scholarly journals Prediction of gestational weight gain – a biopsychosocial model

2014 ◽  
Vol 18 (8) ◽  
pp. 1488-1498 ◽  
Author(s):  
Emily Heery ◽  
Cecily C Kelleher ◽  
Patrick G Wall ◽  
Fionnuala M McAuliffe
Keyword(s):  
Weight Gain ◽  
Food Intake ◽  
Gestational Weight Gain ◽  
Health Behaviours ◽  
Well Being ◽  
Antenatal Depression ◽  
Psychological Well Being ◽  
Gestational Weight ◽  
Excessive Weight ◽  
Foreign Nationality

AbstractObjectiveTo examine the influence of health behaviours and psychological well-being on gestational weight gain using a biopsychosocial model.DesignA prospective cohort study of pregnant women consecutively recruited at their first antenatal care visit. A self-administered questionnaire was used to collect data on health behaviours and psychological well-being in early pregnancy. Linear regression and logistic regression were used to identify predictors of total weight gain in kilograms and weight gain outside the current Institute of Medicine recommendations, respectively.SettingA maternity hospital in the Republic of Ireland.SubjectsData on 799 women were analysed.ResultsPre-pregnant BMI ≥30·0 kg/m2, short stature, parity >0, decreased food intake and absence of health insurance predicted lower absolute gestational weight gain, while foreign nationality, consumption of takeaway meals more than once weekly and increased food intake predicted higher absolute gestational weight gain. Overweight and obesity, foreign nationality, increased food intake and height >170 cm were risk factors for excessive weight gain, while antenatal depression was protective against excessive weight gain. Notably, physical activity measures were not related to the gestational weight gain outcomes. Pre-pregnancy overweight and increased food intake were the strongest predictors of excessive gestational weight gain.ConclusionsNone of the psychological well-being measures examined, with the exception of antenatal depression, was associated with any of the weight gain outcomes. The behavioural predictors of gestational weight gain were increased food intake and takeaway consumption. Public health promotions should target pre-pregnancy BMI and pregnancy-associated change in food intake.

scholarly journals The influence of pre-pregnancy body mass index and gestational weight gain on pregnancy outcomes in two-child women

2019 ◽  
Author(s):  
Hanqing Chen ◽  
Suhua Zou ◽  
Zhuyu Li ◽  
Jianbo Yang ◽  
Jian Cai ◽  
...  
Keyword(s):  
Body Mass Index ◽  
Weight Gain ◽  
Gestational Weight Gain ◽  
Body Mass ◽  
Perinatal Outcomes ◽  
Normal Weight ◽  
Excessive Weight Gain ◽  
Gestational Weight ◽  
Excessive Weight ◽  
Weight Gain During Pregnancy

Abstract Background Pre-pregnancy body mass index and gestational weight gain were related to perinatal outcomes. It was not know the changes of pre-pregnancy body mass index, weight gain during pregnancy and its effect on perinatal outcomes in two-child women.Methods This was a retrospective study. Data of single term women delivered in the First Affiliated Hospital of Sun Yat-sen University were collected from July 2017 to June 2018. Gestational weight gain criteria of the American Institute of Medical Research and pre-pregnancy body mass index classes were used to evaluate the effects on pregnancy outcomes.Results A total of 3049 cases were enrolled in the study. Overweight cases was 9.0% and obesity was 2.4%. The weight gain of the two-child women was less than that of primipara(12.4±3.9vs13.3±4.0kg, P<0.001). The proportion of primipara with excessive weight gain was higher compared to two-child women(20.1%versus17.3%, P<0.001). There were 40.0% overweight primipara and 55.2% of two-child women had excessive weight gain. And 40.5% primipara and 54.5% two-child women of obesity had excessive weight gain during pregnancy. Obese primipara increased the risk of pre-eclampsia (aOR2.38, 95%CI 0.76-7.46). And the odds of diabetes mellitus and large for gestational age also increased in this group (aOR3.49, 95%CI 1.46-8.35 and aOR7.65, 95%CI 1.83-31.97, respectively). Two-child women had similar results. Underweight primipara with excessive weight gain increased the pre-eclampsia risk (aOR2.26, 95%CI 0.29-17.46). Normal weight and overweight/obese primipara also had similar results. But in two-child women, only overweight/obesity increased the risk of pre-eclampsia (aOR2.01, 95%CI 0.41-9.98). Underweight two-child women with less weight gain increased the risk of diabetes(aOR2.06, 95%CI 0.43-9.8). Two-child women with overweight/obese increased the odds of LGA even if they had less weight gain(aOR2.58, 95%CI 0.11-63.22). Normal weight primipara and two-child women with overweight and obese with excessive weight gain had similar results. On the other way, underweight primipara with less weight gain increased the risk of SGA(aOR1.74, 95%CI 0.81-3.76).Conclusions Gestational weight gain of two-child women was less than primipara. Overweight/obese women with excessive weight gain of two-child women increased the risk of adverse outcomes.

