Association of Gestational Weight Gain With Maternal and Infant Outcomes: A Systematic Review and Meta-analysis

Goldstein, Rebecca F.; Abell, Sally K.; Ranasinha, Sanjeeva; Misso, Marie; Boyle, Jacqueline; Black, Maureen M.; Li, Nan; Hu, Gang; Corrado, Francesco; Rode, Line; Kim, Young Ju; Haugen, Margaretha; Song, Won O.; Kim, Min Hyoung; Bogaerts, Annick; Devlieger, Roland; Chung, Judith H.; Teede, Helena

doi:10.1097/ogx.0000000000000494

Cited by 51 publications

(75 citation statements)

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“…This means that the parameters describing the "maternal metabolic status" remain a signi cant risk factor for adverse maternal-foetal outcomes when effective treatment eliminates the risk associated with hyperglycaemia in pregnancy. [49]. Similar results were found in the work of Papazian et al [50].…”

Section: Discussionsupporting

confidence: 89%

What Is the Cost of Reducing Adverse Pregnancy Outcomes in Patients With GDM: A Retrospective Cohort Study

Oleszczuk-Modzelewska

Malinowska-Polubiec

Romejko-Wolniewicz

et al. 2021

Preprint

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Background Gestational diabetes mellitus is a frequent complication of pregnancy, affecting the health of mothers and their offspring. The new diagnostic strategy for GDM, proposed by IADPSG in 2010 and WHO in 2013, raised hope for a reduction in perinatal complications. The purpose of the study was to evaluate factors influencing obstetric results in a group of women diagnosed with diabetes, regardless of the adopted diagnostic criteria, compared to a group of pregnant women in whom GDM was excluded. Methods It was a retrospective study based on the analysis of births given after 37 weeks of pregnancy at the 2nd Department of Obstetrics and Gynaecology, Warsaw Medical University during the period from 2013 to 2015. All pregnant women had a 75g OGTT between the 24th and 28th weeks of pregnancy. The study compared risk factors for obstetric complications for patients with gestational diabetes to a group of women without GDM. The impact was analysed of the aforementioned factors on maternal and paediatric obstetric outcomes. Results The parameters significantly influencing the risk of composite adverse maternal outcomes were the circumference of the pregnant woman’s abdomen [OR: 1.08 (1.04; 1.11)] and multiparity, which reduced the risk of this complication by almost half [OR: 0.47 (0.30; 0.75). The size of the maternal abdominal circumference before delivery was a strong factor correlating with the occurrence of perinatal complications in both the mother and the foetus in the entire examined cohort. A circumference over 100 cm increased the risk of at least one pregnancy complication (increased blood loss, soft tissue injuries, pre-eclampsia) by almost 40% (OR 1.38, p < 0.001). Conclusions Apart from normalization of glycaemia, stabilization of the percentage of adipose tissue and non-glycaemic obstetric risk factors may be necessary to obtain further improvement in obstetric outcomes in this pregnant population.

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Section: Discussionsupporting

confidence: 89%

What Is the Cost of Reducing Adverse Pregnancy Outcomes in Patients With GDM: A Retrospective Cohort Study

Oleszczuk-Modzelewska

Malinowska-Polubiec

Romejko-Wolniewicz

et al. 2021

Preprint

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“…Nearly three-quarters (70%) of women in the United States do not achieve GWG within IOM recommendations (Goldstein et al, 2017). For example, women with overweight or obesity before pregnancy are more likely to have excessive GWG than women who have a BMI in the normal range (Deputy, Sharma, Kim, & Hinkle, 2015).…”

mentioning

confidence: 99%

Stress and Anxiety are Associated with Lower Gestational Weight Gain in Hispanic Women

