Luhan Zhang, Juan Ding, Jiangli Liu, Jing Ma, Rui Shi, Tian Chen, Guifeng Ding

Abstract read
In one paragraph

Article in BMC pregnancy and childbirth, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

4 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Article
  4. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Luhan ZhangXinjiang Clinical Research Center for Perinatal Diseases, Urumqi Maternal and Child Health Hospital, No. 344 Jiefang South Road, Tianshan District, Urumqi, Xinjiang Uygur Autonomous Region, 830001, China.
Juan DingXinjiang Clinical Research Center for Perinatal Diseases, Urumqi Maternal and Child Health Hospital, No. 344 Jiefang South Road, Tianshan District, Urumqi, Xinjiang Uygur Autonomous Region, 830001, China.
Jiangli LiuXinjiang Clinical Research Center for Perinatal Diseases, Urumqi Maternal and Child Health Hospital, No. 344 Jiefang South Road, Tianshan District, Urumqi, Xinjiang Uygur Autonomous Region, 830001, China.
Jing MaXinjiang Clinical Research Center for Perinatal Diseases, Urumqi Maternal and Child Health Hospital, No. 344 Jiefang South Road, Tianshan District, Urumqi, Xinjiang Uygur Autonomous Region, 830001, China.
Rui ShiXinjiang Clinical Research Center for Perinatal Diseases, Urumqi Maternal and Child Health Hospital, No. 344 Jiefang South Road, Tianshan District, Urumqi, Xinjiang Uygur Autonomous Region, 830001, China.
Tian ChenXinjiang Clinical Research Center for Perinatal Diseases, Urumqi Maternal and Child Health Hospital, No. 344 Jiefang South Road, Tianshan District, Urumqi, Xinjiang Uygur Autonomous Region, 830001, China. 990334278@qq.com.ORCID http://orcid.org/0009-0000-7366-8026
Guifeng DingXinjiang Clinical Research Center for Perinatal Diseases, Urumqi Maternal and Child Health Hospital, No. 344 Jiefang South Road, Tianshan District, Urumqi, Xinjiang Uygur Autonomous Region, 830001, China. dingguifeng123@126.com.ORCID http://orcid.org/0000-0003-4920-359X

Funding

The Key R&D program of Xinjiang Uygur Autonomous Region 2023B03018-1The Project for Young Medical Science and Technology Talents of the Autonomous Region Health Commission WJWY-202466The Science and Technology Innovation Team Program 2022TSYCTD0016the Science and Technology Program Project of Urumqi Municipal Health and Wellness Commission 202215
6 · The paper itself

Abstract

objectiveThis study aimed to evaluate the nonlinear associations between prepregnancy body mass index(BMI), gestational weight gain(GWG), and the risk of preeclampsia(PE) using maternal and infant cohort data, thereby providing a scientific foundation for preventive strategies.

methodsPregnant women with regular obstetric checkups in Urumqi Youai Hospital were selected as study subjects from January 2020 to June 2024. They were divided into the PE group and the non-PE group. Baseline information and pregnancy outcomes were collected, and logistic regression analysis was employed to ascertain the impacts of diverse factors on the odds of developing PE; the restricted cubic spline was used to test the nonlinear relationship between prepregnancy BMI and GWG with PE.

results13,294 pregnant women were included in the study, and 559 (4.20%) had PE.The prevalence of PE in underweight, normal-weight, overweight, and obese women was 1.72%, 2.85%, 6.60%, and 16.05%, respectively. However, after adjusting for confounders, only overweight and obesity were significantly associated with elevated PE odds. Logistic regression results showed that the OR was 1.68(95% CI:1.30-2.18) for the comparison between overweight and normal BMI groups, the OR was 3.16(95%CI:2.08-4.79) for the comparison between obesity and normal BMI groups. Restricted cubic spline showed that the association between prepregnancy BMI and the odds of PE showed an inverse L-shaped curve, with an inflection point of 21.5 kg/m

conclusionThere is a non-linear relationship between prepregnancy BMI, GWG, and PE, and prepregnancy weight management and gestational weight monitoring are important for the prevention of PE.

Indexed as

Body Mass IndexGestational Weight GainPre-EclampsiaAdultChinaFemaleHumansLogistic ModelsObesityOverweightPregnancyPrevalenceRisk FactorsThinnessYoung AdultGestational weight gainPreeclampsiaPrepregnancy BMIRestricted cubic spline

Identifiers

PMID40148797
PMCPMC11948702

What Socratic holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.