Wonjin Kim's research while affiliated with Yonsei University and other places
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Publications (5)
To investigate whether the increased risk of fetal abdominal obesity (FAO) is present in the older (≥ 35 years) and/or obese (≥ body mass index 25 kg/m²) women with normal glucose tolerance, we reviewed medical record of 6721 singleton pregnancy. At 24–28 gestational weeks (GW), fetal abdominal overgrowth was assessed by the fetal abdominal overgro...
Fetal abdominal obesity (FAO) was detected at the time of gestational diabetes mellitus (GDM) diagnosis at 24–28 gestational weeks (GW) in older (≥ 35 years) and/or obese (≥ body mass index 25 kg/m ² ) women and persisted until delivery. We investigated whether FAO is already present at 20–24 GW. Medical records of 7820 singleton pregnancy includin...
Background:
Fetal abdominal obesity (FAO) has been reported to be affected at gestational diabetes mellitus (GDM) diagnosis at 24 to 28 weeks of gestation in older and/or obese women. This study investigated whether the management of GDM improves FAO in GDM subjects near term.
Methods:
Medical records of 7,099 singleton pregnant women delivering...
Aim/Background
The prevalence of elderly pregnancy and maternal obesity is increasing worldwide. In old and obese women, metabolic derangement affecting fetal growth might be present earlier than the diagnosis of gestational diabetes mellitus (GDM) or even before pregnancy. We thus investigated whether GDM diagnosed at 24–28 weeks of gestation had...
Citations
... In our previous studies, we observed that fetal abdominal obesity (FAO) was observed as early as 20-24 gestational weeks (GW) in the older women with or without obesity but not in the younger and non-obese GDM subjects 21 , and despite appropriate treatment for GDM, the FAO in the older women with or without obesity detected at the time of GDM diagnosis persisted until delivery with the resultant LGA at birth 12,22 . In the present study, we thus investigated whether the increased risk of FAO was observed in the older women with or without obesity but not in the young and non-obese women with normal glucose tolerance (NGT), and if so, FAO detected at 24-28 GW in the older women with or without obesity persisted until delivery with the ensuing adverse perinatal outcomes such as LGA and increased cesarean delivery. ...
... Today, numerous professional societies recommend that pregnant women be screened for gestational diabetes between 24 and 28 weeks of gestation, as this is the period when insulin resistance increases, allowing sufficient time for treatment to benefit [4][5][6]. Despite this, it has been reported that management of GDM initiated even at 30 weeks' gestation reduced large gestational age (LGA) and macrosomia by 50% [7,8]; however, it failed to normalize excessive fetal adiposity. Studies have recently revealed that growth acceleration among fetuses of diabetic mothers begins before the diagnosis of GDM and continues despite improvements in diabetes management [9][10][11]. ...
... Apart from diabetic control, maternal characteristics such as obesity and advanced maternal age have also been linked to LGA babies. In a previous study, Kim et al. [16] found that GDM diagnosed at 24-28 weeks' gestation affected fetal abdominal obesity (FAO) in older and/or obese women, but not in young women. Furthermore, the Italian guidelines indicate that early screening before 24-24 weeks' gestation should be reserved for mothers with pre-pregnant obesity and other strong risk factors, as the increased acceleration of fetal growth could lead to poorer perinatal outcomes if treatment is delayed until late gestation [17]. ...
