scholarly journals Comparison of Two Criteria of Weight Gain Adequacy During Pregnancy in Relation to Anthropometric Indices in Uruguayan Young Children

2020 ◽  
Vol 4 (Supplement_2) ◽  
pp. 1057-1057
Author(s):  
Lucía Pienovi ◽  
Carmen Donangelo ◽  
Cecilia Severi
Keyword(s):  
Weight Gain ◽  
Growth Patterns ◽  
World Health ◽  
Institute Of Medicine ◽  
Maternal Weight ◽  
Pregnancy Weight Gain ◽  
Anthropometric Indices ◽  
Health Organization ◽  
Pregnancy Weight ◽  
Weight Gain During Pregnancy

Abstract Objectives To compare the relationship between maternal weight gain during pregnancy and anthropometric indices of Uruguayan children under 4 years examined by two different criteria for adequate pregnancy weight gain: Atalah et al. (AEA) widely used in Latin America and Institute of Medicine (IOM). Methods Descriptive study of data from the First National Survey of Child Health, Nutrition and Development of Uruguay (ENDIS) of children (n = 1602; age 24.3 ± 10.6 months) recruited in 2013. Weight and height of the children were measured. Child birth weight (BW) and pregnancy weight gain (PregWG) were reported at the interview. PregWG was classified as adequate or excessive according to AEA and IOM criteria. Z scores for weight-for-age (WAZ), height-for-age (HAZ), weight-for-height (WHZ) and body mass index-for-age (BAZ) of the children were obtained from the Growth Patterns of World Health Organization. Results Prevalence of excessive PregWG was higher based on AEA (51.2%) compared to IOM (38.9%) criteria (P < 0.001). Excessive PregWG was associated with higher child BW compared to adequate PregWG using both criteria (AEA: 3361 ± 525 g and 3203–550 g, IOM: 3379 ± 543 g and 3224–534 g, respectively) (P < 0.001). Prevalence of macrosomic BW (>4000 g) with excessive PregWG was similar using AEA (10%) and IOM (12%). WAZ was higher with excessive compared to adequate PregWG using AEA (0.52 ± 1.07 and 0.32 ± 1.66, respectively) (P < 0.005) but not different by using IOM (0.51 ± 1.08 and 0.37 ± 1.55, respectively) (P = 0.057). HAZ was lower with excessive compared to adequate PregWG based on AEA (−0.4 ± 1.12 and −0.23 ± 1.10, respectively) (P = 0.001) but not different based on IOM (−0.7 ± 1.15 and −0.18 ± 1.09, respectively) (P = 0.057). WHZ and BAZ did not differ by PregWG categories using AEA or IOM. Conclusions Prevalence of excessive weight gain during pregnancy was higher using AEA compared to IOM criteria. However, only subtle differences in the associations between adequacy of pregnancy weight gain and child anthropometric indices were observed when using AEA or IOM criteria. Funding Sources Instituto Nacional de Estadística, Uruguay.

scholarly journals The Effects of Pre-Pregnancy Body Mass Index and Weight Gain During Pregnancy on Perinatal Outcomes: A Retrospective Cohort Study

2021 ◽  
Author(s):  
Engin Yurtcu ◽  
Sibel Mutlu ◽  
Enis Ozkaya
Keyword(s):  
Body Mass Index ◽  
Weight Gain ◽  
Preterm Delivery ◽  
Body Mass ◽  
Retrospective Cohort ◽  
Neonatal Intensive Care ◽  
Perinatal Outcomes ◽  
Pregnancy Weight Gain ◽  
Pregnancy Weight ◽  
Weight Gain During Pregnancy

OBJECTIVE: To investigate the effects of pre-pregnancy body mass index and weight gain during pregnancy on perinatal outcomes and delivery mode. STUDY DESIGN: In this retrospective cohort study, 722 pregnant women giving birth between 2018-2019 were screened from our hospital database. First, they were divided into four groups according to their pre-pregnancy body mass index (low-weight/normal-weight/overweight/obese), and then they were redivided into three groups according to pregnancy weight gain (≤7/8-15/≥16 kg). Prenatal body mass index and pregnancy weight gain were compared concerning maternal-neonatal results and mode of delivery. RESULTS: According to pre-pregnancy body mass index, among the obese pregnant group, gestational diabetes mellitus (p<0.001), preeclampsia (p=0.029), preterm delivery (p=0.011) and cesarean delivery (p=0.061) rates were more common. As the body mass index increases, neonatal intensive care requirement (p=0.0020) and low 1st minute APGAR scores (p=0.019) were detected more frequently. However, as pregnancy weight gain decreased, preterm delivery (p=0.041) increased. Also, birth weight increased (p<0.001) with the weight gain of the pregnant. Pregnant women gaining more than 16 kg were associated either with a lower <2500 g or a higher birth weight risk >4000 g. CONCLUSION: Pre-pregnancy high body mass index is associated with negative obstetric outcomes like gestational diabetes, preeclampsia, preterm delivery, and increased cesarean rates, and poor fetal incidences with a low APGAR score and high neonatal intensive care admission rates.

