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

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.

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Abstract #534 Influence of Gestational Weight Gain and Pre-Pregnancy Body Mass Index on Birth Weight

Endocrine Practice ◽

10.1016/s1530-891x(20)46878-8 ◽

2019 ◽

Vol 25 ◽

pp. 268-269

Author(s):

Bolanle Okunowo ◽

Ifedayo Odeniyi ◽

Oluwarotimi Olopade ◽

Olufemi Fasanmade ◽

Omololu Adegbola ◽

...

Keyword(s):

Body Mass Index ◽

Weight Gain ◽

Birth Weight ◽

Gestational Weight Gain ◽

Body Mass ◽

Gestational Weight

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Impact of Maternal Glucose and Gestational Weight Gain on Child Obesity over the First Decade of Life in Normal Birth Weight Infants

Maternal and Child Health Journal ◽

10.1007/s10995-016-1955-7 ◽

2016 ◽

Vol 20 (8) ◽

pp. 1559-1568 ◽

Cited By ~ 23

Author(s):

Teresa A. Hillier ◽

Kathryn L. Pedula ◽

Kimberly K. Vesco ◽

Caryn E.S. Oshiro ◽

Keith K. Ogasawara

Keyword(s):

Weight Gain ◽

Birth Weight ◽

Gestational Weight Gain ◽

Child Obesity ◽

Normal Birth Weight ◽

Normal Birth ◽

Gestational Weight ◽

Maternal Glucose

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Gestational weight gain and its effect on fetomaternal outcome

International Journal of Reproduction Contraception Obstetrics and Gynecology ◽

10.18203/2320-1770.ijrcog20204796 ◽

2020 ◽

Vol 9 (11) ◽

pp. 4477

Author(s):

Khushboo Singh ◽

Alka Goel ◽

Anupriya Narain

Keyword(s):

Weight Gain ◽

Birth Weight ◽

Gestational Weight Gain ◽

Mode Of Delivery ◽

Normal Pregnancy ◽

Statistical Correlation ◽

Asia Pacific ◽

Hypertensive Disorder ◽

Indian Women ◽

Gestational Weight

Background: In normal pregnancy, variable amount of weight gain is a constant phenomenon. The study aims to find an association between gestational weight gain and fetomaternal outcome. GWG (using institute of medicines guidelines meant for US population) and pregnancy outcomes among Asian Indians across different BMI categories (according to WHO Asia Pacific BMI cut points) were studied.Methods: 300 women were split into the three groups based on their gestational weight gain. Namely, below recommended GWG, recommended GWG and above recommended GWG group. Comparison of various fetomaternal outcomes was done between these groups.Results: In women, who had higher than recommended GWG, 30.5% developed GDM, 23.2% had gestational hypertensive disorder, 36.6% developed hypothyroidism, 12.2% had pre-term birth and 15.9% had low birth weight. In recommended GWG category, these were 5.4%, 4.5%, 30.6%, 7.2% and 17.1% respectively; and in below recommended category, these were 14%, 1.9%, 22.4%,12.1% and 24.3% respectively.Conclusions: GWG generally follows the BMI pattern at the time of entering into pregnancy, higher the BMI more the GWG. More GWG was associated with GDM, Gestational hypertensive disorders and poor APGAR at birth. Below recommended GWG was associated with higher occurrence of GDM. No statistical correlation, between GWG and mode of delivery, NICU stay, preterm birth and birth weight was observed. Larger study is required to establish the applicability of IOM Guidelines for GWG on Indian women.

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