Prepregnancy Body Mass Index as a Significant Predictor of Total Gestational Weight Gain and Birth Weight

2017 ◽  
Vol 78 (2) ◽  
pp. 66-73 ◽  
Author(s):  
Anne-Sophie Morisset ◽  
Lise Dubois ◽  
Cynthia K. Colapinto ◽  
Zong-Chen Luo ◽  
William D. Fraser
Keyword(s):  
Weight Gain ◽  
Birth Weight ◽  
Gestational Weight Gain ◽  
Normal Weight ◽  
Institute Of Medicine ◽  
3D Design ◽  
Gestational Weight ◽  
Prepregnancy Bmi ◽  
Iom Recommendations ◽  
Infant Birth

Purpose: We aimed to describe adherence to gestational weight gain (GWG) recommendations and identify determinants of excessive GWG in a sample of women from Quebec, Canada. Methods: Data were collected from the multi-centre 3D (Design, Develop, Discover) pregnancy cohort study, which included women who delivered between May 2010 and August 2012 at 9 obstetrical hospitals in Quebec, Canada. GWG was calculated for 1145 women and compared to the 2009 Institute of Medicine (IOM) recommendations. Results: Overall, 51% of participants exceeded the recommendations. Approximately 68% of women with obesity gained weight in excess of the IOM recommendations. The corresponding numbers were 75%, 44%, and 27% in overweight, normal weight, and underweight women, respectively. A prepregnancy BMI of 25 kg/m2 or more was the only significant predictor of exceeding GWG recommendations (OR 3.35, 95% CI 2.44–4.64) in a multivariate model. Birth weight was positively associated with GWG. GWG and prepregnancy BMI could explain 3.13% and 2.46% of the variance in birth weight, respectively. Conclusion: About half of women exceeded GWG recommendations, and this was correlated with infant birth weight. This reinforces the need to develop and evaluate strategies, including nutritional interventions, for pregnant women to achieve optimal GWG.

Composition of gestational weight gain impacts maternal fat retention and infant birth weight

2003 ◽  
Vol 189 (5) ◽  
pp. 1423-1432 ◽  
Author(s):  
Nancy F Butte ◽  
Kenneth J Ellis ◽  
William W Wong ◽  
Judy M Hopkinson ◽  
E.O'Brian Smith
Keyword(s):  
Weight Gain ◽  
Birth Weight ◽  
Gestational Weight Gain ◽  
Gestational Weight ◽  
Infant Birth

scholarly journals Gestational Weight Gain among Healthy Pregnant Women from Asia in Comparison with Institute of Medicine (IOM) Guidelines-2009: A Systematic Review

2019 ◽  
Vol 2019 ◽  
pp. 1-10 ◽  
Author(s):  
Priyanka Arora ◽  
Bani Tamber Aeri
Keyword(s):  
Systematic Review ◽  
Weight Gain ◽  
Birth Weight ◽  
Pregnant Women ◽  
Gestational Weight Gain ◽  
Gestational Age ◽  
The United States ◽  
Asian Women ◽  
Institute Of Medicine ◽  
Gestational Weight

In 1990, Institute of Medicine (IOM) recommended gestational weight gain (GWG) ranges for women in the United States primarily to improve infant birth weight. Changes in key aspects of reproductive health of women of child bearing age, a rising prevalence of obesity, and noncommunicable diseases prompted the revision of IOM guidelines in 2009. However, there is no such recommendation available for Asian women. This systematic review assesses the utility of IOM-2009 guidelines among Indian and other Asian pregnant women in terms of maternal and fetal outcomes. 624 citations were identified using PubMed and Google Scholar, out of which 13 were included. Prospective/retrospective studies of healthy Asian women with a singleton pregnancy which specifically examined fetal-maternal outcomes relative to IOM-2009 guidelines were included. Results. Majority of pregnant Indian women achieved less GWG than the recommendations whereas a mixed trend was noticed among the other Asian pregnant women. The most common fetal-maternal complications among the excessive GWG women were found to be macrosomia, large for gestational age and caesarean section followed by gestational diabetes and hypertension, whereas low birth weight, small for gestational age and preterm birth, was found to be associated with low GWG women. The findings highlight the need for appropriate GWG limits across the different body mass index levels specifically for Indians and other Asian population. However, there are not enough publications regarding the utility of IOM-2009 guidelines among the Indian and other Asian women. Thus, higher-quality researches are warranted in future to further validate the findings of the present review.

scholarly journals Excessive gestational weight gain in the first trimester is associated with risk of gestational diabetes mellitus: a prospective study from Southwest China

2019 ◽  
Vol 23 (3) ◽  
pp. 394-401 ◽  
Author(s):  
Xi Lan ◽  
Yi-qi Zhang ◽  
Hong-li Dong ◽  
Ju Zhang ◽  
Feng-ming Zhou ◽  
...  
Keyword(s):  
Diabetes Mellitus ◽  
Weight Gain ◽  
Gestational Weight Gain ◽  
Southwest China ◽  
First Trimester ◽  
Normal Weight ◽  
Second Trimester ◽  
Obese Women ◽  
Gestational Weight ◽  
Iom Recommendations