NICOTINE CONSUMPTION BEFORE AND DURING PREGNANCY AFFECTS NOT ONLY NEWBORN SIZE BUT ALSO BIRTH MODUS

2003 ◽  
Vol 35 (2) ◽  
pp. 175-188 ◽  
Author(s):  
SYLVIA KIRCHENGAST ◽  
BEDA HARTMANN
Keyword(s):  
Weight Gain ◽  
Weight Status ◽  
Lower Percentage ◽  
Maternal Weight ◽  
Low Weight ◽  
Term Births ◽  
Nicotine Consumption ◽  
Pregnancy Weight ◽  
Newborn Size ◽  
Weight Gain During Pregnancy

The associations between cigarette smoking before and during pregnancy and maternal body size (pre-pregnancy weight status, end of pregnancy weight status, weight gain during pregnancy) and newborn size (birth weight, length, head circumference, arcomial circumference), as well as birth modus, were tested in 7803 single full-term births in Vienna. Nicotine consumption before and during pregnancy was found to be associated with smaller and lighter newborns, although maternal weight status and weight gain during pregnancy was signi.cantly higher in smokers. Furthermore, a higher incidence of Caesarean sections was found in smokers. A reduction in the number of daily smoked cigarettes was associated with a lower percentage of low weight newborns (<2500 g).

Maternal weight, pregnancy weight gain, and the risk of antepartum stillbirth

2001 ◽  
Vol 184 (3) ◽  
pp. 463-469 ◽  
Author(s):  
Olof Stephansson ◽  
Paul W. Dickman ◽  
Anna Johansson ◽  
Sven Cnattingius
Keyword(s):  
Weight Gain ◽  
Maternal Weight ◽  
Pregnancy Weight Gain ◽  
Pregnancy Weight ◽  
Antepartum Stillbirth

Increased pregnancy weight gain in women with latent toxoplasmosis and RhD-positivity protection against this effect

Parasitology ◽  
2010 ◽  
Vol 137 (12) ◽  
pp. 1773-1779 ◽  
Author(s):  
Š. KAŇKOVÁ ◽  
J. ŠULC ◽  
J. FLEGR
Keyword(s):  
Weight Gain ◽  
Birth Length ◽  
Abdominal Circumference ◽  
Maternal Weight ◽  
Pregnancy Weight Gain ◽  
Fetal Ultrasound ◽  
Biparietal Diameter ◽  
The Difference ◽  
Maternal Protection ◽  
Pregnancy Weight

SUMMARYObjective. RhD-positive subjects are protected against toxoplasmosis-associated impairment of psychomotor performance. Here we searched for RhD-positivity-associated maternal protection against the effects of toxoplasmosis. Methods. In the present retrospective cohort study, we analysed data from 785 (139 RhD-negative) Toxoplasma-free and 194 (27 RhD-negative) Toxoplasma-infected pregnant women. We searched for effects of toxoplasmosis and Rhd-phenotype on maternal weight before pregnancy, pregnancy weight gain, fetal ultrasound data (biparietal diameter, abdominal circumference, femur length) and on birth length and weight. Results. At pregnancy week 16, the RhD-negative mothers with toxoplasmosis gained more weight than others (P<0·001). The difference of about 1600 g remained approximately constant from pregnancy week 16 until the end of pregnancy. Neither toxoplasmosis nor RhD phenotype had any effect on fetal bioparameter data or birth length and weight. Conclusion. The most parsimonious explanation for the observed data is that the RhD-positive phenotype might protect infected subjects against a broad spectrum of detrimental effects of latent toxoplasmosis, including excessive gestational weight gain.

scholarly journals Gestational Weight Gain and Offspring Longitudinal Growth in Early Life

2015 ◽  
Vol 67 (1) ◽  
pp. 49-57 ◽  
Author(s):  
Jill C. Diesel ◽  
Cara L. Eckhardt ◽  
Nancy L. Day ◽  
Maria M. Brooks ◽  
Silva A. Arslanian ◽  
...  
Keyword(s):  
Weight Gain ◽  
Gestational Weight Gain ◽  
Infant Growth ◽  
Growth Patterns ◽  
World Health ◽  
Z Score ◽  
Growth Standards ◽  
Gestational Weight ◽  
Excessive Gestational Weight Gain ◽  
Health Organization

