Associations between gestational weight gain and rate of infancy weight gain in Hawai‘i and Puerto Rico WIC participants

Gibby, Cheryl; Palacios, Cristina; Campos, Maribel; Lim, Eunjung; Banna, Jinan

doi:10.1186/s40608-018-0219-z

Cited by 3 publications

(4 citation statements)

References 54 publications

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“…This further emphasizes the need to specifically examine potentially modifiable risk factors leading to adverse birth outcomes in this population. Previous research among women in Puerto Rico has indicated that infants born to women with low and excessive GWG have decreased weight gain between 4 and 6 months compared to infants born to women with adequate weight gain during pregnancy [32]. Excessive GWG has also been associated with increased odds of hypertensive disorders during pregnancy in a predominantly Puerto Rician population [33].…”

Section: Discussionmentioning

confidence: 99%

Associations between gestational weight gain and preterm birth in Puerto Rico

Eick¹,

Welton²,

Claridy³

et al. 2020

BMC Pregnancy Childbirth

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Background Preterm birth (PTB; gestational age < 37 weeks) is the leading cause of infant morbidity and mortality worldwide. Low and excessive gestational weight gain (GWG) have been previously cited as risk factors for PTB, however the magnitude of association varies across populations. No studies have examined low and excessive GWG as modifiable risk factors for PTB in Puerto Rico, an area with inexplicably high PTB rates. Methods To examine the relationship between GWG and PTB, we conducted a retrospective analysis using birth certificate data files from the Puerto Rico Department of Health from 2005 to 2012. GWG was standardized to a 40-week gestational duration and was categorized into low, adequate, or excessive for each category of pre-pregnancy body mass index using American College of Obstetricians and Gynecologists guidelines. Logistic regression was used to determine the crude and adjusted odds ratios (OR) and 95% confidence intervals (CI) for the association between GWG and PTB. Results There were 320,695 births included in this analysis; 40.6% with high GWG and 27.3% with low GWG. A greater percentage of women with low GWG were less than 20 years of age, had less than a high school education, and were underweight compared to women with adequate and excessive GWG. Women with low compared to adequate GWG had increased odds of PTB (OR = 1.34, 95% CI = 1.30–1.37). However, excessive compared to adequate GWG was not associated with PTB (OR = 0.99, 95% CI = 0.97–1.02). Conclusions Among women in Puerto Rico, low GWG was associated with increased odds of PTB. With the exception of obesity, these associations persisted within all strata of pre-pregnancy body mass index, highlighting the importance of maintaining a healthy weight during pregnancy. Future research should examine other factors that may contribute to GWG, such as dietary nutrients, and explore pathways through which GWG may be contributing to PTB.

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Section: Discussionmentioning

confidence: 99%

Associations between gestational weight gain and preterm birth in Puerto Rico

Eick¹,

Welton²,

Claridy³

et al. 2020

BMC Pregnancy Childbirth

View full text Add to dashboard Cite

show abstract

“…Much of the literature is state or city specific or restricted by small sample sizes, and findings have been inconsistent. [15][16][17][18][19] For instance, there is little consensus in the literature regarding the efficacy of the breastfeeding education provided by the WIC program. A 2016 study of 743 individuals enrolled in WIC demonstrated no associations with breastfeeding at 3 months postpartum, contradicting previous studies which found negative associations.…”

Section: Study Aimsmentioning

confidence: 99%

“…Previous studies that assess the efficacy and impacts of the WIC program among pregnant women are limited. Much of the literature is state or city specific or restricted by small sample sizes, and findings have been inconsistent 15–19 . For instance, there is little consensus in the literature regarding the efficacy of the breastfeeding education provided by the WIC program.…”

Section: Introductionmentioning

confidence: 99%

Women, Infants, and Children enrollment and pregnancy‐related behaviors and outcomes among Medicaid recipients in the United States