AbstractObjective:To evaluate the effects of gestational weight gain (GWG) in the first trimester (GWG-F) and the rate of gestational weight gain in the second trimester (RGWG-S) on gestational diabetes mellitus (GDM), exploring the optimal GWG ranges for the avoidance of GDM in Chinese women.Design:A population-based prospective study was conducted. Gestational weight was measured regularly in every antenatal visit and assessed by the Institute of Medicine (IOM) criteria (2009). GDM was assessed with the 75-g, 2-h oral glucose tolerance test at 24–28 weeks of gestation. Multivariable logistic regression was performed to assess the effects of GWG-F and RGWG-S on GDM, stratified by pre-pregnancy BMI. In each BMI category, the GWG values corresponding to the lowest prevalence of GDM were defined as the optimal GWG range.Setting:Southwest China.Participants:Pregnant women (n 1910) in 2017.Results:After adjusting for confounders, GWG-F above IOM recommendations increased the risk of GDM (OR; 95 % CI) among underweight (2·500; 1·106, 5·655), normal-weight (1·396; 1·023, 1·906) and overweight/obese women (3·017; 1·118, 8·138) compared with women within IOM recommendations. No significant difference was observed between RGWG-S and GDM (P > 0·05) after adjusting for GWG-F based on the previous model. The optimal GWG-F ranges for the avoidance of GDM were 0·8–1·2, 0·8–1·2 and 0·35–0·70 kg for underweight, normal-weight and overweight/obese women, respectively.Conclusions:Excessive GWG in the first trimester, rather than the second trimester, is associated with increased risk of GDM regardless of pre-pregnancy BMI. Obstetricians should provide more pre-emptive guidance in achieving adequate GWG-F.

scholarly journals Impact of Gestational Weight Gain on Perinatal Outcomes:Appropriateness of IOM Recommendations in Mainland China

2020 ◽  
Author(s):  
Jing Hu ◽  
Jinsong Gao ◽  
Juntao Liu ◽  
Xietong Wang ◽  
Jing He ◽  
...  
Keyword(s):  
Weight Gain ◽  
Cesarean Section ◽  
Gestational Weight Gain ◽  
Mainland China ◽  
Perinatal Outcomes ◽  
Institute Of Medicine ◽  
Birth Registry ◽  
Gestational Weight ◽  
Increased Risk ◽  
Iom Recommendations

Abstract Abstract The study was conducted to evaluate the clinical feasibility of Institute of Medicine (IOM) recommendations on gestational weight gain (GWG) in mainland China. 88,297 singleton pregnancies from a nationwide birth registry study were included. GWG per week was calculated and grouped into within, below and above IOM (IOM) guidelines based on first trimester Chinese body weight index (BMI) status. Univariable and multivariable analyses were performed to determine the relationship between GWG category and perinatal outcomes. We found that excessive GWG was associated with increased risk in pregnancy induced hypertensive disorders (aOR 2.41, 95%CI 2.16-2.69), cesarean section (aOR 1.55, 95%CI 1.47–1.63 for nulliparas, aOR 1.51, 95%CI 1.38–1.65 for multiparas with no prior cesarean section), severe postpartum hemorrhage (aOR 1.15, 95%CI 1.06-1.26), large for gestational neonates (aOR1.76, 95%CI 1.69-1.85) and macrosomia (aOR 1.83, 95%CI 1.72-1.96), while inadequate GWG was correlated with higher risk in placenta abruption (aOR 1.54, 95%CI 1.29-1.85) , fetal distress (aOR 1.19, 95%CI 1.12-1.26), and small for gestational neonates (aOR 1.50, 95%CI 1.41-1.60). Either GWG above or below was associated with increased risk in preterm birth (aOR 1.48, 95%CI 1.38-1.58 for above, aOR 1.47, 95%CI 1.31–1.64 for below), and neonatal asphyxia (aOR 2.28, 95%CI 2.00-2.61 for above, aOR 1.42, 95%CI 1.25-1.61 for below). GWG within IOM recommendations may help prevent various adverse perinatal outcomes and seemed suitable in Chinese population.

Weight in the First Year of Life: Associations with Maternal Prepregnancy Body Mass Index and Gestational Weight Gain—Findings from a Longitudinal Pregnancy Cohort

2017 ◽  
Vol 34 (08) ◽  
pp. 774-779 ◽  
Author(s):  
Skye McPhie ◽  
Helen Skouteris ◽  
Richard Mattick ◽  
Judy Wilson ◽  
Ingrid Honan ◽  
...  
Keyword(s):  
Body Mass Index ◽  
Weight Gain ◽  
Birth Weight ◽  
Population Sample ◽  
General Population Sample ◽  
Gestational Weight ◽  
Prepregnancy Bmi ◽  
Prepregnancy Body Mass Index ◽  
Weight Outcomes ◽  
Infant Birth

Objective To investigate the obesogenic influence of maternal prepregnancy body mass index (BMI) and gestational weight gain (GWG) on infant weight at birth and 12 months postpartum in an Australian general population sample. Methods Data on 1,305 pregnant women were collected on prepregnancy BMI and GWG through maternal interview, on infant weight at birth through hospital records, and on infant weight 12 months postbirth through direct measurement. Relationships between prepregnancy, gestational weight exposures, and infant weight outcomes were assessed with and without adjustment for potential confounding. Results We observed a 14 to 24 g increase in infant birth weight for every 1 kg increase in maternal weight (infant birth weight: β(BMI) = 0.014, p < 0.000; β(GWG) = 0.012, p < 0.000; and 12 months: β(BMI) = 0.018, p < 0.000; β(GWG) = 0.024, p < 0.000). Effects remained after adjustment for potential confounders (infant birth weight: β(BMI) = 0.014, p < 0.000; β(GWG) = 0.012, p < 0.001; and 12 months: β(BMI)= 0.017, p ≤ 0.033; β(GWG) = 0.023, p = 0.001). However, the effects observed were small, and there was no evidence that GWG mediated relationships between preconception BMI and infant weight. Conclusion In a general population sample, there is a significant but not substantial observed relationship between maternal prepregnancy BMI and GWG and infant weight outcomes, suggesting a minor role for these factors at a population level.

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