Background: Excessive gestational weight gain (GWG) increases the risk of childhood obesity, but little is known about its association with infant growth patterns. Aim: The aim of this study was to examine the association between GWG and infant growth patterns. Methods: Pregnant women (n = 743) self-reported GWG at delivery, which we classified as inadequate, adequate or excessive based on the current guidelines. Offspring weight-for-age z-score (WAZ), length-for-age z-score (LAZ (with height-for-age (HAZ) in place of length at 36 months)) and body mass index z-score (BMIZ) were calculated at birth, 8, 18 and 36 months using the 2006 World Health Organization growth standards. Linear mixed models estimated the change in z-score from birth to 36 months by GWG. Results: The mean (SD) WAZ was -0.22 (1.20) at birth. Overall, WAZ and BMIZ increased from birth to, approximately, 24 months and decreased from 24 to 36 months, while LAZ/HAZ decreased from birth through 36 months. Excessive GWG was associated with higher offspring WAZ and BMIZ at birth, 8 and 36 months, and higher HAZ at 36 months, compared with adequate GWG. Compared with the same referent, inadequate GWG was associated with smaller WAZ and BMIZ at birth and 8 months. Conclusion: Excessive GWG may predispose infants to obesogenic growth patterns, while inadequate GWG may not have a lasting impact on infant growth.

Antepartum Bed Rest: Maternal Weight Change and Infant Birth Weight

2004 ◽  
Vol 5 (3) ◽  
pp. 177-186 ◽  
Author(s):  
Judith A. Maloni ◽  
Greg R. Alexander ◽  
Mark D. Schluchter ◽  
Dinesh M. Shah ◽  
Seunghee Park
Keyword(s):  
Weight Gain ◽  
Birth Weight ◽  
Gestational Age ◽  
Weight Change ◽  
Bed Rest ◽  
Institute Of Medicine ◽  
Maternal Weight ◽  
Race And Gender ◽  
Pregnancy Weight ◽  
Infant Birth

Despite lack of evidence for effectiveness, obstetricians in the United States prescribe antepartum bed rest for more than 700,000 women per year. However, in nonpregnant samples, bed rest treatment produces weight loss. This study assessed maternal weight change (gain) during antepartum hospitalization for bed rest treatment; compared appropriateness of infant birth weights for gestational age, race, and gender; and determined whether maternal weight change predicted infant birth weight. The convenience sample for this longitudinal study consisted of 141 women with high-risk pregnancies who were treated with hospital bed rest. Weekly rate of pregnancy weight change by body mass index was compared with Institute of Medicine recommendations for rate of pregnancy weight gain. Infant birth weight was compared with current US infant birth weights for matching gestational age, gender, and race. Weekly antepartum weight change was significantly lower than Institute of Medicine recommendations (P < 0.001). Infant birth weights were also significantly lower than the national mean when matched for each infant’s gestational age, race, and gender ( P < 0.001). Maternal weight change predicted infant birth weight ( P = 0.05). Bed rest treatment is ineffective for improving pregnancy weight gain. Lower infant birth weights across all gestational ages suggest that maternal weight loss during bed rest may be associated with an increased risk of fetal growth restriction. A randomized trial comparing women with high-risk pregnancies who are ambulatory with those on bed rest is needed to determine whether bed rest treatment, underlying maternal-fetal disease, or both influence inadequate maternal weight gain and poor intrauterine growth.

scholarly journals Adequate weight gain in pregnancy: An analysis of its determinants in a cross-sectional study

2014 ◽  
Vol 142 (11-12) ◽  
pp. 695-702 ◽  
Author(s):  
Alina Popa ◽  
Raluca Popescu ◽  
Gina Botnariu
Keyword(s):  
Weight Gain ◽  
Prenatal Care ◽  
Pregnant Women ◽  
Cross Sectional Study ◽  
Institute Of Medicine ◽  
Obese Women ◽  
Sectional Study ◽  
Maternal Weight ◽  
Cross Sectional ◽  
Weight Gain During Pregnancy

Introduction. Prenatal care is considered an important tool for promoting a healthy lifestyle, but has not been studied as a predictor for maternal weight gain during pregnancy, especially in Romania, where evidence about pregnancy and nutrition is scarce. Objective. This study has aimed to explore the relationship between pre-gestational body mass index (BMI), adequacy of prenatal care and weight gain during pregnancy. Methods. We carried a cross-sectional study on a sample of 400 pregnant women admitted at the ?Cuza Voda? Obstetrics and Gynecology Hospital in Iasi. Information regarding demographic characteristics, number of prenatal visits, date of the initial hospital record, nutritional education during pregnancy were registered throughout a questionnaire filled out by means of a direct interview. The anthropometric indicators analyzed were the pre-gestational BMI and the pregnancy weight gain. Data on caloric intake were obtained using a food frequency questionnaire. Results. Weight gain within the limits of the Institute of Medicine recommendations was noticed at 44.35% of the women who declared that they received nutritional advice compared to 40.7% of those who did not receive advice regarding diet during pregnancy. Overweight (53.1%) and obese women (66.7%) had a larger weight gain than those with a normal pre-pregnancy BMI (29.8%) (p<0.001). The variables that were identified with an effect on weight gain in this sample of pregnant women were: inadequate prenatal care, pre-gestational BMI and energy intake. Conclusion. Identifying the pre-gestational BMI and diet changes as predictors of weight gain underline the importance of an individualized prenatal care.

