scholarly journals The Combination of Excessive Gestational Weight Gain and Low Birth Weight is Associated with Increased Obesity Risk among Young Children in Low‐Income Households

2011 ◽  
Vol 25 (S1) ◽  
Author(s):  
Maria Koleilat ◽  
Gail Harrison ◽  
Shannon Whaley
Keyword(s):  
Weight Gain ◽  
Birth Weight ◽  
Low Birth Weight ◽  
Young Children ◽  
Gestational Weight Gain ◽  
Low Income ◽  
Obesity Risk ◽  
Gestational Weight ◽  
Excessive Gestational Weight Gain ◽  
Low Income Households

scholarly journals Gestational Weight Gain and Pregnancy Outcomes among Nulliparous Women

2019 ◽  
Author(s):  
Annie M. Dude ◽  
William Grobman ◽  
David Haas ◽  
Brian M. Mercer ◽  
Samuel Parry ◽  
...  
Keyword(s):  
Weight Gain ◽  
Birth Weight ◽  
Gestational Weight Gain ◽  
Gestational Age ◽  
Small For Gestational Age ◽  
Pregnancy Outcomes ◽  
Large For Gestational Age ◽  
Gestational Weight ◽  
Excessive Gestational Weight Gain ◽  
Hypertensive Disorders

Abstract Objective To determine the association between total gestational weight gain and perinatal outcomes. Study Design Data from the Nulliparous Pregnancy Outcomes Study: Monitoring Mothers-To-Be (NuMoM2b) study were used. Total gestational weight gain was categorized as inadequate, adequate, or excessive based on the 2009 Institute of Medicine guidelines. Outcomes examined included hypertensive disorders of pregnancy, mode of delivery, shoulder dystocia, large for gestational age or small for-gestational age birth weight, and neonatal intensive care unit admission. Results Among 8,628 women, 1,666 (19.3%) had inadequate, 2,945 (34.1%) had adequate, and 4,017 (46.6%) had excessive gestational weight gain. Excessive gestational weight gain was associated with higher odds of hypertensive disorders (adjusted odds ratio [aOR] = 2.05, 95% confidence interval [CI]: 1.78–2.36) Cesarean delivery (aOR = 1.24, 95% CI: 1.09–1.41), and large for gestational age birth weight (aOR = 1.49, 95% CI: 1.23–1.80), but lower odds of small for gestational age birth weight (aOR = 0.59, 95% CI: 0.50–0.71). Conversely, inadequate gestational weight gain was associated with lower odds of hypertensive disorders (aOR = 0.75, 95% CI: 0.62–0.92), Cesarean delivery (aOR = 0.77, 95% CI: 0.65–0.92), and a large for gestational age birth weight (aOR = 0.72, 95% CI: 0.55–0.94), but higher odds of having a small for gestational age birth weight (aOR = 1.64, 95% CI: 1.37–1.96). Conclusion Both excessive and inadequate gestational weight gain are associated with adverse maternal and neonatal outcomes.

scholarly journals Stratified analysis of the correlation between gestational weight gain and birth weight for gestational age: a retrospective single-center cohort study in Japan

2019 ◽  
Vol 19 (1) ◽  
Author(s):  
Noriko SATO ◽  
Naoyuki MIYASAKA
Keyword(s):  
Weight Gain ◽  
Birth Weight ◽  
Low Birth Weight ◽  
Gestational Weight Gain ◽  
Gestational Age ◽  
Cohort Analysis ◽  
University Hospital ◽  
Gestational Weight ◽  
Tokyo Medical ◽  
Newborn Size