Lacci-Reilly

Huber

2022

Birth

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Background: Nearly 40% of pregnant women in 2016 were enrolled in the Special Supplemental Nutrition Program for Women, Infants, and Children (WIC). Prior studies have investigated nutritional behaviors among WIC participants and access to WIC breastfeeding counseling services. However, there are no (few?) nationally representative, large-scale analyses of WIC users and pregnancy behaviors. Thus, the present study aims to examine associations between WIC use and select pregnancy outcomes among Medicaid enrollees. Methods:We examined pregnancy-related behaviors and outcomes using 2018 U.S. Birth Certificates for Medicaid patients aged 18-45 years (N = 1 159 263). Outcomes included prenatal care (PNC) adequacy, breastfeeding initiation, cigarette use, and gestational weight gain. Standard binary and multinomial logistic regressions were used to estimate odds ratios (OR) and 95% confidence intervals (CIs). Results: After adjustment, WIC users had statistically significant increased odds of adequate PNC (adjusted OR [AOR] = 1.31 [95% CI 1.30, 1.32]), cigarette use (quit smoking during pregnancy 1.09 [1.07, 1.11]; smoked throughout pregnancy 1.16 [1.14, 1.18], and exceeding recommendations of weight gain 1.07 [1.06, 1.08]) compared with non-WIC users. WIC enrollees also experienced decreased odds of breastfeeding initiation (0.85 [0.85, 0.86]) compared with non-WIC users. Conclusions: The study underscores the value of the WIC program in improving access to PNC. Yet, low-income women remain at risk for smoking during pregnancy and exceeding the recommended amount of weight gain. Breastfeeding initiation is lower than anticipated among WIC participants. Additional studies are needed to investigate WIC program efficacy.

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“…Lastly, many studies did not include important covariates of infant weight gain and pubertal development, such as maternal gestational weight gain (GWG), prior livebirths, or childhood obesity [ 19 – 21 ]. Since infant catch-up growth is strongly associated with GWG [ 19 , 20 ] and childhood obesity [ 22 , 23 ], it is important to include these variables in the analysis. We addressed these limitations by conducting a prospective study using a large, racially/ethnically diverse cohort of girls from Northern California and comprehensive clinical data.…”

Section: Introductionmentioning

confidence: 99%

Associations between infant growth and pubertal onset timing in a multiethnic prospective cohort of girls

Aghaee

Quesenberry

Deardorff³

et al. 2022

BMC Pediatr

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Background Early puberty increases risk of adverse health conditions throughout the life course. US girls are experiencing earlier puberty without clear reasons. Studies suggest early life factors, such as infant growth, may influence pubertal timing. We assessed the associations between infant growth and onset of breast development (thelarche), pubic hair development (pubarche), and menarche in girls. Methods A prospective cohort of girls born at a Kaiser Permanente Northern California medical facility in 2005–11 was used. Weight-for-age z-scores were calculated at birth and 24 months. Difference in z-scores greater than 0.67 represent rapid “catch-up” growth, less than -0.67 represent delayed “catch-down” growth, and between -0.67 and 0.67 represent “normal” growth. Pubertal onset was measured using clinician-assessed sexual maturity ratings (SMRs) and defined as the age at transition from SMR 1 to SMR 2 + for both thelarche and pubarche. SMR data was collected through June 2020. Menarche was analyzed as a secondary outcome. Weibull and modified Poisson regression models were used. Models were adjusted for potential confounders. Results There were 15,196 girls included in the study. Approximately 30.2% experienced catch-up growth, 25.8% experienced catch-down growth, and 44% had normal growth. Girls with catch-up growth had increased risk of earlier thelarche (hazard ratio = 1.26, 95% confidence interval (CI): 1.18, 1.35), pubarche (1.38, 95% CI: 1.28, 1.48), and menarche (< 12y, relative risk = 1.52, 95% CI: 1.36, 1.69) compared to those with normal growth, after adjusting for covariates. These associations were partially mediated by childhood body mass index. Catch-down growth was associated with later pubertal onset. Conclusions Girls who experience infant catch-up growth have higher risk of earlier pubertal development compared to girls with normal growth and the associations are partially explained by childhood obesity. This information may help clinicians to monitor girls who are at high risk of developing earlier.

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Associations between gestational weight gain and rate of infancy weight gain in Hawai‘i and Puerto Rico WIC participants

Cited by 3 publications

References 54 publications

Associations between gestational weight gain and preterm birth in Puerto Rico

Associations between gestational weight gain and preterm birth in Puerto Rico

Women, Infants, and Children enrollment and pregnancy‐related behaviors and outcomes among Medicaid recipients in the United States

Associations between infant growth and pubertal onset timing in a multiethnic prospective cohort of girls

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