scholarly journals The performance of various anthropometric assessment methods for predicting low birth weight in pregnant women

2009 ◽  
Vol 9 (2) ◽  
pp. 197-206 ◽  
Author(s):  
Patricia de Carvalho Padilha ◽  
Elizabeth Accioly ◽  
Glória Valéria da Veiga ◽  
Tereza Cristina Bessa ◽  
Beatriz Della Libera ◽  
...  
Keyword(s):  
Weight Gain ◽  
Birth Weight ◽  
Low Birth Weight ◽  
Nutritional Status ◽  
Pregnant Women ◽  
Maternity Hospital ◽  
World Health ◽  
Institute Of Medicine ◽  
Ministry Of Health ◽  
Health Organization

OBJECTIVES: to assess the performance of various anthropometric methods for the evaulation of the nutritional status of pregnant women as a means of predicting low birth weight (LBW). METHODS: a descriptive cross-cutting study carried out among 433 pregnant women (>20 years) attending a Public Maternity Hospital in Rio de Janeiro, Brazil. The adequacy of the weight gain at the end of the pregnancy was evaluated in accordance with the proposals of the Institute of Medicine and the Brazilian Ministry of Health. The sensitivity, specificity and accuracy of the adequacy of weight gain at the end of the pregnancy or nutritional state of mother as a predictor of low birth weight were calculated. RESULTS: the sensitivity of the various methods varied from 63.1% to 68.4% and the specificity from 71.2% to 75.1%. The adapted Institute of Medicine proposal drawn up by the Brazilian Ministry of Health, according to the classification of the pre-delivery nutritional status of the mother according to the World Health Organization cutoff points showed itself to be the most accurate (74.5%), this being the most adequate method for nutritional triage for reason of its association with low birth weight (OR=4.10; 95%CI=1.53-10.92). CONCLUSIONS: the best proposals for this population are those of the Institute of Medicine and the Brazilian Ministry of Health. Further studies aiming to ascertain the most appropriate methods of anthropometric evaluation for different populations should be encouraged.

scholarly journals 1311Postpartum weight retention and pregnancy weight gain in women with Gestational Diabetes Mellitus (GDM)

2021 ◽  
Vol 50 (Supplement_1) ◽  
Author(s):  
Michele Drehmer ◽  
Leticia Silveira ◽  
Paula Bracco ◽  
Maria Inês Schmidt
Keyword(s):  
Weight Gain ◽  
Gestational Weight Gain ◽  
Maternal Obesity ◽  
National Health System ◽  
Institute Of Medicine ◽  
Weight Retention ◽  
Pregnancy Weight Gain ◽  
Chi Square ◽  
Gestational Weight ◽  
Pregnancy Weight

Abstract Background Since GDM is important risk factor for type 2 diabetes and maternal obesity can potentiate this outcome, the study sought to describe gestational weight gain and one-year postpartum weight retention (PPWR) in women with GDM. Methods Multicentre cohort study of 598 women with GDM enrolled in prenatal clinics of the Brazilian National Health System and followed by telephone up to 1-year postpartum. Socioeconomic and nutritional data were evaluated in recruitment. Gestational weight gain (GWG) and pre-pregnancy BMI were classified according to Institute of Medicine, 2009. PPWR was the difference between weights 1-year postpartum and pre-pregnancy. Chi-square test compared proportions of PPWR, pre-gestational BMI and GWG. Results Women had mean age 31.2 ± 6.1 years. Mean pre-pregnancy BMI was 30.3 ± 6.5 kg/m², GWG was 9.6 ± 7.3 kg and PPWR was 0.8 ± 6.8. Pre-pregnancy BMI over 25 kg/m² was found in 78%, excessive GWG in 37.6% and PPWR 1-year in 47.7%. PPWR ≥ 5kg was found in 27.6% and was higher in excessive GWG (p &lt; 0.001). Women with excessive GWG, 55.2% had PPWR ≥ 5kg. For all categories of pre-pregnancy BMI, there was higher proportion of PPWR ≥ 5kg in those who had excessive GWG. Conclusions Almost half of women who had GDM presented weight retention in 1-year postpartum. We found more PPWR in who had excessive pregnancy weight gain. Key messages PPWR is common in women with GDM and there is higher proportion of PPWR ≥ 5kg in women with excessive GWG in all pre-pregnancy BMI categories.

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