Abstract Background Japan has an exceptionally high proportion of low-weight births and underweight women. It has been suggested that an appropriate increase in gestational weight gain (GWG) for underweight women will help to prevent low birth weight. The current strategy aims to raise the desired value of GWG equally for all pregnant women within the underweight category. However, it remains elusive whether or not the relationship between GWG and birth weight for gestational age (BW/GA) are uniformly equivalent for all the women. Methods We performed a retrospective cohort analysis of women who delivered their newborns at Tokyo Medical and Dental University Hospital from 2013 to 2017. First, in order to examine the direct effect of an increase or decrease in GWG on BW/GA, we analyzed the correlation between inter-pregnancy differences in GWG and BW/GA using a sub-cohort of women who experienced two deliveries during the study period (n = 75). Second, we dichotomized the main cohort (n = 1114) according to BW/GA to verify our hypothesis that the correlation between GWG and BW/GA differs depending on the size of the newborn. Results The inter-pregnancy difference in BW/GA was not correlated with that of GWG. However, the correlation between BW/GA of siblings was high (r = 0.63, p = 1.9 × 10− 9). The correlation between GWG and BW/GA in women who delivered larger-sized newborns was higher (r = 0.17, p = 4.1 × 10− 5) than that in women who delivered smaller-sized newborns (r = 0.099, p = 1.9 × 10− 2). This disparity did not change after adjustment for pre-pregnancy BMI. The mean birth weight in the dichotomized groups corresponded to percentile 52.0 and 13.4 of the international newborn size assessed by INTERGROWTH-21st standards. Conclusions In our study, GWG was positively correlated with BW/GA for heavier neonates whose birth weights were similar to the average neonatal weight according to world standards. However, caution might be required for low-birth-weight neonates because increased GWG does not always result in increased birth weight.

scholarly journals Perceptions of Low-Income African-American Mothers About Excessive Gestational Weight Gain

2011 ◽  
Vol 16 (9) ◽  
pp. 1837-1843 ◽  
Author(s):  
Sharon J. Herring ◽  
Tasmia Q. Henry ◽  
Alicia A. Klotz ◽  
Gary D. Foster ◽  
Robert C. Whitaker
Keyword(s):  
African American ◽  
Weight Gain ◽  
Gestational Weight Gain ◽  
Low Income ◽  
African American Mothers ◽  
Gestational Weight ◽  
Excessive Gestational Weight Gain

scholarly journals Determining Acceptability of a Text-message Based Intervention to Prevent Excessive Gestational Weight Gain in Low-income Women in Hawai'i WIC (P04-029-19)

2019 ◽  
Vol 3 (Supplement_1) ◽  
Author(s):  
Dustin Valdez ◽  
Cristina Palacios ◽  
Jinan Banna
Keyword(s):  
Weight Gain ◽  
Pregnant Women ◽  
Gestational Weight Gain ◽  
Low Income ◽  
Text Message ◽  
Healthy Food ◽  
Nutrition Intervention ◽  
Gestational Weight ◽  
Excessive Gestational Weight Gain ◽  
Low Income Women

Abstract Objectives The purpose of this study was to determine the acceptability of messages in a text message-based nutrition intervention for the prevention of excessive gestational weight gain in low-income women in the Women, Infants, and Children (WIC) program in Hawai‘i. Methods Low-income pregnant women (n = 100) in Hawaii participated in a four-month text message-based nutrition intervention program. Participants in the intervention arm received 18 text messages (1/week) that focused on reinforcing WIC's nutritional recommendations for pregnant women. Participants who completed the intervention were interviewed at their respective WIC clinic about their experiences with the messages. The interviews were transcribed and content analysis to identify the prevailing themes and concepts was performed with NVivo (version 12, GSR International, Inc, Burlington, MA). Results Participants responded to questions in four content areas: most useful messages for staying healthy, least useful messages for staying healthy, messages that affected eating and exercise habits, and the experience of receiving messages. The most useful messages related to healthy food substitutions. The least helpful messages were those participants felt they were unable to perform, such as eating sardines for omega-3 fatty acids. Participants cited that messages relating to healthy food substitutions as having the most impact on eating behavior. Most participants also felt that increasing the number of messages would have been helpful. Conclusions Results suggest that providing information relating to healthy food substitutions as well as providing a high frequency of messages could be beneficial in the development of mobile health programs for low-income pregnant women in controlling gestational weight gain. Funding Sources Mountain West Clinical Translational Research Infrastructure Network under a grant from National Institute of General Medicine Sciences of the National Institute of Health.