Harvey

Braun

Ertel

et al. 2020

Women's Health Issues

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Prior studies indicate that inadequate and excessive gestational weight gain (GWG) are associated with poor maternal and infant outcomes, and that stress and anxiety may contribute to GWG. However, these studies often failed to use validated measures of stress and anxiety, measured only total GWG, and were limited to largely non-Hispanic White populations. We explored the association between stress and anxiety and GWG. Methods: We used data from 1,308 participants in Proyecto Buena Salud, a prospective cohort of predominantly Puerto Rican women 18-40 years of age (2006)(2007)(2008)(2009)(2010)(2011)(2012). We measured stress with the Perceived Stress Scale and anxiety with the State-Trait Anxiety Scale, and abstracted GWG from medical records. Results: The average GWG was 31.0 AE 16.1 pounds. More than one-half of participants (51.8%) exceeded Institute of Medicine guidelines for GWG. After adjusting for age and pre-pregnancy body mass index, women in the highest quartiles of stress and anxiety in early pregnancy had approximately 4 lbs lower GWG (b ¼ À3.89; SE ¼ 1.54; p ¼ .012 and b ¼ À4.37; SE ¼ 1.54; p ¼ .005, respectively) as compared with those in the lowest quartiles. Similarly, women in the highest quartiles of mid/late pregnancy stress and anxiety had lower GWG (b ¼ À3.84 lbs; SE ¼ 1.39; p ¼ .006, and b ¼ À3.51 lbs; SE ¼ 1.38; p ¼ .011, respectively) and a lower rate of GWG in the second and third trimesters (b ¼ À0.117 lbs/week; SE ¼ 0.044; p ¼ .008 and b ¼ À0.116 lbs/week; SE ¼ 0.043; p ¼ .007, respectively), compared with those in the lowest quartiles. Conclusions: High stress and anxiety were associated with lower GWG. Interventions to decrease stress and anxiety during pregnancy should include counseling on maintaining healthy GWG.

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“…On the other hand, women who gain weight below the recommendations are more likely to have small-for-gestational age children (50,52,53) , and EPACI results were in line with (36) . The sample was % weighted.…”

Section: Discussionmentioning

confidence: 87%

“…Previous studies showed that excessive weight gain during pregnancy is associated with several adverse pregnancy outcomes, such as large-for-gestational-age births, childhood OW and OB and maternal postpartum weight retention (17,51,52) . In the EPACI study, there was not a significant different trajectory in the zBMI of children whose mothers gained excessive weight during pregnancy, when comparing with offspring of women with adequate GWG.…”

Section: Discussionmentioning

confidence: 99%

Association between parental and offspring BMI: results from EPACI Portugal 2012

Nazareth

Pinto

Severo

et al. 2021

Public Health Nutr.

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Objective: To assess the longitudinal association between parental body mass index (BMI) and offspring´s BMI, in EPACI Portugal 2012. Design: Longitudinal study with retrospective collection of children’s anthropometry data since birth. Children’s anthropometric data were gathered from individual child health bulletins and parents’ anthropometrics were self-reported. Children’s and parents’ BMI were classified according to WHO cut-offs. Linear mixed models with random intercept and slope for age were applied to quantify the association between parental BMI and children BMI Z-score (zBMI). Setting: EPACI Portugal 2012. Participants: Representative sample from the Portuguese population (n 2230) aged from 12 to 36 months. Results: 58.9% of the fathers and 35.6% of the mothers were overweight (OW) or obese. Prevalence of infants who were, at least, at risk of OW increased from 17.0% to 30.3% since birth to 12 months. About half of the mothers with pre-pregnancy OW and obesity (OB) gained gestational weight above the recommendations. The children from mothers with gestational weight gain (GWG) below the recommendations showed a -0.15 SD lower zBMI (95% confidence interval (CI): -0.23;-0.06) in early life, comparing with mothers within GWG recommendations. Children of obese mothers were more likely to present a higher zBMI (0.24 SD, 95%CI: 0.13;0.35) throughout the first months of life. Conclusion: A high prevalence of OW and OB was observed in Portuguese young adults and toddlers. Mothers’ pre-pregnancy BMI and insufficient GWG had a direct effect on offspring BMI. Early effective interventions are needed in order to prevent the transgenerational transmission of OB.

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Association of Gestational Weight Gain With Maternal and Infant Outcomes: A Systematic Review and Meta-analysis

Cited by 51 publications

References 0 publications

What Is the Cost of Reducing Adverse Pregnancy Outcomes in Patients With GDM: A Retrospective Cohort Study

What Is the Cost of Reducing Adverse Pregnancy Outcomes in Patients With GDM: A Retrospective Cohort Study

Stress and Anxiety are Associated with Lower Gestational Weight Gain in Hispanic Women

Association between parental and offspring BMI: results from EPACI Portugal 2012

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