scholarly journals Impact of Second Trimester Maternal Dietary Intake on Gestational Weight Gain and Neonatal Birth Weight

Nutrients ◽  
2017 ◽  
Vol 9 (6) ◽  
pp. 627 ◽  
Author(s):  
Malshani Pathirathna ◽  
Kayoko Sekijima ◽  
Mieko Sadakata ◽  
Naoshi Fujiwara ◽  
Yoshiyuki Muramatsu ◽  
...  
2020 ◽  
Vol 20 (1) ◽  
Author(s):  
Yawen Wang ◽  
Haihui Ma ◽  
Yahui Feng ◽  
Yongle Zhan ◽  
Sansan Wu ◽  
...  

Abstract Background This study aims to explore the relationships between pre-pregnancy body mass index (BMI), gestational weight gain (GWG), rate of GWG during the second and third trimesters (GWGrate) and birth weight among Chinese women. Methods Women were enrolled by 24 hospitals in 15 different provinces in mainland China from July 25th, 2017 to 26 November 2018. Pre-pregnancy BMI, GWG and GWGrate were calculated and divided in to different groups. The multinomial logistic regression model and restrictive cubic spline model were used to explore the relationships. Results Of the 3585 participants, women who were underweight, had insufficient GWG or GWGrate had 1.853-, 1850- or 1.524-fold higher risks for delivering small-for-gestational-age (SGA) infant compared with women who had normal BMI, sufficient GWG or GWGrate. Women who were overweight/obese, had excessive GWG or GWGrate had 1.996-, 1676- or 1.673-fold higher risks for delivering large-for-gestational-age (LGA) infant. The effects of GWG and GWGrate on birth weight varied by pre-pregnancy BMI statuses. Dose-response analysis demonstrated L-shaped and S-shaped relationships between pre-pregnancy BMI, GWG, GWGrate and neonatal birth weight. Conclusions Pre-pregnancy BMI, GWG or GWGrate were associated with neonatal birth weight among Chinese women. Both body weight before and during pregnancy should be maintained within the recommendations to prevent abnormal birth weight.


2019 ◽  
Vol 20 (10) ◽  
pp. 2398 ◽  
Author(s):  
Jolanta Patro-Małysza ◽  
Marcin Trojnar ◽  
Katarzyna E. Skórzyńska-Dziduszko ◽  
Żaneta Kimber-Trojnar ◽  
Dorota Darmochwał-Kolarz ◽  
...  

Two-thirds of pregnant women exceed gestational weight gain recommendations. Excessive gestational weight gain (EGWG) appears to be associated with offspring’s complications induced by mechanisms that are still unclear. The aim of this study was to investigate whether umbilical cord leptin (UCL) and ghrelin (UCG) concentrations are altered in full-term neonates born to EGWG mothers and whether neonatal anthropometric measurements correlate with UCL and UCG levels and maternal serum ghrelin and leptin as well as urine ghrelin concentrations. The study subjects were divided into two groups, 28 healthy controls and 38 patients with EGWG. Lower UCL and UCG levels were observed in neonates born to healthy mothers but only in male newborns. In the control group UCG concentrations correlated positively with neonatal birth weight, body length and head circumference. In the control group maternal serum ghrelin levels correlated negatively with neonatal birth weight, body length and head circumference as well as positively with chest circumference. In the EGWG group UCG concentrations correlated negatively with neonatal birth weight and birth body length. UCL correlated positively with birth body length in EGWG group and negatively with head circumference in the control group. In conclusion, EGWG is associated with disturbances in UCL and UCG concentrations.


2021 ◽  
Author(s):  
Xin He ◽  
Zhengyuan Wang ◽  
Zehuan Shi ◽  
Ping Liao ◽  
Qin Yan ◽  
...  

Abstract Background: Gestational weight gain (GWG) and birth weight are important indicators of maternal and infant health outcomes. Thyroid function may affect body composition and fetal growth during pregnancy. So far, on the premise of excluding thyroid autoimmunity interference, the correlation of thyroid function in different pregnancy with neonatal birth weight and maternal weight gain is still controversial. Methods: This study used data from a prospective birth cohort in Shanghai, China. Serum concentration of TSH, total thyroxine (TT4), free thyroxine (FT4), total triiodothyronine (TT3), free triiodothyronine (FT3), thyroglobulin antibody (TGAb), thyroid peroxidase antibody (TPOAb) were determined using chemiluminescence assay. Maternal GWG and neonatal sex-specific birth weight-for-gestational age Z-score was calculated.Results: Subjects with a higher BMI before pregnancy turned to have a lower GWG and an infant with a higher birth weight. GWG was negatively associated with maternal FT4 at the first and third trimester (p<0.05), and TT4 at the third trimester (p<0.05). GWG was positively associated with maternal FT3 at the second trimester (p<0.05). Lower birth weight Z-score were associated with higher FT4 at the second and third trimester (p<0.05), and higher TT4 at the second trimester (p<0.05). Conclusions: In the general pregnant population with normal thyroid autoimmunity, higher maternal FT4 and TT4 and lower FT3 are associated with less GWG. Higher maternal FT4 and TT4 have an infant with lower birth weight.


2017 ◽  
Vol 18 (3) ◽  
pp. 263-271 ◽  
Author(s):  
Meng-kai Du ◽  
Li-ya Ge ◽  
Meng-lin Zhou ◽  
Jun Ying ◽  
Fan Qu ◽  
...  

2019 ◽  
Vol 90 (1) ◽  
pp. 50-54 ◽  
Author(s):  
Magdalena Nowak ◽  
Maria Kalwa ◽  
Piotr Oleksy ◽  
Katarzyna Marszalek ◽  
Malgorzata Radon-Pokracka ◽  
...  

2019 ◽  
Author(s):  
Kiley B. Vander Wyst ◽  
Matthew P. Buman ◽  
Gabriel Q. Shaibi ◽  
Megan E. Petrov ◽  
Elizabeth Reifsnider ◽  
...  

Abstract Background: Resting energy expenditure (REE) comprises 60% of total energy expenditure and variations may be associated with gestational weight gain (GWG) or maternal diet. The objective of this study was to examine the impact of ambulatory metabolic tracking on GWG and the association with maternal macronutrient composition during mid-pregnancy. Methods: Pregnant women aged 29.8±4.9 yr (78.6% non-Hispanic, White) with gestational ages (GA) < 17 wk were randomized to Breezing™ (N=16) or control (N=12) groups for 13 wks. REE by Breezing™ indirect calorimetry, anthropometrics and dietary intake were collected every two weeks. Early (GA weeks 14-21), late (GA weeks 21-28), and overall (GA week 14-28) changes in macronutrients and GWG were calculated. Results: Overall total and rate of GWG did not differ by group but Breezing™ women had lower rate and total GWG in the beginning of the second trimester but gained significantly more weight [F(1,24)=5.29, p=0.03] in the latter half. Independent of group assignment, early increases in REE were associated with an increased rate of GWG later in pregnancy (r=0.53, p=0.05). Dietary intake did not differ by group at baseline; however, overall energy (-144±339 vs. 192±422, p=0.03) and protein (-10±24 vs. 13±31, p=0.05) intake were significantly lower for the Breezing than the control women which primarily occurred in the latter half of the second trimester. Conclusion: Regular metabolism tracking alone did not have an impact on GWG. Assessment of REE during pregnancy in conjunction with nutritional counseling or education may result in improvements in GWG.


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