Adolescent Gestational Weight Gain and Birth Weight

PEDIATRICS ◽  
1993 ◽  
Vol 92 (6) ◽  
pp. 805-809
Author(s):  
Catherine Stevens-Simon ◽  
Elizabeth R. MCAnarney ◽  
Klaus J. Roghmann
Keyword(s):  
Weight Gain ◽  
Birth Weight ◽  
Gestational Weight Gain ◽  
Low Income ◽  
Black Adolescents ◽  
Maternal Weight Gain ◽  
Maternal Weight ◽  
Gestational Weight ◽  
Prepregnancy Weight ◽  
Older Adolescents

Objective. To examine the relationship among maternal age, prepregnancy weight, gestational weight gain, and birth weight in 141 low-income black adolescents and their infants. Study sample. One hundred forty-one consecutively enrolled, low-income, black adolescents who entered prenatal care prior to their 23rd week of gestation, were free of chronic diseases, took no regular medications, had no known uterine anomalies, and gave birth to one live neonate. Results. After controlling for prepregnancy weight and other potentially confounding variables, we found a significant relationship between gestational weight gain and infant birth weight among younger adolescents (<16 years old at conception), but not among older adolescents (16 through 19 years old at conception); younger adolescents contributed more of their gestational weight gain to their fetuses than did older adolescents. Among younger adolescents the rate of maternal weight gain during the entire gestation was significantly correlated with birth weight (r = .40; P < .01), whereas for older adolescents only maternal weight gain during the second half of gestation was significantly correlated with birth weight (r = .25, P < .05). Conclusions. The data do not support the thesis that younger adolescents compete with their fetuses for nutrients; in fact, younger study adolescents transferred more of their gestational weight gain to their fetuses than did older adolescents.

scholarly journals Effect of maternal age and gestational weight gain on anthropometry of the newborn in semi urban area of Chhattisgarh, India

2019 ◽  
Vol 6 (6) ◽  
pp. 2374 ◽  
Author(s):  
Naresh P. Motwani ◽  
Ankit Jain ◽  
Sudhakar C.
Keyword(s):  
Weight Gain ◽  
Birth Weight ◽  
Low Birth Weight ◽  
Urban Area ◽  
Gestational Weight Gain ◽  
Maternal Age ◽  
Young Age ◽  
Care Hospital ◽  
Gestational Weight ◽  
Low Birth Weight Babies

Background: Maternal undernutrition is a known to be a major factor contributing to adverse pregnancy outcomes. Gestational weight gain and young maternal age at childbearing years is associated with an increased risk low birth weight babies and infant mortality.Methods: Prospective observational study carried out in the post-natal ward of a tertiary care hospital (CM hospital) in a semi-urban area over a period of 1 year in between March 2018 and March 2019. Total 150 mothers who satisfied the inclusion criteria were enrolled. Age of the mothers was noted and were divided into 5 groups. Last known pre-pregnancy weight was recorded on re-call basis, recorded data on first visit during first month of pregnancy and again they were weighed in the third trimester at the time of admission using standard electronic weight machine. Data collected were entered in Microsoft Excel Work sheet 2018 which was imported to SPSS (version16) for data analysis. Quantitative data has been analysed by Mean, Standard deviation, T test and Karl Pearson correlation.Results: Mean birth weight among young age  mother (<20 years) was 2068 g (95%CI,±223.99) which was significantly lower than mean birth weight of 20-30 year old mother (271.19 g±95%CI, 437.02) and >30 year old mother (2932.78, 95%CI±429.99). With increase in gestational weight gain there was a corresponding increase in mean birth weight and this increase was statistically significant (r=0.435, p=<0.001).Conclusions: Maternal age and gestational weight gain had significant impact on new-born anthropometry. Young age (<20yrs) and decreased gestational weight gain is associated with increased number of low birth weight babies.

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