scholarly journals Gestational weight gain, nutritional status and blood pressure in pregnant women

2019 ◽  
Vol 53 ◽  
pp. 57 ◽  
Author(s):  
Chiara Alzineth Silva Campos ◽  
Maira Barreto Malta ◽  
Paulo Augusto Ribeiro Neves ◽  
Bárbara Hatzlhoffer Lourenço ◽  
Marcia C Castro ◽  
...  
Keyword(s):  
Blood Pressure ◽  
Weight Gain ◽  
Vitamin A ◽  
Pregnant Women ◽  
Gestational Weight Gain ◽  
Excessive Weight Gain ◽  
Gestational Weight ◽  
The Third ◽  
Excessive Weight ◽  
Prevalence Ratios

OBJECTIVE: To evaluate whether weekly gestational weight gain is associated with anemia, vitamin A insufficiency, and blood pressure levels in the third trimester of pregnancy. METHODS: A prospective study with 457 pregnant women attending primary care in Cruzeiro do Sul, Acre. The weekly gestational weight gain rate measured between the second and third trimesters was classified as insufficient, adequate, and excessive according to the recommendations of the Institute of Medicine 2009. The outcomes at the beginning of the third gestational trimester were: anemia (Hb < 110 g/L), vitamin A insufficiency (serum retinol<1.05 μmol/L) and blood pressure levels (continuous values, in mmHg). Age-adjusted prevalence ratios, schooling, and use of vitamin and mineral supplements were calculated in Poisson regression models with robust variance. RESULTS: A total of 18.6% of pregnant women had insufficient weekly weight gain, and 59.1% had excessive weight gain. The frequencies of anemia, vitamin A insufficiency and hypertension (systolic blood pressure ≥ 140 mmHg or diastolic ≥ 90 mmHg) were 17.5%, 13.4%, and 0.6%, respectively. The prevalence ratios for anemia among pregnant women with insufficient and excessive weight gain were 0.41 (95%CI 0.18–0.93) and 1.00 (95%CI 0.63–1.59), respectively, when compared to pregnant women with adequate weight gain. For vitamin A insufficiency, the adjusted prevalence ratio was significantly higher among pregnant women with insufficient weight gain (2.85, 95%CI 1.55–5.24) and no difference for excessive weight gain (1.53, 95%CI 0.84–2.74) when compared to pregnant women with adequate weight gain. Pregnant women with excessive weight gain had higher mean systolic blood pressure (111.10; 95%CI 109.9–112.2) when compared to pregnant women with insufficient weight gain (107.50; 95%CI 105.4–109.6) and adequate (106.20; 95%CI 104.3–108.20). CONCLUSIONS: Insufficient weekly gestational weight gain was associated with the risk of vitamin A insufficiency. Excessive weight gain, in turn, was associated with higher blood pressure values at the beginning of the third gestational trimester.

scholarly journals The Relationship between Telomere Length and Gestational Weight Gain: Findings from the Mamma & Bambino Cohort

Biomedicines ◽  
2021 ◽  
Vol 10 (1) ◽  
pp. 67
Author(s):  
Andrea Maugeri ◽  
Roberta Magnano San Lio ◽  
Maria Clara La Rosa ◽  
Giuliana Giunta ◽  
Marco Panella ◽  
...  
Keyword(s):  
Weight Gain ◽  
Telomere Length ◽  
Gestational Weight Gain ◽  
Molecular Mechanisms ◽  
Quantitative Polymerase Chain Reaction ◽  
Well Being ◽  
Early Effect ◽  
Gestational Weight ◽  
Relative Telomere Length ◽  
The Relationship

