scholarly journals Pre-conception and prenatal factors influencing gestational weight gain: a prospective study in Tigray region, northern Ethiopia

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Kebede Haile Misgina ◽  
Eline M. van der Beek ◽  
H. Marike Boezen ◽  
Afework Mulugeta Bezabih ◽  
Henk Groen
Keyword(s):  
Weight Gain ◽  
Child Health ◽  
Gestational Weight Gain ◽  
Northern Ethiopia ◽  
Tigray Region ◽  
Child Health Outcomes ◽  
Gestational Weight ◽  
Prenatal Factors ◽  
Factors Influencing ◽  
And Child Health

Abstract Background In low-income countries, the high prevalence of pre-pregnancy undernutrition remains a challenge for the future health of women and their offspring. On top of good nutrition, adequate gestational weight gain has been recognized as an essential prerequisite for optimal maternal and child health outcomes. However, good-quality data on factors influencing gestational weight gain is lacking. Therefore, this study was aimed to prospectively identify pre-conception and prenatal factors influencing gestational weight gain in Ethiopia. Methods A population based prospective study was undertaken between February 2018 and January 2019 in the Tigray region, northern Ethiopia. Firstly, the weight of non-pregnant women of reproductive age living in the study area was measured between August and October 2017. Subsequently, eligible pregnant women identified during the study period were included consecutively and followed until birth. Data were collected through an interviewer-administered questionnaire and anthropometric measurements complemented with secondary data. Gestational weight gain, i.e., the difference between 32 to 36 weeks of gestation and pre-pregnancy weights, was classified as per the Institute of Medicine (IOM) guideline. Linear, spline, and logistic regression models were used to estimate the influence of pre-conception and prenatal factors on gestational weight gain. Results The mean gestational weight gain (standard deviation[SD]) was 10.6 (2.3) kg. Overall, 64.0% (95% CI 60.9, 67.1) of the women did not achieve adequate weight gain. Factors associated with higher gestational weight gain were higher women empowerment (B 0.60, 95% CI 0.06, 1.14), dietary diversity (B 0.39, 95% CI 0.03, 0.76), pre-pregnancy body mass index (B 0.13, 95% CI 0.05, 0.22), and haemoglobin (B 0.54, 95% CI 0.45, 0.64). Additionally, adequate prenatal care (B 0.58, 95% CI 0.28, 0.88) was associated with higher gestational weight gain. Conclusions Adequate gestational weight gain was not achieved by most women in the study area, primarily not by those who were underweight before pregnancy. Interventions that advance women’s empowerment, dietary quality, pre-pregnancy nutritional status, and prenatal care utilization may improve gestational weight gain and contribute to optimizing maternal and child health outcomes.

Associations of Gestational Weight Gain With Short- and Longer-Term Maternal and Child Health Outcomes

2009 ◽  
Vol 64 (12) ◽  
pp. 785-787
Author(s):  
Emily Oken ◽  
Ken P. Kleinman ◽  
Mandy B. Belfort ◽  
James K. Hammitt ◽  
Matthew W. Gillman
Keyword(s):  
Weight Gain ◽  
Child Health ◽  
Health Outcomes ◽  
Gestational Weight Gain ◽  
Maternal And Child Health ◽  
Child Health Outcomes ◽  
Gestational Weight ◽  
And Child Health

scholarly journals Diet during Pregnancy and Gestational Weight Gain in a Michigan Pregnancy Cohort

2020 ◽  
Vol 4 (8) ◽  
Author(s):  
Kelly A Hirko ◽  
Sarah S Comstock ◽  
Rita S Strakovsky ◽  
Jean M Kerver
Keyword(s):  
Weight Gain ◽  
Child Health ◽  
Gestational Weight Gain ◽  
Fruits And Vegetables ◽  
Vegetable Intake ◽  
Fruit And Vegetable Intake ◽  
Added Sugar ◽  
Gestational Weight ◽  
Prepregnancy Bmi ◽  
Dietary Components

