Systematic review of clinical trials on dietary interventions to prevent excessive weight gain during pregnancy among normal weight, overweight and obese women

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.

Download Full-text

HUBUNGAN INDEKS MASSA TUBUH IBU DAN PENINGKATAN BERAT BADAN SAAT KEHAMILAN DENGAN PREEKLAMPSIA

Jurnal e-Biomedik ◽

10.35790/ebm.1.1.2013.4363 ◽

2013 ◽

Vol 1 (1) ◽

Author(s):

Hermanto Quedarusman ◽

John Wantania ◽

Juneke J. Kaeng

Keyword(s):

At Risk ◽

Weight Gain ◽

Case Control ◽

Control Group ◽

Case Group ◽

Maternal Body Mass Index ◽

Obese Women ◽

Excessive Weight Gain ◽

Excessive Weight ◽

Weight Gain During Pregnancy

Abstract: Preeclampsia is a health problem that occurs when a pregnancy reaches 20 weeks or more, preeclampsia is accompanied by hypertension and protenuria as main signs. Women with obesity before pregnancy are known to have higher risk to get preeclampsia during pregnancy than those with normal IMT. Excessive weight gain during pregnancy can also increase the risk of preeclampsia in pregnant woman. The purpose of this research is to examine the relationship between maternal body mass index and weight gain during pregnancy with preeclampsia.This research used observasional-analytic method through case-control approach. The number of case group is 38 people and the number of control group is 38 people. The result shows that at risk women were four times more likely to develop preeclampsia during pregnancy than those with normal IMT (OR= 4,32 95% CI= 1,15-16,12), and obese women were five times more likely to develop preeclampsia during pregnancy than those with normal IMT (OR= 5,06 95% CI= 1,46-12,67). The result also shows that women with excessive weight gain during pregnancy were almost three times more likely to develop preeclampsia during preeclampsia than women with normal weight gain during pregnancy (OR=2,53 95% IK= 0,99-31,81). The results show that there is a significant association between maternal IMT and weight gain during pregnancy with preeclampsia. Key Word: BMI, obesity, pregnancy and preeclampsia Abstrak: Preeklampsia adalah masalah kesehatan yang terjadi pada usia kehamilan 20 minggu ke atas dengan tanda utama hipertensi dan protenuria. Wanita dengan obesitas sebelum kehamilan memiliki risiko lebih besar untuk menderita preeklampsia dibandingkan wanita normal. Peningkatan berat badan berlebihan saat kehamilan juga dapat meningkatkan risiko terjadinya preeklampsia pada wanita hamil. Tujuan dari penelitian ini yaitu untuk mengetahui hubungan antara indeks massa tubuh (IMT) ibu dan peningkatan berat badan saat kehamilan dengan preeklampsia. Penelitian ini menggunakan metode observasional-analitik dengan desain case-control. Jumlah sampel untuk kelompok kasus 38 orang dan untuk kelompok kontrol 38 orang. Hasil dalam penelitian ini menunjukkan bahwa kelompok IMT at risk berisiko empat kali lebih besar untuk menderita preeklampsia dibandingkan kelompok IMT normal (OR= 4,32 95% IK= 1,15-16,12), sedangkan kelompok IMT obesitas berisiko lima kali lebih besar untuk menderita preeklampsia dibandingkan kelompok IMT normal (OR= 5,06 95% IK= 1,46-12,67). Kelompok dengan peningkatan berat badan tinggi berisiko hampir tiga kali lebih besar untuk menderita preeklampsia dibandingkan wanita dengan peningkatan berat badan saat hamil normal (OR=2,53 95% IK= 0,99-31,81). Hasil penelitian ini menunjukkan bahwa terdapat hubungan bermakna antara indeks massa tubuh ibu dan peningkatan berat badan saat kehamilan dengan preeklampsia. Kata Kunci: IMT, obesitas, kehamilan, dan preeklampsia.

Download Full-text

The role of antenatal education for the prevention of excessive weight gain during pregnancy

Minerva Ginecologica ◽

10.23736/s0026-4784.19.04449-6 ◽

2020 ◽

Vol 71 (6) ◽

Author(s):

Roberta Amadori ◽

Carmela Melluzza ◽

Alessia Motta ◽

Alberto De Pedrini ◽

Daniela Surico

Keyword(s):

Weight Gain ◽

Excessive Weight Gain ◽

Antenatal Education ◽

Excessive Weight ◽

Weight Gain During Pregnancy

Download Full-text

Excessive Weight Gain Followed by Catch-Down in Exclusively Breastfed Infants: An Exploratory Study

Nutrients ◽

10.3390/nu10091290 ◽

2018 ◽

Vol 10 (9) ◽

pp. 1290 ◽

Cited By ~ 7

Author(s):

Melanie Larsson ◽

Mads Lind ◽

Anni Larnkjær ◽

Anette Due ◽

Irina Blom ◽

...

Keyword(s):

Weight Gain ◽

Fat Mass ◽

High Serum ◽

Normal Weight ◽

Milk Intake ◽

Leptin Resistance ◽

Serum Leptin ◽

Excessive Weight Gain ◽

Breastfed Infants ◽

Excessive Weight

Some infants experience excessive weight gain (EWG) during exclusive breastfeeding, but causes and consequences are unknown. The objective was to identify factors associated with early EWG. Infants with EWG (HW-group) were examined at 5, 9 and 18 mo and compared to a breastfed group with normal weight gain (NW-group). Anthropometry, body composition, milk and blood samples, and milk intake were measured. Mean body-mass-index-for-age z-scores (BAZ) increased 1.93 from birth to 5 mo in the HW-group (n = 13) while the NW-group (n = 17) was unchanged (−0.01). The HW-group had 70% more fat mass at 5 mo, and then showed marked catch-down in BAZ from 5 to 18 mo (−0.84). Milk intake at 5–6 mo did not differ between the groups. In the HW-group milk-leptin was lower at 5 mo and serum-leptin was considerably higher at 5 and 9 mo compared to the NW-group. Serum-leptin at 5 mo was positively associated with weight-for-age z-score (WAZ) and fat mass and negatively with WAZ change from 5 to 9 mo. In conclusion, breastfed infants with EWG had catch-down growth when other foods were introduced. Low milk-leptin in the HW-group may have stimulated appetite and milk intake when weight gain was high. High serum-leptin in the HW-group suggests early leptin resistance, which could impact cerebral regulation of energy intake. Larger studies are needed to confirm these results.

Download Full-text