Inadequate gestational weight gain (GWG) affects a growing number of pregnancies, influencing intrauterine environment and long-term health. Uncovering molecular mechanisms associated with GWG could be helpful to develop public health strategies for tackling this issue. Here, our study aimed to understand the relationship of DNA telomere length with weigh gain during pregnancy, using data and samples from the ongoing prospective “Mamma & Bambino” study (Catania, Italy). GWG was calculated according to the Institute of Medicine (IOM) guidelines. Relative telomere length was assessed by real-time quantitative polymerase chain reaction in 252 samples of maternal leucocyte DNA (mlDNA) and 150 samples of cell-free DNA (cfDNA) from amniotic fluid. We observed that relative telomere length of mlDNA seemed to weakly increase with GWG. In contrast, telomere length of cfDNA exhibited a U-shaped relationship with GWG. Women with adequate GWG showed longer telomere length than those who gained weight inadequately. Accordingly, the logistic regression model confirmed the association between telomere length of cfDNA and adequate GWG, after adjusting for potential confounders. Our findings suggest an early effect of GWG on telomere length of cfDNA, which could represent a molecular mechanism underpinning the effects of maternal behaviours on foetal well-being.

Eating pathology and depressive symptoms as predictors of excessive weight gain during pregnancy

2020 ◽  
pp. 135910532091393 ◽  
Author(s):  
Leah M Hecht ◽  
Natalie Schwartz ◽  
Lisa R Miller-Matero ◽  
Jordan M Braciszewski ◽  
Alissa Haedt-Matt
Keyword(s):  
Depressive Symptoms ◽  
Weight Gain ◽  
Gestational Weight Gain ◽  
Depressive Symptomatology ◽  
Eating Pathology ◽  
Self Report ◽  
Gestational Weight ◽  
Excessive Gestational Weight Gain ◽  
Excessive Weight ◽  
Weight Gain During Pregnancy

Excessive gestational weight gain is associated with negative outcomes and the identification of contributing psychosocial factors may be useful in prevention and intervention. Pregnant women ( N = 70) completed self-report measures of eating pathology, depressive symptomatology, and gestational weight gain. Global eating pathology was positively associated with overvaluation of shape and weight, dietary restraint, frequency of binge eating, and depressive symptoms. Depressive symptoms significantly predicted excessive gestational weight gain, while global eating pathology predicted excessive gestational weight gain at a trend level. Results suggest that depressive symptoms more strongly predict excessive gestational weight gain than eating pathology.

scholarly journals Gestational weight gain and nutritional state of the newborn: a descriptive study

2014 ◽  
Vol 35 (1) ◽  
pp. 62-69
Author(s):  
Kelen Cristina Ramos dos SANTOS ◽  
Luana Oliveira MURARO ◽  
Maria Carolina WITKOWSKI ◽  
Márcia Koja BREIGEIRON
Keyword(s):  
Weight Gain ◽  
Secondary School ◽  
Gestational Weight Gain ◽  
Gestational Age ◽  
Family Income ◽  
Nutritional State ◽  
Large For Gestational Age ◽  
Level Of Education ◽  
Gestational Weight ◽  
Excessive Weight

The objective was to characterize puerperal women in relation to gestational weight gain and their newborns in accordance with the nutritional state at birth. This is a descriptive, quantitative and retrospective study approved by the Ethics Committee at the institution responsible. The collection of data was from December 2012 to May 2013. The sample was composed of 24 puerperal women and their children. The participants presented an average age of 26.5 (DP=5.4) years, 79.2% white; 91.7% married; 58.3% multiparous; 75% with a level of education between secondary school and higher education; 58.3% with a low family income; 54.1% presented an altered pre-gestational nutritional state and 75% obtained an inadequate gestational weight gain. 79.2% of the newborns were classified as Adequate for Gestational Age (AIG). The newborns classified as Large for Gestational Age (GIG) were from pregnant women that had excessive weight gain or were overweight. It was concluded that health professionals should be attentive to nutritional deviations with the intention of avoiding complications for maternal/fetal health.