ABSTRACT Background Gestational weight gain (GWG) has important health implications for both the mother and offspring. Maternal diet during pregnancy may play an important role in achieving adequate GWG, although its precise role is unclear. Objectives Associations between maternal dietary components (fruits and vegetables, added sugar, percentage energy from fat, dairy) and GWG were examined in 327 pregnant women from the Archive for Research on Child Health cohort. Methods Self-reported usual dietary intake was assessed with validated dietary screening tools at the first prenatal visit. GWG was obtained from the birth certificate and was categorized as inadequate, adequate, or excessive according to the Institute of Medicine recommendations. Associations between dietary components and GWG were assessed using multivariable regression models, stratified by maternal prepregnancy BMI category. Results Only 31.5% of women had adequate GWG, with 24.8% gaining insufficient weight and 43.7% gaining excessively. Women who consumed more fruits and vegetables were suggestively less likely to have excessive GWG (OR: 0.86; 95% CI: 0.75, 1.00) in the minimally adjusted model, but the association became nonsignificant after adjusting for covariates (OR: 0.89; 95% CI: 0.77, 1.03). In stratified models, higher fruit and vegetable intake was linked to lower likelihood of excessive GWG among women with obesity (OR: 0.77; 95% CI: 0.60, 0.97), whereas higher added sugar intake was linked to a slight reduction in likelihood of excessive GWG (OR: 0.91; 95% CI: 0.84, 0.99) among women with a prepregnancy BMI in the normal range. Other dietary components were not significantly associated with GWG. Conclusions These results suggest that consuming fruits and vegetables during pregnancy may reduce risk of excessive GWG among women with obesity. With the rising prevalence of obesity among women of reproductive age, interventions to increase fruit and vegetable intake during pregnancy may have broad public health impact by improving maternal and child health outcomes.

scholarly journals Engaging Patients and Professionals to Evaluate the Seriousness of Maternal and Child Health Outcomes: Protocol for a Modified Delphi Study (Preprint)

2019 ◽  
Author(s):  
Lisa M Bodnar ◽  
Dmitry Khodyakov ◽  
Katherine P Himes ◽  
Jessica G Burke ◽  
Sara Parisi ◽  
...  
Keyword(s):  
Weight Gain ◽  
Child Health ◽  
Health Outcomes ◽  
Maternal And Child Health ◽  
Care Providers ◽  
Pregnancy Weight Gain ◽  
Child Health Outcomes ◽  
Modified Delphi ◽  
Pregnancy Weight ◽  
And Child Health

BACKGROUND Maternal weight gain during pregnancy is one of the few potentially modifiable risk factors for many adverse maternal and child health outcomes. Defining the optimal pregnancy weight gain range is difficult because, while lower weight gain may prevent some outcomes, such as maternal and child obesity, it may increase the risk of others such as fetal growth restriction and infant death. These health outcomes vary in their seriousness to mothers and their health care providers, and these differences in seriousness should be taken into account when determining optimal weight gain ranges. However, the relative seriousness that women and their care providers place on different health outcomes is unknown. OBJECTIVE We will determine the seriousness of 11 maternal and child health outcomes that have been consistently associated with pregnancy weight gain. We will achieve this by engaging patients and maternal and child health professionals using an online modified Delphi panel process. METHODS We aim to recruit a racially/ethnically and geographically diverse group of 90 US maternal and child health professionals and 90 women who are pregnant or less than 2 years postpartum. We will conduct 3 concurrent panels using the ExpertLens system, a previously evaluated online modified Delphi system that combines 2 rounds of rating with 1 round of feedback and moderated online discussion. In Round 1, panelists are asked to rate the seriousness of each health outcome on a scale of 0-100 and to provide a rationale for their scores. In Round 2, panelists will review their responses relative to those of other panelists. They will discuss their seriousness ratings anonymously using a moderated online discussion board. In Round 3, participants will revise their Round 1 responses based on group feedback and discussion. Each round will be open for 1-2 weeks. RESULTS The study protocol was reviewed by our ethics boards and did not require approval as human research. A pilot study of 6 professionals and 7 patients was completed in December 2019. CONCLUSIONS Our numeric estimates of the seriousness of maternal and child health outcomes will enable future studies to determine pregnancy weight gain ranges that balance the risks of low and high weight gain for mothers and children. INTERNATIONAL REGISTERED REPORT DERR1-10.2196/16478

Rating the seriousness of maternal and child health outcomes linked with pregnancy weight gain

2020 ◽  
Author(s):  
Lisa M. Bodnar ◽  
Dmitry Khodyakov ◽  
Sara M. Parisi ◽  
Katherine P. Himes ◽  
Jessica G. Burke ◽  
...  
Keyword(s):  
Weight Gain ◽  
Child Health ◽  
Health Outcomes ◽  
Maternal And Child Health ◽  
Pregnancy Weight Gain ◽  
Child Health Outcomes ◽  
Pregnancy Weight ◽  
And Child Health
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