scholarly journals Food intake and gestational weight gain in Swedish women

SpringerPlus ◽  
2016 ◽  
Vol 5 (1) ◽  
Author(s):  
Linnea Bärebring ◽  
Petra Brembeck ◽  
Marie Löf ◽  
Hilde K. Brekke ◽  
Anna Winkvist ◽  
...  
Keyword(s):  
Weight Gain ◽  
Food Intake ◽  
Gestational Weight Gain ◽  
Gestational Weight

scholarly journals Fried food intake estimated by the multiple source method is associated with gestational weight gain

2014 ◽  
Vol 34 (8) ◽  
pp. 667-673 ◽  
Author(s):  
Daniela S. Sartorelli ◽  
Patrícia Barbieri ◽  
Gleici C.S. Perdoná
Keyword(s):  
Weight Gain ◽  
Food Intake ◽  
Gestational Weight Gain ◽  
Multiple Source ◽  
Fried Food ◽  
Gestational Weight ◽  
Source Method

scholarly journals The Effects of Pre-Pregnancy Body Mass Index and Gestational Weight Gain on the Risk of Preeclampsia at a Tertiary Referral Hospital, Northern Tanzania

2020 ◽  
Author(s):  
Nelago Tukondjeni Amagulu ◽  
Bariki Mchome ◽  
Julius Pius Alloyce ◽  
Kingsly Tobi ◽  
Eusebius Maro
Keyword(s):  
Weight Gain ◽  
Gestational Weight Gain ◽  
Multinomial Logistic Regression ◽  
Normal Weight ◽  
Excessive Weight Gain ◽  
Gestational Weight ◽  
Excessive Weight ◽  
Northern Tanzania ◽  
Increased Risk ◽  
In Pregnancy

Abstract Background: Pre/eclampsia and other hypertensive disorders of pregnancy contributed to 18% of the maternal mortality reported in Northern Tanzanian. There is increasing prevalence of obesity in Tanzania which is related to excessive weight gain in pregnancy. Both high BMI and excessive gestation weight gain are identified to increase risk of PE and subtypes, however this is still inconclusive and little is known about the joint effect of pre-pregnancy BMI and GWG on risk of PE and its subtypes in Africa. We evaluated the independent and joint effects of pre-pregnancy BMI and GWG on the risk of pre-eclampsia and its subtypes among women who delivered at Kilimanjaro Christian Medical Center (KCMC) from October 2018 to May 2019, Northern Tanzania.Methods: We performed a retrospective birth cohort study from October 2018 to May 2019 at KCMC, Tanzania. Pre-pregnancy BMI was categorized using WHO categories into Underweight (˂ 18.5kg/m²), Normal weight (18.5-24.9kg/m²), Overweight (25-29.9kg/m²) and Obese (≥ 30kg/m²). Gestational Weight Gain (GWG) was categorized using the 2009 Institute of Medicine (IOM) guidelines into Inadequate, Adequate and Excessive weight gain in pregnancy. Multinomial logistic regression analysis was used to adjust for confounders using relative risk, 95% confidence interval for the risk ratios (RR) that did not cross 1 and p<0.05 were regarded statistically significant.Results: Among the 1309 women analysed, 5.3% were Underweight, 51.1% Normal weight, 26.9% Overweight and 16.7% were Obese. About 43.5% had excessive GWG. Women with PE were 9.5%. Both obesity and excessive GWG independently increased risk of PE with adjusted RR=2.42, 95%CI: 1.48-3.96 and RR=1.77, 95%CI: 1.16-2.69 when compared to normal BMI and adequate GWG respectively. Jointly, Obesity and Excessive GWG had the highest risk of PE (ARR=4.95, 95%CI: 2.21-11.10). The increased risk was similar for Mild PE (MPE), Severe PE or eclampsia (SP/E) and Late Onset PE (LOPE). No association was found for Early Onset PE (EOPE).Conclusion: Pre-pregnancy Obesity and Excessive GWG independently and jointly increases risk for PE and the risk varies by PE subtype.

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